Greg Robinson Podiatrist

  • Home
  • What is a Podiatrist?
  • About Greg Robinson
  • About Ibraheem Hoosain
  • Online appointments
  • How to find FixMyFeet Podiatry - Map & Directions
  • Shockwave therapy
  • Laser treatment for toenail fungus
  • Orthotics
  • Biomechanics - Digital video analysis
  • Digital Orthotics - CAD/CAM design
  • Common foot and lower limb conditions treated
    • Achilles problems >
      • Achilles tendonitis / tendinopathy
    • Ankle problems >
      • Ankle sprain (Ankle instability)
    • Arch and Ball problems >
      • Flat feet / fallen arches (over pronation)
      • High arched foot / Pes Cavus
      • Metatarsalgia (pain in the ball of the foot)
      • Plantar Fasciitis (arch pain)
      • Sesamoiditis
    • Children - Common conditions affecting children - Osteochindrosis >
      • Osteochondrosis
      • Freiberg's Disease - Pain in the ball of the foot
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Osgood-Schlatter Disease - Tenderness in the knees
      • Sever's Disease - Heel pain
      • Sinding-Larsen-Johansson Syndrome - Pain at the bottom of the kneecap
    • Common foot injuries >
      • Ankle sprain injuries (ankle instability)
      • Fractures
    • Deformities >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Flat feet / fallen arches (over pronation)
      • Hammer toes
      • Mallet toe
      • Metatarsalgia (pain in the ball of the foot)
      • Overriding and Underriding toes
      • Retracting toe
      • Tailors Bunion / bunionette
    • Diabetes and your feet
    • Diseases of your feet >
      • Arthritis >
        • Osteoarthritis
        • Rheumatoid arthritis
      • Freiberg's Disease - Pain in the ball of the foot
      • Gout / gouty arthritis
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Raynaud's Disease
      • Sever's Disease - Heel pain
    • Forefoot pain >
      • Metatarsalgia (pain in the ball of the foot)
      • Neuroma / Mortons Neuroma
      • Sesamoiditis
    • Fungal problems >
      • Athlete's foot (Tinea pedis)
      • Fungal nails (Onychomycosis)
    • Geriatric foot care >
      • ​Foot care for seniors
    • Hip pain >
      • Trochanteric (hip) bursitis
    • Heel Pains >
      • Cracked heels / Heel fissures
      • Heel callus
      • Heel spur
      • Plantar Fasciitis (heel and arch pain)
    • Heel pain in adults >
      • Heel spur
      • Plantar Fasciitis (arch pain)
    • Heel pain in children >
      • Plantar Fasciitis (arch pain)
      • Sever's Disease - Heel pain
    • Knee pain/ injuries >
      • ITB - Iliotibial band syndrome
      • Patellar tendinopathy (jumper's knee)
      • Patellofemoral pain syndrome (anterior knee pain, runner's knee)
    • Nail problems >
      • Black toenails
      • Ingrown toenails (Onychocryptosis)
      • Fungal nails (Onychomycosis)
      • Paronychia (infection of the skin around the toenail)
    • Osteoarthritis
    • Pronation of the foot
    • Shin splints and shin pain
    • Skin problems >
      • Allergies
      • Athlete's foot (Tinea pedis)
      • Blisters
      • Burning feet
      • Callus (thickened skin) & Corns
      • Corns & Callus (thickened skin)
      • Cracked heels / Heel fissures
      • Paronychia (infection of the skin around the toenail)
      • Sweaty feet and Smelly feet
      • Swelling
      • Ulcers
      • Warts / Verrucae (plantar wart)
    • Stress fracture
    • Toe problems >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Hammer toes
      • Ingrown toenails (Onychocryptosis)
      • In-toeing and out-toeing
      • Mallet toe
      • Neuroma / Mortons Neuroma
      • Overriding and Underriding toes
      • Retracting toe
      • Subluxation
      • Tailors Bunion / bunionette
      • Turf toe
    • Vascular / Nerve problems >
      • Alcoholic neuropathy
      • Burning feet
      • Chilblains (cold feet)
      • Neuroma / Mortons Neuroma
      • Raynaud's Disease
      • Spasms
  • Product store - Medipod foot repair cream
  • Product store - FungiSolve
  • Blog Articles
  • Testimonials

Consider these tips before buying your next pair of walking/ running shoes

5/20/2018

 
As a passionate sportsman and sports fan, I am writing to emphasise the importance of purchasing the correct athletic shoe for your foot type.
Daily, in my podiatry clinic I will see many novice to the more enthusiastic walkers and runners of all fitness levels trying to get healthier and fitter, but presenting with lower limb muscular and tendon strains due to incorrect or worn-out walking or running shoes.

