Your First Visit

When you present to the practice for your first (or initial) consultation, the Podiatrist will obtain your medical history and other details relevant to your foot problem. Depending on the reason for your consultation at the clinic, they may then perform any of the following examinations:

  • Either a brief or detailed biomechanical assessment of your foot structure which may include checking for areas of tenderness or pain, examining range of movement in your joints, muscle testing, and gait analysis (watching you walk).
  • A vascular assessment &/or neurological assessment of your feet. This may be performed by palpating the pulses in your feet or listening with a special machine called a "Doppler", and testing for sensation in your feet with devices such as a monofilament, sharp and blunt testers and a tuning fork or neurothesiometer. 
  • A footwear assessment in terms of wear marks, style, support, depth, and width of your shoes, and their suitability for your feet.

Diagnosis of your foot problem:

The Podiatrist will do their best to accurately diagnose your foot or foot related problem. Sometimes it is necessary to do further tests in order to confirm the diagnosis, such as:

  • The Podiatrist may send you for an x-ray or ultrasound to assist diagnosis of your foot problem.
  • The Podiatrist may apply a diagnostic strapping or padding and review this at another appointment.
  • The Podiatrist may recommend a stretching regime & /or footwear changes to see if this helps resolve your problem.
  • Sending a swab or sample of skin or nail tissue to a Pathology laboratory for culture with the co-operation of your General Practitioner.
  • Referring you to your General Practitioner or another health professional for their assessment.

Treatment

Depending on the diagnosis of the problem with your feet or related structures, treatment provided may include:

  • Cutting and/ or grinding your toenails
  • Debriding callouses, corns, or warts
  • Applying chemical debriding agents
  • Manufacturing or supplying devices to deflect pressure from the problem area
  • Temporary removal of ingrowing toenail sections
  • Surgery for permanent resolution of ingrowing toenails.
  • Strapping your feet
  • Prescribing stretching &/or strengthening exercises
  • Prescription of width and/ or depth footwear

 

 

  • Recommending anti-inflammatory modalities
  • Fitting "off-the shelf" orthotics
  • Prescribing and manufacturing custom-made orthotics
  • Prescribing cushioning inner soles with pressure deflection
  • Heel raises
  • Serial casting for metatarsus adductus and calcaneo-valgus deformities in babies & toddlers
  • Footwear recommendations
  • Referral to another specialist
  • Prescription of venous compression stockings