Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
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Have you ever wondered if you need orthotics?

Maybe you have tried orthotics and they have just never been comfortable.  Or the orthotics never fitted your shoes? Or do you really need custom-made orthotics (which cost hundreds of dollars) or would off-the-shelf orthotics customized to your feet be sufficient for your condition? (Ranging from $55-$139).

All these questions can be answered and solved here at Foot Focus Podiatry.  We as a practice value orthotics and their crucial role in addressing poor foot/leg posture/function and biomechanics but strongly believe that a lot of people don’t need orthotics long term if their joints and muscles are assessed and treated.

So how do you know if your joint and muscles are working as they should be? Or whether your foot type is likely to cause problems?

At Foot Focus Podiatry we pride ourselves on being very holistic.  Not only will we look at your feet but we will consider your knees, lower legs, pelvis and back.  Your feet and legs tell us a lot and we are great at assessing all muscles and joints to let us know if things are working as they should be.  This is done through our assessment skills and advanced training in biomechanics, soft-tissue techniques, manual techniques, joint mobilizationtrigger point therapy, Strain-Counterstrain etc.  SO if after visiting us and your joints and muscles are working well and there is no tightness or pain and you have no signs of problems, such as arthritis, bunions, hammertoes then you probably don’t need orthoses.

So if you need orthotics do you need custom made or semi-custom made?

In most cases semi-customised orthotics are all that is needed. They range in price from $55 to $139.  The important difference with Foot Focus podiatry is that even if we believe you will benefit from custom-made orthotics we like to trial semi-custom made orthotics first.  This is because we believe that the best tool to use to determine the amount of control and position of control is through the use of semi-customised off the shelf orthotics.

Why do we use semi customised orthotic in most cases?

Because we believe in most cases they are all that is required.  Semi customised orthotics in Perth are simple orthotics that can be adjusted to help any foot type or poor biomechanics through the adding of wedges, padding, metatarsal domes etc.  They can be altered and changed easily to make sure we have it correct.  If you are going to wear orthotics for years then you want to make sure they are totally correct.

They are affordable ranging from as little as $55 to $139

They can be issued on your first visit to allow for immediate intervention for your symptoms and they are a more realistic biomechanical change than strapping which is often used for symptom relief.

They will be a great guide to help us to determine whether orthotics will help your knee, hip or back pain.

Why do we use semi customised orthotic as a trial prior to fully customised casted orthotics?

They are more of a realistic prescription aid for casted customised orthotics.  We liken it to applying science (what we know) and art (the trials) to a puzzle and the more pieces you have the more complete the picture is.  If you are going to wear orthotics for the rest of your life you want to know they are completely right for you, in terms of comfort, footwear fitting, and most importantly all your muscles and joints from your feet right up to your pelvis and back. For example cases that we have seen in the past are where people have been given orthotics for heel pain and this has worked but 6-12 months later they are experiencing new back pain which you don’t account to your new orthoses.  So if you are given orthotics it is important that you don’t develop new problems months down the track.

SO if you are unsure whether you really need orthotics or what type you need then call us to make an appointment and we can let you know.  By seeing us you can be assured we won’t put you into orthotics unless you need them and in most cases we will use affordable semi-customised orthotics to begin with.

  • 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.