我們的服務
一般足病學
一般足病護理被稱為足病學的基礎，涵蓋了對各種足部狀況的廣泛評估和管理。定期檢查和保養足部對於保持足部健康、改善外觀以及防止潛在問題的發展大有幫助。 FootWise 足病醫生將徹底評估您的足部狀況，並製定適合您的最佳管理計劃。我們還會跟進您，為您提供保持雙腳健康所需的指導和支持。
在 FootWise，我們提供以下管理選項：
指甲生長不規則
玉米（硬和軟）和癒傷組織減少
腳趾甲向內生長
真菌性皮膚和指甲感染（癬和甲癬）
爪狀和錘狀腳趾
乾燥和破裂的腳後跟
拇囊炎
我們還提供評估以管理和監控以下內容：
下肢循環評估
神經測試
糖尿病篩查
平衡評估
運動和生物力學足病學
Corns
Corns are caused by focal and intense pressure. They are most common on bony areas of the feet like on top of toes, in between toes, or under the forefoot (metatarsal heads). Corns are commonly caused by poor fitting footwear but can also be the result of poor foot mechanics. If corns are neglected the ongoing pressure can breakdown the lower layer of skin and lead to an ulcer, which may then lead to infection.
Treatment for corns at FootWise Clinic involves careful enucleation or excision of the corn. Corn removal is painless and gives immediate pain relief. This short delicate procedure which involves scalpel work should only be undertaken by a skilled and experienced podiatrist.
Our podiatrists regularly perform corn removal at FootWise clinic as part of a general foot care treatment. This involves nail cutting, removal of corns, followed by application of a foot moisturising cream, making your feet feel like they’re walking on air.
For chronic painful corns our podiatrists can make silicone splints to reduce pressure and check your gait to see if orthotics are required. Orthotics can help improve foot function and can help redistribute pressure away from painful corns. Our podiatrists can also give you appropriate footwear advice to help prevent the development corns on the feet.
Calluses
A callus is a thickening of skin caused through pressure and friction. It is the body’s way of protecting the skin being traumatised. Most minor calluses are asymptomatic but when a large callus builds up it can cause pain. It is most common on the top of the toes, bottom of the feet and around the heels. If neglected the callus and pressure will continue to build and this could lead to more painful conditions such as corns, ulcers and scarring.
Treatment for callus at FootWise clinic involves carefully reducing the callus with a scalpel. This procedure is completely painless and produces instant foot relief, making your skin soft once again.
Our podiatrists regularly perform callus removal as part of a general foot care treatment. This involves nail care, removal of callus, followed by application of a foot moisturising cream, making your feet feel soft and smooth.
Plantar Warts/Verrucae
Plantar warts or verrucae are caused by a virus, known as the Human Papillomavirus (HPV). This virus can be easily picked up when the foot is wet as this breaks down the foot’s natural skin barrier. Anyone can get warts, but children are more prone to warts because their immune system has not yet fully developed. The majority of adults will have some immunity against the virus. Patients that have weak immune systems or on immunosuppressant medication will be more prone to warts and often will have more difficulty in getting rid of it.
Our podiatrists at FootWise are experts in the treatment of plantar warts in both children and adults. Plantar wart treatment at FootWise can range from simple home remedies to more aggressive treatments like liquid nitrogen and highly concentrated acids.
Children’s wart treatment at our FootWise clinic is often painless and parents do not need to be concerned about bringing their children in for wart treatment.
In rare cases, warts can spontaneously disappear once the body’s immune system reaches a level that overcomes the virus. However, if left untreated warts can sometimes grow bigger and spread to other parts of the feet making treatment more difficult and frustrating. For this reason, it is always best to seek early intervention with a podiatrist if you think you have a wart on your foot for the best treatment advice and results.
Antifungal Managements
Fungal Overgrowth
Fungal Overgrowth causes tinea. Chronic tinea can lead to inflammation and itchy skin. If left untreated tinea can cause secondary nail damage and even lead to bacterial infections.
Our FootWise podiatrists address the underlying systemic factors that causes this imbalance and advises appropriate course of action. As there are many different anti-fungal products available on the market, we could help to guide you through the variety of the product list to find the best combination for your tinea treatment as a part of the action plan.
we also offer the alternative method of Clear-a-Nail controlled Micro-Penetration equipment. Client with severe symptoms and nail damage may opt for this treatment alongside the use of nail lacquer to augment its effect through producing micro-holes of 0.4mm in diameter (up to 4 times higher than conventional application) .
