Category: Treatments

Orthotics

Posted on March 9, 2023 by - O, Orthotics

Foot orthotics, also known as orthoses, are medical devices that are custom-made to fit an individual’s feet. They are designed to correct or alleviate problems with foot mechanics and posture, including pain and discomfort in the feet, ankles, knees, and hips.

Orthotics can be prescribed by a medical professional, such as a podiatrist or orthopaedic surgeon, and are typically made from materials such as foam, plastic, or silicone. They can be designed to provide support, cushioning, or corrective positioning for the feet.

Common conditions that may benefit from foot orthotics include plantar fasciitis, flat feet, high arches, arthritis, and heel spurs. Orthotics can also be used to alleviate pain and discomfort associated with standing for long periods of time, as well as to improve athletic performance and prevent injuries.

It is important to note that while foot orthotics can be effective in treating certain conditions, they may not be appropriate for everyone. A medical professional can help determine if orthotics are necessary and if they will be beneficial for a particular individual.

Minimally-invasive (keyhole) foot surgery

Posted on March 9, 2023 by - M, Surgical

Minimally-invasive (keyhole) foot surgery is a type of foot surgery that is performed using small incisions and specialised instruments. It is also known as percutaneous surgery or minimally invasive surgery (MIS). This type of surgery is designed to minimise tissue trauma, reduce postoperative pain and swelling, and speed up recovery time compared to traditional open surgery.

During the surgery, the surgeon will make small incisions in the skin and insert specialised instruments, such as cameras and small cutting tools, to perform the procedure. Because the incisions are smaller, there is less tissue trauma and bleeding, and patients typically experience less pain and scarring.

Minimally-invasive foot surgery can be used to treat a variety of foot and ankle conditions, including bunions, hammertoes, plantar fasciitis, neuromas, and Achilles tendon injuries. The suitability of this type of surgery depends on the individual patient’s condition and medical history, as well as the surgeon’s experience and expertise.

Benefits of minimally-invasive foot surgery include a shorter recovery time, reduced pain and swelling, less scarring, and a lower risk of infection. However, there are also potential risks and complications associated with any type of surgery, so it is important to discuss the benefits and risks with your doctor before making a decision about treatment.

Laser for nail fungus

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

Laser treatment is a relatively new approach for treating nail fungus, also known as onychomycosis. The laser emits a focused beam of light that is absorbed by the pigment in the nail and heats up the fungal cells, causing them to be destroyed. Laser treatment for nail fungus is typically done in a podiatrist’s office and can take up to several sessions to complete.

While there have been some promising results with laser treatment for nail fungus, it is important to note that it is not a guaranteed cure and may not work for everyone. Additionally, the procedure can be quite expensive and is generally not covered by insurance. It is also important to note that laser treatment for nail fungus is not currently approved by the U.S. Food and Drug Administration (FDA), although some laser devices have been cleared for use in treating nail fungus.

If you are considering laser treatment for nail fungus, it is important to consult with a qualified podiatrist who can help determine if it is the right option for you and answer any questions you may have.

Laser for foot pain

Posted on March 8, 2023 by - L, Other, Pain

Photobiomodulation therapy (PBMT), also known as low-level laser therapy or cold laser therapy, is a non-invasive treatment that uses low-level lasers or light-emitting diodes (LEDs) to stimulate cellular processes in the body. It has been shown to be effective in reducing pain and inflammation, promoting tissue healing and regeneration, and improving circulation.

PBMT has been used to treat various foot conditions, including plantar fasciitis, Achilles tendinopathy, diabetic neuropathy, and osteoarthritis. The therapy involves shining a specific wavelength of light onto the affected area, which stimulates the production of ATP (cellular energy) and other cellular processes that promote healing and pain relief.

Studies have shown that PBMT can be an effective treatment for foot pain, particularly in cases of plantar fasciitis and diabetic neuropathy. It is a non-invasive and low-risk therapy, with few side effects reported. However, it is important to note that PBMT is not suitable for everyone and should only be performed by a trained professional. It is also important to discuss the potential benefits and risks with your healthcare provider before starting any new treatment.

Foot mobilisation

Posted on March 8, 2023 by - F, Other

Foot mobilisation is a manual therapy technique used to restore mobility and function to the foot and ankle. It involves applying specific pressure and movements to the foot and ankle joints, with the goal of improving the range of motion, reducing pain, and promoting healing.

During a foot mobilisation session, a trained therapist will use their hands to apply pressure and mobilise the joints of the foot and ankle. This may involve gentle manipulation of the bones and soft tissues, stretching of the muscles and tendons, and mobilisation of the joints. The therapist may also use various tools such as straps, wedges, or balls to help mobilise the foot and ankle.

Foot mobilisation is often used as part of a comprehensive treatment plan for a variety of foot and ankle conditions, including plantar fasciitis, Achilles tendonitis, ankle sprains, and flat feet. It may also be used to help improve balance and stability in athletes or individuals who have suffered from a stroke or other neurological condition.

Research has shown that foot mobilisation can be an effective treatment for foot and ankle conditions, and it is generally considered safe when performed by a trained therapist. However, as with any manual therapy technique, there may be some risks involved, such as soreness or bruising. It is important to talk to your healthcare provider to determine if foot mobilisation is appropriate for your specific condition.

