Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
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Orthotics (arch supports / shoe inserts) in Perth at Foot Focus Podiatry

We are different when it comes to orthotics, sometimes referred to as orthoses, arch supports, shoe inserts or shoe insoles.

  • All of our podiatrists have completed Advanced Orthotic therapy courses giving us comprehensive understanding of how orthotics (shoe inserts) are made. This ensures greater individualisation when making your orthotics rather than mass producing them.
  • We will never cast you on the first visit for expensive orthotics. We will trial affordable semi customised orthotics ($77-100) first to make sure we have it correct.
  • We don’t believe orthotics will solve all your problems if you don’t address your muscles and joints. Our podiatrists have completed further training in advanced biomechanics, soft-tissue techniques, manual techniques, joint mobilisation, trigger point therapy etc.
  • We will only prescribe custom orthotics once we know your semi customised orthotics are correct and if you need orthotics long term or it is more cost effective in the long run.

The big question is where are your foot / leg problems originating from – your feet, your back or even your neck?  This is what we try to determine with our assessment tools by treating you as a whole person not just assessing you from the knee down.

We want you to be totally happy long term if you go orthotics shoe insert in Perth and know they are doing the right thing for your whole body. We can even assess whether your orthoses are helping your pelvis position which will in turn let us know whether they may help your back.  Brent has a keen interest in this and uses a Digital Pelvic Inclinometer (DPI). Please refer to below on how this works.

Before you go searching for orthotics in Perth, please check out our must read orthotics blog to explain why we are so different and also see our Orthotic page for more information and links.

  • 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.