Category: Treatments

Cortisone injections

Posted on March 8, 2023 by - C, Medicines, Rheumatology, Sports

A cortisone injection is a procedure in which a small amount of corticosteroid medication is injected into the affected area of the foot to reduce inflammation and pain. Cortisone injections are commonly used to treat a variety of foot conditions, including plantar fasciitis, Achilles tendonitis, bursitis, and arthritis.

During the procedure, the foot is first cleaned and numbed with a local anaesthetic. The doctor then uses a small needle to inject the cortisone medication into the affected area of the foot, such as the heel or the ankle. After the injection, the foot may be wrapped in a bandage and the patient may be advised to rest the foot for a period of time.

Cortisone injections can provide significant relief from foot pain, but they are not appropriate for everyone. Individuals who are pregnant, have an infection, or have certain medical conditions may not be candidates for cortisone injections. Additionally, cortisone injections should not be used as a long-term solution for foot pain and should be used in conjunction with other treatments, such as physical therapy and orthotic devices. It is important to discuss the potential risks and benefits of a cortisone injection with a healthcare provider before undergoing the procedure.

Can I drive after my cortisone injection?

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

Whilst there is not consensus and advice will vary between practitioners, It is generally recommended to wait at least 24 hours after a cortisone injection in the foot before driving or operating heavy machinery. This is because the injection site may be sore and there may be some temporary numbness or weakness in the foot, which can affect your ability to control the pedals.

Additionally, cortisone is a steroid medication that can cause side effects such as dizziness, fatigue, and blurred vision, which can also impair your ability to drive safely. It is important to discuss any concerns or questions you may have about driving after your cortisone injection with your doctor, who can provide you with specific guidance based on your individual situation.

Can I drive after foot surgery?

Posted on March 8, 2023 by - C, Frequently asked questions, Surgical

It depends on the type of foot surgery you had and the specific instructions provided by your surgeon. In general, it is not recommended to drive immediately after foot surgery because of the risk of pain, swelling, and impaired mobility that can affect your ability to operate a vehicle safely.

It is important to follow your surgeon’s post-operative instructions carefully, including any restrictions on weight-bearing or movement, and to allow time for your foot to heal properly. You should also avoid driving while taking any pain medications that can cause drowsiness or affect your reaction time.

Before you resume driving after foot surgery, you should discuss your recovery progress with your surgeon and ask for their advice on when it is safe to return to driving. They may recommend a gradual return to normal activities, including driving, based on the specific nature of your surgery and your individual recovery timeline.

Botox for foot disorders

Posted on March 8, 2023 by - B, Medicines

Botox (Botulinum toxin) is a neurotoxin that can be used to treat various foot disorders by temporarily paralysing muscles and reducing muscle contractions. It works by blocking the release of acetylcholine, a neurotransmitter that causes muscle contractions. Some of the foot disorders that can be treated with Botox injections include:

  1. Plantar fasciitis: Botox injections may be used to reduce the pain and inflammation associated with plantar fasciitis by relaxing the muscles in the foot.
  2. Toe deformities: Botox injections may be used to treat toe deformities such as hammertoe and claw toe by relaxing the muscles that cause the toes to curl or bend.
  3. Hyperhidrosis: Botox injections may be used to treat excessive sweating (hyperhidrosis) of the feet by blocking the nerves that stimulate sweat production.
  4. Spasticity: Botox injections may be used to treat muscle spasticity in conditions such as cerebral palsy, stroke, and multiple sclerosis.

Botox injections are usually administered in a healthcare professional’s office or clinic and can provide relief for several months. However, Botox injections are not suitable for everyone, and there are some potential risks and side effects associated with the treatment, such as muscle weakness, pain, and swelling. It’s important to discuss the potential benefits and risks of Botox treatment with your healthcare professional to determine if it’s the right treatment option for you.

Arthroscopy of the foot & ankle

Posted on March 8, 2023 by - A, Surgical

Arthroscopy is a minimally invasive surgical procedure used to diagnose and treat problems in the joints of the foot and ankle. During an arthroscopy procedure, a small camera called an arthroscope is inserted into the joint through a small incision, allowing the surgeon to see inside the joint and make any necessary repairs or corrections.

Arthroscopy can be used to diagnose and treat a variety of conditions in the foot and ankle, including:

  1. Ankle instability
  2. Arthritis
  3. Tendon tears or injuries
  4. Ligament injuries
  5. Cartilage injuries or defects
  6. Loose bodies in the joint

Arthroscopy is typically performed under general or regional anaesthesia, and patients can usually go home the same day as the procedure. The surgeon will make one or more small incisions in the skin near the joint and insert the arthroscope and other surgical instruments.

During the procedure, the surgeon will use the camera to visualise the inside of the joint and perform any necessary repairs or corrections. Once the procedure is complete, the incisions will be closed with stitches or surgical tape, and a bandage or brace will be applied to the foot and ankle.

Recovery time after an arthroscopy procedure can vary depending on the extent of the procedure and the individual’s overall health. Patients will typically need to limit weight-bearing activity for a period of time and may need to use crutches or a walking boot to assist with mobility.

Physical therapy may also be recommended to help improve strength, flexibility, and range of motion in the foot and ankle. With proper care and rehabilitation, most patients can expect to return to normal activities within a few months after the procedure.

Arch supports

Posted on March 8, 2023 by - A, Orthotics

Arch supports, also known as orthotics or shoe inserts, are devices that are designed to provide support to the arch of the foot. They can be custom-made or purchased over-the-counter and are used to help relieve pain and discomfort associated with conditions such as flat feet, plantar fasciitis, and other foot arch issues.

Arch supports work by redistributing pressure on the foot and providing additional support to the arch. They can help improve foot alignment and reduce stress on the feet, which can be especially important for those who spend a lot of time on their feet or engage in activities that put a lot of pressure on the feet.

There are several types of arch supports available, including rigid, semi-rigid, and soft. Rigid arch supports are made from hard materials such as plastic or fibreglass and provide the most support, while soft arch supports are made from cushioned materials and provide more cushioning and shock absorption.

When choosing an arch support, it is important to consider the type of activity that the support will be used for and the specific needs of the individual. Custom-made arch supports may be recommended for those with more severe foot issues or for those who need a more personalised fit.

It is important to talk to a healthcare professional or a qualified shoe specialist when considering arch supports, as they can help determine the best type of support for the individual and ensure that the support is properly fitted to the shoe.