Category: I

Instep fasciotomy (plantar fasciitis surgery)

Posted on March 29, 2023 by - Hindfoot, I, Surgical, Uncategorised

An instep plantar fasciotomy is a surgical procedure that involves cutting a portion of the plantar fascia ligament in the foot to relieve tension and pain. The plantar fascia is a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. When this tissue becomes inflamed or irritated, it can cause a condition called plantar fasciitis, which is characterized by pain and stiffness in the heel and sole of the foot.

During an instep plantar fasciotomy, the surgeon makes a small incision on the top of the foot, near the base of the toes, and cuts a portion of the plantar fascia ligament. This reduces tension on the ligament and relieves pressure on the affected area. The incision is typically closed with stitches, and the foot is immobilized in a cast or boot for several weeks to allow for proper healing.

While instep plantar fasciotomy can be an effective treatment for plantar fasciitis, it is typically reserved for cases that have not responded to non-surgical treatments, such as rest, stretching, and physical therapy. As with any surgical procedure, there are risks and potential complications associated with instep plantar fasciotomy, and it is important to discuss these with a qualified healthcare professional before undergoing the procedure.

Iontophoresis

Posted on March 16, 2023 by - I, Neurology, Vascular

Iontophoresis is a non-invasive medical treatment that uses a low-level electrical current to deliver medication through the skin. It is commonly used to treat hyperhidrosis, a medical condition characterized by excessive sweating, but can also be used for other purposes, such as pain management and drug delivery.

During the treatment, electrodes are placed on the skin, and a mild electrical current is applied to the affected area. This current creates an electric field that allows charged ions, such as medication molecules, to move through the skin and into the underlying tissues.

Iontophoresis is a safe and effective treatment that can be used in a variety of medical settings, including physical therapy clinics, hospitals, and doctor’s offices. However, it is important to note that not all medications can be delivered using iontophoresis, and the treatment may not be suitable for everyone. It is important to consult with a medical professional to determine if iontophoresis is an appropriate treatment option for your specific condition.

Is foot pain affecting your golf swing?

Posted on March 8, 2023 by - Frequently asked questions, I, Sports

Foot pain can certainly affect your golf swing, as the feet play a crucial role in maintaining balance and stability during the golf swing. Pain in the feet or toes can make it difficult to maintain proper form, shift your weight smoothly, and follow through with your swing.

There are a variety of foot conditions that can cause pain, including plantar fasciitis, metatarsalgia, and arthritis, among others. Wearing proper footwear, using shoe inserts or orthotics, and practicing good foot hygiene can help prevent foot pain and improve your golf game.

If foot pain is interfering with your golf game, it is important to consult a healthcare professional for an accurate diagnosis and treatment plan. Depending on the severity and underlying cause of your foot pain, treatment may include physical therapy, pain medication, or even surgery.

In-toeing

Posted on March 8, 2023 by - I, Paediatrics

In-toeing, also known as pigeon toes, is a condition where a person’s feet turn inward instead of pointing straight ahead. It is a common condition in infants and young children, but can also affect older children and adults.

In infants, in-toeing is often caused by the position of the baby in the womb and is usually not a cause for concern. Most children outgrow in-toeing by the age of 8 without treatment. However, in some cases, in toeing can be a sign of an underlying condition that requires medical attention.

In older children and adults, in-toeing can be caused by various factors such as abnormal bone development, muscle weakness, or nerve damage. Treatment options for in-toeing may include physical therapy, special shoes or braces, or in some cases, surgery.

If you are concerned about your child’s in-toeing, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Intermetatarsal neuroma

Posted on March 8, 2023 by - Forefoot, I, Neurology

Intermetatarsal neuroma, also known as Morton’s neuroma, is a condition in which a nerve in the foot becomes compressed or irritated. This condition commonly affects the nerves between the third and fourth toes, although it can also occur between other toes.

Symptoms of intermetatarsal neuroma include:

  1. Pain in the ball of the foot, particularly between the affected toes
  2. Tingling or numbness in the toes
  3. A feeling of something being caught or bunched up in the ball of the foot

Here are some treatment options for intermetatarsal neuroma:

  1. Wear shoes with a wide toe box and a low heel to reduce pressure on the affected area.
  2. Use arch supports or orthotics to help support the foot and redistribute pressure.
  3. Apply ice to the affected area to help reduce pain and swelling.
  4. Take over-the-counter pain relievers, such as ibuprofen, to help manage pain.
  5. Your doctor may recommend corticosteroid injections to reduce inflammation and relieve pain.
  6. Physical therapy can help to stretch and strengthen the muscles and ligaments in the foot.
  7. If conservative treatments do not provide relief, surgery may be necessary to remove the affected nerve.

If you are experiencing symptoms of intermetatarsal neuroma, it is important to seek prompt treatment to prevent the condition from worsening. Your podiatrist can help you develop a treatment plan that is tailored to your individual needs.

Ingrown toenails in children

Posted on March 8, 2023 by - Dermatology & nail pathology, I, Paediatrics

Ingrown toenails can also affect children and can be caused by factors such as genetics, improper trimming of the toenails, or wearing tight-fitting shoes. Here are some tips for dealing with ingrown toenails in children:

  1. Soak the affected foot in warm water for 15-20 minutes, 2-3 times a day. This can help to reduce pain and swelling.
  2. Gently massage the affected area to help reduce swelling.
  3. Apply an over-the-counter antibiotic ointment to prevent infection.
  4. Encourage your child to wear comfortable shoes that provide plenty of room for their toes.
  5. Make sure your child’s toenails are trimmed straight across and avoid rounding the corners.
  6. If the ingrown toenail is causing severe pain or is showing signs of infection, such as redness, warmth, or pus, it is important to see a podiatrist for proper treatment.
  7. Do not attempt to cut or dig out the ingrown toenail yourself, as this can cause further injury or infection.

Prevention is key in avoiding ingrown toenails in children. Encourage your child to wear properly-fitting shoes and to trim their toenails straight across. If you notice any signs of an ingrown toenail, take action early to prevent the problem from worsening.

Ingrown toenails

Posted on March 8, 2023 by - Dermatology & nail pathology, I

Ingrown toenails occur when the edge or corner of a toenail grows into the skin, causing pain, redness, and swelling. Here are some do’s and don’ts for dealing with ingrown toenails:

Do’s:

  1. Soak the affected foot in warm water for 15-20 minutes, 2-3 times a day.
  2. Gently massage the affected area to help reduce swelling.
  3. Apply an over-the-counter antibiotic ointment to prevent infection.
  4. Wear comfortable shoes that provide plenty of room for your toes.
  5. Trim your toenails straight across and avoid rounding the corners.

Don’ts:

  1. Don’t attempt to cut or dig out the ingrown toenail yourself, as this can cause infection and make the problem worse.
  2. Don’t wear tight-fitting shoes that squeeze your toes.
  3. Don’t wear high heels, as they can put pressure on your toes.
  4. Don’t ignore the problem, as it can lead to a more serious infection.

If the ingrown toenail is causing severe pain or is showing signs of infection, such as pus or drainage, it is important to see a podiatrist for proper treatment. They may recommend antibiotics or, in severe cases, surgery to remove the affected nail.