Tag: Diabetic Foot

01/11/2018

Skin Cancer on the Foot?

As Podiatrists we often see moles and spots on people’s feet and toes. Most of the time they’re harmless, however occasionally we come across some that need further investigation.

This isn’t to scare you, but simply to inform you of the importance of checking your feet, even though they may not get exposed to direct sunlight.

It is true that skin cancers can form even where the sun don’t shine!

 

So what can you do?

  • Check your feet every so often for moles and spots.
  • Observe for any changes in size, shape or colour.
  • Apply sunscreen to your feet when not wearing closed shoes.
  • See your GP if you’re worried about a spot, or just want a professional opinion.

 

Rest assured, if you’re seeing one of us we will make sure to keep an eye on the spots you may have on your feet, and monitor them as we see you into the future.

 

For further foot advice, visit our website and make an appointment to see one of our friendly Podiatrists!

 

http://www.thepodiatrygroup.com.au/booking/

29/08/2017

Ankle sprains are one of the most common leg injuries that podiatrists treat every day. You can twist an ankle during sport, at work or just minding your own business at home. Whether you have twisted an ankle for the first time or the 10th time, it is a good idea to book an appointment with your podiatrist.  

 

We can help you from start to finish. From a thorough assessment of the damage to the ankle to getting you back on your feet and doing what you love best.  

 

Assessment of ankle sprains is very important, as there may be very little damage to the structures in the ankle or there can be a complicated bone fracture requiring urgent attention. For this reason, your podiatrist may need to refer you for ultrasound or x-ray imaging. Depending on the severity, we may cast the ankle or fit you with a moonboot. If the sprain is minor, a good supportive pair of runners may be recommended. 

 

Once an ankle sprain is healed, a rehabilitation program is key to getting back to your activities and preventing ankle injuries in the future. Your podiatrist will develop a customised strengthening program to improve your balance and ankle strength and monitor your progress on a regular basis.  

 

Don’t let that ankle sprain keep you down, book an appointment with The Podiatry Group on 1300 847 226. 

29/08/2017

 

As the clouds (eventually) start to clear we are reminded that Spring is upon us. It’s time to dust off those runners, get outside and start enjoying a bit of sunshine. If your runners are looking a little bit too dusty or your feet are feeling sore or fatigued when wearing them, it may be time for an update.  

 

At The Podiatry Group, we can perform a biomechanical assessment of your feet. We look at your foot posture and your gait (the way you walk) to determine which type of runner would suit you best. Many people aren’t aware that runners should be replaced every 6-12 months if you have a relatively active lifestyle. The reason for this is that the structure of the shoe wears away over time and use, and the foam of the shoe compresses. A new pair of runners is often all you need to get that spring back in your step. 

 

If you have got supportive footwear already but do find your feet and legs feel sore or fatigued, our assessment can help determine other factors that might be contributing to your pain. We can look at your activity levels and training/work surfaces to build an exercise plan that works for you.  

 

Our management plan may also include a stretching and strengthening plan, activity modification, foot orthotics and ongoing regular assessments to make sure everything is running smoothly- the same way we want you to run!  

 

Book and appointment with us online or call us on 1300 847 226.

11/07/2016
Diabetes

Understanding the need to look after your feet when you have diabetes

 

What is diabetes?

The pancreas is no longer able to make insulin, or the body cannot make good use of the insulin it does produce.

Insulin enables glucose (sugar), from the food we eat to pass from the blood stream into the cells in the body to make energy.

Not being able to produce insulin or use it effectively can cause raised sugar levels (hyperglycaemia). Over the long-term high sugar levels can damage some tissues and organs in the body.

Type 1 diabetes is usually caused by an auto-immune reaction where the body’s defence system attacks cells that produce insulin. It can occur at any age, however it is more common in children or young adults. Injections of insulin to control sugar levels in the blood is required.

Type 2 diabetes occurs when the body is no longer using insulin efficiently. Sugar builds up in bloodstream and the cells are starved of energy. There may be a family history to developing type 2 diabetes or environmental triggers.