Selecting the correct walking/ running shoe may be an overwhelming task as shoe stores and online sites are saturated with several brands, styles, and models with ever changing marketing terms and innovative technology.

​You may notice shopping for a pair of athletic shoes may come with a lot of confusion. Walking and running shoes are categorised within various ranges, being soft, neutral, mild to strong anti-pronation, to the minimalistic and maximalist trainers. These come with differing arch support, shoe sole stiffness and differing heel/ sole height and thickness.


Picture
You may have heard the term foot ‘pronation’, the inward rolling of the foot. Most people pronate, pronation is not bad as it is a form of lower limb shock absorption. The problem comes when the foot ‘over-pronates’. Over pronation can lead to pathologies in the foot, shins (broadly shin splints), knee and hip issues etc. Whereas the term supination refers to a stiffer foot. These walkers will land on the outer side of the foot.

I recommends following these guidelines before selecting the good looking trendy athletic footwear off the shelves.

Recognise your foot type!
​Visit a podiatrist or reputable running shoe store to have your foot and gait (walking style) examined, or do so at home by dipping your feet into water, step and apply your weight on a piece of dark paper and note the imprint formed.
Walking (and running) shoes have a different variation of stability, so depending on the foot reactions to landing and the amount of foot range of motion we can consider the type and correct running shoes for you.

Generally three foot types can be identified:
1) Flat feet with dropped arches.
This will leave the fullest imprint as it covers mоst оf thе arch area in contact with the paper. Most often this foot type will roll inward too much (overpronate) when walking. This type of foot is often unstable, but will absorb shock well.
 - With flat feet and excessive pronation, generally consider а stability shoe type. Тhіs will prevent уоur ankles frоm rolling іnwаrd as well as protect and stabilise lower limb structures. With excessive pronation you may require a custom orthotic from your podiatrist for added foot and lower limb control.


2) With a high arch you will notice little imprint in the arch area. Consider а cushioned, flexible shoe. Often footwear within the neutral shoe category is sufficient as high arched feet do not absorb shock well.
 - Rigid feet tend to supinate (or you may hear the term underpronate) meaning you walk more on the outsides of your feet. Consider purchasing a trainer with a roomy upper to accommodate your foot high arch.


3) Іf уоur imprint hаs а medium arch (between the two describe above) you fall into the ‘optimal range.
 - Yоu want to shop among the neutral shoe category as your feet are well balanced and roll, or pronate, almost perfectly.


I advise to follow these simple guidelines before purchasing your next pair or athletic trainers.
  1. Visit your podiatrist or athletic shoe store to make sure you are purchasing the correct fit and size for your feet:
  2. Have both feet measured by a podiatrist or in a reputable running shoe store while standing with a device called a Brannock device for correct foot length and forefoot width. Note one foot may be larger and the shoe should fit comfortably on that larger foot.
  3. Fit the shoe with the socks you'll be using during your activity, as well as if you are using an in shoe orthotic.
  4. Purchase shoes at the end of the day since feet swell during the day and may swell during or after activity to be certain they won’t be too tight.
  5. Shoe sizes vary among shoe brands and styles. Decide on a shoe by how it fits your foot, not by the marked size of the shoe.
  6. Walk around the store in the shoes. Your feet should feel comfortable. Do not expect shoes to stretch to fit your foot. Shoes do not have a ‘break in’ period.

Foot Care for Seniors

2/21/2018

 
Picture
It is common for people to experience some form of foot ailment as they age. Problems with feet can be the first sign of more serious medical conditions, particularly among older people.
Health problems, such as arthritis, diabetes, nerve issues, and circulatory disorders may first be evident in the feet. Most of these disorders stem from the cumulative effect of years of neglect or abuse of your feet,  to improper footwear, sporting activity etc. Many foot problems can be treated successfully and the pain of foot ailments relieved even among people in their retirement years. This is why it is important to pay attention to your feet and seek podiatric medical attention as soon as you notice a problem.
Picture
Picture
If you are unable to reach your toes or do not have sensation in your feet, it is recommended that a healthcare professional such as a podiatrist manage your foot care needs. 

