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Podiatrists are clinicians who specialize in lower limb disorders, specifically the foot and ankle.
They focus primarily on conditions such as flat feet, common foot pain, walking abnormalities, skin and nail conditions as well as diabetic foot problems.
As front line specialists, Podiatrists adopt non-invasive treatment methods and preventative measures to avoid the need for surgery. For conditions that require surgical intervention, Podiatrists work closely with medical surgeons to manage rehabilitation and to provide
This is often termed as inflammation of the heel. It is important to assess if the condition is acute or chronic. Depending on severity, plantar fasciitis can be cured with surgery or non-surgical methods
The bursa, a small fluid-filled pad-like sac in your knee can get inflammed. Pain will ensue, and occasionally, the bursa can get infected. A comprehensive examination is highly recommended
> COMPLEX CONDITION REQUIRING INTERVENTION
Metatarsalgia is pain in the forefront of the foot. It may be caused by inflammation, fracture, overload, degeneration, neoplastic lesion, etc.
This is intense pain under the big toe caused by inflammation. Various methods of treatment include shockwave therapy, orthoses, exercises.
A musculoskeletal deformity of the big toe joint. It arises from untreated biomechanical dysfunction of the foot. The deformity can start at any age, even in childhood. If untreated, the bunion will become more severe over time.
Injuries around the ankle joint often become chronic because the area is hypovascular (reduced blood flow). If the repeated ankle sprains happen, chronic ankle instability may develop. Usually, the ankle gives way while walking or doing other activities, but it can also happen while standing. Many athletes, as well as others, suffer from chronic ankle instability.
Pain above the heel bone and radiating up the back of the leg towards the calf could signify Achilles tendonitis. This is an inflammation of the Achilles tendon. It is a priority condition and should not be ignored. If left untreated, a rupture could happen.
Due to sudden increase of high impact activity. Dancers, racquet-sport players and runners are commonly affected by this. The problem stems from the feet, affecting specific tendons and muscles.
Leg Length discrepancies are common. This is a difference in the length of each leg that leads to lower back pain, foot pain, limping and walking abnormalities. Not addressing the leg length difference results in early joint degeneration.
If your legs and feet are running/working in poor alignment, you will be wearing out your joints prematurely. You become more prone to injuries around the feet, knees, hips, and spine.
Runner's knee refers to a number of overuse injuries involving pain around the kneecap. Delaying treatment may cause further injury or degeneration of tissue
Most people have a gap under the arch of their foot when they are standing. People with flat feet or fallen arches either have no arch, or it is very low. This may cause pain, or other musculoskeletal issues. Usually flat foot conditions can be improved and maintained with properly fitted orthotics.
Foot pain due to a high arch may cause limitations in movement and function. Pressure on the foot needs to be reduced and redistributed. This can be done with specialized insoles orthotics.
Changes in the foot can occur, sometimes in structure, sometimes in function, or both. The podiatrist needs to perform a postoperative biomechanical examination and a new orthotic device may have to be fabricated. Orthotics are medical devices for your feet where podiatrists must take many factors into consideration before issuing. They are not suitable for everyone and should be worn using an individualized rehabilitation plan.
Depending on type of sports and use, orthotics can be slim and robust for everyday training or as thin as 1mm for optimum performance with use in competition or race.
Prevention of feet wounds developing or recurring is essential for diabetic patients. Using orthotics to redistribute foot pressure aids in prevention, and can save feet from unnecessary amputation and infection.
Military and service feet endure long hours of high intensity labour. Singapore’s service personnel are susceptible to flatfoot, lower limb injuries or aggressive infections. Don’t let your feet be your downfall, serve in comfort with enhanced performance through podiatry care.
Also known as shockwave therapy, ESWT is an effective and medically proven treatment to address problems of the tendon, ligament and muscle. For many such problems, it is an alternative solution to surgery. The acoustic waves target the soft tissues, with effects such as inducing healing and improving blood flow.
This treatment causes healing beneath the skin's surface using very high frequency sound waves. The sound waves induce increased local metabolism, circulation, extensibility of connective tissue and tissue regeneration.
Human cells do not have a cell wall, but fungal cells do. Photodynamic gel is applied to the foot, and PACT (Photodynamic Anti-Microbial and Anti-Mycotic Therapy) light is introduced. A local chemical effect is produced, attacking the cell wall of the fungus. Growth of the fungus is stopped and this results in the destruction of the fungus.
Stability of bones and muscles during daily and athletic activity is important. The podiatrist will use the tape to physically support and keep in place the muscles and bones at a certain position.
Children may not be able to give good feedback about pain in their lower limbs, so parents need to look for clues such as reluctance to play, increased frequency in asking to be picked up, or withdrawal from sports activities.
To a certain extent, this may be normal in growing children. But if you notice that it persists over a period of time, it is best to bring your child for assessment and treatment.
These are important factors for consideration when choosing school shoes and other footwear for children. Shoes should be lightweight while providing a stable base of support and flexible to support natural foot movement.
Fungal nail infections are stubborn and resist many generic forms of treatment. They are unsightly and difficult to trim, and can spread to other nails and other family members. Seek treatment early to prevent infection spread.
Ingrown nails occur when the edges of a nail become embedded under the skin, causing pain, inflammation, and even infection. If inadequately treated, they can recur again and again, and never truly go away. For infected or severe ingrown toenails, the problem can be permanently resolved with a safe and minor surgical procedure.
These are hard, grainy growths on your feet caused by the human papillomavirus (HPV). They may resemble a cauliflower, with little black dots inside. Plantar warts bury themselves into the top layer of skin and are highly infectious - one lesion may quickly multiply.
Foot rot occurs due to the exposure of feet to prolonged damp and unsanitary conditions. It can be caused by many different organisms such as mycobacteria. Prompt cleansing and treatment can address foot rot, but if left uncleansed and untreated, the lesions may worsen or expand.
Athlete's foot can be spread from person to person, or by walking barefoot in public places like swimming pools and gyms. Consult a podiatrist if an apparent foot fungal problem does not respond to proper foot hygiene after two weeks.
For diabetics, the feet is one of the major body parts at risk. Proper long-term foot care and maintenance can reduce the possibilities of serious illness due to foot complications and amputations. Prompt response to diabetic feet wounds and ulcers is also necessary as the healing ability of the body is already impaired by diabetes. Comprehensive podiatric preventive treatment, as well as wound-care services, can help to keep diabetic feet healthy.
Vascular doctors are specialists with diagnosis, treatment and
management of the circulatory system. Vascular Doctors see patients of all ages but specifically those with chronic conditions that lead to vascular disease i.e. hypertension, high cholesterol, diabetes, blood clotting disorders etc.
Vascular Doctors commonly use minimal invasive techniques to open blocked arteries and improve malfunctioning veins. Most commonly they treat spider veins, varicose veins, artherosclerosis, deep vein thrombosis (DVT), aortic aneurysm, peripheral vascular disease, peripheral arterial disease, etc.
Podiatrists are trained to assess and treat a wide range of lower limb disorders ranging from Musculokeletal to Soft Tissue conditions. This includes foot and ankle problems, gait issues, skin and nail problems, and even complications related to or arising from conditions like diabetes,
arthritis, or neuropathy.
Click here for a list of Common Conditions that Podiatrists can help you with
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Singapore Diabetic Foot Centre is a specialized clinical unit of East Coast Podiatry, focused on the management of diabetic foot conditions as well as the healing of lower limb wounds and ulcerations.
The mission of SDFC is to prevent rampant limb amputation from diabetic complications.
Starting in 2018