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Sports and General Podiatry
 

 

 

Fungal Nail Treatment


Fungal nails are a common concern for many patients as they are often a difficult nail condition to treat. Symptoms may include discolouration, thickening, brittleness and debris under the nails - however many do not seek the appropriate therapy to cure the fungal nail infection.

Other treatments can be frustrating, slow and costly.

At Waitakere Foot we offer PACT Nail therapy to treat fungal nail problems - bacteria, viruses and fungi can be killed off effectively on skin surfaces and nails without pain.

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Ingrown Toenail Treatment


Toenail surgery is usually performed to help cure a chronic ingrown toenail. It can also be used to permanently remove thickened or strange growing toenails. Nail surgery performed by our podiatrists is a simple “walk in walk out” procedure, performed under sterile conditions in our practice.

Before ingrown toenail surgery is recommended our podiatrist will do through assessment and explore other conservative treatment options.

We have experienced podiatrists Kiseon Hong & Kirsty Wannan who has special interest in ingrown toenail surgery and has excellent success rates.

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General Podiatry


Our feet carry the weight of our body and can walk over 128,000 kms in a lifetime - that's more than 3 times around the earth! Painful feet are not a natural part of growing old or something to "put up with".

General Podiatry includes treatment of nail conditions, painful skin lesions and for those people who have difficulty reaching down to their feet, we are here to provide complete foot care. Our treatment adheres to strict aseptic techniques and all instruments are autoclaved and handled in a sterile environment.

Our Waitakere Foot podiatrists are university trained to diagnose and treat skin and nail disorders of the foot. They can use specific sterile instruments for painless and effective treatment for many common podiatric problems including ingrown toenails. Regular podiatry treatments and general foot care can help keep you on your feet for longer.

Common conditions
  • Corns & Calluses
  • Plantar Warts
  • Foot Odour
  • Difficult nails
  • Thickened Nails
  • Ingrown Nails
  • Cracked Heels

Sports Podiatry & Injuries


In many sports, the foot absorbs tremendous shearing and loading forces, sometimes reaching over 20 times the person's body weight! This leads to lower leg injuries both acute and chronic.

Our podiatrists have a special interest in sports podiatry and are experienced in dealing with all foot related sporting injuries. We understand that different sports require different needs; and deal with many different sports such as Football, Rugby, Netball, Golf, Running, Tennis and more.

All our podiatrists are ACC registered and in New Zealand many sports injuries are covered by ACC.

Common lower leg sports injuries include:
  • Plantar fasciitis
  • Achilles tendonitis
  • Ankle sprain
  • Shin splints
  • Knee pain
  • Stress fracture

Gait Analysis


Gait analysis is a non-invasive diagnostic method for in-depth examination and assessment of the way we walk or run.

This complex analysis is best carried out by qualified podiatrists, who use their training in human biomechanics for making accurate assessments of your movement.

Our podiatrists have a special interest in sports podiatry and in some cases we need to use computer gait analysis a particularly useful tool for assessing running biomechanics.

Using a treadmill, digital video and computer we can analyse your running style frame by frame. Biomechanical faults are more easily detected and this greatly assists in detecting any overuse sporting injury.

Once our podiatrists have assessed your walking or running pattern, they will then plan corrective treatment to iron out the biomechanical faults.

Treatment may include: Custom-made orthotics, Footwear advice, Strengthening & stretching exercises and Technique & training advice.

Typical bio mechanical disorders we observe:
  • Excessive pronation
  • Over supination
  • Ankle instability
  • Pelvic tilt
  • Poor shock absorption
  • Leg length discrepancies
  • Unusual walking / running patterns

Orthotics


Orthotics or orthotic devices are podiatric medical devices placed into your footwear designed specifically to improve foot & lower limb function and designed to treat biomechanical disorders and foot pain.

Correctly fitted orthotics will realign your feet and ankle bones to their neutral position and correct these anomalies. This will help alleviate painful symptoms not only in the feet but in other parts of your body, such as knee pain, shin pain, heel pain, and lower back pain.

The orthotics may be flexible, non-flexible, light or heavy in composition. They are prescribed by the podiatrist depending on your needs after assessing foot and lower limb function including biomechanical assessment, footwear assessment and gait analysis.

Common biomechanical faults during walking or running include: Excessive pronation, over supination, ankle instability, pelvic tilt, leg length discrepancies, unusual walking/running pattern

Our Waitakere Foot Podiatrists can prescribe many different types of orthotics depending on your needs and budget.

