Chronic Venous Insufficiency

venous insufficiency varicose veins legs and feet

Introduction to Chronic Venous Insufficiency

Your arteries are pipes inside your body that carry blood from your heart to the rest of your body and your veins carry blood back to your heart from the rest of your body. Veins have one-way valves that prevent the blood from flowing backward, to ensure they reach your heart properly.

When your vein walls and valves are damaged, the veins cannot manage blood flow as well as they should and it is harder for blood in your legs to return to your heart. This causes a pool of blood in your legs and increases the pressure on the walls of the veins; this is known as chronic venous insufficiency.

Chronic venous insufficiency is most commonly caused by blood clots (deep vein thrombosis) and varicose veins. In some cases, weakened leg muscles have trouble squeezing blood upwards and can contribute to venous insufficiency.

Other risk factors include obesity, pregnancy, sitting or standing for long periods of time without moving, and family history of venous insufficiency.

Chronic venous insufficiency

What are the symptoms of venous insufficiency

  • Swelling of the leg and ankle
  • Itchiness of the legs
  • Aching, throbbing, or heaviness of the legs
  • Leg ulcers
  • Pain that gets worse when you’re standing and gets better when you raise your legs (worse at night when sleeping)
  • Skin changes especially around the ankle
Chronic venous insufficiency treatment

How to treat venous insufficiency

Without treatment, the pressure and swelling will burst the tiny blood vessels in your legs called capillaries. This can result in skin changes such as reddish brown discolouration especially near the ankles which can lead to swelling and ulcers. The below are some ways to treat and improve venous insufficiency at home:

  • Wear compression stockings to help with your blood flow return and relieve symptoms
  • Lifestyle changed such as exercise and diet to improve your blood flow
  • Stop smoking to improve your blood flow
  • Calf muscle movement while sitting or standing for long periods of time
  • Maintain good skin care by moisturising daily
  • Elevating calves when laying down or sitting down
  • Calf raises to activate the muscle pump that helps the blood flow up to the heart

The above measures may not be sufficient in treating your condition, and seeking medical advise from your Doctor is the best way to treat and look after your venous insufficiency. It is also advisable to speak to your Podiatrist about your concerns.

The Foot Force Podiatry

Contact Us

Send us an e-mail:

    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

    Ankle Instability

    and Pain

    Inflammation bone ankle of humans with inflammation

    Ankle instability or ‘weak ankles’ is very common, especially when there has been a previous injury, such a sprain to the ankle. Weak ankles can affect balance and increase your risk of sprains which can lead to chronic ankle instability. Weak ankles can sometimes be caused by genetics, ligament laxity or even inappropriate footwear.

    Chronic ankle instability is a condition characterized by ‘giving way’ of the outer side of the ankle. This condition often develops after repeated ankle sprains. Many athletes, as well as non-athletes, suffer from chronic ankle instability.

    40% of people who suffer their FIRST ankle sprain will go on to suffer from chronic ankle instability within the first year since it has occurred. Inappropriate or inadequate ankle rehabilitation following an ankle sprain may result in chronic ankle instability.

    There are many reasons why someone may have weak ankles. However, there are many things we can do to fix it!

    swollen ankle due to ankle instability and sprained ankle treatment

    What are the signs and symptoms of ankle instability?

    • Repeated turning of the ankle, especially on uneven surfaces or when participating in sports
    • Persistent discomfort and swelling
    • Ankle pain or tenderness
    • Ankle feeling wobbly or unstable (poor balance)
    Ankle brace to help with ankle instability


    • RICER: Rest, Ice, Compression, Elevation, Referral (to see a Podiatrist)
    • Medications: Non-steroidal anti-inflammatory medication to help alleviate the pain and inflammation (temporarily)
    • Bracing: provide appropriate support to your ankle and prevent your ankle from turning. It also allows the injured area to heal properly while allowing you to remain mobile
    • Ankle rehabilitation: to strengthen the ankle, improve balance and range of motion, and retrain your muscles – See a Podiatrist for efficient rehabilitation
    • Foot mobilisation: to restore normal function of your joints and bones of the foot and ankle – See a Podiatrist for efficient ankle mobilisation treatment
    See a Podiatrist for ankle pain and instability

    Preventative Measures:

    • Stretching exercises prior to commencing exercises
    • Wear appropriate footwear; avoid high heels
    • Be extra careful when doing exercises on uneven surfaces
    • Do ankle strengthening exercises
    • Seek a Podiatrist for more personalised advice and treatment

    Here at the Foot Force Podiatry, we offer a range of treatment options to help with rehabilitation and prevention of ankle instability. Book your initial biomechanical assessment NOW!

    Book Online

    Contact Us

    Send us an e-mail:

      This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

      Best thongs with arch support recommended for foot pain

      Foot pain

      Best arch support thongs for foot pain?

      If you suffer from heel pain, foot pain, knee or calf issues, you’ll know all too well how debilitating poor foot support can be. Unfortunately, many common brands of thongs do not accommodate to users with regular foot pain and associated conditions.

      When the time comes to select new footwear, your best pathway is to opt for thongs for foot pain that are directly endorsed by podiatrists and physiotherapists. Arch support footwear is also a great alternative for those without existing foot pain and conditions.

      arch support

      The Importance of Arch Support

      Feet are not all the same. On the whole, there are three main arch variations – a normal arch, a flat arch or a high arch. As a result, the level of tailored foot support required will vary from individual to individual.

