Painful Ingrown Toenails? We can help you!

When you have a sore toe it is hard to concentrate on anything else, yet people still put up with painful ingrown toenails until they become intolerable.

The funny thing is that painful ingrown toenailsPainful Ingrown Toenails can be easily fixed by a podiatrist who is highly skilled and trained in removing ingrown toenails quickly and successfully.

What are ingrown toenails?

  • Ingrown toenails are a painful toenail condition we commonly treat in our clinic.
  • Usually affects the big toe, with one or both edges pushing into the skin, leading to pain and discomfort
  • If untreated, this can lead to inflammation and irritation, and if the nail breaks the skin can also cause infection.

What normally causes painful ingrown toenails?

  • Incorrect and improper trimming of the toenails.
  • Curved or thickened toenails.
  • Direct trauma to the nail.
  • Shoes that are too tight.
  • Sweaty feet, which softens the skin and increases the risk of the toenail piercing the skin.

How should I cut my nails?

  • Straight across and use a nail file to round the edges.
  • Do not pick at your nails or cut deeply into the corners.
  • Incorrect nail cutting techniques can cause the nail to dig into the skin and cause infection.

How to treat painful ingrown toenails?

  1. Conservatively; with ongoing care from a podiatrist, education regarding footwear choices and changes in nail cutting techniques. This may also include home care consisting of salt water soaks and anti-septic dressing.
  2. Surgical Procedure; toenail surgery, performed under local anaesthetic, which involves permanent (or temporary) removal of your problem part of the nail. The amount of nail removed is discussed with you by your podiatrist.

If you have any concerns about your toenails, podiatrists at Proactive Podiatry are very gentle and experienced with ingrown toenail management and can offer you solutions for your problematic toenails.

No one should put up with pain from and ingrown toenail as they can be easily fixed and managed by a podiatrist.



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Do I Have a Heel Spur?

Heel SpurDo you ever find after waking up in the morning, the first few steps you take are painful? If the answer is yes, you may have a heel spur.

Pain can be experience in the heel or arch of your foot and become worse after sitting down for a long period of time.

The good news is- we can help you!

What is plantar fasciitis/ heel spur?

  • Plantar fasciitis is caused by an inflammation of the plantar fascia (the main tendon along the bottom of your foot that connects your heel bone to your toes).
  • It normally caused a sharp or stabbing pain that is usually worse in the morning when getting out of bed.
  • Usually once the foot has “warmed up” and “stretched out again” the pain will generally decrease, but it often returns after sitting for a prolonged period of time.

I have heel spur pain, what has caused my pain?

  • Overuse and increased physical activity.
  • Inappropriate shoes.
  • Tight calf muscles and plantar fascia.
  • Long hours on your feet.
  • Flatfeet or high arched feet, abnormal walking patters and instability in the feet can affect the heels.

At Proactive Podiatry, our podiatrists have extensive experience in assessment and treatment for heel pain. Our treatments are specifically tailored to each individual, using the most up to date treatment options.

I’ve tried everything, how can a podiatrist help with my heel spur pain?

Your podiatrist will:

  • Look at how your feet are moving and functioning when you are walking, identifying any abnormal walking patterns or signs of instability.
  • Assess your current footwear.
  • A series of foot specific examinations including; muscle testing and range of motion testing.
  • Find the cause of your problem and formulate a treatment plan to help manage symptoms and cure the cause.

What treatments can be offered?

  • Footwear advice
  • Taping of the feet (applied by podiatrist and self application)
  • Specific stretching and strengthening exercises, prescribed by podiatrist
  • Correcting the way you stand and walk with orthotic therapy
  • Dry needling and foot mobilisation
  • Deep tissue massage

Bunion Bump

Bunion BumpUsually at this time of year, as the cold weather forces us to re-think about our footwear choices, it is very common to start to experience painful feet, especially bunion bump pain.

Did you know, almost 1/3rd of Australians suffer from bunion pain at some point in their lives?

What is a bunion bump?

A bunion is an abnormal enlargement or “bony bump” of the first or fifth toe joint. It is a progressive foot deformity, which is likely to worsen as we age.

Usually in its first instance, a bunion can cause some pain and irritation when it rubs on the shoe. If left untreated, it has the ability to cause arthritis in the big toe, and also impact on the second, third and fourth toes where it may cause clawing/hammering or overlapping of toes.

What causes bunions?

Bunions are caused by a mechanical malfunction of the first or fifth toe joints, during weight bearing. This can occur due to:

  • Abnormal foot mechanics which cause excessive foot pronation.
  • Hereditary: runs in the family
  • Inflammatory disease e.g. Rheumatoid Arthritis.
  • Footwear – shoes with a pointy/narrow toe box, especially high heels

How do we treat bunions?

  • Appropriate footwear: with extra width and depth to accommodate bunions.
  • Orthotics: To address any structural abnormalities, preserving joint function and slowing the progression of the deformity.
  • Strengthening exercises: of the intrinsic foot muscles.
  • Foot mobilisation: involves moving specific bones which have moved out of position back towards their correct anatomical alignment.
  • Non-steroidal anti-inflammatory medication: to reduce pain and inflammation.
  • Surgical referral: for the removal of the painful bump and to realign the big toe.