Foot care tips for seniors ​

Consult with your podiatrist regularly - Prevention and maintenance are the best sources of healthy feet.
Picture
Inspect your feet daily or have someone do this for you
Don't wait until you have pain - especially if you are a diabetic. Take a moment daily to look for swelling, redness, sores, cuts, blisters, and bruises, ingrown or infected toenails. If present, consult your podiatrist. If you are unable to see your feet adequately, ask for assistance.

Picture
Avoid walking barefoot  
Wear comfortable, sensible shoes and socks that offer support. Shoes which are made with rubber soles and low heels help to avoid falls. Foot problems can be caused or worsened by shoes that do not fit properly, don't give enough support or don’t have enough grip on the ground.  

Picture
Avoid socks with ridges or elastic at the top
These can irritate or restrict circulation. If there is drainage from a cut or sore, wearing white socks will make it easier to see if there is a problem.
Ask your podiatrist if you are a candidate for orthotics
Orthotics may improve foot function, offer arch support and act as a shock absorber.
Picture
Keep feet clean, warm, soft, smooth and dry
Apply lotion to cracked, dry skin and powder to moist/sweaty feet. Wipe off excess cream and do not apply between toes.
Care for calluses and trim toenails regularly
Cut nails straight across and avoid cutting nails too short. Nails should never be cut down to the flesh. See your podiatrist if you are unable to cut your own toenails.
Never use commercial corn pads or medicines
They often burn and irritate the healthy surrounding skin causing more damage.
Avoid sitting with your knees and legs crossed for long periods of time as this can decrease blood flow and negatively affect nerves
Unless compression stocking have been prescribed by your podiatrist or specialist, wearing tight circular garters, tight socks and elastic banded hoses can reduce circulation.​
Picture

​

Wear socks at night if your feet are cold.
Elevate your feet when sitting if possible, especially if you have swelling in your feet.
When sitting for longer periods of time, wiggle your toes and move your ankles around for a few minutes to improve blood flow to the legs.
If numbness or sensation problems are present, do not put hot water bottles or heating pads on your feet.​
Picture

Tips for footwear and wearing:
  • Shake out your shoes before putting them on, riding of any possible stones, etc.
  • If possible, wear shoes at all times, indoors and out.
  • Try to buy shoes with a closed toe box as they protect your feet from injury.
  • Try shoes on for fit late in the day as feet tend to swell.  Have your shoes professionally fitted by a footwear specialist if necessary

Greg Robinson Podiatrist © 2018 All rights reserved ​

We can help take care of these common foot problems

6/1/2017

 
Corns and Calluses – Thickened skin that develop due to increase pressure or rubbing.  Corns form on top or between toes.  Calluses can be found in high pressure areas under the foot or dry areas around the heel.  If corns and calluses are allowed to get too thick, they become painful.  In people with neuropathy (loss of feeling), they can break down with out noticing and turn into ulcers (open sores).
Bunions – Boney bump usually at the base and inside of the big toe joint.  Bunions may develop due to heredity, improper shoe wear, poor foot biomechanics.
Hammertoes – A hammer or claw shape of a lesser toes where the knuckle are contracted upward.  Hammertoes may develop due to heredity, improper shoe wear, poor foot biomechanics.
Ingrown Toenails – A portion of the toenail growing or curling into the skin causing pain.  This may occur due to the nail being improperly trimmed, tight-fitting shoes, or the hereditary shape of the nail.
Neuroma – Inflammation of the nerve and/or tissue around the nerve that lead to symptoms such as  pain, burning, numbness, tingling, or the sensation of walking on a “pebble.”  The most common site is between the 3rd and 4th toes known as a “Morton’s Neuroma.”
Plantar Fasciitis – Inflammation of the plantar fascia ligament which runs from the ball of the foot, across the arch, and into the heel.  Pain can be felt anywhere along the ligament and it usually is felt upon standing after a period of rest (most commonly with the first few steps in the morning).
Flat Feet – A flattened foot arch due to heredity or develops in adulthood.  Flat feet are often painless but can lead to pain or tired/stiffness of the feet, legs, and lower back.  A type of flat feet disorder known as Posterior Tibial Tendon Dysfunction (PTTD) can lead to deformity and disability.
Metatarsalgia – Pain in the ball of the foot without a known cause.  Condition may be aggravated by increase pressure on the ball such as from wearing high heels or thinning fat pad cushioning under the feet.

