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At ProMed Podiatry we aim to provide our valued patients with proven therapies, state of the art services and personalised experiences that bring a successful outcome.
We thrive on helping all our patients navigate their way through any lower limb issues back to a state of optimal personal health and function.
Promed’s qualified podiatrists are skilled and experienced in treating a range of conditions. These conditions are as unique as each of our patients and may range from routine foot care to more complicated musculoskeletal conditions as well as minor toe surgery.
Click on the tabs to read more about ProMed Podiatry services.
Our services include:
A Medical Pedicure involves addressing all nail and skin conditions. During this consultation we:
- assess the condition,
- provide treatment,
- create a management plan and
- provide advice on specific products that will assist your condition.
This consultation is our most sought after service. A Medical Pedicure meets all your foot health needs with a relaxing foot massage to complete the treatment.
Ingrown toenails are a common, painful condition where the toenail grows into the side of the adjoining skin. This may result in a red, painful, swollen and sometimes infected toe.
Ingrown toenails can occur from several factors. The most common cause is incorrect nail trimming techniques. Other common causes of ingrown toenails include:
- Congenital toenail or toe shape deformity.
- Fungal nail infection
- Poor foot hygiene
- Pregnancy or obesity which affects the size of the toe
- Pressure from poor fitting shoes, neighbouring toes or tight socks/hosiery
- Trauma to the nail
At ProMed Podiatry, we pride ourselves in offering many options to help relieve the discomfort, pain and soreness of ingrown toenails.
Resection and shaping of the nail
This will remove the offending portion of the nail and provide instant relief. Regular Podiatry reviews are recommended to assist the nail to grow over the soft tissue without repeated ingrowing nails.
This is a technique that is highly successful. A customised brace is applied to your nail and it applies pressure to both outer edges of the nail to reduce the curvature. This brace can stay on for 3 months or more and in turn provide correction to the nail curvature.
In the rare event the above treatments are either unsuccessful or unsuitable we can perform a permanent partial or total removal of your nail. This procedure is performed with a local anaesthetic. It has minimal post-procedural discomfort and has a very high success rate.
Warts can be painful and very difficult to get rid of. They are caused by an infection of the Human Papilloma Virus (HPV). Often they are contracted by injury to exposed skin most commonly in public areas like bathrooms and pools.
Warts under the foot and on toes are often more painful as they are located on a weight-bearing surface adding pressure and increasing pain. Treatment of warts on the feet can sometimes be challenging, as warts are quite resilient and often have their own blood supply, ensuring continued growth.
Your Podiatrist will be able to advise you on the best course of treatment for your warts. These can range from controlled acid treatments (which are mostly painless), cryotherapy (freezing) of the lesions and a multi-puncture technique performed with local anaesthetic.
Aching legs and feet are often a sign of underlying poor foot posture, instability or muscle weakness. These complications can be intensified by spending long hours on your feet or wearing poorly fitted footwear.
Experiencing mild discomfort may not warrant cause for concern however without treatment, serious damage can occur including toe deformities, arthritis, knee wear and tear, chronic back pain, fallen arches and heel pain.
At ProMed Podiatry, we believe that properly rehabilitating painful feet involves more than just reducing foot pain; it involves retraining and strengthening muscles of the foot to prevent future injury.
Treatment methods used in the clinic include:
- dry needling,
- electrotherapy (including ultrasound, interferential and laser therapies)
- Footwear advice and prescription
- Orthotics and shoe insoles.
- Rehabilitation programs involving individually designed strengthening and stretching programs,
Your foot’s structure can be affected by diseases of the auto-immune, vascular, nervous and musculoskeletal systems, potentially causing foot deformities that affect sensation, mobility and result in chronic painful and sore feet.
At ProMed Podiatry we understand feet and the complex way they work. Every foot is different. Our qualified podiatrists have expertise in the management of collapsed feet, high arches, pigeon toes, wound care, bone fractures, rheumatoid arthritis, osteoarthritis and neurological diseases affecting the lower limbs.
We have access to a number of treatment modalities including orthotics, ankle foot orthotics (Richie Brace), removable walking boots, and other rehabilitation options to manage these conditions.
Orthotics are specialised devices to improve not only your foot function but assist with limb alignment, reduced forces on soft tissue structures and in turn provide pain relief.
Orthotics can be used for a variety of problems, such as:
- Children’s walking and balance issues
- Adult occupational and sporting injuries
- Heel pain, arch pain and forefoot pain
- Osteoarthritis, rheumatoid arthritis and other joint problems affecting the foot and leg
- Knee pain
- Tendonitis, ligament instability and muscle problems
- Diabetic foot complications
Depending on the nature of your problem, your footwear and activities, we will individually design a foot orthoses for you.
Custom Sports / General Orthoses
These devices are typically made from flexible, but slightly higher density materials. They provide long term durability and control for significant biomechanical problems. They are lightweight and can be shaped to fit a wide range of men’s, women’s and athletic shoes, but are not as suitable for women’s fashion shoes (see our Dress Orthoses). Custom orthotics can be full length or 3/4 length devices, with a range of soft covering materials to provide additional comfort.
Diabetic / Accommodative Orthoses
For conditions such as diabetes and rheumatoid arthritis, soft cushioning materials are usually required. Our accommodative orthoses are made of 3 or more layers of materials. Together these provide stability to the foot, along with moulding around bony prominences and pressure points that might be at risk of ulceration or breakdown.
Dress Shoe Orthoses
The needs of women are catered for with our Dress Orthoses. These are specifically prescribed in a lightweight, thin material that is designed to suit a range of dress and fashion footwear. They are typically 3/4 length devices and are suited to loafers, ballet flats and moderate heeled dress shoes.
