Recent Articles

Don’t roll the dice with ankle injuries

Newcastle Podiatry - Friday, July 04, 2014

Whether you’re a weekend warrior or an elite athlete in your chosen sport, if you play for long enough you find out soon enough that ankle injuries are common and happen easily.

The ankle is one of the most traumatised body sites during sport and is reported to account for 10-30% of all sports injuries. With 80% of ankle sprains happening in the “typical” fashion, it takes a keen assessment and attention to detail to decipher the intricacies of the less common types.

The correct assessment, imaging and treatment can most certainly be the difference between weeks on the sideline or months. One such injury that is easily missed is the high ankle sprain. I saw two of these at Merewether Carlton in the pre season of the NHRU this year.

The high ankle sprain or syndesmoses sprain are injuries that causes the two long bones in the ankle to be separated, injuring the ligaments that make them one unit. In some cases no amount of rehabilitation is sufficient for a full recovery to sport without surgical intervention. In other cases, stabilisation with orthotic therapy and strapping can see you back on the park in weeks. You need to be sure the right choices are made for you.

Persistent ankle pain can be symptomatic of a gamut of other possible diagnoses each with its own specific requirements for appropriate management. You need to be confident that you are managed for optimal results and your podiatrist is a key player in ensuring that this is the case.

Practice Closed for Renovations

Newcastle Podiatry - Friday, July 04, 2014

Practice Closed for Renovations                
Monday 21st July – Friday 25th July

Please note that our practice will be closing for renovations from Friday 18th July @ 1pm and reopening to patients on Monday 28th July @ 1pm.  During that week we will still be taking phone calls, should you need to contact us to book in an appointment. We do apologise for any inconvenience this closure may cause and we look forward to sharing our new look with you on your next visit.

Rose Davies

Newcastle Podiatry - Thursday, May 23, 2013

Congratulations to one of our young female patients, Rose Davies, who competed in the 1500m national junior championships in Perth in March.

Rose, 13, overtook the leaders with 200m to go in the under-15 1500m final and held on in 4:35.62 to win by just under a second.

Rose is now the current 1500m Australian Champion and will turn her focus to the NSW Little Athletics.

We would like to wish her all the best on her future endeavors and know she will succeed in all that she puts her heart and soul into.

Well done Rose...

Increase in "Clicky Hips"

Newcastle Podiatry - Wednesday, March 13, 2013

 

Recent Australian research has indicated a dramatic, approximately 30% increase in the diagnosis of congenital hip dysplasia, know as "Clicky Hips". This has been directly related to changed swaddling habits for newborn babies and the use of baby carriers that externally rotate the child's hips, usually carried on the front of the parent.

This has a dramatic implication for the child is undiagnosed and untreated. Congenital hip dysplasia has been shown to be a cause of osteo-arthritic change around the anterior portion of the hip later in life. As a young child we find that it increases internal rotation of the lower limb and leads to foot, leg, hip pain and instability fatigue. But more concerning are some of the serious knee and hip conditions young children suffer as they grow.

What to do?

Early assessment is vital, this may lead to further paediatric or paediatric orthopaedic review. Appropriate shoes for first walkers and a review of biomechanics will also assist. If you are concerned about your little ones hips please contact us for an appointment.

 

Children in Sport

Newcastle Podiatry - Wednesday, February 13, 2013
With the progression of the winter sports season it is the time when knee pain starts to appear in our children.

We tend to see an almost immediate influx of children needing urgent attention due to pain after moving from thongs and bare feet into football boots and running shoes. This can be caused by an increase in training on soft rugby/soccer fields, hockey fields and netball courts. 

Commonly knee pain in children is misdiagnosed and poorly treated or worse still place into the “growing pains” basket with parents told to wait and see. It is important to diagnose and treat these pains quickly to prevent kids being forced to sit on the sideline. 

A number of pathologies appear around the knee and whilst commonly presenting in the 9 to 13 age group they also manifest outside this age bracket. Pain over the ‘bump’ just below the knee (the tibial tuberosity) known as Osgood Schlatters disease is commonly under diagnosed; as is Sinding Larsen Johnanson syndrome (pain in the bottom of the patellae). However, both knee conditions will stop sport and cause pain. Of greatest concern is the fact that knee pain in children can also indicate in rare cases serious hip pathologies that when left untreated have devastating effects. 

All of these conditions commonly have a biomechanical component and when addressed through stretching, footwear and appropriate prescription functional foot orthoses your child will have the best possible chance of staying in their sport pain free. 

Put simply our children don’t need to have pain to play sport
early assessment and treatment is the key

Diabetes

Newcastle Podiatry - Wednesday, February 13, 2013
There are two main types of Diabetes, Type 1 and Type 2. Today I will be talking about Type 2. Type 2 Diabetes is also known as non-insulin dependent diabetes. It is a very common disease with one Australia being diagnosed every seven minutes.