Benefits of *LASER treatment for nail fungus

10/15/2015

 
Nail fungal disease - persistent and may portray a negative self-image.
Fungal nail disease (onychomycosis), is an infection located in the toenails, caused by a group of fungi are dermatophytes, yeast, and mold that feed on nail keratin, a structural protein within your nails.
Unsightly
  • Thickened
  • Brittle
  • Crumbly
  • Ragged
  • Distorted shape
Discoloured
  • Greeny-yellow colour
  • White or yellow patches
  • Dull, with no shine
  • A dark colour, caused by debris building up under your nail
If left untreated, the infection may eventually destroy the nail and the nail bed, and may become painful. Walking and wearing shoes may become uncomfortable.
Several conditions and factors may predispose your nails and make you more at risk for developing fungal toenails.
  • Diabetes and AIDS affect the immune system, making it more difficult for the body to fight the infection.
  • Decreased or poor circulation to the toes can also reduce the ability to fight off infection.
  • Aging is a large factor for this condition as the nails become more brittle and take longer to grow. They also become thicker. Diminished circulation is also common in older age.
  • Humid or moist environments -feet may become wet and don’t allow to air out and dry.
  • If you have other fungal or bacterial infections, such as athlete’s foot.
  • Fungal infections are highly contagious, and can spread from toe to toe, as well as from skin to nail (and vice-versa).
This type of infection will not resolve by itself, and an untreated infection will only worsen over time.

Though few people like to discuss the condition, it is very common.
Until recently, the treatment options for this stubborn infection of the toenails have been limited to topical and oral medications.
The rate of success with these treatments varies, and common prescription medications like Lamisil, Sporanox come with potentially risky side effects (oral medications have the potential to elevate liver enzymes and can cause liver damage); and surgery to remove the nail; neither is comfortable for the millions suffering with nail fungus.
.
Lasers are revolutionizing the treatment of fungal toenails.
Of course, it takes 6-12 months for the patient to see resolution once the new nail has time to grow.

What are the benefits of laser treatment for fungal nails?
The NeoV Laser treatment is virtually painless, and there are no side effects.
Patients see results because the laser goes through and beneath the toenail, and destroys the fungi where it lives, not only in the nail plate but also in the bed of the nail.
The focused light of the laser disrupts the protein of the microscopic fungi without damaging healthy tissue.
Creams and oral drugs cannot reach the infection at its source, which explains their limited effectiveness.

Even when medications work, it can take months and multiple rounds of risky pills that are linked to potential serious side effects.
Liver and kidney damage and even death have been reported.
All you need to successfully treat this type of fungal infection are three initial treatments in our office.
It’s an easy choice, and one that will have you showing off your toenails.

Is laser treatment safe and effective?
free toenails. term health damage.
Laser treatment is proving to be our best option.

What are the benefits of using laser treatment over drug treatment?
Oral antifungal medications are toxic, and may cause serious medical complications.
As a result, patients that are taking these medications go through routine blood tests to make sure their liver is not damaged during the treatment.

Laser treatment is completely drug free, it does not impose all the health risks associated with the oral antifungal medications.
There are NO adverse reactions, injuries, or known side effects from use of lasers to treat a toenail fungus infection.
Greg Robinson Podiatrist © 2015 All rights reserved
Forward>>

    Greg Robinson Podiatrist

    Kumo Wellness Centre
    1 Stan Road, Grayston Drive, Morningside, Sandton. Johannesburg.
    010 110 0171
    greg@fixmyfeet.co.za
    http://www.fixmyfeet.co.za/

    www.lasernailclinic.co.za/

    Archives

    August 2022
    June 2022
    September 2021
    May 2020
    May 2018
    February 2018
    June 2017
    October 2015

    Categories

    All
    Encouraging Foot Health In Your Children
    Flat Feet

    RSS Feed

Powered by Create your own unique website with customizable templates.