At Proactive Podiatry we are very experienced in treating foot and bunion pain. If you are suffering bunion pain, your first step is to make a podiatry appointment to determine your conservative treatment options before you decide to go under the knife!

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Keeping Up to Date With Foot Manipulation Therapy (FMT)

This month our team at Proactive Podiatry, Alison (Podiatrist) and Monique (Owner) participated in the 3 day, Level 1 and 2 Foot Manipulation Therapy (FMT) Workshop.

This fabulous professional development event was facilitated by Foot Manipulation guru Ted Jedynak, owner of the Foot and Leg Centre in North Adelaide.

Foot Manipulation Therapy

The Whole FMT Team!

While Monique was there to up skill and perfect her Foot Manipulation Therapy skills, Alison was mentoring and helping students to learn these specific Foot Manipulation Techniques.

Alison has been undertaking Foot Manipulation Therapy on her patients regularly at our Pooraka clinic. It is so rewarding that Alison can use her skills and knowledge to teach other podiatrist and health care practitioners from  Australia and overseas. Ted’s workshops always draw a crowd, with participants from Hong Kong, New Zealand, UK and Singapore.

Foot Manipulation Therapy or FMT is a very effective form of joint manipulation, treating many foot alignment and functional issues. Foot Manipulation Therapy is widely used by health professionals to restore normal foot function and motion.

This gentle, specific and painless technique stimulates the body’s ability to repair and restore itself, reducing pain and inflammation.

Foot Manipulation Therapy begins with regular and intensive treatments to help treat the pain and inflammation in the area. Specific home exercises also help the foot function better, by increasing strength, flexibility and balance.

In some cases this form or therapy can make you less reliant on traditional methods of treatment like orthotics, surgery or pain relief medication.

Foot Manipulation Therapy Workshop Photos:

Thanks again to Ted and Alison for a wonderful workshop which will allow us to help more people with their foot pain.

Foot Manipulation Therapy

Alison teaching correct technique!

Foot Manipulation Therapy

Alison, Allowing Students to Practice on Her for Feedback.

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Ted Giving Monique and Podiatrist Some Good Feedback

Foot Manipulation Therapy

Ted Jedynak Presenting

Physically Active as a Senior

Want to know how to get physically active as a senior? The fact you are asking yourself this question is a great start! It will probably come at no surprise that seniors are the fastest-growing age group in Australia. Over 14% of our population is 65 years or older, which will only rise in the next several years.

This is why for overall health and wellbeing it is so important to maintain physically active as a senior.  Fortunately the  Australian Government has done all the hard work for you in creating “A Physical Activity Guide for Older Australians” booklet.

This physical activity guide is for those finding it hard to fit 30 minutes of physical activity into their day. Recent surveys show about half of all older Australians are not doing 30 minutes of physical activity daily, which is important to keep the body healthy.

How Do You Keep Physically Active as a Senior?

Physically Active as a Senior

This booklet demonstrates how easy it can be to stay fit and healthy as you age. Keeping physically activity as a senior can have a positive effect to your overall health and wellbeing. Modifications may need to be made, depending on your individual lifestyle.

Having chronic health problems doesn’t mean you can’t be physically active as a senior. Any increase in activity can be beneficial for physical and mental health. This physical activity guide includes specific information on exercising with chronic illness and has some advice about healthy eating and lifestyle.

So give it a try! It will surprise you how small changes in your physical activity levels leads to better health and well-being!

Regardless of age, weight, health problems or abilities, incorporating some form of physical activity into your daily regime is beneficial.

For more information on how to achieve and maintain a healthy lifestyle through physical activity and to access this fabulous resource please click on the link below.

Be Active: A Physical Activity Guide for Older Australians

Podiatry Online Booking System – QUICK and EASY

Our lives are becoming increasingly busy. With online technology available, why wait for your phone call to be answered. This is why Proactive Podiatry has enabled, through our new software program (Cliniko) a podiatry online booking system which enables you to make bookings 24/7.


How Does the Podiatry Online Booking System Work:


Our podiatry online booking system works on most devices, allowing you to make an appointment on your, tablet or computer where you can play video games with sites where you can purchase Counter-Strike: Global Offensive skins. Access to our podiatry online booking system is through our website and our facebook page for a seamless experience.

Our LIVE podiatry online bookings gives you the ability to book in for appointments online, viewing our appointment book in real time.  Any patient can then use the podiatry online booking system, new or existing by selecting initial or subsequent consultation.

There is no need to log in, just learn more. some basic details. The system will then match these to your existing details, or create a new patient record. ITS THAT EASY!

Podiatry Online Booking


Proactive Podiatry’s online appointment booking system will offer you available time slots in the morning (12am-Midday), afternoon (12pm-5pm) and evening (5pm-12am). Click on the day you would prefer and the available time slots for that day will appear in real time.

If we don’t have any availability at that time, it will not show online. If you need to discuss your treatment we advise you call us 8262 4185 to speak to our friendly staff.


