Category Archives: perth podiatry

Corns_and_Calluses-530x320

Corns and Calluses

Corns and Calluses forms when there is continuous pressure and friction on an area of skin. The pressure causes the layer of skin to die and a hard layer of skin is then formed to protect it. Corns are usually smaller than calluses and are formed on places like top, side and in between your toes. Calluses usually develop underneath your foot like on the heel and may differ in size and shape. Corns are more painful then calluses where as calluses can be uncomfortable.

corns and calluses

Causes:

Continuous pressure and friction can cause corns and calluses to form, these are some of the reasons:

  • Wearing shoes either too loose or too tight can cause friction on certain places on your foot. If the shoe is too loose your foot will be sliding around causing friction to the side of the foot.
  • High heels will compress the front of your toes and put pressure on the heel of your foot.
  • Not wearing socks will create friction within the shoe between your foot and the shoe itself.
  • Claw toes and bunions may contribute to the development of corns and calluses.

Treatment:

If the pain remains then you may come to Dr7 Podiatry in Yokine for a podiatrist to:

  • remove or debride the corns or calluses , this should not be done by yourself because it may be easily infected if not done properly
  • Over the counter medicine for corns and calluses  such as patches and cream may be applied, usually things that include salicylic acid. But this is not recommended because it will cause more problems in the future.
  • In rare cases surgery may be an option so that they may align your foot correctly.

Prevention:

You may apply these methods everyday to prevent corns or calluses from forming:

  • Moisturise the foot to keep the skin soft.
  • Wearing comfortable cushioned shoes and socks.
  • Custom orthotics may also align your feet and prevent friction within the shoes. You may book an appointment with Dr7 Physio and Podiatry Yokine Perth for a casting and dispense of custom orthotics.

We are well located to provide physiotherapy, podiatry, hydrotherapy and massage to  Yokine, Dianella, Joondana, Tuart Hill, Osborne Park, Coolbinia, Mount Lawley, Bedford, Inglewood, Balcatta, Stirling, Nollamara and surrounding Perth communities.

We have been providing friendly and professional physiotherapy, podiatry, hydrotherapy and massage treatment since 2001.

blister2

Blisters

 

 

Blisters are a very common foot problem due to shoes not fitting correctly, either too tight or too loose. They are small pockets of skin filled with fluid caused by friction of the foot and the shoes most commonly. Walking or standing for several hours may also contribute to the cause due to the pressure you put on your feet. Moisture on your foot can also lead to blisters due to your pores being clogged up by sweat.

Treatment:

Unburst Blisters:

It is better to keep blisters unburst to avoid the risk of infection. Try not to cover up your blisters and let it breathe, but you may also put a plaster or bandage on it to prevent it from friction.

Burst Blisters:

If the blister has burst due to the large amount of friction that has been put on it, do not remove the skin. Instead you should wash it properly and use sterile dressing to dress it everyday until it is healed.

blister1

Draining Blisters:

This is not recommended but if the blister is in an awkward area or causes too much pain, you may burst and drain it yourself.

  1. Wash your hands thoroughly and sterilise a needle
  2. Puncture the sides of the blister with the sterile needle and not the centre of it
  3. Gently press down on the blister and let the fluid drain out
  4. Wash the blister after all fluid is drained
  5. Dry the area and apply a sterile dressing over it and change this everyday to avoid infection.

If there is blood in the blister this method is not recommended and instead you should not burst it and just let it heal itself.

blister

Prevention:

  • Wearing Shoes that fit well and not lacing up your shoes too tight
  • Wear socks that are breathable and moisture wicking
  • Putting orthotics in your shoes may position your foot better, we can custom make orthotics at Dr7 Physio and Podiatry.
  • Keeping your feet dry by putting talcum powder or antiperspirant

 

We are well located to provide physiotherapy, podiatry, hydrotherapy and massage to  Yokine, Dianella, Joondana, Tuart Hill, Osborne Park, Coolbinia, Mount Lawley, Bedford, Inglewood, Balcatta, Stirling, Nollamara and surrounding Perth communities.