      Proper arch support can have a major impact on your day-to-day life. Arch support is particularly crucial for foot alignment and the reduction of pain or swelling. If your doctor has recommended thongs for foot pain, it is vital that you look for styles that specifically accommodate to your distinct arch support requirements.

      archies support thongs

      No Compromise on Style

      You no longer have to rely on flimsy rubber soles. Over recent years, the orthopaedic footwear industry has taken a number of significant strides. Purpose designed thongs for foot pain not only serve their primary function, but also bring first-class style and comfort.

      Numerous men’s and women’s styles now exist that resemble traditional looks, yet feature the added benefits of certified arch support. In addition, the wealth of choices on offer means that you are no longer confined to one or two variations.

      contoured arch support

      Contoured Footbeds

      For extra cushioning and support, you can never go wrong with a contoured footbed. A contoured footbed is an inbuilt curved liner that directly cushions the heel and toes. Many new thongs for foot pain will feature this technology and therefore provide excellent daily support.

      Any contoured footbed should match the individual shape and natural arch of your foot. This factor will ultimately influence the thongs that you select. Contoured technology is also excellent for maintaining consistent stability as you walk.

      Zullaz support thongs

      A Few of the Best

      To make your choice a little easier, we have compiled a list of the best podiatrist certified thongs on the market. Read on below for dynamic compilation of men’s and women’s styles.

      Women’s Zullaz Range

      The women’s Zullaz collection of orthotic thongs features a number of stylish alternatives. Of course, each individual option comes with purpose built qualities well suited to foot pain sufferers. Zullaz flip flops are excellent for foot pain, offering five star treatment on each and every use. You can not only find a tailored option, but also various colours to match your personal preference and style.

      Men’s Zullaz Range

      The Zullaz range isn’t exclusive to women. For all the men out there with regular foot and leg pain, they too can access 5 star treatment. Fitted with excellent arch support, comfortable materials and contoured footbeds, Zullaz represents the latest in podiatrist recommended technology. Similar to the women’s range, men’s Zullaz footwear is also offered in a diverse set of styles, colours and fabrics. The choice will be all yours.


      archies arch support thongs features

      Archies Support Thongs:

      The Archies support thongs features aim to support the foot in a more biomechanically appropriate position. This means that the stresses and strains that are put on the foot structures are reduced. They have up to 2.2cm of orthotic support and incorporate the same amount of support that you would find from a prefabricated or off the shelf orthotic. Archies have aimed to make their support thongs look as much like normal thongs as possible without compromising on the support for the feet. The Archies support thongs are very comfortable, and made from high quality foam material. Once you get used to them, you will not want to wear any other thongs. They have many colours to choose from.

      Birkenstock EVA support thongs

      Birkenstock EVA Flip-Flops

      In the world of footwear, Birkenstock is synonymous with style and comfort. Their EVA flip flops for foot pain are no different. With contoured technology and flexible insoles, these sandals can be adjusted to the unique shape of your foot. During use, they will also cradle each and every curve across your arches.

      Another key feature of these thongs are the cork base/footbed. This base naturally absorbs shock to support everyday movement and ensure comfort at all times.

      best arch support thongs for heel pain

      Clarks Breeze Sea Flip-Flops

      If you prefer a lightweight feel, the Clarks Sea Breeze series will provide everything that you need. Once purchased, you can slide them on and experience the superior grip of a synthetic rubber sole base. Other first-class features include the OrthoLite footbed and ultra-soft textile lining.

      Within the market of thongs for foot pain, the Sea Breeze series is perfect for those with sensitive feet and require a nice and soft underfoot feeling.

      best arch support thongs for heel pain

      Olukai Ohana Flip-Flops

      Foot pain can arise at anytime. When the summer hits, foot pain sufferers should still be able to enjoy the beach in style and comfort. This is where Olukai Ohana thongs fill the void perfectly. With water resistance and quick-dry technology included, this supportive footwear allows you to enjoy the outdoors and take your mind off foot pain.

      Like the men’s and women’s Zullaz range, Olukai Ohana flip flops come in a wide array of fresh and vibrant summer colours. Don’t bring foot pain with you on your next vacation, opt for premium podiatrist footwear instead.

      best arch support thongs for heel pain

      Reef Ortho-Bounce Woven Flip-Flops

      Reef are a premier Australian brand that specialise in outdoor footwear. In the realm of thongs for foot pain, Reef’s ortho-bounce series are a one of one – a rare combination of function, style and comfort. The woven strap upper is also made from recycled material with vegan leather detailing, making this an excellent ecofriendly option.

      Similar to Birkenstock’s ortho sandals, Reef’s woven flip flops are shock absorbent and aid you with each step. The rubber outsole is also fitted with rubber flex grooves that provide extra traction and durability, ensuring that your receive value for money.

      Podiatrist recommending arch support thongs

      Contact a Professional for Assistance

      For a comfortable and fashionable orthotic option, it’s hard to look past leather sandals and thongs. Some of the best leather podiatrist-recommended thongs providers include Archies, Aerothotic, Zullaz, Olukai, Rainbow, Reef and more.

