Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
Google Review
logo foot focus
foot focus podiatry
logo foot focus
logo foot focus

Ankle sprains:

ankle-sprain

Ankle sprains are common injuries that occur among people of all ages, with the lateral ankle ligaments more commonly affected (inversion ankle sprain / injury).

They can range from a mild sprain with minimal symptoms to severe with damage to the ligaments (partial or complete rupture) and even bone such as Talar dome injury also known as osteochondral defect (OCD) or osteochondral lesion of the talus (OLT).

Tendon damage may also occur in ankle sprains. It can range from tendinitis (inflammation of the tendon) to tears.

If left untreated ankle injuries can cause more long-term problems such as ankle pain, weakness, and instability.  Ankle problems can then translate to pain to your knee, hip or back so it is always advised to see one of our experienced podiatrists following any ankle roll.

Common causes of ankle injuries include:

  • Walking or running on an uneven surface
  • Falling or tripping
  • Sports that require cutting actions and twisting of the foot—such as trail running, basketball, tennis, football, and soccer
  • Certain foot types (e.g. flat feet) can contribute to increased risk of frequent ankle sprains

Podiatry treatment for ankle sprains:

Our treatment for ankle sprains revolves around reducing pain as well as risk of recurrence (making your ankle stable again):

  • use of therapeutic ultrasound, laser therapy to help reduce swelling, inflammation, adhesions, scarring
  • strengthening exercises and stretches
  • footwear changes
  • mobilisation of any locked joints
  • dry needling / trigger point therapy or myofascial massage therapy
  • prescription orthotics (shoe inserts) following a full biomechanical assessment (e.g.joint range of motions, muscle strength and gait assessment).  Your orthotics would take into consideration the sports you partake in.
  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.