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
pic-tinea-athletes-foot

Tinea / Athlete’s Foot

Tinea is a common foot fungus infection on the sole of the foot and skin between the toes.  It often develops in warm or humid environments, or if you wear poorly ventilated shoes or sweaty socks.

Tinea is highly contagious and is spread by contact from one area to another e.g. from the toe to toenails – (Figure 1 – examples of fungal toenails /onychomycosis), from one foot to the another and to your hands.

Tinea can also spread between people by walking barefoot on contaminated floors in shared showers, changing rooms or swimming pools.

foot-surgery-in-perth

Common Symptoms:

  • A moist, itchy, red or flaky rash between the toes
  • Cracked, scaly or peeling skin
  • Stinging of the skin between the toes or on the soles of the feet if the skin becomes cracked or split
  • Itchy blisters between the toes that leave scales when they burst; and
  • A dry, scaly rash covering the soles and extending up the sides of the feet

How can I prevent it?

Keep your feet dry especially between the toes

  • Wear cotton or natural fibre socks and change them daily or when your feet get sweaty
  • Disinfect your shoes by using disinfectant wipes
  • Air your feet at home, go barefoot
  • Wear thongs / sandals in public swimming pools, showers and locker rooms.
  • Alternate between 2 pairs of shoes, to give them time to dry out between use. Don’t wear the same shoes for consecutive days

Our Podiatrists can help!

The key to treatment is to get the correct diagnosis.  One of our friendly podiatrists can help diagnose and give you a variety of options to help treat and prevent your tinea from reoccurring.  A variety of antifungal creams, gels, ointments, sprays and powders are available from us, over the counter from pharmacies or by prescription.

The key is to not to stop your hygiene regime once the treatment is complete.  Continue with shoe rotation and / or medication even after the symptoms have gone.  The fungus can lie dormant and may reappear in the right environment.  It is advisable to continue with treatment for several weeks and always follow the instructions.

Fungal-nail
  • 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.