Do you have a foot or leg problem or injury? Check with a trusted podiatrist in Melbourne who can diagnose, treat and rehabilitate your feet or lower limb pain, injury or illness.
With the highest standard of care, our mhealth Podiatrists employ the latest technology and equipment to accurately assess, diagnose and treat your condition.
Our Melbourne podiatrists deal with the prevention, diagnosis, treatment and rehabilitation of the feet and lower limbs. Our Podiatrists have a wide skill set to help deal with all problems associated with the lower limbs.
Podiatry services, our aim is to provide a high standard of care utilising state of the art technology and the latest equipment to accurately assess, diagnose and treat your condition.
On average a person walks 8,000 to 10,000 kilometres per year. That’s equivalent to over 4 times around the world in a lifetime. The feet are usually our last concern, but when pain strikes it can seriously impact our quality of life.
Our scope of practice includes:
General foot treatment includes the management and prevention of common foot problems such as:
Biomechanical assessment is making a thorough examination of not only a person’s foot mechanics but the biomechanics of their entire body. We assess walking/running gait patterns using the latest technology to accurately diagnose the cause of your pain. We not only perform biomechanical assessments to treat pain; we also do it to improve athletic performance, and help prevent future problems.
During a biomechanical assessment we examine:
To assist us in performing biomechanical assessments, we routinely perform computerised gait analyses using GaitScan.
The TOG GaitScan™ is an innovative diagnostic tool and digital casting device that allows us to analyse your biomechanics and order custom orthotic devices. With 4096 sensors and a scan rate of 300 frames per second, GaitScan™ is the industry leader in dynamic scanning capabilities.
What does this mean for you? A new, in-depth method of assessing your gait cycle with a dynamic scan gives us access to a wealth of information that cannot be obtained with the naked eye. Over a million points of data are recorded, tracking minor flaws in your biomechanics and shedding light on issues that if left untreated, could develop into painful conditions over time.
The TOG GaitScan™ is a valuable education tool that provides practitioners with a comprehensive biomechanical analysis for each patient as well as clear, concise images to assess and articulate the need for orthotic therapy.
Whatever the occasion (casual/work/sport), appropriate footwear can be the first step to getting through the day pain free. Foot problems can occur when ill-fitting shoes are worn.
At mhealth podiatry, we understand that it is not realistic to wear the ideal shoe every day. We all need our casual shoes that still look good. We can prescribe good-looking casual shoes, which still have appropriate features. We can also help modify your current shoes to make them more supportive and comfortable for your feet.
If it is optimising athletic performance you are after, then we can give advice on the correct runner or sport specific shoe. There are many different variations of runners available now, ranging from the traditional supportive runner to minimalist low profile runner. Shoe selection should not simply come down to what your footprint looks like. That’s why at mhealth we perform an in-depth biomechanical analysis to determine the appropriate shoe for your activity.
There are various ranges of orthotics available, from chemist-sold inserts to custom designed orthotics.
We do have available specific range of Off-The-Shelf (OTS) orthotics to be fitted by our podiatrists for specific foot conditions. OTS orthotics are limited in their functional correction but can be useful in treating localised foot pain. OTS orthotics are generally not used if the pain is higher up the leg or if the person has 2 feet functioning differently.
Custom designed orthotics are functional devices individually made to fit each foot. They are recognised as the gold standard for orthotic therapy. They can help control excessive motion within the lower limbs, by helping align and stabilise the feet, as well as improving muscle activity and control further up the leg.
Before prescribing either OTS or Custom orthotics, we would generally always perform a full biomechanical assessment and GaitScan analysis to determine the exact level of correction needed, as well as when it is required within the gait cycle.
Depending on the orthotic design required, we would then either take a digital scan of the feet from the GaitScan pressure plate, or take a cast of each foot using a 3D scanner, to manufacture the best fitting orthotic possible.
Often we use the application of strapping (tape) or padding to the feet to limit excessive motion and support the foot structures, which can help mimic the potential role of orthotics. This mode of treatment helps relieve acute injuries, as well as deal with the underlying abnormal biomechanics.
We use various forms of padding including semi-compressed felt, swan foam, and fleecy web. Our taping techniques include the use of rigid sports tape as well as flexible Kinesio Tape. We also have hypoallergenic tape for those people with sensitive skin.
Diabetes is Australia’s fastest growing chronic disease. It is estimated that 280 Australians develop diabetes every day, and that by 2031, 3.3million Australians will have Type 2 Diabetes.
Up to 60% of Type 2 Diabetes cases can be prevented. A reduction in the prevalence of Type 2 Diabetes can lead to better health outcomes and quality of life for Australians.
Podiatry for people with Diabetes:
Diabetes is the 6th leading cause of death in Australia, therefore, a person cannot afford to let it go unchecked.
Diabetes is not the only condition that can lead to ulcerations and amputations in the lower limbs. Peripheral Vascular Disease, or Peripheral Arterial disease, is when the peripheral arteries are compromised. Chronic venous insufficiency occurs when the veins cannot pump enough blood back to the heart.
Podiatrists can perform vascular assessments, which help assess a person’s arterial supply using Doppler ultrasound that supplies imaging of the arterial waveforms within the feet. We can also perform Ankle/Brachial Pressure Index (ABPI) tests, as well as Toe Pressure Index (TPI) tests. ABPI and TPI tests help determine the circulation within the body and specifically the foot.
Certain visual and manual tests can be performed to give an indication of the venous system’s ability to return blood to the heart.
Pain in the lower limbs can often be referred from elsewhere in the body, especially the lower back. The lumbar spine (lower back) contains the nerve roots, which supply directly to the lower limbs and further on to the feet. Therefore, it is important to always be aware that foot pain can be referred from nerve damage/irritation higher up.
Podiatrist can perform several neurological tests, including using tuning forks, monofilaments, and reflex hammers. Other assessments include tasks that test a person’s balance, proprioception, and muscle activation.
Podiatrists are able to refer directly to the radiologists for both X-ray and Ultrasounds of the foot and ankle where you can claim a Medicare rebate, avoiding the need to see your Doctor as well.
There is much pathology affecting the feet, which can be diagnosed with the use of these imaging modalities. X-ray can be used to identify stress fractures, bunion progression, and accessory bones. Ultrasound can be used to diagnose ligament and tendon damage, neuromas, and bursitis.
Often clinical examination and assessment can be enough to accurately diagnose the cause of your pain, but if the pain does not respond to treatment, then podiatrists have the ability to refer for diagnostic imaging.
In the case of fungal infection within the toenails, there are several different organisms that could be responsible. Depending on how much of the nail(s) is affected, then often, a topical (over-the-counter) treatment can be sufficient. In the case of severe fungal infection, then nail scrapings can be taken and placed in to a specimen jar and sent to pathology to identify the offending organism. This allows for accurate prescription of the medication required to combat the fungus.