We have been providing friendly and professional physiotherapy, podiatry, hydrotherapy and massage treatment since 2001

 

Hydrotherapy

What is physiotherapy?

What is physiotherapy? Physiotherapy is a medical practice that is designed to help patients with injuries. The aim is to restore mobility and flexibility. In most cases, their services are called in to help patients recovering from injury or disease.

A physiotherapist is a qualified, well-trained individual. They work in concert with doctors to provide a physical element to the recovery. Like all medical personnel, they work so the patient can get better and be given the tools to remain healthy.

Physiotherapists use a variety of techniques and go over various data. Their tasks require them to make assessments, diagnosis and prescribe treatments for a broad range of conditions. Movement disorders, joint issues, injuries, and other mobility-related problems are part of their expertise.

However, the practice is not limited to post-injury treatment. They can also be called upon to provide regimens meant to prevent injury or promote better health. Physical rehabilitation and maintenance of mobility, along with aid in particular chronic disease management programs, is not unusual.

A typical physiotherapist in Australia will have an education in patient education and occupational health.

You might be wondering: why would I need a physiotherapist? The first inclination is to think that you don’t and never will. An injury-free lifestyle and a healthy diet, along with exercise, seems like a good recipe for keeping the doctor at bay.

However, various people might come to a physiotherapist to address a variety of concerns. Even those who are perfectly healthy may decide to consult one, in the interest of staying in good health. It helps that the discipline can address a broad range of needs.

Cardiovascular and respiratory therapy are everyday actions for physio Dianella.

The heart and lungs are like the body’s engine, making sure that all the right stuff is pumped into all the right places. Physiotherapy regimens can help rehabilitate people living at risk of many hearts and lung-related conditions, such as asthma.

The physio Osborne Park practice can also provide technique’s to help recover from surgery involving the cardiovascular or respiratory systems.

Cancer is also a possible cause you might seek physiotherapy Dianella.

Lymphoedema, palliative care, and other cancer-related needs can be addressed through the right regimens. Physiotherapists can devise programs that include the treatment and management of the fatigue associated with the cancer treatments.

At the same time, they can aid in deconditioning and alleviating the muscle and joint stiffness. These are sometimes known to be side effects of certain types of cancer treatment.

The elderly can also reap a variety of benefits. Exercise and physical activity – as directed by physiotherapy Dianella – can help improve the quality of life for senior citizens.

Older individuals can use physiotherapy to improve their mobility in the wake of incontinence, osteoporosis, and other conditions. A regimen can also be designed to aid in remaining mobile and active, even in their old physical state.

Physiotherapy can also help the old address continence issues.

Women’s health is also an area that may benefit. Pregnancy, bowel control, post-partum care, pre-birth exercises, and menopause are all areas where physiotherapy can offer assistance.

Some neurological concerns may also be addressed.

Neurology and physiotherapy converge in the areas of damage to the spinal cord or brain. Injuries and trauma may reduce mobility or quality of life. A combination of neurological efforts and physiotherapy regimens can reduce the problem, particularly for conditions such as Parkinson’s or multiple sclerosis.

Orthopaedic concerns are also covered.

Physiotherapy Yokine can help the management of acute or chronic conditions. Osteoarthritis, rheumatoid arthritis, and amputations are some areas that the practice can help with. They are also part of the rehabilitation program for orthopaedic surgery.

Musculoskeletal areas can also benefit from physiotherapy. The primary focus here lies in preventing strain and injury. Techniques can also address some underlying problems, such as limited mobility, or neck and back pain.

Physiotherapy Dianella can also assist various occupational health concerns. The practices and exercises can support the overall well-being of workers. They can also help in reducing the risk of injury or disease and address safety hazards.

There are other areas where a physiotherapist Joondanna might be able to offer help. Consult with one to make sure. Other areas where physio Dianella might help include men recovering from testicular cancer. Physio Yokine can also assist various paediatric concerns.

You might be curious about the average physiotherapy Osborne Park session. Below you’ll find a description of how things tend to go so that you can get an idea for yourself.