Diabetes and the feet come hand in hand (or foot in foot).

 

Every year, more than 4,400 amputations are carried out as a result of diabetes. (https://www.diabetesaustralia.com.au/national-diabetes-week). Foot complications with diabetes are becoming more prevalent. Prevention through education, understanding foot complications, signs and symptoms and regular assessment is required to prevent hospitalisation and risk of amputation.

 

Some foot concerns:

  • Nerve damage (peripheral neuropathy) and poor circulation in the feet (peripheral arterial disease).
  • Loss of feeling, tingling, burning sensation and numbness.
  • Poor healing, cramping.
  • Increase rate of infection.
  • Foot ulcers or sores that may have delayed healing.
  • Changes in shape which can cause an increase in pressure .
  • Hammer or claw toes, bunions, arthritis.
  • Charcot’s arthropathy.
  • A rare condition that occurs with good blood flow to the feet and numbness (peripheral neuropathy) – red, hot, swollen foot, rocker bottom foot.

 

 

Peripheral neuropathy explained

  • Insensitivity or loss of ability to feel; touch, pressure, vibration, pain, heat, cold or perception/position.
  • You may not realise you have a cut, blister, corn or footwear rubbing. The damage caused may not heal adequately, which may cause ulceration in some cases.
  • Check feet daily for cuts and redness and blisters etc.

 

 

Poor circulation explained

  • Reduced blood flow and nutrients to the feet
  • Swelling and dryness and impaired healing process
  • Cold feet
  • Painful calves when walking or at night in bed
  • Delayed or reduced healing rate in the feet
  • Improve – activity, avoid smoking, reduce caffeine
  • Control cholesterol and blood sugar levels

 

 

Regular podiatry and foot check-ups or assessments are an important part of preventative care for your feet to prevent serious complications. Diabetes assessment every 3-12 months and more regularly treatment for hard skin, corns and nail care is recommended. 

 

 

Quick and painless tests by your podiatrist include:

  • Vascular assessment with an ultrasound testing the amount of blood flow to the feet.
  • Neurological assessment testing sensation and your ability to feel.
  • Gait (Walking) assessment to assess any increase in pressure due to the change in foot shape.
  • Footwear assessment to ensure suitable footwear and fit.
  • Skin and nail care to prevent any ingrowing toenails, painful corns and pressure areas.

 

 

Preventing foot complications and self-managing tips

  • Control your blood sugar levels to reduce the risk of damage to your feet.
  • Keeping moving! Blood flow is important for healthy feet.
  • Stop smoking – smoking slows down blood flow to the extremities.
  • Check feet daily – with a mirror to observe for any cuts or red marks that require attention.
  • Good foot hygiene is important. Wash and dry your feet thoroughly daily.
  • Be careful with trimming toes nails and avoid cutting down the side.
  • Wear comfortable socks and shoes.
  • Get fitted professionally for shoes at the end of the day to reduce risk of poorly fitting shoes causing blisters.
  • Avoid uncomfortable or tight shoes that rub or cut into your feet.
  • Avoid high heels and pointed toes.
  • Look inside your shoes daily for any stones, or prominent lining to avoid rubbing against your feet causing blisters.
  • Avoid walking barefoot.
  • Wear comfortable socks that are a good fit and aren’t too tight.
  • Prevent dry skin by applying moisturise daily, avoid cream between the toes.
  • See a podiatrist regularly to trim off callous, remove corns and trim toenails.
  • Podiatry diabetes assessment.

 

 

In summary…

Of course not all foot problems will require a hospital visit, but they can vary from minor complications to wounds that won’t heal. Serious complications can be avoided through self-management and through regular check-ups.

Simple injuries such as corns, cuts, or callouses, when combined with loss of sensation in the feet can mean that these injuries go unnoticed. If untreated they may not heal due to lack of blood supply and infection can occur. Foot assessment by a podiatrist is recommended to establish your foot health status by determining the blood flow and sensation in your feet and identify any potential risk areas.

 

  • Look at your feet daily.