2009 September | Total Care Podiatry

TINEA

What is Tinea?

Tinea is a common condition caused by a fungal infection and can affect both the nails and the skin. Skin is commonly affected between the toes, with redness, itching and cracking. Tinea of the nails often presents as a discolouration and thickening of the nail.

How do you get tinea?

Tinea is a contagious condition, and can be spread by direct or indirect contact. Tinea is commonly picked up at public showers, pools or locker rooms where footwear is not worn. As fungus thrives in warm humid environments, so occlusive footwear and sweaty feet commonly contract tinea as the fungus can thrive in a warm wet environment.

How can I treat tinea?

As there are varying types of tinea and a range or treatment options available, it is advisable to speak to your podiatrist about which treatment is best for you.

Tinea is commonly treated with an Antifungal agent, usually a cream, powder or tincture in combination with ongoing nail or skin care.

In addition to using an antifungal agent, it is also advisable to wear cotton socks and ensure you always wear clean socks .  It is also important to wash your feet thoroughly and then dry them properly .

How can I avoid getting tinea?

  • Regularly wash feet and dry properly between your toes
  • Avoid very tight occlusive footwear especially in hot weather
  • Ensure socks, towels and bedding are washed regularly
  • Wear thongs to the public pool, showers and changing rooms

For further advice, more information or to discuss treatment options please contact your podiatrist.

tinea_pedisrs

Tinea between the toes

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Sprains and Strains

What are they?

Sprains and strains are common injuries. Their symptoms are usually graded according to how mild or severe they are.

Sprains often occur in ligaments around a joint, such as your ankle or your knee. However, the joint is not dislocated or fractured. In a minor sprain, some of the fibres within the ligament are stretched. In more serious sprains, the ligament may be torn, either partially or completely. A damaged ligament can cause inflammation, bruising and pain around the affected joint. The most common locations for sprains are the ankle, knee, thumb and wrist.

What causes it?

Sprain:

A sprain occurs when one or more of your ligaments have been stretched, twisted or torn. Ligaments are strong bands of tissue around joints, which connect one bone to another, and help to keep your bones together and stable.

Strain:

Most muscle strains happen if a muscle is:

  • Overstretched.
  • Forced to tighten (contract) too strongly.

How is it treated?

Most mild to moderate sprains and strains can be treated at home.

Sprains and strains – using PRICE

Healthcare professionals advise that immediate treatment of sprains and strains should follow PRICE therapy. PRICE stands for protection, rest, ice, compression, and elevation.

Sprains and strains – avoiding HARM

For the first 72 hours after a sprain or muscle strain you should avoid HARM. This means you should avoid Heat, Alcohol, Running, Massage.

Sprains – moving the injured joint

Healthcare professionals advise that you should not immobilise your injured joint and should not stop moving completely. As soon as the pain allows you to move your joint, you should start doing flexibility (range of motion) exercises. Your GP can give you information and advice about the exercises that will be suitable for you.

Treating pain

If you experience pain from a strain or sprain paracetamol is the first type of painkiller that is recommended. Oral non-steroidal anti-inflammatory drugs (NSAIDs) can also help to reduce swelling and inflammation. However, NSAIDs should only be considered for use 48 hours after the injury has occurred because if they are used before this time they may adversely affect the healing process. Your GP may also prescribe an NSAID cream or gel such as ibuprofen or ketoprofen to help treat pain.

Recovery

Following a sprain or a strain, the length of time that it will take for you to recover will depend on how severe the injury is.

Depending on its severity after an ankle sprain you will probably be able to walk within 1-2 weeks after the injury. You may be able to use your ankle fully after 6-8 weeks and you will probably be able to return to sporting activities after 8-12 weeks.

Please note:  this advice is very general and an accurate diagnosis on the function of your legs and feet can onlybe made after consulting a podiatrist
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Gardiner steeled for final straight

Jenny McAsey | September 22, 2009

Article from: The Australian

MICHAEL GARDINER was raised at the racetrack, so he knows a lot about broken-down thoroughbreds and long odds.

The 30-year-old St Kilda ruckman spent his childhood on the other side of the country, a fixture at the Albany course in WA where his father, Renny, was a longstanding race caller and personality.

When he was still in primary school, young Michael worked as a “glassie’ at the track, and he grew up knowing how tough the breaks could be, not just for the horses, but for the cast of characters who followed the nags.

Gardiner himself was once a thoroughbred of the football industry, regarded as the best teenage talent in the country when he was taken as the No1 draft pick by West Coast in 1996.

But 10 years later, he was on his way to football’s version of the knackery. Hampered by chronic foot pain, he had played in West Coast’s losing 2005 grand final side and performed miserably. Then six months later he was discarded by the club after he crashed his car through a roundabout, affected by alcohol and painkillers.

There was only one chance left for the burly Gardiner. St Kilda and new coach Ross Lyon, desperate for a ruckman, took their own punt on the 199cm, 99kg big man at the end of 2006.

But Gardiner brought his foot injury with him, and if he was a horse, he would definitely have seen his final days. In 2007, his first season at the Saints, he underwent surgery and wasn’t fit to play a single game.

At that stage his chances of ever taking part in another season finale were about as good as a three-legged horse winning the Melbourne Cup.

“Well I suppose at times I was probably 100-to-1 to play another one, so it is exciting to be given the opportunity to play in another one with St Kilda,” Gardiner said yesterday, fittingly in the language of the track. “My first year here I didn’t play a game because I had to have my other foot operated on. So at that stage I had just left West Coast and came here, and in my first year I didn’t play, so I knew it was going to be difficult.”