The session – indeed, your entire relationship with a physiotherapist – begins with questions. The therapist will ask about your overall health and various other queries, intent on getting an idea about your unique needs and condition. The treatment will depend on what is learned at this stage.

Assessment and diagnosis of what the patient needs follows, using information on the condition. The goal at this point is to know what would be required, which informs the plan and regimen.

This is also the point where the therapist inquires about the patient’s goals. Some patients want to run marathons, while others want to remain physically mobile even in old age. What they want will affect what the therapist will recommend.

A therapist will work with you in setting those goals. Sometimes, you might set a goal that is far too advanced or beyond your body’s current abilities. A physiotherapist can help keep the objectives from being impossible but still challenging. Physio Joondanna can be a huge help for you.

Finally, a treatment plan is developed. Physical aids and exercise will usually be part of this, along with changes to lifestyle and general health. The result is a comprehensive plan meant to make your life better, while also helping you achieve your goal at a steady pace.

Physio Tuart Hill can assist you in having a better quality of life. The holistic approach and the ties with other medical practices mean that you are getting comprehensive care and the attention of a professional. Physiotherapy Tuart Hill might be a good idea for you and your overall health.

 

athletes foot 1

Athlete’s Foot

Athlete’s foot is one of the most common foot problems a person could encounter if they do not keep their feet clean. It happens when a fungus grows most commonly in between the toes and can spread to the other parts of the foot. It can inflame the skin and develop a white and scabbing rash on your feet.  Athlete’s foot can also cause itching, soreness, burning and sometimes a slight smell .

athletes foot 1athletes foot

Causes:

  • Walking barefoot at showers, locker rooms, swimming pools
  • Sharing socks and shoes with an infected person
  • wearing shoes that are too tight
  • Sweaty and having your feet wet for a long time

 

Symptoms:

  • Itching and burning of the feet and in between your toes
  • Dry skin on the feet and between your toes
  • Discolored toenails
  • peeling skin on your feet

 

Prevention:

  • Washing your feet daily
  • Keeping the feet dry and always changing your socks so there is no moist area for fungi to grow
  • clipping your toenails short to prevent growing of fungus
  • Avoid tight footing footwear and wear well ventilated socks so your feet can get some air into them.
  • wearing sandals or thongs in communal areas such as bathrooms where the fungus can grow and get attached to your feet.

Wash feet

Treatment:

  • Athletes foot will usually treat itself without any medication but you must not wear or use the same socks or nail clipper where the fungi may have latched onto.
  • Wash your feet thoroughly once or twice per day
  • Apply over the counter anti-fungal cream after you wash it.
  • If the condition is not recovering you should see a podiatrist to get stronger medication.

how-to-cure-athletes-foot

Home remedies:

  • You may soak your foot in salt water or diluted vinegar to dry up the blisters on your foot
  • Tea tree oil can also be applied to infected areas

 

 

Hand and Wrist Injuires

Hand and Wrist Injuries

 

INTRODUCTION

Hand and wrist injuries can dramatically affect our lives. As humans, we rely heavily on our hands to manipulate objects, grip, carry and reach for things for our survival. We take for granted the ability to feed ourselves, maintain personal hygiene or use technology and transportation, until we sustain a hand or wrist injury.  Given the importance of our hands and their role in facilitating our everyday tasks and activities, it is essential to have your injury or symptoms addressed at the onset of your symptoms.

This article will briefly outline some of the common presentations and give a brief description of how to manage them. It is important to seek the advice and assessment of a Hand Physiotherapist to ensure you are receiving the highest level of care.

WRIST AND HAND ANATOMY

At an anatomical level, the wrist contains many small bones neatly joined together by ligaments. This area is commonly referred to as the Carpus.  We have our two main forearm bones, the radius and ulna running from the elbow to the wrist. The other end of the carpus is where our finger and thumb bones join, our metacarpals and the ends of our fingers called phalanges. Our thumb contains a proximal and distal phalanx, and the 2nd to 5th digits contain a proximal, middle and distal phalanx (Figure 1).

