General podiatry refers to diagnosis and treatment of common foot problems to the skin and nails. We offer a full range of treatment for general podiatry including treatment for:
Corns and callous, heel fissured, splitting skin between toes.
Thickened nails, ingrown nails (Including Nail Surgery and Nail Brace), infections to the toenails and painful toenails.
Tinea or Athletes foot infections, Plantar warts, Fungal infections.
Manufacture of devices and padding for management, splinting and deflecting problem toes. These include hammer toes, claw toes, mallet toes and bunions.
Persistent in-growing nails are remarkably common at all ages of life. This may be from recurrent trauma to the nail, the shape of the nail or by incorrect cutting techniques.
If recurrent ingrown nails do not respond to conservative treatment then a surgical procedure can be performed to permanently remove the ingrowing portion of nail.
This procedure is performed under local anaesthetic in the clinic rooms without the need to go to hospital. This procedure has a high success rate with minimal complications.
Please seek further advice from our Podiatrists if you are considering nail surgery.
Assessment and advice on correct footwear for problem feet
Nail braces for
At Ryan James Podiatry we offer a gentle alternative to nail surgery for ingrown nails.
Have you had an ingrowing toenail before?
Do you need to have your ingrowing nails attended to on a regular basis to treat or prevent pain and infection?
You may benefit from the 3TO nail brace system. This is a similar technology that orthodontists use to straighten teeth.
Using a wire brace that we are gradually able to tighten and make adjustments to, we can change the shape of your nail and prevent it from becoming an ingrowing nail.
It is best to see one of the Podiatrists to determine if your ingrowing nails will respond to a nail brace.
The nail bracing technique is a safe and pain free alternative to treating reoccuring ingrowing toenails.
Mature Age Podiatry
One of the biggest frustrations as you get older is the increasing lack of flexibility, and the increasing difficulty in looking after your feet in particular.
Did you know Arthritis can affect your feet?
Arthritis commonly attacks joints in the hands, knees, and hips, but it can occur in any part of the body where joints exist — including the toes.
A number of different types of arthritis can cause toe pain. Sometimes the cartilage wears away between the bones. Without the protective cartilage, bones rub together. This inflames the tissue and causes pain and swelling.
If you’re experiencing toe pain and unsure if it is related to Arthritis consult our Podiatrists to investigate the cause of the pain as we offer a number of Advanced treatment options for Arthritis affecting the feet.
Warts are a viral infection of the skin. Unfortunately there are no antibiotics for this infection, making it a stubborn condition to treat.
There is more than one way to treat a wart and we can offer gentle, slow and steady options or surgical removal (curettage) options. If indicated, selecting specific techniques can reduce the chances of developing painful scar tissue at the site.
Ingrown Toenails can be common and at times they can be painful. We can offer a range of treatments for ingrown toenails including conservative management, 3TO Nail Brace technology and Nail surgery if indicated.
All treatment options are case dependent. Ingrown toenail surgery is a partial nail excision and chemical matrixectomy performed under local anaesthetic which can be performed in all of our clinics. The procedure is performed in sterile conditions and can take up to 1 hour depending on the case.
Even though it is a minimally invasive surgery it is best to rest after the procedure for a day or so and open toed footwear is required for a week or so following the procedure. But otherwise pain can usually be managed with paracetamol, rest, and elevation of the foot.
Ryan has completed extra training with BSET (Basic Surgical Skills) and has a special interest area in Nail Surgery, but all of our Podiatrists are trained with the latest minimally invasive techniques for nail surgery.
If you are of a mature age and have problems with your feet, make an appointment to see one of our specialists in mature age care today.
Diabetes is one of the fastest growing diseases in Australia and is rapidly reaching epedemic proportions.
Did you know that 60-70% of those with diabetes will develop peripheral neuropathy, or lose sensation in their feet.
Diabetic foot screening
Ryan James Podiatry has devised an evidence based screening tool to assess your risk of diabetic foot complications comprised of vascular assessment, neurological assessment and recording of deformity and pressure areas.
Vascular status is assessed by using Doppler ultrasound to assess the big arteries and Photoplethysmography to assess the microvasculature.
Neurological status is assessed by using a Neurothesiometer. A neurothesiometer is the gold standard non-invasive nerve test.
A neuothesiometer is able to give an electronic reading of how well your nerves are functioning. These readings are able to be tested periodically to detect any abnormal changes.
It may be beneficial for the podiatrist to test for areas of high pressure with our Tekscan Mat to prevent complications and provide patients with a strong understanding of potential problem areas.
If you know of a family member or friend who has Diabetes, encourage them to see a Podiatrist regularly to promote optimum foot health.
Dannielle is our resident specialist diabetic podiatrist, so if you are diabetic, or pre-diabetic, book an appointment to see her right away.
Fungal nails are a common concern for many patients as they are often a difficult nail condition to treat. Fungal nails occur when an opportunistic fungi (microorgansim) infects the nails.
Some symptoms may include discolouration, thickening, brittleness and debris under the nails.
There is a range of treatments available with varying success and side effects these may include topical therapies or oral medications.
Laser therapy is a recent technology however this can be expensive. At Ryan James Podiatry we offer Photodynamic Therapy as an alternative.
What is PACT nail fungal therapy?
PACT stands for Photodynamic Antimicrobial Chemotherapy. This innovatve technology effectively treats/kills fungi cells.
A chemical dye is placed on the nail and allowed to ‘soak in’ to the fungal tissue. The chemical dye is only taken up by a fungal cell wall, It is not taken up by a human cell membrane.
High intensity light is then used to activate a chemical reaction. This produces high amounts of localised oxidative stress to the fungal cell wall leading to cell death.
There are no reported side effects or contraindications for this treatment. The process will need to be repeated for multiple appointments (varying on individual needs).