Pes planus

By |2021-12-13T12:50:07+11:00November 19th, 2021|Uncategorized|

(This content is intended for healthcare professionals only) Flat feet and the plethora of symptoms associated must be one of the most commonly seen conditions in the office of a podiatrist. Typically with the help from orthoses, strengthening and stretching exercises, symptoms will resolve. The case below presented in my rooms this week. He has had [...]

Chronic heel pain

By |2021-12-13T10:29:59+11:00October 27th, 2021|Heel pain|

(This content is intended for healthcare professionals only) This 24-year-old male presented at my rooms with an 8-year history of bilateral "plantar fasciitis". He had been treated with various modalities and health practitioners over the years, including 4 steroid injections in each heel and was actually wearing a CAM/moon boot on his right foot. The patient [...]

Accessory navicular with pes planus

By |2021-12-13T10:19:44+11:00October 19th, 2021|Uncategorized|

(This content is intended for healthcare professionals only) Approximately 2.5% of the population are born with an accessory navicular. There are three types of this condition with type 2 being the most commonly symptomatic. The fibrocartilagenous union between the ossicle and the navicular can be torn, particularly when it occurs in an excessively pronated foot type. [...]

Gout

By |2021-12-13T10:21:03+11:00September 21st, 2021|Uncategorized|

(This content is intended for healthcare professionals only) 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 [...]

Dislocated 2nd MTPJ

By |2021-12-13T10:29:42+11:00September 13th, 2021|Uncategorized|

(This content is intended for healthcare professionals only) This patient presented recently with a long-standing markedly painful left 2nd metatarsophalangeal joint (MTPJ). Conservative care has been unsuccessful and hence she was referred for a surgical consultation. On examination, a firm, "lump" was noted on the dorsal aspect of this joint. This firm "lump" with a step-down [...]

Motion following hallux limitus surgery

By |2021-12-13T10:30:23+11:00September 7th, 2021|Hallux limitus|

(This content is intended for healthcare professionals only) Hallux limitus/rigidus or degenerative osteoarthrosis of the 1st metatarsophalangeal joint (MTPJ) is a very common condition in our practices. Once the condition deteriorates to the point where conservative care is not producing satisfactory pain relief, surgery can be suggested. Fusion/arthrodesis is still the most common procedure carried out [...]

Interdigital corn

By |2021-12-13T10:24:02+11:00August 23rd, 2021|Uncategorized|

(This content is intended for healthcare professionals only) 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 [...]

Subungual exostosis

By |2021-12-13T10:25:08+11:00August 18th, 2021|Uncategorized|

(This content is intended for healthcare professionals only) 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 [...]

Hyperpronation cure

By |2021-12-13T10:25:37+11:00August 10th, 2021|Uncategorized|

(This content is intended for healthcare professionals only) 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 [...]

Improvements in bunion surgery

By |2021-12-13T10:26:12+11:00August 3rd, 2021|Bunions|

(This content is intended for healthcare professionals only) Bunion surgery has advanced markedly in recent years. Traditionally the surgery has had a bad name. Procedures involved long recovery, large incisions, marked pain and poor outcome. This has all changed now; however, sadly, there still exist many surgeons who have not progressed. This case is a perfect [...]

Platelet Rich Plasma (PRP)

By |2021-12-13T10:27:12+11:00June 15th, 2021|Uncategorized|

(This content is intended for healthcare professionals only) 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 [...]

Remember functional anatomy and to x-ray

By |2021-12-13T10:29:56+11:00May 25th, 2021|Uncategorized|

(This content is intended for healthcare professionals only) 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 [...]

Osteoid osteoma

By |2022-01-07T11:47:22+11:00January 7th, 2020|Bunions, Uncategorized|

(This content is intended for healthcare professionals only) This case will hopefully outline the importance of utilising all your knowledge and not solely relying on other professionals' reporting. I carried out bunion correction on this 25-year-old, 4 years ago, with an excellent outcome. He has then presented subsequently in a CAM boot with a 6-month history [...]

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