Each bone in the carpus has a specific name and the joint spaces between each of these carpal bones is derived from those names – the join between the carpal, scaphoid and lunate is called the scaphoid-lunate joint.  We also have a number of tendons and muscles that either traverse the top or bottom of the wrist and or digits and accompanying these are nerves and blood vessels.

DIAGNOSIS AND MANAGEMENT

When considering the types of hand and wrist injuries, we can loosely divide them into two categories – an acute onset or traumatic presentation and a chronic or overuse presentation.

Typically with traumatic or acute injury, we generally feel symptoms immediately and generally, these symptoms immediately follow a particular movement or mechanism of injury.

An overuse or chronic injury, refers to symptoms that have developed over a period of time, whether the symptoms stay the same or gradually change.  This article will give a brief overview for each of these categories for most common hand and wrist presentations.

One common mechanism of hand and wrist injuries is falling on an outstretched hand. This is a common occurrence out on the football field, tripping over when walking or coming off a bike. Structures that are commonly injured include:

  • a fracture of the distal radius / ulna
  • scaphoid fracture
  • scapho-lunate ligament tear / scapho-lunate dissociation (separation)
  • Triangulo-fibrocartilaginous complex tear (TFCC)

Each of these structures will require a period of immobilisation in a specific position prior to commencing rehabilitation to restore movement and strength to the hand and wrist.

Wrist pain can also occur after repeating a movement for a prolonged period of time, or vigorous repetitions with force. Some of the conditions that can occur include:

  • Carpal Tunnel Syndrome
  • De Quervain’s Tenosynovitis
  • Intersection Syndrome
  • Tenosynovitis or synovitis of the extensor or flexor tendons at the level of the wrist and forearm

Management of these hand and wrist injuires would typically involve splinting into a specific position for a period of time with regular tendon gliding exercises, icing of the affected area. Once the symptoms have begun to subside, weaning from the splint is introduced and gradual strengthening and movement exercises are prescribed.

When we look at common traumatic hand and wrist injuries to the thumb and digits, the following presentations come to mind:

  • fractures of the metacarpals and phalanges
  • dislocations of the PIP and DIP joints (most commonly)
  • collateral ligament tears to the base of the thumb (MCP joint)
  • collateral ligament tears to the PIP joints of the thumb
  • volar plate injuries
  • avulsion fractures of the DIP joints

Each of these hand and wrist injuries require specific positioning for  varying periods of time to enable tissue healing and then rehabilitation of movement and strengthening will follow.

Overuse hand and wrist injuries of the extremities include:

  • tendinitis / tenosynovitis / synovitis of the flexor tendons at the level of the digits
  • MCP joint and CMC joint degeneration
  • MCP joint instability
  • Trigger finger
  • Trigger thumb
  • Wear and tear of the PIP joints and DIP joints of the fingers

Similarly, most of these areas will require splinting for periods of time to ensure protection of the joint surface or rest of the inflamed area. Careful prescription of movement exercises, tendon gliding exercises, icing inflamed areas and controlled strengthening are all likely to be part of the rehabilitation phase.

Whether in an acute or more chronic presentation, depending on the severity, deformity, deviation and integrity of surrounding structures, other measures will be taken to ensure the best outcome for the individual. Some of these things include imaging, cortisone injections, or referral to a Specialist for surgical intervention.

If you have a hand or wrist injury, no matter how little, be sure to put your health first and consult your Hand Physiotherapist today.

About the author: Sophie Halsall-McLennan is a Drysdale based physiotherapist and is the owner of Fresh Start Physiotherapy in Curlewis, Victoria and has a special interest in hand therapy, tennis elbow and back pain. Dr7 Physiotherapy Podiatry Hydrotherapy Massage in Yokine Perth WA is proud to be partnering up with Sophie to provide high quality blogs to help educate the community in regards to health, wellness and physiotherapy.

