Heloma molle/soft corn

By |2022-02-20T12:21:04+11:00February 9th, 2022|Interdigital corn, Uncategorized|

Interdigital soft corns are a common occurrence and in most situations, regular debridement and ID pads can control the problem. Some of these corns can be resistant to conservative treatment and can even become infected and scarred. In these recalcitrant lesions, a simple and effective alternative exists. As you can see by the images, the lesion [...]

Post-operative pes planus/flat feet/excess pronation

By |2022-05-29T14:20:40+10:00February 4th, 2022|Flat feet, Uncategorized|

The images are of a recent patient who is 4 weeks post-op, following Hyprocure insertion. This patient had the typical signs and symptoms seen with pes planus and her symptoms could not be controlled with orthoses solely. Note the excellent alignment seen both anteriorly and posteriorly. On the anterior images, you can observe the small eschar [...]

Gout

By |2022-02-17T16:59:12+11:00September 21st, 2021|Uncategorized|

I have carried out surgery on three patients recently who have had moderate bunions on X-ray, however, clinically they appear to be much worse. On X-ray, you can see "shadowing" of the gouty tophaceous deposits on the medial aspect of the joint, which gives the impression clinically that the actual osseous deviation is larger. Luckily minimal [...]

Interdigital corn

By |2022-02-20T14:17:57+11:00August 23rd, 2021|Interdigital corn, Uncategorized|

This would present at a podiatry practice on a regular occurrence. This case was in a 27-year-old, who had been suffering from a lateral 5th toe corn (heloma durum), however, an interdigital corn (heloma molle) on the medial 5th toe was most symptomatic. Symptoms were marked and hard to control, and the patient, being young, was [...]

Subungual exostosis

By |2022-02-17T17:01:32+11:00August 18th, 2021|Uncategorized|

I see a regular amount of subungual exostosis throughout the year. Typically they have been treated as ingrown toenails (IGTN) first. The GP and the podiatrist may assume it is hypergranulation tissue or some other sign of an IGTN and, in some situations, a PNA may have been carried out (not in this situation). When the [...]

Hyperpronation cure

By |2022-03-18T11:00:11+11:00August 10th, 2021|Uncategorized|

Many of you may have heard of HyProCure (hyperpronation cure) and wondered what it is. The HyProCure website does a very good job of explaining in detail, both descriptively and via graphics and illustrations. In very basic terms during excess pronation the talus glides excessively across the calcaneus at the subtalar joint, this, in turn, unlocks [...]

Platelet Rich Plasma (PRP)

By |2022-02-20T14:13:25+11:00June 15th, 2021|Uncategorized|

Surgery is often described as an art and science. This case from last week depicts exactly how science can help surgical outcomes. This patient had chronic, marked unremitting symptoms on her firm and enlarged posterior heel. Insertional Achilles tendinosis was the diagnosis, note the enlarged degenerated tendon and the marked inflammation in the posterior calcaneus on [...]

Remember functional anatomy and to x-ray

By |2022-02-20T14:10:41+11:00May 25th, 2021|Uncategorized|

This is an interesting case I have dealt with recently. The patient was sent to me with long-standing, markedly painful and stiff 1st metatarsophalangeal joints (MTPJ). Clinical examination showed no dorsiflexion with the patient guarding the joint due when any motion was attempted. All conservative care had been exhausted with no success. Weight-bearing radiographs exposed a [...]

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