Podiatry Online Booking

Podiatry Online Booking









Ical can also be download to add your appointment to your iphone. Confirmation emails are sent once you have completed your online podiatry booking.

What are you waiting for? Jump online and make your next online podiatry appointment.

We look forward to seeing you soon to assist you with all of your footcare need. Please note having an online booking system does not mean we would love to speak with you in person! If you have any questions or concerns please call us on (08) 8262 4185.


The Better Running Technique

Although running technique and styles vary, the heel to toe running style is still considered the norm for most people. The alternative running approach a toe to heel technique, which may in fact be beneficial in reducing injuries.

There are four areas of focus, when looking at some of the differences in running technique. These include body weight and load; muscle contraction, blood flow and tendon function.

Running Technique

So lets start with the more traditional running style…

Running Technique of Heel to Toe


Body Weight and Load:

The heel bone (calcaneus) is the first point of contact. This bone is very solid and must take on the whole weight of the body which is a lot of weight to carry. Therefore this shock is transferred further up in the body (knee, hip and lower back). If the body is not aligned properly over time this repetitive stress can cause joint pain and degeneration.


Muscle Contraction:

After the initial heel contact and absorption of shock the muscles in the leg need to contract to raise the foot up and allow for the next stride. The heels is raised by the calf muscle (gastrocnemius and soleus).

There are two types of muscle contractions, concentric (shortening) and eccentric (lengthening). However when adopting the style of heel to toe running only concentric contraction occurs to shorten the calf muscle and lift the heel.


Blood Flow:

When we are standing, walking or running our vascular system must pump blood back up the body against gravity. This is achieved by muscular contraction of the calf. In this particular style of running the pumping efforts back up the body are reduced. This causes  increased pressure on the valves within the veins of our legs, contributing to decreased circulation and warmth in the feet (a very common complaint in runners).


Tendon Function:

The Achilles tendon is one of the strongest and largest tendons in our body’s and plays a big role whilst running. Tendons are able to store energy when stretched through eccentric contraction. With the heel to toe style of running eccentric contraction does not occur therefore the Achilles Tendon is not functioning to its full potential.

Now lets explore the alternative approach..

Running Technique of Toe to Heel


Body Weight and Load:

I want you to image jumping down from a high platform. More than likely your natural instinct would be to try to land on your toes to reduce impact. Now why do you think we land this way? It is probably because we know landing on our heels would cause too much impact to our joints and hurt.

If we also consider foot anatomy the bones in our toes are very small and as we move back into the foot (arch) the bones get longer. This system allows transferring of weight from smaller to larger bones, reducing the impact of body weight.

Now running in comparison to jumping off a high platform is a minor impact, however overtime these micro traumas can result in serious foot pain and lower limb pathology.  This is because running places 4-7 times our body weight through our joints. Which is why it is believed to be more beneficial for our joints to run with a toe to heel technique.


Muscle Contraction:

In toe to heel running both forms of eccentric (lengthening) and concentric (shortening) contractions are taking place, as the calf muscle stretches to decelerate the lowering of the heel and then contracts again to lift the foot and repeat the process.

This eccentric contraction to help decelerate the lowering of the heel from toe contact with the ground reduces the overall load on the heel bone and thus further up the body.This technique can also reduce shin splints as the calf takes on more of the work.

The calf muscle is a slow twitch muscle fiber and can cope with longer duration of activity. Our Tibialis Anterior muscle at the front of the leg to lift the forefoot is a fast twitch muscle fiber. Therefore it will fatigue quicker over longer distances, resulting in shin splints.


Blood Flow:

With the two phases of muscle contractions, both eccentric and concentric the body’s ability to pump blood back up the legs is enhanced. Less strain is placed on the valves in our veins, making pumping blood back to the heart easier. This can also decrease lactic acid build up, reducing pain and fatigue in the legs whilst running.


Tendon Function:

When running, similarly to a kangaroo jumping this motion should look easy and efficient with minimal impact observed. This is because the stretching (eccentric contraction) of the Achilles Tendon when jumping allows the storage of this elastic energy to increase power and efficiency.

The tendon acts similarly to a rubber band that stores energy on stretching and utilises this energy on release to “spring back”. This release of energy is very similar to what occurs in the human body within tendons, such as the mentioned Achilles Tendon.

Instead of impact and lift like we discussed in the heel to toe technique the toe to heel style of running becomes energy/deceleration and energy release/lift. During eccentric contraction a tendon is 30 to 40 percent stronger than a concentric muscle contraction. Running therefore, becomes a very smooth and efficient movement.


Now you may be asking yourself the question:  “how do i change my running to a heel to toe technique”?


Begin by walking and progressing to jogging backwards while barefoot. This will help you to become familiar with the toe to heel sensation. Then try to forward jog adopting the same technique.

You will instantly feel the load difference in your joints, especially when running on hard surfaces like concrete.

Building up to your regular running pace may take some time and may feel weird to begin with.


Related Topics:

  • Shin Splints
  • Achilles Injury
  • Blisters
  • The Right Shoes for Your Foot Type
  • Various Types of Running Shoes
  • Minimalist Shoes to Lighten Your Load