 

high-heels

Long term effects of high heels and Physiotherapy treatment

Physiotherapy and podiatry may be your only option if you are one of those people who wear high heels everyday. Wearing high heels daily could be doing more damage than you think. Due to the shape and height of these, you feet and leg muscles and bones are placed in damaging pressure spots. Muscle imbalance create sore and tire feet, which could worsen into long-term ongoing pain and injury.

As it turns out, looking good high heels isn’t good for you!

Wearing high heels places your ankles in a vulnerable position. It makes them more susceptible to sprains and strains. It also makes the rest of your body work harder to maintain its balance. This could be causing some irreversible damage in parts of your body that you wouldn’t expect. But no need to ditch these precious heels too early! Our physios and podiatrists are here to help – we can treat any acute foot and leg pain as well as give you exercises to help prevent and minimise ongoing damage.

The article below outlines some common aches and pains experienced by frequent high heel wearers. If you are suffering from any of these, then book in and see one of our experienced team today.

One of our Podiatrist’s will be able to fix your bunions or callus’s, while the Physiotherapist will be able to help with those pesky feet and knee pains.

http://www.huffingtonpost.com.au/2016/08/17/this-is-what-wearing-heels-all-day-does-to-your-body/

high-heels

 

world masters

Dr7 physio – Greg Brush- Race to the WMAC

This is the third in a short series of blogs I am writing in the lead up to the World Masters Athletics Championships in Perth in late October/early November. Thanks to all the practitioners at Dr7 Physiotherapy and Podiatry Perth. These are sports physio that  have helped me a lot in my preparation.

 

Entries have now closed for the event and 28 have entered the Men’s 45-49 Long Jump. The field is truly world class and includes the majority of the top jumpers in this age group, with the exception of a couple of top Russians. They are banned due to Russia’s exclusion from Athletics competition at all levels (the rights and wrongs of this were noted in my last blog). The large field means we will have a qualifying event in which the top 12 jumpers there will proceed to the final two days later.

 

On the best performances listed by the entrants I am ranked sixth in the field. I hope that home field advantage, some significant training advances and also the fact that a few of the jumpers ranked ahead of me are also entered in multiple events (including the decathlon) will work in my favour. As the long jump is one of the last events on the programme there may be some tired old guys by then.

 

Training over the last month has generally gone well and there have been no major injuries. That is aside from another bout of the flu that came from nowhere and really knocked me out. In the last week speed and jump session performances have been the best since last season. As many of you will know, the Perth weather has not been great lately. So in order to get some quality training in I flew to Darwin for a week to take advantage of better weather conditions. Now with just under four weeks to go I am beginning to taper my training in preparation for the championships. What this means is that training volume is significantly decreased and intensity is high. For example, gym work is now especially focused on explosive work with exercises such as jump squats replacing Olympic lifts. This Thursday and the following Tuesday I will have two pre-Worlds competitions that will be a good guide to how I am tracking and any technical issues I need to devote attention to.

 

That is about all for now. If you are in Perth and want to see some top athletics competition involving some remarkable and inspirational older athletes the full programme is now available at www.perth2016.com The championships run from October 26 to November 6 (October 30 and November 3 are rest days). If you are interested, my long jump competition is at the WA Athletics Stadium (Stephenson Street, Mount Claremont) – Qualifying – Wednesday November 2, 11.30am; Final – Friday November 4, 3.00pm.

 

Until the next update…

Thats Jack on the right!!

PHYSIO PERTH -Dr7 Physiotherapy Proud Sponsors of Jack Becker- Professional MMA Fighter

Dr 7 Physiotherapy and Podiatry are proud sponsors of Jack Becker- a professional MMA fighter from Perth with a 7 win 0 loss career record to date.

Jack is fighting in the upcoming Heat 38 MMA event in Japan at the end of September 2016. Follow Jack via his instagram below and support him on his journey to his ultimate goal the UFC!!

http://www.imgrum.net/user/jackmbecker/35962490

GB Long Jump

Physio Yokine – Greg Brush Blog 2 Hunt for Gold at WMAC

This is the second in a short series of blogs I am writing in the lead up to the World Masters Athletics Championships in Perth in late October/early November.