      In this context, professional assistance could come from a Podiatrist. Once a recommendation is made, you can then browse all the orthotic thongs on the market and make a purchase that suits your individual needs. Any of the aforementioned options are high-quality and the product of innovative medical design.


      Nivi Watson
      Experience Guest Blogger 

      Contact Us

      Send us an e-mail:

        This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

        Plantar Plate (Ball of Foot) Pain

        where is the ball of foot

        Ball of Foot Pain

        Pain that is felt in the ball of the foot (the area just before the toes as shown on the image on the left) is quite common among the general public and can be caused by a number of reasons. In most occasions, people who are experiencing the pain in this area are labelled as having ‘metatarsalgia’ which is a very vague and common term used to explain pain in the ball of the foot. People with ball of foot pain tend to feel an aching pain and inflammation in this region. Some may even feel a sharp shooting pain, numbness, and even pain when flexing the toes.

        As a Podiatrist that deals with many biomechanical cases with my patients, it is the second most common concern I hear and see in the clinic. There are many causes and reasons as to why people get pain in that area of the foot, and one of the most common culprits is ill fitting shoes! In most cases, the types of shoes that increase the risk of pain in the ball of the foot are shoes with a heel. The reason for this being is that, normally, this is the area where people place most of their weight when standing and walking. Wearing a shoe with a heel will increase the pressure and load on the ball of the foot, causing issues and pain.

        Pain in the ball of foot region

        The Symptoms of Pain in the Ball of Foot

        Some symptoms that may be experiences when having issues in this region, may include, but is not limited to:

        • Aching or burning type of pain in the front of the foot.
        • Sharp, shooting pain which can run the length of any of the toes, be generalised to the front of the foot, or can be specific to one spot.
        • Numbness, tingling or a pins and needle sensation in the toes.
        • Feeling like there is a small pebble inside of your shoe.
        • Immediate pain which gets worse when standing, walking, running, exercise or flex your foot and toes.

        Ball of foot pain can also occur simultaneously with inflammation, swelling, or bruising of the foot.

        High heels cause problems on the ball of foot

        What are the risk factors for ball of foot pain?

        The risk factors that can be leading to pain in the ball of the foot are:

        • Having a high arched foot causes an increase pressure at the ball of the foot.
        • Having the second toe longer than the first: this can cause an increase pressure at the base of the joint, where it connects at the ball of the foot.
        • Being overweight which can lead to an increase in pressure and weight on your feet.
        • Intense physical activity which can lead to increased pressures on the ball of the foot.
        • Wearing heeled shoes (even a small heel) or shoes that are too tight can increase pressures on that region of the foot.
        • Having toe deformities can lead to increased pressures on the feet.
        • Age: The fatty pad that provides cushioning to that region of the foot diminishes with age, increasing pressures on ball of foot. Arthritis usually increases with age, which can cause damage and increased pressures on the ball of the foot.
        Morton's neuroma causing ball of foot pain metatarsalgia tingling nerve numbness

        What Conditions can be causing Pain in the Ball of the Foot?

        If left untreated, it can affect the way you walk and cause more complex conditions which may take longer to treat. The conditions that can be causing pain in the ball of the foot are:

        • Plantar plate tear: A very common injury which is caused by repetitive overload of the ligament (plantar plate) located at the bottom of the toe and attaches to the ball of the foot. It is most commonly seen in the second toes.
        • Capsulitis: inflammation of the surrounding structures of the joints in the region of the ball of foot.
        • Morton’s neuroma: Thickening of the tissue around a nerve running the length of the toes. It is most commonly felt between the 3rd and 4th toes.
        • Sesamoiditis: The structures around the little bones at the big toe joint become inflamed due to overload.
        • Stress fracture: Repetitive load on the ball of foot can lead to a stress fracture of the metatarsals (bones that connect the ball of foot to the toes)
        • Corns and/or calluses: Increase loads and pressures on the ball of the foot which can be caused from poor fitting shoes or a high arched foot can lead to hardening of the skin in that region. The hardening of the skin is called callus or corns.

        How can I Treat my Ball of Foot Pain at Home?

        The following changes can be made at home to relieve some of the pain and pressure that you are getting on the ball of the foot:

        • Footwear: Wear shoes that are wide enough to allow movement at the toes when walking and when you are on your feet. Ensure the shoe you are wearing does not have a heel to reduce the pressures on the front of the foot. Please follow our guide to choose a good shoe for your foot by clicking here.
        • Rest your foot when you can, especially after activity. Placing your feet in an ice water bath for 2o minutes every 4 hours may help relieve any pain, inflammation and swelling.
        • Stretching: Where activity may be causing you pain, targeted stretching can help ease the pain, increase flexibility and improve strength. Ensure you do stretches a few times a day until you feel the pain has reduced.
        • Manage Body Weight: Excess body weight can increase the load and pressures put not the ball of the foot. Reducing weight will relieve the loads on the joints and feet. We recommend seeing your GP to help you with weight loss and management.
        • Pain medication: taking ibuprofen or Panadol as directed by your Doctor help alleviate some of the pain. Please keep in mind that pain killers only mask the pain and do not treat the cause, meaning that the pain will come back.