In most cases, a minimum of two sessions (at $120) are usually required and results are expected to be seen within 8 weeks.
Biomechanics
Biomechanics involves the assessment of the structure, alignment and function of the feet and legs. A biomechanical assessment is perfect for people with flat feet, bunions, shin splits, or pain they can’t explain. These biomechanical flaws contribute to an “overloading” of the tendon which, over time, results in pain and dysfunction.
If biomechanics are improved prior to injury, risk of injury can be effectively reduced. In addition to injury prevention or rehabilitation, improving biomechanics can assist people perform their chosen sport or activity better. This does not just pertain to elite athletes but rather any sportsperson or individual who wants to improve his/her performance.
At FootWise, our podiatrists share a strong understanding of biomechanical function. We will provide you the right treatment plan using the results from examinations and assessments. Whether it is a strengthening program, a course of mobilisation/manual therapy, a pair of orthoses, shockwave, cupping or a referral to an appropriate health professional, you can trust us with your foot health.
For more information regarding Shockwave Therapy, cupping and Orthotic Therapy please check it out here:
What should I bring to the consultation
If you have a referral, please bring it with you. If you have any reports, x-rays, old orthotics or innersoles, please bring them too. The more information you can bring us the better. Please bring 2-3 pairs of shoes that you commonly wear (for walking, running and work, for example). This allows us to check if your shoes are suited to your foot type and check for uneven wear on your shoes.
Shockwave and Cupping Therapy
Shockwave therapy is highly effective in promoting tissue remodelling and regeneration for tendons, ligaments and surrounding soft tissues. Shockwave therapy work by generating mechanical shockwave when compressed air drives the ballistic projectile to the shock transmitters. This release of acoustic waves is transmitted through the skin to the damaged tissue. Shockwave therapy is often used to treat chronic conditions like:
• Heel Pain (Plantar Fasciitis)
• Achilles Tendinopathy
• Patella Tendinopathy
• Muscle Strains
• "Shin Splints"
Before your shockwave therapy treatment our podiatrist must have an initial consultation to ensure that shockwave therapy is right for you. This will include a full foot and leg assessment, and will require an in-depth medical history. If shockwave therapy is right for you, our podiatrist will book you in for your treatment session.
The actual delivery of the shockwave normally only lasts 5 minutes. Some patients feel immediate pain relief, but shockwave usually takes approximately 3 months for the full effect to take place. Most patients require 3 sessions of shockwave therapy with 1-2 weeks between treatment times.
Please note that ACC do not cover shockwave therapy which is used mostly for chronic/degenerative conditions.
Cupping is a technique that use negative pressure cups to treat the bodies fascial system. Fascia is a band of connective tissue that covers, attaches, stabilises and separates all muscle groups and other internal organs.
Cupping encourages healing by creating a negative pressure or suction on the skin using glass cups that pull up underlying tissues, blood, and other fluids close to the surface of the skin. By doing this it is able to stretch fascia and promote new fresh blood flow for increased tissue recovery, reduced inflammation. This can speed up the healing process, increase flexibility and aid in performance
ACC Treatments
All our podiatrists at FootWise are ACC registered, which means if you have suffered an injury and are eligible for ACC, there’s no need for referral and the cost of treatment is partially subsidised. Our team of podiatrists are all highly trained in the diagnoses and management of ACC injuries. We aim to get you back to full health quickly, stronger and more resilient than ever.
There are 2 types of injuries that occur to the human movement system otherwise known as the musculo-skeletal system.
Acute or sudden injuries
Acute injuries are caused by something like a fall when running or an awkward landing when jumping. A prime example of an acute sports injury is an ankle sprain. Poor footwear, poor biomechanics and poor strength are often factors that may increase the risk of an acute sports injury.
Depending on the tissue injured, treatment of acute sports injuries and foot fractures may involve a period of rest with reduced activities and strapping. Orthotics can be prescribed to help reduce any excessive loading at the site of injury. A more serious case of immobilisation will possibly require moonboots or casts.