ProMed Podiatry offer the following orthotic options:
- Prefabricated shoe inserts that are heat mouldable and can be adjusted to fit your
- Custom made innersoles made from an impression of your foot, or
- Fully customised orthotics modelled from a cast of your feet
At ProMed Podiatry, our podiatrists are skilled in managing an array of complex diabetic foot problems.
Diabetes causes two main problems to the foot:
- Peripheral Neuropathy – a degeneration of the nerves within the foot that can cause pain or loss of sensation
- Peripheral Arterial Disease – narrowing or blockages of the arteries which carry blood from the heart down to the foot
People with diabetes are at risk of developing ulcerations and infections within their feet, which have the potential for amputation. In Australia alone, around 3,000 amputations are performed every year on the feet of adults with diabetes, with some of these conditions easily preventable with pro-active treatment. Regular podiatry reviews reduce the risk of limb threatening issues. At ProMed Podiatry we provide a thorough assessment, specific treatment and preventative management. Prevention is the best cure!
According to Diabetes Australia if you have diabetes it is advised to have your feet checked annually for low risk feet and every 3 – 6 months for high risk feet. The consultation and assessment will include:
- Circulation to the feet
- Sensation and reflexes
- Unusual foot shapes (including bunions, claw toes and hammer toes)
- Conditions of toenails
- Dryness, calluses, corns, cracks or infections of the skin
Foot Care Tips for People with Diabetes
- Inspect your feet daily for injuries or problems
- See your podiatrist or doctor immediately if you suspect a problem
- Have a foot review with your podiatrist annually or earlier if you have concerns
- Keep your diabetes under good control – it lessens the chance of complications
- Wear protective footwear at all times, especially if you have lost sensation in your feet
- Do not self- treat foot problems such as ingrown toenails or corns as this can lead to serious consequences
- Buy well-fitting shoes with plenty of room – seek professional podiatry advice regarding suitable footwear for your foot shape, lifestyle activities and medical issues.
At ProMed Podiatry we work with several leading orthopaedic surgeons to assist in injury rehabilitation as well as pre and post-surgical rehabilitation. Tight or weak muscles are much more prone to injuries. Therefore, specifically tailored prescription muscle strengthening and stretching programs are a very important part of injury rehabilitation and future prevention.
Many conditions, such as diabetes, can cause a decrease in blood flow to your feet and lower limbs. This can lead to delays in healing time, increased risk of infection and severe pain when walking even short distances. Your Podiatrist is able to assess the blood supply to your feet during a thorough vascular assessment. A Doppler Ultrasound, an Ankle Brachial Index (ABI) and a Toe Brachial Index (TBI) machine are tools that are able to be used not only to assess circulation but also to analyse risk of ulcerations, or if you require a referral to a vascular specialist.
Our nerves are responsible for allowing us to sense stimulus accurately as well as to enable our muscles to work properly. A Podiatrist is able to assess appropriate nerve function by taking a thorough history of the presenting complaint and assessment of neurological factors such as reflexes and stimulus response. Any neurological deficits are referred for further investigation.
A biomechanical assessment is the comprehensive analysis of the foot, ankle and lower limb mechanics which includes the following:
- Non weight bearing assessment of leg length, hip joint, knee joint, ankle joint, rear foot and forefoot joints
- Muscle flexibility of the lower limb
- Muscle strengths of the lower limb
- Gait assessment to view walking style and mechanical overload
A full biomechanical assessment is required if a custom orthotic device will be part of your treatment plan. The assessment allows the Podiatrist to determine what sort of orthotic will work best, which structures need to be offloaded, which areas might be at risk of injury in the future and what footwear will work best for you.
Footwear comes in all shapes and sizes, as do feet! Some of the most common complaints involving the feet such as plantar fasciitis, corns and callouses can be caused by poorly supportive footwear. Your Podiatrist will be able to assess your current footwear and discuss if they are suitable or if another style of shoe would help with your foot complaints. There are a range of things to look for in good shoes, and these are just a few of the examples.
- Firm midsole – to provide support under your arches
- Firm heel counter – to provide support around your heel and ankle
- Deep heel counter – to provide support for unstable feet & ankles
- Firm lateral heel midsole – to provide support and protect against lateral instability
At ProMed Podiatry we will refer you to suitable shoe stores in your area that can provide appropriate footwear no matter what your requirements. If you have 2 different sized feet or your feet are a more unusual shape and you have trouble finding shoes that fit properly, Podiatrists are able to refer you to an Orthotist or Pedorthist (shoe maker) for specially prescribed medical grade footwear.
All our Podiatrists are qualified Medical Footwear Prescribers for the Department of Veterans’ Affairs.
Oedema or swelling is very prevalent in the lower limbs. Common causes of oedema are:
- Vein insufficiency
- Arterial insufficiency
- Central organ conditions such as chronic heart failure, kidney disease
- Lymphoedema / lipedema
- Medication side-effects
At ProMed Podiatry we are able to assist with the management of oedema through several treatment options:
- Compression bandaging
- Compression stockings
- Lymphatic drainage massage
- Positive pressure pump therapy
- Does your child complain of foot or leg pain?
- Does your child often ask to be picked up?
- Does your child have instability issues or falls frequently?
- Does your child walk differently to other children?
Recent research has revealed that certain foot types, such as flat feet or high arched feet can predispose children to injuries and problems in later life.
At ProMed Podiatry we take a pro-active approach and recommend that children are screened in order to identify any possible issues. If you are concerned about your child’s feet or do not believe they look or function ‘normally’ we can help with the following:
- Flat feet
- Stiff or rigid feet and ankles
- Limb length differences
- Sever’s disease
- Osgood-Schlatter’s Disease