        If you have tried the above mentioned home care advice for ball of foot pain and have no relief after 1 month, it is safe to say that the pain will not go away on its own. It is time to see a Podiatrist for an initial biomechanical assessment to figure out why you are experiencing pain and how we can help to alleviate it. Your Podiatrist will give you a tailored treatment plan which may include footwear change based on your foot type, stretching and strengthening rehab exercises and possibly:

        • Custom Orthotics: Depending on the severity of pain, and also the condition that is causing your pain, your Podiatrist might prescribe you custom orthoses which will help treat the pain at the cause, relieve the pain you are experiencing and also reduce the ris of the pain returning in the future.
        • Shockwave Therapy: Depending on your condition and why you are experiencing pain, your Podiatrist might recommend shockwave therapy to help heal your condition and relieve pain.

        Dr. Fatima Al-Kathmi (Podiatrist)

        The Foot Force Podiatry

        BOOK NOW

        Contact Us

        Send us an e-mail:

          This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

          Winter Chilblains

          what is chilblains

          What is Chilblains?

          Chilblains is the inflammation of the little blood vessels in your skin as a response to repetitive cold weather exposure. It is often painful and more commonly seen on the extremities such as the toes, fingers and nose.

          It is a misconception that the weather needs to be freezing before you see symptoms of Chilblains. It can be seasonal and occur more often in the colder months of the year. You can get Chilblains from repetitive cold (not freezing) weather exposure.

          cool day at the office

          What causes Chilblains?

          The cause of Chilblains is still unknown. There are some theories that it is the body’s reaction in response to cold weather exposure, followed by rewarming. In some cases, rewarming cold skin can lead to the abnormally rapid expansion of smaller blood vessels under the skin, leaving this trauma response (Chilblains).

          can smoking cause chilblains

          What are the risk factors for Chilblains?

          The factors that may increase the risk of having Chilblains or it’s symptoms may include:

          • Gender: women are more likely to have Chilblains compared to men
          • Underweight: If you weight 20% less than your normal BMI, you have an increased risk.
          • Poor circulation: If you have less than normal blood flow, your body is more sensitive to changes in temperature, making you more likely to get Chilblains. e.g. smoking.
          • Clothing: If you tend to wear tight clothes and shoes in cold and damp weather can increase your risk of Chilblains. Same goes for wearing clothing that exposes your skin to cold, damp weather conditions.
          • Environment and Season: Chilblains are less likely to occur in areas where the weather is colder and drier as people in those areas are more likely to wear warmer clothing. There is more of a risk of Chilblains when living in a humid and colder (but not freezing) area. Chilblains are more commonly seen in colder months.
          • Raynaud’s Disease: Increases the risk of Chilblains.
          • Autoimmune Disorders: Lupus is the most common autoimmune condition to increase the risk of Chilblains.
          • Occupation: Working in colder environments such as delivering freezable goods, having to enter freezer rooms and other similar professions tend to have an increased risk of Chilblains.
          how to look after my feet with chilblains

          What are the symptoms of Chilblains?

          Some symptoms for Chilblains may include, but is not limited to:

          • Changes to skin colour (red/brown, dark blue, or purple)
          • Pain at areas where the skin has changed colour
          • Blistering or skin ulcers
          • Itchy red patches on the skin of your hand or feet
          • Burning feeling
          • Swelling of your skin (especially toes or fingers)
          Thermal socks

          How do I treat Chilblains?

          Unfortunately, there is no cure for Chilblains. However, it usually clears up between one to three week’ time. This is also the case as the weather gets warmer. The best approach is to limit the exposure to the cold. Some things you can do to help ease and prevent the symptoms includes:

          • Using certain lotions to ease the symptoms (please consult with your GP or Podiatrist before hand)
          • Protecting yourself from the cold by wearing: a beanie, gloves and thermal socks (especially in the colder months)
          • Limit your expose to cold weather or environments
          • Cover all exposed skin as completely as possible when going out in cold weather
          • Keep your skin, hands, feet and face dry and warm
          • Keep your home and workplace warm
          • Quit smoking

          Chilblains do not usually cause permanent damage or injury. However, it can lead to infection, and if left untreated can cause damage.

          I have severe chilblains how to treat

          Precautions and Complications of Chilblains:

          If you have Chilblains and do not manage appropriately, you can get complications if your skin blisters and ulcers. Other than being very painful, it can lead to serious life-threatening infections if left untreated. Please see a Doctor if you suspect any infection (red, hot, swollen, pus).

          It is important to keep any exposed skin as warm as possible. If you have Chilblains it is very important to GRADUALLY warm up your skin. Most people who are experiencing Chilblain symptoms have reduced sensation to heat or pain stimuli. DO NOT do the following things to warm up:

          • DO NOT have a hot bath or shower.
          • DO NOT place your feet or hands near a heater or hot water bottle.
          • DO NOT use a hair dryer to warm up your hands, feet or face.
          • DO NOT use an electrical heat blanket or doona.


          Dr. Fatima Al-Kathmi (Podiatrist)
          The Foot Force Podiatry.

          Contact Us

          Send us an e-mail:

            This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

            Chronic Venous Insufficiency

            ingrown toenail

            What is an ingrown toenail?

            An ingrown toenail is a toenail which has grown inwards into the skin, and often causes pain on the sides of the toe. This is commonly seen on the two big toes of each foot and may lead to infections which can leave the toe red, swollen, painful, and sometimes have pus coming out of it.

