Conditions

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Listed below are some common problems managed by Masterton Foot Clinic. If you require more information than that listed below,
click here for more information and brochures.

Diabetic or Circulatory Problems

The podiatrist is a foot care specialist with skills in recognition and treatment of diabetic foot conditions. Because diabetes is a systemic disease, affecting many organs of the body, ideal case management requires a team approach, involving the podiatrist as well as the family doctor/nursing staff, several medical specialists, and a dietitian. Your podiatrist, as an integral part of the treatment team, has documented success in the prevention of amputations. It is one of the most serious conditions treated by podiatrists , whose training stresses salvage of the foot rather than amputation. A comprehensive approach to prevention of complications must include good glucose control, adherence to diet, an exercise program, proper medication and hygiene, and regular foot care. Those who follow the medical team’s advice have a good chance of preventing or delaying the complications of the disease, and living normal lives. Furthermore, with such a regimen as groundwork, it is estimated that more than half of the lower extremity amputations among people with diabetes could be prevented.

The Key to amputation prevention is early recognition and foot screening, at least annually, of at-risk individuals. Those individuals considered to be at high risk are those who exhibit one or more of these six characteristics:

  • Peripheral neuropathy, a nerve disorder generally characterised by loss of protective sensation and/or tingling and numbness in the feet Vascular insufficiency,
  • a circulatory disorder which inhibits blood flow to the extremeties
  • foot deformities, such as hammertoes
  • stiff joints
  • calluses on the soles of the feet
  • a history of open sores on the feet (ulcerations) or a previous lower extremity amputation.

For more information, take a look at this; Podiatry brochure on Diabetes http://www.apodc.com.au/brochures-and-pamphlets/ Diabetes NZ www.diabetes.org.nz

Bone Related Problems

Heel pain is most commonly caused by plantar fasciitis/ fasciosis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis or nerve irritation. Because there are several potential causes, it is important to have heel pain properly diagnosed. The most common cause of heel or arch pain is caused by a painful stretching or micro-tearing of the plantar fascia. The plantar fascia is a fibrous or tendon-like structure that courses along the bottom of the foot connecting the toes and heel bone.  Find out more.

Bone spurs may occur at any point where a muscle, tendon or ligament attaches to a bone. Generally a spur will only be painful if it causes pressure to some other surrounding structure. Common areas of bone spurs in the foot are in the toes, the heel, the big toe joint, the top of the foot, and the ankle. Having a bone spur doesn’t necessarily mean you will have pain. The location of the spur and the amount of discomfort determines what we recommend for treatment.

Arthritis of the foot can occur in any of the foot joints. Common forms of arthritis managed my podiatrists are Osteoarthritis and Rheumatoid as well as the less common seronegitive arthritides, eg; ankylosing spondylitis, psoriatic arthritis. Wear and tear of foot joints (Osteoarthritis) is most often seen in the joint surface of the ankle where the foot joins the lower leg, the big toe and lesser toe joints and midfoot joints. For more information, please click on this reliable link; arthritis in the feet.

ACC or privately insured injuries Our podiatry staff at Masterton Foot Clinic are all ACC registered. We can help you in filing a claim for an accidental injury. Our podiatry staff at Masterton Foot Clinic are all ACC registered. We can help you in filing a claim for an accidental injury.

Bunions are a common complaint, more so in women than men. Put simply, bunions are the formation of a bump on the inside or outside of the forefoot. For more information, please click on this reliable link; Bunions

Hammer toes are toes that have malformed or become misshapen. This can happen when there is pressure from neighbouring toes such as happens with bunion formation of the big toe. For more information, please click on this reliable link; www.epodiatry.com/hammer-toe.htm

Foot Problems in Children

Growing up, taking off! Children’s feet start developing before birth and don’t stop growing until their early adult life. Over a lifetime they will need to walk an average 128,000km! Keep an eye of your child’s development so that you can able to pick up on any issues that could effect them later on. At Masterton Foot Clinic we make photographic recordings of your child’s development over time. This helps are monitor their development and the effectiveness of treatment.

Sore heels, knees, arches?
Just when they thought the teens were hard enough, along come the growing pains! Growing pains are often caused by irritation to the growth plate of a bone. This is the softer part of the bone where it’s expansion and final hardening takes place from. In the heel it is often an area running parallel to the back of the foot, about 1-2cm in. Squeezing this site from both sides will elicit pain, and is an indication that the child may be suffering from growing pains or “Severs disease”. Other common sites are the inside of the arch and the front of the knee. Masterton Foot Clinic manage all forms of growing pains in the legs and feet. For more information, read Growth plate injuries in the young teenage foot

What’s that lump on my child’s foot? Verruca’s are a contagious viral infection of the foot. They are caused by the same virus that are responsible for warts on the rest of our bodies; the human papilloma virus (HPV). Verruca are best treated early, while they are small in size and number. At Masterton Foot Clinic we use gentle methods such as liquid nitrogen application. For stubborn or chronic warts, we also offer blunt dissection under local anaesthetic – a once only treatment. For more information click on this link; Warts on the Feet, Plantar Warts

Clubfoot, In-toeing etc By the time of birth, children have already undergone a large part of their development within the womb. This development sometimes results in variations or deformities, such as clubfoot. At birth your child is screened for these variations by a trained doctor. In situations of persistant or residual deformity, podiatrists will assist with such things as prescription of foot orthotics, gait training and ongoing monitoring. At Masterton Foot Clinic we are experienced in the treatment of intoeing, passive toe correction, club-foot shoe and orthotic alteration/manufacture. For more information; congential foot problems in children

Skin and Nail Conditions

Warts, which are caused by a virus, can be quite painful. They are frequently called plantar warts, because they appear most often on the plantar surface or sole of the foot. The medical term is a “verruca.” They can appear anywhere on the skin of the foot or the hand. Find out more

Tinea or athletes foot refers to the common skin infection of the foot caused by a fungal infection. It can effect both the nails and the skin and develops when there is moisture, darkness and heat. In order to prevent, reduce all of these factors. Treatment can involve the use of topical oral anti fungals. Oral anti fungals are prescription medicines used for nail infections, and need to be sourced via your GP. Topical antifungals are used for skin infections and are available at your pharmacy.

When the hard toenail presses excessively against the soft skin on the edges of the nail there is usually pain. Typically, the nail presses for extended periods of time and an infection, or paronychia develops. This toenail infection is usually very painful, develops pus, and causes the end of the toe to become red and swollen. Find out more

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