HILLS PODIATRY CENTRE


INGROWN TOENAILS

What are ingrown toenails?

Ingrown toenails, also known as onychocryptosis in medical terminology, are a painful condition where the nail grows into the skin. Usually the worse an ingrown toenail is the more painful it can be. Ingrown toenails can limit exercise, change your work ethic, and prvent you from the use of enclosed shoes.

An ingrown toenail (Onychocryptosis) can be due to either of the following:

·       Trauma

·       Involuted (curved) nails

·       Ill-fitting footwear

·       Poor nail care

·       Nail picking

·       Age

The problem is often recurrent and patients generally report multiple episodes of inflammation An ingrown toenail is most often caused by a piece of nail protruding into the side of the nail skin-fold or nail bed. This may allow a portal of entry for bacteria which can cause an infection.

Treatment involves a minor procedure to remove the offending nail particle. This will provide instant relief, however sometimes ingrowing nails becomes a chronic problem and minor nail surgery called a Partial Nail Avulsion (PNA) using a local anaesthetic and chemical cauterisation of part of the nail bed. This provides a permanent solution in 85% of cases.  

If you have an ingrowing nail or know someone who is suffering from an ingrown nail, podiatrists are the most qualified health professional to treat this condition. Don't wait until the pain gets worse, as unless you address the ingrowing nail itself, the infections and pain will most likely keep returning.  

For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657

 


PLANTAR WARTS

Plantar warts, or Verrucae Pedis, are a painful lesion caused by a virus in the skin known as Human Papilloma Virus (HPV). Plantar Warts initiate as a result of transmission of the virus through cuts or breaks within the skin.  Walking bare-footed in areas that are warm, dark and moist such as around public communal showers or pools are a common reason of contracting the virus. Plantar warts are painful and can be very contagious. Plantar warts are often mistaken for corns, which look similar, however the most common indication of a wart are the presence of small black dots which represent the blood vessels within the wart tissue.

How are plantar warts treated?

A plantar wart is more stubborn and hard to treat than most other warts due to their location on the sole of the foot. The skin on the sole of our feet is some of the thickest skin on our body and is constantly being shed and replaced. Over-the-counter wart treatments have difficulty penetrating the thick skin layers that cover a plantar wart so a visit to a Podiatrist is recommended so they may scrape away the overlying thick skin prior to treatment. There are many ways your Podiatrist may treat a wart, however the most common methods are cryotherapy, and chemical cautery.

·       Cryotherapy - The use of very cold liquid agents such as liquid nitrogen to locally snap freeze the wart tissue thus killing the virus within.

·       Chemical cautery - The use of strong chemicals to breakdown the tissue of the wart and kill the virus residing inside the cells.

Both of these methods result in a localised trauma event to the affected skin thus alerting of the immune system to address the virus. These treatment methods are usually only minimally painful during the actual treatment and are often painless following the procedure as local nerve-ending are cauterised by the use of cryotherapy or chemical cautery.

Treatment of Plantar Warts generally involves at least 6-8 weeks of weekly treatment for full resolution.

For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657

 

FUNGAL NAILS

(ONYCHOMYCOSIS)

What is a fungal nail?

Fungal nail infections (Onychomycosis) is an unsightly nail affliction which causes thickening and discolouration of the nail plate. Sometimes the nail will even change shape and become thickened due to a build up of fungal debris underneath the nail. Due to the fungus residing underneath the nail plate, fungal nail infections are often stubborn and difficult to treat.

Fungi are everywhere in our environment and thrive in warm, moist places - such as our footwear! It usually starts at the end of the nail plate and continues to spread under the nail. Sometimes chalky, white plaques develop on the nail and as the infection progresses yellow and brown pigmentation can be visible. 

People often try to treat them with an over-the-counter fungal nail treatment which is more often than not either not applied correctly, or for as long as is required. Fungal nail infections require 12-18 months of non-stop treatment for full resolution, depending on the amount of nail affected.

For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657.

 

CRACKED HEELS (HEEL FISSURES)

This is a condition we see often at Hills Podiatry. They can be caused by dry skin, geneticsm or it can be a result of excessive callous formation which splits and cracks under pressure. It is a more common problem in people with weight issue and/or diabetes. It can be annoying and very painful.

Your Podiatrist will remove the callous and treat the cracks during your consultation. You will also be advised on a treatment program to prevent and/or reduce their return.  For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657


 
Kellyville Podiatrist