 

Since writing my last blog, training has been restricted (training never stops, you just find alternatives) by a couple minor injuries, a short bout of flu, and Perth weather not always being conducive to outdoor sessions. It also seems like it has been an unusually cold winter, which makes the hard winter training phase even more challenging. But everything is back on track now and the weather seems to be improving (crosses fingers).

 

In terms of my current training, I generally workout six days a week, and each week do a mix of speed and jumping technique work on the track, plyometrics (think hops, bounds, jumps over hurdles, sometimes with a weight vest and up a hill), weight training sessions (Olympic lifts, squats, step ups, lunges, etc.,), and yoga, along with the all-important physio and massage sessions with Ryan and Vicki at Dr.7. If that sounds like a lot, it is, and I have an understanding employer that has allowed me to take a reduced load this year to allow me to put this time into training. The winter phase of training is high volume at a moderate intensity, and as I lead up to the competition the volume will be reduced and intensity increased.

 

With two weeks to go until entries close there are now 17 entered for my event. The entries include the World’s two leading jumpers (one of whom is a former open European champion and Olympic Long Jump finalist). There are likely to be a number of additional entries before the deadline (as yet there are no Americans entered), although as Masters athletes are, with a very few exceptions, self-funded, costs of travel to Perth may see a few of the leading jumpers from the US and Europe decide not to make the trip downunder. In any case it is still going to be a very high quality field.

 

As you may be aware, the Russian athletics team are currently banned from international competition due to their state sponsored doping programme. This ban also applies to Masters competition, so we will not be seeing any Russians competing in Perth. I have mixed feelings about this situation. Some of the Russian masters competitors are former elite athletes that competed in an era when there was extensive, ongoing and well-documented state sponsored doping in the Eastern bloc. Given that there is considerable evidence of steroid use providing long term benefits, I strongly believe any athlete doping should receive a life ban. However, there are also many Russian masters that were not former elites and especially if they found the sport later in life and do not compete at the top level, are unlikely to be doping. To group these masters athletes along with the elites and implement a total competition ban is very harsh and I empathize with these athletes and would hate to be put in a similar position.

 

Well that is all for now, I’m off to do some yoga and stretch the old body out … until the next update

GB Long Jump

Physiotherapy Perth – Greg Brush WMAC Blog

Old White Guys Can Jump … The Journey to the World Masters Athletics Championships

 

This is the first blog of a monthly series that I will write as I reflect on my journey to the World Masters Athletics Championships in Perth in late October/early November

 

It is now just a little under four months to the start of the World Masters Championships. For those of you that haven’t seen the billboards and crazy TV ad (featuring one of my training partners) these are the global athletics championships for athletes aged 35 to 100+, or in other words the Olympics for old people. The competition is conducted in five-year age groups and the athletic events included are the same as those you will see in Rio, with a few differences, cause some of us are really old. Many former Olympians continue to compete at Masters level and will be in Perth, and the competition is at a very high level. For more information on the Perth event see https://www.perth2016.com/

 

A little about myself. I am a long jumper and compete in the 45-49 age group. A national level jumper in my youth, after serious injury and surgery I took a long break from the sport before getting involved in Masters competition in my late 30s. In 2013 I competed in the World Championships in Brazil and won bronze in the long jump.

 

While athletics is generally an individual event, success is strongly influenced by the quality of the team you have around you. Aside from a highly supportive (and long suffering) wife and a great coach and jumps squad, the support of Ryan and the team at Dr7 Physiotherapy and Podiatry is very important for injury prevention and management, and greatly appreciated. Training on average for four hours a day at an often high level of intensity takes a lot out of a very fit but aging body. Massage, physio and podiatry are important components of keeping the body healthy and injury free. While there are no guarantees (think Sally Pearson) the advice, support and treatment Dr7 offer is high quality and increases the chance I will be in peak condition come competition time.

 

I look forward to catching up in future blogs where I will tell you more about the event, how my preparation is progressing, and outline a day in the life of an old athlete. Until next time.

Greg Brush