            Ingrown toenails are very common, approximately 20% of people who visit their Doctor complain about ingrown toenails. In most occasions, these people are given antibiotics and asked to soak their feet in warm water with Epsom salts. However, the infection will persist if the offend nail is not removed.

            Tight shoes cause ingrown toenails


            • Poor toenail cutting technique – The nails should be cut straight across the top when cutting your nails at home. Cutting your nails too short, or cutting the sides of the toenails yourself can increase the risk of having ingrown toenails. This is because you may leave behind a spicule which can grown out into the skin and cause complications.
            • Trauma to the toenail and surrounding skin – Pulling, ripping or cutting down the sides of the nail yourself increases the risk of getting ingrown toenails. It is best to have the ingrown toenail and surrounding skin by your Podiatrist to reduce the risk of complications in the future.
            • Poorly fitted footwear – Wearing shoes that are too tight or that may not have enough room for your toes can lead to pressure on the skin surrounding the nail and cause them to curl inwards, and this can lead to ingrown toenails. Sometimes the curling of the toenail into the skin is permanent and cannot be fixed, unless you have surgery to remove that side of the nail permanently.
            running and kicking a ball can cause ingrown toenails


            • Genetics – As frustrating as it is, ingrown toenails can be genetic. Your mum, dad, uncle, aunty or even a second cousin may have ingrown toenails. You would of received the same genes that predisposes you to ingrown toenails.
            • Adolescents – During this period of life, the feet tend to perspire more, meaning the nail and skin soften, which may lead to ingrown toenails.
            • Reduced ability to care for nails – Not taking care of your nails, or trying to take care of them when you physically cannot reach them can cause trauma and increase the risk of having ingrown toenails.
            • Poor nail habits – Cutting the nails too short or trying to round the corners can encourage the nails to grown into the skin.
            • Sports – Participating in activities that involve running or kicking, such as soccer, can increase the risk of trauma and injury to your toes. This leads to ingrown toenails.
            • Health Conditions – Conditions that poor blood flow, such as Diabetes can increase the risk of ingrown toenails.
            podiatrist nail care ingrown toenails


            To help prevent the risk of ingrown toenails:

            • Correct cutting technique – Ensure you only cut your nails across the top. Any removal of an ingrown toenail should be removed by your Podiatrist.
            • Maintain moderate length nails – Ensure you maintain a healthy length of nail by NOTcutting your toenails too short. If the nails are cut too short, pressure from your shoes can encourage the nails to grown into the skin around the nail.
            • Wearing proper fitted footwear – Ensure your shoes are the right size and not too small. It is also important that you DO NOT wear shoes that are too tight or are ‘pointy’ from the front. If you have nerve damage (neuropathy) in the feet, you may not be able to feel wether your shoes are too small or tight.
            • Wearing protective footwear – If you engage in activity that increases your risk of injury or trauma to your toes, you will need to wear protective (steel-cap) boots or shoes to protect your feet from injury.
            • Check your feet regularly – It is important to check your feet daily for any signs of ingrown toenails or other foot problems (red, hot, swollen, pus, pain).
            • Seeing a Podiatrist – If you are unable to do your own toenails due to health complications or age, you may be eligible for a GP Care Plan which means you will be eligible for up to 5 medicare rebated visits per year. At the Foot Force Podiatry, we bulk-bill general treatments to maintain your skin and nail care. All you need to do is see your GP and ask wether you are eligible.
            ingrown toenail surgery


            When seeing a Podiatrist for ingrown toenails, your treatment is dependant on the severity, wether you have risk factors and/or the reason(s) that you get them. If this is the first time you experience an ingrown toenail and you think it may be caused from wearing tight shoes, conservative treatment will suffice.

            Conservative treatment consists of a general treatment where the offending nail edge will be removed. In cases where the ingrown toenail is very painful, local anaesthetic can be given to numb the toe for a painless experience. This will give an opportunity for the toe and skin around the nail to heal. It will also reduce a lot of the pressure and reduce the pain dramatically.

            In cases where the ingrown toenail is always coming back, and is causing issues on a regular basis, it is more appropriate to have nail surgery to remove the ingrown toenail long-term. At our clinic, we have seen up to 99% success rate with ingrown toenail surgery.

            PNA ingrown toenail surgery

            What is ingrown toenail surgery?

            Ingrown toenail surgery, also known as a partial nail avulsion (PNA) is a surgery which provides a permanent solution to your ingrown toenail. It is commonly done on the big toes, but can also be done on the little toes. Usually, only a small portion of the nail needs to be removed, not the whole nail.

            The Podiatrist will first numb the toe with an injection to ensure the surgery is pain free. A tourniquet is applies around the toe (see the green band around the big toe on the image on the right) to stop any bleeding. The Podiatrist will then seperate the nail from the skin and remove only the part of the nail that is causing problems. Once that part of the nail, the nail root and any dead skin is removed, the Podiatrist will use a chemical called phenol to kill the nail root inside the toe to make sure that side of the nail does not grow back anymore. Your toe will be bandaged and some home care instructions will be given to you. You will need to come back to see your Podiatrist in 2-3 days for a check up and redress.

            If you feel like you would benefit from the surgery, please book in for a ‘pre-surgery consultation and assessment for ingrown toenails’ with our expert Podiatrist.


