| City Clinic on King | Appointments: 02 9299 4977 | ||||||||||
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Podiatrists: Ms. Kate McArthur; BHSc Podiatry Simon Greene; BSc (Hons) Podiatry, BSc (Hons) Physiotherapy
What is Podiatry?
Podiatrists specialise in the diagnosis and management of foot and lower leg disorders with a particular focus on injuries associated with foot and lower limb function. Podiatrists provide walking and running assessments to investigate posture and lower limb function which may include a Biomechanical and Video Gait Analysis. Podiatry includes:
If you are concerned about any of the following conditions, you should consult a Podiatrist:
What is Sports Podiatry?
A Sports Podiatrist covers 2 areas:
- mechanical performance enhancement to minimise injury and to maximise efficiency. What is normal function? 
Sports Podiatrists can determine via running assessment and specific testing whether your leg alignment
and leg stability is normal and is sufficient for performing in your particular sport.
Why should I be assessed by a Sports Podiatrist? (1) Injury:
A Sports Podiatrist will often work closely with a sports physiotherapist as many leg and foot problems are secondary to problems in the lower back and pelvis. The most common sports podiatry injuries are: Shin splints, Achilles tendinitis, Knee cap pain (runners knee), Calf strain, Plantar fasciitis/arch pain. Paediatric conditions:
Adult Conditions:
Listed below are common sports & structural injuries, their causes and their treatment: Lower Back Pain: Podiatrists are not back specialists and do not perform any 'hands on' back treatment, but in cases where abnormal or weak lower limb function contributes or aggravates lower back pain, a podiatrist can be a valuable team member in comprehensive approach to treatment. At City Clinic our Podiatrist will work with other members of the Sports Injury Team. 
Knee Pain:
The knee is complex structure and there are numerous regions that can be damaged or inflamed. More common types seen are: Runner's knee (retro-patella chondralgia): Pain and swelling behind and around the kneecap due to malalignment and/or muscle imbalances in the foot, leg, pelvis or back or a combination of these areas. Treatment begins with assessing the exact cause of the inflammation, whether it be at the foot, leg, pelvic or spinal level. Long-term treatment usually consists of an exercise program, running shoe and training advice and orthotics if necessary. Knee Osteoarthritis: Inflammation of the joint that is caused by cartilage damage that can progress to changes in joint size, shape, mobility and leg alignment. The original cause can be a genetic - structural malalignment, weakness of certain muscles or ligaments, cartilage defect; or developmental - injury, work related or secondary to an imbalance (ie. leg length inequality). Management involves thorough assessment of function and x-ray analysis. Treatment usually involves education and measures to avoid further damage, improving pelvic and foot strength and stability.
Leg Pain. Achilles tendonitis: 
Inflammation of the achilles tendon or its heel attachment is due to overuse and or lower limb imbalances. In most cases
there is rapid and late activation of the calf muscles or overuse of the calf muscles due to inefficient
core stability or foot hypermobility. Treatment involves addressing mechanical imbalances in the foot, leg
and/or pelvis; training and running shoe advice and normal short-term protocol (eg. rest, ice, etc)
Shin splints (anterior, medial or lateral tibial/fibular stress syndrome): Shin splints is a vague layman's term that can encompass many injuries. In basic terms it is inflammation of the junction of bone and small muscle fibres in lower leg. It is due', like achilles tendonitis, to overuse of specific muscles due to training errors or lower limb/pelvic imbalances. Treatment involves finding the cause of the overuse, which normally consists of a specific stretching/strengthening program, training and running shoe advice and orthotics if necessary.
Foot Pain: Heel spurs (plantar fasciitis): Inflammation of the soft tissue that attaches to the bottom of the heel. Pain is experienced under the heel or arch and is usually worst first thing in the morning or walking following a period of rest. It is caused by abnormal function of the lower limb due to structural malalignment, muscular weakness or imbalance. Treatment involves rest, icing, strapping, stretching and massage, addressing abnormalities in leg and foot function using orthotics and stabilisation exercises. 
Stress fractures:
Can occur in any bone in the foot but most commonly in the metatarsal bones (long bones between the high point of the arch to where the toes are attached to the foot). Stress fractures are caused by overloading of the bone due to training errors and biomechanical imbalances and weakness. Treatment essentially involves 4-6 weeks rest and correction of training errors and lower limb/foot function. Metatarsalgia: broad term that describes inflammation and pain under the central forefoot where the toes attach to the foot. Caused by abnormal leg and foot function that results in overloading of the metatarsal bones. Treatment involves improving foot function via orthotics and stabilisation exercises and padding to deflect excessive pressure off the metatarsals. Neuromas: inflammation of a nerve in the forefoot due to poor foot function and tight fitting footwear. Treatment is the same as metatarsalgia. Can I have Podiatry on my private medical insurance? Most private health funds give benefits for Podiatry treatments. Reimbursement will depend on the insurer and the plan you have chosen. Contact the helpline of your insurance company who will explain the actual benefits and methods of claim for your individual policy. If your Health Fund is a member of HICAPS we can reimburse your benefit at City Clinic. All instruments are sterilised by autoclave using strict protocol. |
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Disclaimer: The information on this website does not replace
medical advice. Medical, scientific or other health
related information provided in print and electronically by City Clinic may or may not be relevant to your own
circumstances and should always be discussed with your health professional before you act on it.
related information provided in print and electronically by City Clinic may or may not be relevant to your own
circumstances and should always be discussed with your health professional before you act on it.
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