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Bunions (Hallux Abductovlagus) and Bunion Treatment

6/5/2016

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Bunion also called Hallux Abductovalgus (HAV) is a condition of the big toe when it deviates from its normal position, going side way rubbing and eventually overlapping the second and subsequent toes and digits. The may be a the bony growth happening as well to the medial aspect of the forefoot.

There are different factors potentially contributing to bunion development. These include heredity factors, poor/tight footwear, high heeled shoes and poor foot mechanics.

While there is nothing can be done about heredity factors contributing to the bunion problem, however the modifiable factors such as wearing adequate footwear and correcting abnormal foot mechanics can be in our disposal to help manage the bunions problem and its associated symptoms. 

As Podiatrists we are experts in bio-mechanics and human locomotion. Understanding this area of science gives us the knowledge to study the different forces which act on the feet, legs and other extremities. We recommend bunions to be treated sooner rather than later. Why? Because bunion is a progressive condition going from stage zero to one, two, three and four which is the last stage. Give us a call Today and discuss how we can help.
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Heel Pain (Heel spur, Plantar fasciitis, Cracked heel, Tarsal Tunnel)

7/4/2016

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There are many causes of plantar or bottom of heel pain. Conditions affecting the bottom of the heel may range from vascular, neurological, infectious, traumatic, arthritic and mechanical causes.

Within our practice we have seen a range of people presenting with heel pain. Some come with large splits and cracks in the heel resulting in pain and discomfort. Others we have seen came with a piece of glass or foreign body sticking into the skin and while others have came in with fractured heel bone.

​While there are many causes of heel pain as mentioned, Plantar fasciitis is mechanical condition affecting the heel and sometime the arch is the most common cause of heel pain most of our patients have been presenting. Abnormal mechanical forces, poor foot posture, excessively low arch or high arch profile, poor footwear, excessive weight are some of the most common causes of why some individual develop plantar fasciitis.

As podiatrists or foot and ankle specialists, we are well equipped to deal with you heel or other foot pain concerns. If you are suffering from plantar fasciitis, it is in your best interest to treat the problem as soon as possible as longterm plantar fasciitis can lead to potential heel spurs. Heel spurs on the other hand is a bony growth in the bottom of the heel which is some cases can only be resolved with surgery depending on the size of the spur.
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Verruca Pedis & Foot Wart

4/3/2016

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Verruca Pedis also commonly called foot warts are lesions which develop in the skin following an infection by Human Papillomavirus (HPV). Some people are less immune and more vulnerable to HPV and have higher risk of contracting the virus from contaminated areas. Walking barefeet in places such as public swimming pool, bathrooms and changing rooms may increase one's risk of contracting the HPV. 

Obviously skin is the biggest and heaviest organ in our body. It also helps protect our entire body system. Intact skin is crucial to our health, well-being and survival. When there is a breakdown in the skin integrity even at microscopic level, bags such as HPV can easily penetrate the skin and develop into lesions like warts.

How verruca or wart is treated depends on the size, depth and the number of lesions present.Treatments may range from Liquid Nitrgen, Keratolysis agent, Cauterizing agents to sometime even surgical excision. 

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Ingrown Toenail (Onychocryptosis)

6/2/2016

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Ingrown toenail scientifically called Onychocryptosis is a painful condition of the toe that occurs when the sides or corner of the toenail grows into the skin at the side or end of the toe. The condition mostly occur on the outer edge of the big toe, although the nail on both sides of the toe, or nail on any toe can become ingrown.

Some of the causes of ingrown toenail can incude Ill-fitting shoes such as tight shoes, high heels and pointed-toe shoes cause the toes to be compressed together so that the nail curls into the skin and cannot grow normally. Improper trimming of toenails can cause the nail edge or corner to dig into the skin. Toenails should be trimmed straight across so that the top of the nail should make a straight line. Injury or trauma near the nail such as a ripped nail or nail peeled off at the edge can cause an ingrown toenail. 

Treatment of Ingrown toenail range from conservative options to surgical management depending on the stage or severity of the ingrown toenail. While we try our best to manage many cases of ingrown toenail conservatively such as removing the offending nail portion digging into the skin including sometimes utilising local anaesthetic to minimise any discomfort, However surgical option is considered if conservative treatment fails to resolve the problem.

Our Ingrown toenail surgery option has well over 95% success rate alleviating ingrown toenail problem. If you are one of the about 5% of our patients having ingrown toenail coming back, we will do another surgery at free of charge. This is how confident we are with our treatment.
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    Author

    Liya Janali BHSc (Podiatry)
    NZ Registered Podiatrist

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