A range of Orthotics are available to suit every need and budget:
  • Cushioning
  • Pressure relief
  • Semi-custom made
  • Custom-made

Footwear Advice


Our podiatrists can assess your feet and advise you on appropriate footwear. When choosing a shoe it is often important to try and purchase shoes that offer your feet good support.

Running Shoes

Generally a pair of running shoes will last anywhere from 500 -1000 kms. How long they last will depend on a number of factors including surfaces, weight, and your running style. If you are starting to develop symptoms then chances are your running shoes are on their way out.

It is always best to get your running shoes and gait assessed by one of our podiatrists, especially if you are developing symptoms. Who knows maybe you are in the wrong type of runners for your feet.

High Heels

They may make your legs look longer, be useful as fashion statements or weapons of defence, but walking in high heels increase the risk of developing foot and postural problems.

High- heeled shoes place the foot in an unnatural position, affecting both the foot and posture. Prolonged periods of walking in high heels can:

Place increased stress on the knees, back and neck. Lead to permanent postural changes. Increase pressure on the forefoot resulting in callouses and corns. Increase the chance of developing bunions and toe deformities.

When purchasing a new pair of shoes, remember:

Firm heel counter provides heel stability and support.

Heel height no greater than 2½cms. Broad base gives greater stability.

Soles should be made out of non-slip resilient materials.

Toe box should be deep and wide enough to allow toes to spread naturally.

Length approximately one thumb's width beyond the longest toe.

Leather uppers and linings will allow your feet to breathe.

Laces, buckles or Velcro help ensure a snug fit and prevent foot fatigue.

Children’s feet


Waitakere Foot Podiatry has a special interest in children’s foot problems. We welcome children of all ages into the practice. No child is too young to be seen by a podiatrist.

Children’s feet differ from those of adults, as they are not yet fully formed. It is recommended to get a check-up with a podiatrist if you notice uneven shoe wear, notice any skin rashes, hard skin lumps or bumps, complains of recurrent pain in feet or legs, constantly tripping or falling. Or you have any other concerns about your child’s feet.

Children can also suffer from a range of symptomatic problems affecting the foot and lower leg. Children may complain of “growing pains” at night or pain during or after sport.

Treatment

With children it is essential to identify as early as possible, any problems that might need specialist treatment in order to prevent problems later in life. The saddest words we often hear are "I wish I had brought my child for treatment much earlier".

Common children’s foot problems include:
  • Flat feet
  • In-toeing
  • Out-toeing
  • Knock knees
  • Bow legs
  • Growing pains
  • Severs disease (heel pain)
  • Osgood-schlatter disease (knee pain)
  • Children’s sports injuries

Aged Care


As our feet grow older, they naturally develop more problems. But painful and uncomfortable feet are not a natural part of growing old, or something to put up with.

A lot can be done to improve comfort, relieve pain and keep you on your feet for life. The condition of our feet often provides early indications of conditions such as diabetes, arthritis, and circulatory disease. For this reason, the human foot is sometimes called the ‘mirror of health’. Always seek the opinion of your podiatrist when any problems occur.

Waitakere Foot Podiatry work with Aged Foot Care to provide aged care specialized podiatry care for rest home & Hospitals, and retirement villages.

Diabetes & feet


Diabetes is a chronic disease where insulin is no longer produced or no longer produced in sufficient quantities, resulting in elevated blood sugar levels. This can cause a number of complications in the feet most notably:

1) Damage to the small nerve endings in the feet (neuropathy):

Damage to the small nerve endings can lead to neuropathy which causes a loss of sensation in the feet so you may be unable to detect injury. You may also experience numbness, tingling or a burning sensation in the feet.

2) Damage to the blood supply to the feet:

A reduction in the blood supply to the feet can cause cramps in the legs. It will also delay healing and make people with diabetes more prone to infection following any cut or wound in the skin.

If you have diabetes it is important to see a podiatrist. Diabetics who have nerve damage, poor circulation, and neglect their feet are more likely to develop serious foot problems like ulcers, infections and risk amputation. It is recommended that people with diabetes should see a podiatrist for foot assessment at least every 12months.

Prevention of diabetic foot complications
  • Protect feet from injury.
  • Inspect feet daily
  • See a podiatrist immediately if something is not healing or doesn’t look right.
  • Have an annual diabetes foot assessment with a podiatrist to determine if feet are at risk.