Dry needling

Posted on March 8, 2023 by - D, Other

Dry needling is a therapeutic technique that involves inserting fine, sterile needles into the skin and muscles to relieve pain and improve mobility. It is commonly used to treat musculoskeletal conditions such as back pain, neck pain, and joint pain, including foot pain.

Dry needling for foot pain typically involves inserting the needles into trigger points, which are small knots of muscle that can cause pain and discomfort. The needles help to release tension and improve blood flow, which can help to reduce pain and inflammation.

Dry needling is generally considered safe when performed by a trained and licensed healthcare professional, such as a physical therapist or chiropractor. However, as with any medical procedure, there is a small risk of complications such as bleeding, infection, or nerve damage.

Dry needling may be used as part of a comprehensive treatment plan for foot pain, along with other interventions such as stretching, strengthening exercises, and massage. It is important to discuss the risks and benefits of dry needling with a healthcare provider to determine if it is appropriate for your individual needs and medical history.

Custom foot orthotics

Posted on March 8, 2023 by - C, Orthotics

Prescription orthotics are custom-made shoe inserts that are designed to fit a patient’s unique foot shape and address any specific foot issues or conditions they may have. These inserts are created using a mould or scan of the patient’s feet, which is then used to manufacture the orthotic device.

Prescription orthotics can be used to treat a wide range of foot and lower limb conditions, such as plantar fasciitis, flat feet, high arches, and arthritis. They are typically made from a variety of materials, including foam, plastic, and leather, and may be rigid or flexible, depending on the patient’s needs.

Prescription orthotics are different from over-the-counter shoe inserts or insoles, which are designed to provide additional cushioning or support but are not custom-made for an individual’s foot. While over-the-counter inserts may be helpful for some individuals, prescription orthotics are generally considered more effective for treating specific foot conditions or addressing biomechanics issues.

Curettage for warts

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

Wart curettage is a medical procedure used to remove warts by scraping or cutting them away from the skin. The procedure is typically performed using a small, sharp instrument called a curette. The area is first numbed with a local anaesthetic, and then the wart is scraped or cut away using the curette.

After the procedure, the wound is typically covered with a bandage or dressing. Pain relief medication may be prescribed, and patients are usually advised to avoid getting the area wet for a few days after the procedure.

Wart curettage is generally considered a safe and effective treatment for warts, but there is a risk of scarring or infection, particularly if the wound is not properly cared for after the procedure. It is important to follow your doctor’s instructions carefully and to contact them if you experience any signs of infection, such as redness, swelling, or fever.

Cosmetic foot surgery

Posted on March 8, 2023 by - C, Surgical

Cosmetic foot surgery, also known as aesthetic foot surgery, is a type of elective surgery that is performed for purely cosmetic reasons rather than medical reasons. The goal of cosmetic foot surgery is to improve the appearance of the foot or correct a perceived imperfection, such as bunions, hammertoes, or other cosmetic issues.

Some of the most common types of cosmetic foot surgery include bunion surgery, hammertoe surgery, toe shortening or lengthening, and fat pad augmentation. These procedures are typically performed on an outpatient basis and may involve local anaesthesia, sedation, or general anaesthesia, depending on the specific procedure and the patient’s needs.

While cosmetic foot surgery can improve the appearance of the feet, it is important to remember that any surgery involves risks, including infection, bleeding, nerve damage, and poor healing. It is important to discuss the potential risks and benefits of any cosmetic foot surgery with a qualified and experienced surgeon before deciding to undergo the procedure.

Cortisone injections: what are the benefits and risks?

Posted on March 8, 2023 by - C, Frequently asked questions, Medicines, Pain, Rheumatology, Sports

Cortisone injections, also known as corticosteroid injections, are commonly used to relieve inflammation and pain in various conditions, such as arthritis, tendonitis, bursitis, and other inflammatory conditions. Here are some benefits, risks, complications, and side effects associated with cortisone injections:

Benefits:

  • Rapid pain relief: Cortisone injections can provide rapid pain relief by reducing inflammation and swelling in the affected area.
  • Convenience: Cortisone injections are a simple outpatient procedure that can be performed in a doctor’s office, and patients can usually resume normal activities immediately after the injection.
  • Non-surgical: Cortisone injections can help avoid the need for more invasive treatments, such as surgery.
  • Targeted treatment: Cortisone injections can be administered directly into the affected joint or tissue, providing more targeted treatment.

Risks and Complications:

  • Pain and discomfort: Pain and discomfort at the injection site are common after a cortisone injection and can last for a few days.
  • Infection: There is a risk of infection at the injection site, although this is rare.
  • Tissue damage: Repeated cortisone injections can damage the surrounding tissues, including cartilage, tendons, and ligaments.
  • Temporary flare-up: In some cases, the injection can cause a temporary flare-up of symptoms.
  • Skin discoloration: The injection may cause skin discoloration at the site of the injection.

Side Effects:

  • Elevated blood sugar levels: Cortisone can elevate blood sugar levels, so patients with diabetes should monitor their blood sugar closely after receiving a cortisone injection.
  • Weakening of bones: Repeated cortisone injections can weaken bones, leading to an increased risk of fractures.
  • Weight gain: Cortisone can cause weight gain by increasing appetite and fluid retention.
  • Mood changes: Cortisone can affect mood and cause anxiety, depression, and irritability.

It is important to discuss the potential benefits, risks, complications, and side effects of cortisone injections with a healthcare provider before undergoing the procedure. Cortisone injections should not be used as a long-term treatment and should only be administered as part of a comprehensive treatment plan.