            Dr. Fatima Al-Kathmi (Podiatrist)

            The Foot Force Podiatry.

            BOOK NOW

            Contact Us

            Send us an e-mail:

              This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

              Children’s Heel Pain (Sever’s Disease)

              Why does my child have heel pain

              Why does my child have Heel Pain?

              Heel pain in childhood is very common, it is one of the most common concern I hear from parents who bring their children into the clinic. Heel pain in children could be one of many reasons. However, the common reasons as to why children get heel pain include:

              • Sever’s Disease: Also known as Calcaneal Apophysitis, it is a period of growth in the heel bone (growth spurt). This leads to pain as the growth plate in the heel bone is swollen and irritated.
              • Achilles Tendinopathy: Overuse injury that causes inflammation and irritation of the Achilles tendon which is the attachment of the calf muscles to the heel bone.
              • Heel Fracture: Heel fractures can occur from high impact activity or accidents such as falling off a ladder.
              • Juvenile Insidious Arthritis (JIA): Is the most common type of arthritis which is found in children and teenagers. It often causes inflammation and pain in the ankles and knees.
              • Retro-calcaneal Bursitis:  inflammation of the cushioning pads around the heel which causes irritation and pain.

              The most common out of the above is Sever’s Disease and is commonly seen in more active children between the ages of 7 – 15 years of age and account for 90% of children’s heel pain. However, it can be seen in children as young as 5 years old. Boys are more likely to experience Sever’s in comparison to girls.

              why does my child have heel pain?

              What are the risk factors for children’s Heel Pain?

              • Children with flat feet
              • Children with high arch feet
              • Pronating (feet rolling inwards) more than normal as they walk
              • Active kids
              • Children between the ages of 7 – 15 years old
              • Boys are more likely to experience heel pain associated with Sever’s
              • Children that play high impact sports that involve jumping
              Foot Care After Injury, Soak Your Feet In Cold Water.

              How do I treat my child’s Heel Pain at home?

              Some conservative ways to treat your child’s heel pain at home includes:

              • Wearing well-fitted and appropriate shoes for their foot type.
              • Resting as much as possible and reduce any high impact activity or sports.
              • Icing by putting feet into cold water with ice cubes for 20 minutes on and 10 minutes off multiple times a day.
              • Immobilising the ankles by wearing a cast or brace. This reduces the side to side movement in the ankle, therefore reducing the overload on the structures around the heel.
              • Stretching the calf muscles to reduce the tension on the heels and surrounding structures.
              custom orthotics for kids heel pain

              How can I get Long-term relief for my child’s heel pain?

              If your child’s heel pain has been present for more than a month, it is safe to say that the pain will not subside on its own. It is best to see a Podiatrist for an initial Biomechanical Assessment to find the underlying cause of your child’s heel pain. Treating the pain at the cause will provide your child with long-term relief and improve their development. Your Podiatrist will provide your child with a tailored treatment plan that will treat the pain. Some treatments may include:

              • Appropriate footwear recommendation for your child based on their foot type.
              • Custom orthotics to help redistribute pressure evenly to reduce pressure and overuse of the joints and muscles. This will improve the function and development of their foot structure and provide the affected soft tissue with the opportunity to heal.
              • Soft tissue rehabilitation such as stretches and exercises as necessary based on your child’s condition.
              • Massage therapy to improve the tension in the muscles that are affected, most commonly the calf muscles.
              • Depending on your child’s age, Shockwave therapy may be recommended to fasten up the healing process of the affected soft tissue structures.

              Dr. Fatima Al-Kathmi (Podiatrist)

              The Foot Force Podiatry.

              BOOK NOW

              Contact Us

              Send us an e-mail:

                This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

                Heel Pain

                Heel pain

                How common is Heel Pain?

                Heel pain is the most common foot complaint I hear from my patients that come to see me at the clinic. Being a Podiatrist, it is one of the most common things I see and treat day to day. Before treating heel pain, it is crucial to figure out what the underlying cause is. There is not only one reason as to why you are experiencing heel pain. This is why it is important to have an initial biomechanical assessment with your Podiatrist to figure out the underlying cause. With just this one appointment, we can set you up with a customised treatment plan which will treat your heel pain at the underlying cause to provide you with the fastest pain relief and reduce the risk of the pain returning in the future.

                ill fitting shoes

                Why am I having Heel Pain?

                There are many reasons as to why you may have heel pain. The most common reasons that I face with my patients in the clinic are:

                • Plantar Fasciitis: Inflammation of the thick band that connect the heel bone to the toes. The main cause of this condition is wearing inappropriate footwear and overuse.
                • Heel Spur: A bony growth that develops around the heel bone, usually due to wearing inappropriate footwear.
                • Abductor Hallucis Tendinopathy: Damage to the muscle on the inner side of your heel due to overuse. It is commonly mistaken for plantar fasciitis and is commonly felt as pain in the arch of the foot.
                • Achilles Tendinopathy: Damage to the thick band where the calf muscles attaches to the back of the heel bone. The damage is usually caused by overuse and leads to pain, stiffness, swelling at the back of the heel bone. This and ‘Hugland’s deformity’ is usually seen together.
                • Bursitis: Inflammation of the cushioning gels around the heel bone.
                Over pronation

                What are the risk factors for heel pain?