Chronic Injuries (Only covered by ACC if caused at work)
Chronic injuries affecting the foot and lower leg are generally caused by overuse and biomechanical abnormalities. When we play sport the foot and lower leg often takes forces up to three times your body weight. The increased forces place increased loads on muscles, tendons and joints. If you have poor lower leg biomechanics these loads may be increased on certain muscles and this can then lead to injury, such as shin splints or tendinopathies. Poor footwear, poor biomechanics, poor strength, poor conditioning, and increased loads are often associated with chronic sports injuries. Chronic injuries can be treated by our FootWise podiatrists with therapies like ultrasound and infrared therapy. These modalities transfer heat into tissue, tendons and joints, allowing for increased blood flow to the injury site which helps with healing. Our podiatrists also use computer gait analysis to help identify biomechanical faults and the cause of an overuse injury. Finally rehabilitation along with important stretching and strengthening of key muscles can all be organised by our team of podiatrists.
矯形療法
Orthotics are tailor-made functional foot devices which follow a prescription based on your symptoms, your footwear and your biomechanics. These devices provide the most accurate support you can get for your feet.
Orthotics work by supporting the foot’s natural alignment and correcting biomechanical faults. When we walk or run we rely on our feet to function smoothly and efficiently. Stability and movement of the lower leg is affected by how much the foot moves. For example, when the feet excessively pronate it leads to excess internal leg rotation, which then causes the knee to internally rotate, which rotates the hip and drops the pelvis. The end result is too much lower leg rotation, poor alignment and instability.
When placed in appropriate orthotics it will help to eliminate abnormal loading and this results in improved lower leg mechanics and gait. This leads to increased stability, better muscle function and can help treat and prevent many lower leg symptoms including foot, ankle, lower leg, knee, hip and back pain.
Orthotics are prescribed by our FootWise podiatrists following thorough biomechanical assessment and we have a range of different orthotics to suit different needs. Our podiatrists follow strict orthotic prescription guidelines and a thorough follow up process to ensure quality and accuracy of your devices.
Diabetic Foot Care
Looking after your feet when you have diabetes is a must because of the associated potential for complications to arise from having diabetes. The two most serious foot complications caused by diabetes are:
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Nerve Damage
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Poor blood circulation
If you have poor sensation then there is a real danger that you may not detect an initial injury. This can lead to injuries exacerbating and leading to more serious complications including infection. If you have poor circulation then wounds may fail to heal which also increases the risk of infection. Having both of these obviously increases your risk as a diabetic to more serious complications. A chronic non-healing wound on the foot with a spreading infection can potentially result in the need for amputation as this is the only treatment that will prevent the infection from spreading to the rest of the body and vital organs.
Seeing a Podiatrist regularly can help you stay on top of your footcare, especially if you struggle to reach or cannot see your feet well. A podiatrist can help prevent diabetic complications, including infections and the need for amputation, with regular foot care. This can include:
Cutting your toenails – sometimes it can be hard to see or reach the feet to cut your toenails safely, a podiatrist can ensure this is done in the correct way to keep you safe
Debriding calluses and pressure areas – these can cause skin breakdowns and ulcerations if left unattended
Footwear advice – protecting your feet with a shoe that is the right length and width is important to avoid pressure areas
Offloading pressure areas with orthotics – sometimes a good shoe is not enough to offload certain high-pressure areas, a podiatrist can make customised orthotics that will offload high pressure areas and redistribute forces, which helps to prevent calluses, corns and ulcerations.
Performing a monofilament test – this gives an indication of whether there is nerve damage present
Children's Foot Health
Children are super active, they run around, play with their friends and do all kinds of fun stuff that kids do. At times you may notice something that's a little bit different with the way they walk, or they may complain about some kind of discomfort or pain in their feet or legs.
It can be really tricky to tell what is and isn’t normal when it comes to children feet as they grow and develop during early years. This is why it’s important to bring your kids to FootWise, and have our friendly and highly experienced podiatrists check for you. Especially if you’re concerned about:
*The way your child walks
*Pain in the feet or legs
*Not being able to keep up with friends
*Constant tripping and falling
*Limping (after physical activity)
*Abnormal foot or leg position
*Skin rashes between toes
*Discoloured or ingrown toenails
*Uneven shoewear
*Hard skin lumps or bumps; or
*Any other problems or abnormalities
Identifying and addressing issues early can help save a lot of work later in life so if you're unsure, definitely get it checked. No child is too young to be seen by a podiatrist. We're parents too, so we know how important it is to make sure your child feels comfortable and happy during consultation with FootWise.