Gardiner’s luck began to turn early last year, when his foot problems had finally been solved and he was able to string a few games together. While he played just nine games for the season, still hampered by calf and hamstring problems, the club showed faith, impressed by glimpses of form, and his new-found maturity.

“Ross Lyon and the St Kilda football club stuck by me and it is just great to be rewarded with a chance of playing in another grand final,” Gardiner said yesterday.

“I have brought a bit of experience to the team and obviously I’ve given them some reasonable ruck work this year.”

That he has. Never more so than in the round-14 blockbuster against Geelong, when Gardiner crashed into a pack of players and clutched a superb mark just before the siren. His subsequent goal was enough to give the Saints a win in one of the best games of the year, a match-up that has turned out to be a grand-final preview.

Gardiner isn’t dwelling on that performance, but believes his form overall this year will stand him in good stead against Geelong’s Brad Ottens and Mark Blake.

“I think being able to consistently play this year, that gives me some confidence going into the game. Round 14 was a while ago and this is a new game, a new challenge.”

Gardiner will work in tandem with Steven King, who also came from the recycle bin, having played in Geelong’s 2007 flag.

His is also a remarkable story. A former club captain, he was out of favour in 2007, then recalled from the reserves to play in the grand final, edging out young ruckman Blake in a selection tear-jerker.

Then, as soon as the champagne glasses were empty, Geelong told King he was no longer wanted. But Lyon’s eyes lit up, and King and Gardiner have since proved to be missing pieces of the puzzle in the Saint’s quest to win its second premiership in history.

The brilliant midfielders were already there — now they have the consistent ball supply from two tough competitors in the ruck. And King, 30, has the opportunity to claim a second premiership medallion, playing against his old teammates.

“It is something every player would love to do, come up against their old side in a grand final,” King said yesterday. “I’ve got the opportunity this week so I am going to enjoy it and embrace it. I’ve got some great mates who still play at Geelong, but I’ve got some great mates here and this is where I’ve been now for a couple of years so I’ve moved on.”

King and small forward Adam Schneider, who won a premiership with Sydney in 2005 before being traded to St Kilda at the end of 2007, have been on hand to provide tips to teammates who haven’t played in a grand final before. Even the superstar ones.

“The biggest thing that stuck out to me during this year is how hungry the guys are for team success, and to see the boys asking me little stuff, even Nick Riewoldt has asked me a question, so that stood out to me,” Schneider said.

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Neuroma : Joplin’s and Morton’s

What is it?

A neuroma refers to the thickening or enlargement of nerve tissue, which is often caused by irritation or compression of the nerve. This compression causes swelling in the nerve and can lead to permanent nerve damage.

A Joplin’s Neuroma is an entrapment of the nerve travelling along the bottom and inside area of the big toe.

A Morton’s Neuroma causes pain in the ball of the foot that shoots out to the 3rd and 4th toes. The 2nd and 3rd toes can also be affected. The pain is typically worse when standing an walking and relieved by rest. Discomfort may be felt as a burning pain, deep achy pain, constant burning, radiating pain, electrical pain, or numbness. Others may describe the sensation of feeling as though their sock is bunched up under the ball of their foot or feeling like they’re walking on a lump or a ball.

What causes them?

A Joplin’s Neuroma may be caused by abnormal pronation, or may be associated with a bunion formation.

The exact cause of a Morton’s neuroma isn’t always known, although a number of problems can contribute to the formation of a neuroma.

High heels, particularly those over 5cm (2″), or shoes with constricting, pointed, or tight toe boxes can cause compression (for this reason, women tend to suffer from a Morton’s neuroma more often than men).

Conditions such as a high-arched or flat foot, bunions and hammer toes can lead to a neuroma being formed. These foot types can lead to instability around the toe joints, which can cause the beginnings of a neuroma.

Other causes include sporting activities, such as running or racquet sports, which can involve repetitive irritation to the ball of the foot.

How are they treated?

The treatment options for a Morton’s neuroma can differ according to how long you’ve had the condition and its severity. Identifying the neuroma in its early stages will help to avoid surgery.

The most important action is correct diagnosis ususally requiring a diagnostic ultrasound to differentiate a neuroma from other conditions that can produce similar symptoms.

Early treatments will concentrate on trying to relieve and reduce pressure on the area around the neuroma. This may consist of:

  1. A simple change in the style of shoes you normally wear. Wide-toed shoes may be recommended.
  2. Padding to provide support for the arch of the foot may be advised to take pressure away from the nerve.
  3. Anti-inflammatory drugs (NSAIDs) and a course of steroid injections can help ease acute pain and inflammation.
  4. Orthotics will help the foot to function so that the pressure is in the correct structure at the proper timinds, relieve abnormal stress on the affected area.
  5. If the neuroma is small, cortisone injections or repeated injections of alcohol can also be beneficial.

In more severe cases, where early treatment options haven’t worked, surgical options may be considered. Surgery to remove the inflamed and enlarged nerve often takes up to 30 minutes and can be performed on an outpatient basis.Recovery generally takes less than four weeks and surgery is successful in 80% of cases.

Please note;  this advice is very general and an accurate diagnosis on the function of your legs and feet can only be made after consulting a podiatrist.

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Buy cheap children’s shoes, repent in agony Britain’s feet are a mess.

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