                There are many factors that could increase the risk of you experiencing heel pain. Some of these factors are listed below:

                • Having flat feet: Puts a lot of stretch strain and pressure on the foot and heel structures which can causes pain.
                • Having high arch feet: Puts a lot of strain on the foot and heel structures which can causes pain.
                • Out of phase pronation: Pronation is when your feet roll inwards when walking. Normally, when our foot hits the floor while walking, it rolls slightly inwards. However, when the foot rolls in more than normal or at the wrong time, this puts extra pressure on the innersole of the feet and this can lead to overuse and pain in the heel and foot structures.
                • Long periods of standing or walking: Long periods of standing, walking and any other activity can cause a lot of strain and pressure on foot structures, which can cause pain.
                • Running: Runners can put four times their weight force on their feet. When doing any activity, it can cause micro-tears in the soft tissue structures with each step and in turn cause pain in the foot and heel.
                • Weak intrinsic foot muscles (muscles that run from below the ankle to the toes): Puts a lot of strain on other heel and foot structures which can in turn cause heel pain.
                • Inactivity or not engaging in enough activity: This can cause shortening and atrophy to foot muscles and other structures. These structures tend to become less flexible and cause pain.
                • Tight Achilles or calf muscles: When the calf muscles are tight, they tend to put a lot of pressure on the Achilles tendon which attached to the back of the heel. This in turn causes a lot of strain on the heel, which leads to foot and heel pain.
                • Different leg lengths: a Podiatrist can accurately measure if you have legs that have different lengths, they can also determine whether this difference if from the bones or the muscles and treat accordingly.
                • Obesity: Being overweight or experiencing a sudden increase in weight can cause extra pressure on our joints and foot structures. This can lead to overuse and pain.
                • Training errors: Over-training or sudden increase in activity can put added strain on our foot structures which can lead to overuse and pain in the heel and pain.
                Foam roller plantar fascia treatment in physiotherapy studio

                What treatment can I do at home for heel pain?

                Some things that you can start to do at home to help with heel pain are:

                • Footwear: Ensuring that you have appropriate and well-fitting shoes depending on our foot type is important to ensure your feet have enough support and cushioning. A guide on how to choose the right shoe can be found here. It is also important to change your shoes every 1-2 years depending on their wear.
                • Rest: Resting will help relieve the strain on some of the structures around the heel to provide an opportunity for healing and reduce pain.
                • Stretching: A daily stretch routine which incorporates the calf muscles is important. This helps keep the calves flexibility and reduces the tension on the heel bones.
                • Exercise: Daily exercises which helps strengthens the leg and foot muscles is recommended. half an hour of walking 4-5 times a week is enough to help your muscles moving.
                • Ice pack: Placing ice packs on the soles of the feet for 20 minutes on and 10 minutes off several times a day may help reduce swelling and improve pain.
                • Massage: Regular foot massage and concentrating on the arch of the feet will help relieve the tension and stress on the foot structures. You can use a foot foam roller or foam ball and roll it on the soles of your feet.
                treatment for plantar fasiitis and heel pain

                What is the long-term treatment for Heel Pain?

                If you have experienced heel pain for more than one month, it is safe to say that pain will not go away on its own and you may need to see a Podiatrist. The best way to treat heel pain is to figure out the underlying cause of the pain. This is best done when the affected structures or muscles are identified. Your Podiatrist will get you in for an initial biomechanical assessment to figure out why you are getting the pain and give you a tailored treatment plan which will treat the pain at the cause, giving you long-term relief and reduce the risk of the pain coming back. Some treatments your Podiatrist may discuss with you may include:

                • Footwear recommendation: Your Podiatrist will assess your feet and the shoes you currently wear. They will recommend the most appropriate footwear for your foot type.
                • Custom orthotics: If the reason you are getting heel pain is from flat feet, high arch feet, the way that you walk or pronating out of phase, your Podiatrist can prescribe you custom orthotics which are medical grade inserts to place in your shoe to correct your foot posture and redistribute the pressure evening in your feet.
                • Soft Tissue Rehabilitation: Your Podiatrist can prescribe you specific exercises and/or stretches that will help with the development of your affected muscles or structures.
                • Shockwave Therapy: Shockwave therapy is the most advanced treatment available for heel pain. It emits high frequency acoustic waves into the affected area of pain to speed up the body’s healing mechanism and de-sensitise the nerves to cause a numbing affect.This is done over approximately 5-7 sessions and these sessions are done weekly.

                Dr. Fatima Al-Kathmi (Podiatrist)

                The Foot Force Podiatry.

                BOOK NOW

                Contact Us

                Send us an e-mail:

                  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

                  Reasons why your child is intoeing


                  What is intoeing?

                  Most people walk with their legs and feet facing forwards. However, some children’s feet and toes turn inwards when they walk, this is called intoeing or ‘pigeon-toed’. In most cases (over the age of 4 years old), this should correct itself and this is why we don’t usually see adults that are intoeing as they walk.

                  In some cases, there are some children who do not grow out of intoeing. This is when you need to see a Podiatrist to assess their feet to find out what the underlying cause is. We will explore information about interring more in detail below.

                  tibial Torsion

                  What causes intoeing?