Type 2 Diabetes occurs when the body does not make enough insulin or when the insulin produced does not do its job properly. Type 2 Diabetes is a serious disease and no just a case of “a little too much sugar in the blood”. Sometime Type 2 Diabetes patients may require injections of insulin.  Type 2 is also referred to as a lifestyle disease, although recent research does show Diabetes is serious but can be managed.

Risk factors for Type 2 Diabetes:

  • Family history
  • Age 
  • Obesity/overweight
  • Sedentary lifestyle (lack of exercise)
  • Heat disease
  • High blood pressure
  • People from certain ethnic groups
  • Diabetes in pregnancy. 

Some important things to do to help prevent Type 2 Diabetes:

  • Aim to exercise for at least 30 minutes daily. 
  • If you are overweight, a healthy eating plan.
  • See your doctor for a Fast Blood Glucose Test or an Oral Glucose Tolerance Test.

How can Diabetes affect your feet?

If Diabetes is undetected or if it is poorly controlled for a length of time the nerve endings and circulation can be impaired.
Most foot problems in people who have Diabetes occur when injuries go unnoticed and or untreated.

To prevent problem:

  • Protect your feet from injury.
  • Inspect your feet daily.
  • See your podiatrist immediately if something is not healing.
  • Have annual diabetic foot risk assessments to detect any changes in your nerve or blood supply to your feet.

NOT JUST FEET Rehabilitation of your Hip, Knee, Leg and Foot

Newcastle Podiatry - Wednesday, February 13, 2013
As Podiatrists it is important to look at more than just feet. Being able to assess and rehabilitate core stability, hip and pelvic control, the knee and its relationship to lower limb and foot function helps us in ensuring we address all factors to assist your injury, walking and running style.

This can include acute injury management and treatment for hip, knee, lower limb and foot, basic to comprehensive strength programs, return to run progressions and referrals.

A common example is pain in the front of the knee which is commonly diagnosed as Patella-Femoral Pain Syndrome. This is an umbrella term and actually can involve a large range of different structures. Therefore treatment will differ depending on the structures involved. Treatment will usually involve knee focused exercises in order to optimise knee function. It is important to assess hip level function and treatment will commonly involve hip based exercises to control internal femoral rotation. Of course the foot is an important contributor and most knee pain reoccurs if this is not addressed. Off the shelf orthoses just don’t assist and the correct prescription functional orthoses are often required.

Kurt Robertson a podiatrist in our practice has been working closely with and trained by Physiotherapists. Kurt has bought new programs to diagnose and rehabilitate knee, hip and lower limb injuries.

Whether you are a professional athlete or someone who wants to walk along the beach, rehabilitation programs are personally designed for you and your goals.

For more information on any lower limb condition and how we can help, contact our front office team to book a biomechanical assessment with one of our skilled podiatrists.

Ouch! It’s likely to be a pain in the knee.

Newcastle Podiatry - Wednesday, December 05, 2012

The knee is reported to be the most commonly injured joint in the body. And particularly in sports, the most common cause of knee pain is injury to the Patella-femoral joint.

Let’s put a figure on that. 27% of all sporting injuries are to the knee while the ankle comes a close 2nd at around 21%. As a family practice, we at Newcastle Podiatry see knee injuries in patients of all ages.

Our aim is always to get them back to fitness as soon as possible. So accurate diagnosis as well as screening of the causative factors of your knee pain is vital if you want to recover in the quickest possible time.

Underlying injuries are often made worse through participation in activities such as jumping sports like basketball, hill running or even simply going up and down stairs.

However, we can help with a number of rehabilitation exercises, mobilizations, taping techniques and prescription functional foot orthotics.

Low back pain? It could start and end with your feet.

Newcastle Podiatry - Friday, November 30, 2012

The most common question I am asked by my patients is “why feet?”

The misconception they have is that podiatrists only treat the foot.

In fact foot injuries and foot pain are only a small part of what we, at Newcastle Podiatry, diagnose and treat on a daily basis.

Low back pain is a very common complaint and not many people understand how movement and alignment of the pelvis, leg, ankle and foot is intricately connected to the development of acute and chronic low back pain. Yet it can easily happen to people young and old, male and female.

Let me share the story of one patient in particular.

This previously very active 23 year old male was forced to have his big toe fused surgically as a result of severe arthritis.

However, as the big toe is extremely important in allowing effective propulsion in gait, he was forced to compensate which meant turning his hip out.

This had the effect of causing rotation at his pelvis and stabilising through his sacroiliac joint.

In turn, this forced an increase in motion in his lower spine and subsequently a bulging disc.

Result? Unacceptable, continuous low back pain.

Using prescription orthotics, we were able to make a careful adjustment to his propulsive phase of gait in order to stop the pelvic compensation.

And when I reviewed him recently, I was thrilled to learn that his back pain had settled and he had begun running once more.

Now, this was a fairly severe case, but even the most subtle asymmetry or mild instability can cause compensations leading to chronic low back pain.

So if you are suffering, make an appointment today with one of our podiatrist’s.


email us - 51 Denison St, Hamilton East - 02 4961 4411