left-feet

Sports and Biomechanics

Up and Running Podiatrists’ assess, diagnose and treat all musculo-skeletal injuries of the foot, ankle and lower limb related to weight bearing activity.

Foot malfunction can extend as far as the knee, hip and lower back. This can effect elite athletes, recreational participants and those who spend a lot of time of their feet with work. The correct foot and leg alignment is crucial in keeping you active and performing at your best.

Lower limb biomechanical assessment involves identifying the specific anatomical structure in question and finding the underlying risk factors contributing to injury.

Video Treadmill Gait Analysis

We use the latest biomechanical software and coaching apps to identify specific function anomalies both walking and running. The ability to play back and slow down segments of your gait videos allows the most accurate understanding of the foot position during each phase of the gait cycle.

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Podiatric Treatment

Up and Running Podiatry treatment may include stretching and strengthening programs, modified training programs, appropriate footwear change orthotic therapy, extra corporeal shockwave treatment, injection therapies and possible referral to our extensive network of other highly trained health professionals, such as physiotherapists and sports physician.

3D Foot Scanning

3D foot scanning is the latest in cutting edge technology for orthotic prescription. The Up and Running Podiatry Delcam scanner uses five cameras to produce a three dimensional image of a foot to ensure greatest accuracy and intimate orthotic fit.

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Shock Wave Therapy

Suitable for plantar heel pain and tendon injuries, shock wave therapy delivers high-energy pressure waves to damaged tissue via the skin. This activates your body’s self-healing process where pain occurs and increases metabolic activity through increased circulation.

(available at our Port Melbourne Clinic, Bodycare Podiatry)

Fracture Management

Up and Running Podiatry stocks a full size range of CAM boots designed immobilise the foot and ankle and permit semi-weight bearing. This is an appropriate treatment for stress fractures and small avulsion fractures of the foot and ankle.

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Ingrown toe nails/ Toe nail surgery

Conservative treatment starts with the removal and filing of the offending nail edge. This will provide immediate relief by removing pressure from the adjacent skin.

More recalcitrant ingrown nails may require permanent removal via a basic surgical procedure. The problematic nail edge is resected under local anaesthetic, then a medicinal chemical is used to cauterize the growth area. This is a “walk in, walk out” procedure with guarantee of a permanently pain free toe.

Nails, Corns and Callouses

Some toe nails can be very difficult to self-maintain due to a lack of patient mobility or the thickness of the nails. Nail treatment involves the reduction of the thickness and length of the nails to a comfortable level.

Corns and callous are an accumulation of dense skin cells due to excessive pressure and/or friction. Treatment involves the superficial debridement or “enucleation” (removing the core of the corn) using a sterile scalpel. These conditions often reoccur however through addressing factors such as bio-mechanics (foot function) and footwear, the development of these lesions can be delayed.

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Plantar warts

Often a stubborn complaint, first line treatment is to reduce the hardened skin overlying the lesion. We then select the most appropriate chemical to break down/ attack the wart. This may include salicylic acid or a combined preparation called catherone plus.

For long standing or difficult warts, “needling” under local anesthetic is an effective treatment option. Podiatrists are regarded as wart treatment specialists.

Children's Assessment

Many children suffer from mild “torsional” imbalances, commonly known as in-toeing and out-toeing. Most children outgrow these imbalances without medical treatment. However, if a child has obvious torsional imbalances, he or she may be more susceptible to injury. It is important that children with these issues are assessed by a podiatrist for a program to encourage ‘straighter’ walking. This will often involve stretching, strengthening and gait ‘re-training’. In some cases orthotics may be warranted.

Over pronation, or ‘rolling-in’ of the feet can occur in all age groups usually presenting itself in early childhood. This abnormal foot function can put the foot, ankles, knees and lower back at risk of injury. If you have concerns about your child’s feet rolling in, you should have them assessed by our podiatry team.

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Diabetes Foot Assessment

People with diabetes are at much greater risk of encountering foot problems due to the potential manifestation of neurological and vascular deficits, relating to high sugar content in the blood stream. A combination of poor blood circulation and lack of protective sensation in the feet makes the skin vulnerable to break down and prone to delayed healing. The end result is a foot at risk of ulcerating with the possibility of further infection (including gangrene / amputation).

It is paramount that feet “at risk” are assessed by a podiatrist. Up and Running Podiatry will conduct a comprehensive diabetic foot assessment at least once a year, measuring pulse rate/volume via doppler ultrasound and identifying early changes in nerve competencies.