                  In most occasions, there are only three reasons as to why some children walk intoed:

                  • 1. Tibial Torsion: The tibia, which is most commonly known as the ‘shin bone’, is the most common bone which does get twisted in the body. Sometimes, while the child is in it’s mother’s womb, the shin bone can be twisted while it is still soft due to the way they the baby is laying inside the womb.
                  • 2. Femoral Anteversion: Just like the shin bone, the femur (thigh bone) can also twist inwards. In most occasions, this corrects itself (slowly) up until the child reaches the age of nine to ten years old. There are some occasions which this does not happen, these children tend to become adults who continue to walk intoed. In some cases, tight hip muscles may also be playing a part in turning the thigh bone inwards, causing intoeing.
                  • 3. Metatarsus Adductus: The feet (more commonly the mid foot to forefoot region) curve inwards. Most children will also gradually get better without any treatment. However, children who have very curved feet may need bracing or special shoes to help in the first few years of their life.
                  intoe exercise

                  How to treat Inteoing?

                  The bone twisting conditioned mentioned above cannot be fixed with braces, special shoes or custom made medical insoles for the shoes. In the past, these were treatments used for the bone twisting, but have proven to have no effect in correcting the condition. Over time, studies have shown that the bone twisting will correct itself without any treatment.

                  If your child complains of pain, discomfort, getting tired, or you see that they are tripping over or not engaging in physical activity to a similar level to peers their age, it is recommended you see your Podiatrist for a biomechanical assessment. If your child has some of these symptoms, treatment may be necessary to aid with their development. Some treatments may include: appropriate footwear recommendation, custom made medical insoles for their shoes, some soft tissue rehabilitation such as exercises and/or stretches.

                  Dr. Fatima Al-Kathmi (Podiatrist)

                  The Foot Force Podiatry.

                  BOOK NOW

                  Contact Us

                  Send us an e-mail:

                    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

                    Orthotic Therapy

                    Custom orthotics

                    What is Orthotic Therapy?

                    Orthotic therapy is the use of orthoses, better known as shoe inserts to help improve the way we walk. The purpose of orthotics is to redistribute pressure evenly along the soles of our feet. This is done by providing support to improve the alignment of the foot joints which in turn improve the functioning of our foot and leg muscles, joints, ligaments and tendons. They are designed to fit comfortably in your shoes.

                    There are many different types of orthotics ranging from prefabricated or off the shelf orthotics, cushioned insoles, semi-custom made orthotics and fully custom made medical orthotics. Orthotics are used as an adjunct to appropriate footwear based on your foot type, soft tissue rehabilitation such as deep connective tissue massage, shockwave therapy, exercises and stretches as necessary depending on your specific foot concern.

                    Custom inserts for shoes to heal foot and heel pain

                    Different types of Orthotics:

                    • 1. Prefabricated orthotics: Prefabs or off the shelf orthotics are pre-made shoe inserts which are a standard one size fits all. The purpose of these types of insoles is to provide gentle support and do not specifically address the individual’s foot concerns. The main purpose of these type of shoe inserts is to provide cushioning and not support.
                    • 2. Semi-custom orthotics: Provide specialised support based on the way your feet are shaped. They relieve a reasonable amount of stress points due to your foot posture. The main purpose of semi-custom orthotics are to provide support for the feet.
                    • 3. Custom made orthotics: Custom made orthotics are the most medically appropriate and aim to address your specific foot concerns. They provide the exact support and cushioning based on your exact foot and arch shape and contour. They relieve the most precise amount of pressure and stress points due to your foot posture. They aim to to provide the maximum support and cushioning your feet require to help address your specific concerns.
                    flat foot custom orthotics

                    Different conditions that can be treated by Orthotics:

                    Many conditions and foot concerns may benefit from wearing orthotics. Some of these conditions include:

                    • Overuse injuries and pain caused by a flat foot or high arch
                    • Plantar fasciitis or heel spurs
                    • Intoeing or pigeon toe walk
                    • Bursitis
                    • Bunions
                    • Morton’s Neuroma
                    • Diabetes
                    • Knee pain
                    • Arthritis (both osteoarthritis and rheumatoid arthritis)
                    • Painful and reoccurring callus or corns on the soles of your feet

                    In most occasions, custom made orthotics can help avoid surgery to fix flat feet. Orthotics can reduce the risk of injuries by 28%, and reduces the risk of stress fractures by 41%.

                    foot scanning

                    Who can make custom made orthotics?

                    Podiatrists are qualified and highly educated in prescribing custom made orthotics appropriate for different foot types and complaints. Each custom made orthotic is different and you will never find two pairs that are identical.

                    Custom orthotics may not be appropriate for all individuals or all foot complaints. It is always best to have an initial biomechanical assessment with your Podiatrist to determine which, if any orthotics would better suit your feet and your concern.

                    Once you have discussed custom orthotics with your Podiatrist, you will be booked in for another type of assessment which will determine the ‘prescription’ of your orthotics. 3D foot scans will also be taken of both your feet and will be used to make them. Our custom made medical orthotics are Australian made and designed by experienced Podiatrists, so you can be sure you are getting the best in quality and function.


                    Dr. Fatima Al-Kathmi (Podiatrist)
                    The Foot Force Podiatry.

                    BOOK NOW

                    Contact Us

                    Send us an e-mail:

                      This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.