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IN OUR CARE

How is your treatment approach different from the others?

The most effective way to treat any conditions is to address the cause and not just the symptoms. Many of today’s medical treatment methods simply mask or accommodate the pain instead of addressing the root of it, causing recurring or lingering pain. Our approach is to identify and address the root cause of the problem for long-lasting treatment result, rather than applying the ‘band-aid’ approach to your symptom(s)..

We believe in true corrective and holistic treatment approach to improve your health. Our treatment guides and supports the body to heal itself. We do not just get rid of pain, we help you to prevent injury, and to feel, move and perform your best.

Our integrated treatment model has a proven track record of success in resolving many debilitating conditions such as chronic heel pain, plantar fasciitis, arthritis foot pain and ankle problems. Our advanced and alternative solutions often succeed when all else has failed!

What about the cost?

While we offer different specialised treatments to achieve the best possible result for you, no extra fees will be charged on top of the standard appointment fees except for Foot Orthotics and Shockwave Therapy. The different treatment techniques/methods required will be included as part of the treatment programme to get you better.

Don’t forget your health fund may contribute to most of the fees (rebates depend on your policy, please check with your health fund). We have a HICAPS terminal so you can claim your rebate onsite. If long-term treatment is required, your therapist will discuss the most cost effective options with you.

Do I need a referral?

No. Although we welcome all referrals from any health practitioners, you do NOT need a referral to come see us. We are your go-to-place for any foot or lower limb related problems. Feel free to contact us directly for an appointment.

A doctor’s referral is only required for the following cases:

  • Medicare (TCA’s or EPC’s)
  • DVA
  • Workers Compensation, and
  • MVA
Do I get a rebate from Medicare?

Yes, but only if you have been referred by your doctor to us on an EPC (Enhanced Primary Care) or TCA (Team Care Arrangement) plan. Please note this arrangement is NOT eligible for everyone, please check with your doctor in regard to eligibility.

If eligible, you are able to claim up to FIVE Medicare rebates per calendar year. Once the care plan has been organised by your doctor, you are immediately eligible. Please bring in all your paperwork on your first visit.

Do you accept private health funds?

Yes, we accept ALL private health funds. We have a HICAPS terminal onsite so you can claim directly from your Private Health fund and get your rebate immediately.

Do I get a rebate from my health fund?

Yes, if you are covered for Podiatry services in your policy. Please check with your health fund for your rebate information and details as they vary between health funds and levels of cover.

How do I get there?

We are conveniently located in The Rose Health Centre on 132 Pacific Highway, less than 20 mins drive from Sydney CBD, 5 mins drive from Chatswood CBD and 4 mins walk away from the Roseville Train Station. We are on the same side as the Roseville Cinema on Pacific Highway, 2 shops away from there, towards Lindfield.

There is a 2-hour free council parking available by entering from Maclaurin Parade then turning right into Larkin Lane. Parking also available onsite through the driveway next to our building.

For all Saturday and before/after hour appointments, please walk down the driveway and enter through the rear entrance.

What should I bring with me on my first visit?

Please bring the following with you:

  • All relevant medical imaging, including the film and report if you have them
  • Previous orthotics or insoles
  • A selection of your footwear, including runners, work shoes and everyday shoes
  • Wear shorts or loose fitting pants that can be rolled up to the knees.
What should I expect on my first visit?

On your initial consultation with one of our specialist podiatrists at Footwork Podiatry, a thorough and comprehensive assessment will be conducted. In most cases this will include the following:

  • Obtaining a detailed medical history
  • Assessment of your complaint
  • Biomechanical examinations to find out the cause of your complaint, including
    functional assessment, hands-on joint testing and muscle testing
  • Formulating a treatment plan specific to you
  • We aim to ensure you are kept well informed of all details of your condition, assessment findings, treatment plan and expected outcomes.

TREATMENTS

Why Manual Therapy?

Our sports podiatrists are specialised in correcting the mechanical misalignment of the foot and ankle and addressing the exact tissues that are under stress with our advanced manual therapy techniques. Studies have well documented the benefits of manual therapy to help improve movement, function and pain reduction. One of the aims of our manual therapy is to rehabilitate the feet which helps to reduce reliance on external aids such as orthotics.

What should I expect from Manual Therapy?

People generally feel more comfortable, stable and stronger on their feet without the use of orthotics or any special footwear, even for the elderly.

Depending on symptoms and medical history, some patients will experience instant pain relief, improved flexibility and stability after initial treatments. In other cases, it necessitates more time before treatment begin to gain traction. Once getting past the initial speed bumps, patients will notice fundamental changes leading to significant health improvements to their feet. There is no doubt about healthier feet promote better lifestyle and well-being! Regular adjustments with manual therapy help to preserve and prolong the health of your feet.

How do we maintain the positive changes in the feet in the long term?

We combine Trigenics® neuro-muscular retraining techniques and corrective exercises to effectively reinforce positive joint positions and range of motion for longer lasting results.

How do I know if I’m improving if I wasn’t in pain to start with?

We don’t just treat pain, we identify and correct the underlying dysfunctions of the body before they become symptomatic and affect your lifestyle. Through evidence-based functional assessment, we collect measurable and reliable data that allows us to calculate your risks of pain, injury and early degenerative changes of your feet. The data would give reliable baseline measurements to evaluate the improvement of your intervention, and not just simply judging your improvement by pain.

What about Orthotics?

Orthotics are great to alleviate some of your foot and leg symptoms. However, they do NOT correct the body’s dysfunctions. They support your feet and legs only at the time when you are wearing them. Without appropriate corrective or rehabilitative care, you can wear orthotics for many years and not get any improvement of your feet. Why just maintain or accommodate the problem by only wearing orthotics if there is a way to improve your body? We don’t settle with good result, we aim for correction of the body to optimise function and reclaim your health.

We want to make your feet more comfortable and stable rather than relying on external devices such as an orthotics. Imagine having the freedom of your feet without worrying about your orthotics and pain.

In fact, most of our patients do not have to wear orthotics or sacrifices the shoes they love to feel better.

So, can Orthotics help?

There are conditions orthotics would make positive effect to your body and contribute to your rehabilitative treatment. We assess your lower body thoroughly and provide genuine advice whether if orthotics can help you. If indicated, orthotics may be advised as part of your rehabilitation plan. However, most of our patients do not have to wear orthotics or sacrifices the shoes they love to feel better. Discover how .

Lymphedema and Low Level Laser Therapy (LLLT)

Does Low Level Laser Therapy work for Lymphedema?

YES! The laser treatment unit that we use is the ONLY lymphedema treatment that has been trialled in a randomised double blind study. The laser works very effectively in about 30% of patients and with some effect in about 50% of patients. Overall 80% of lymphedema patients would achieve some positive effect with our laser.

What are the risks of Low Level Laser Therapy?

Laser has been used since the 1960’s and there have been no reported negative effects. We do not use the laser over active cancer sites. Our laser treatment unit is a Class 1 laser and it will not burn, or raise the skin temperature. Therefore totally painless. It will not interfere with pacemakers or implants.

Does LLLT work for primary lymphedema?

A study has not been done for primary lymphedema patients, but we have several individual patients who have reported benefits for primary lymphedema.

How does the hand-held unit differ from the scanning laser?

Our hand-held unit is the same wavelength as the scanning laser, however, the scanning laser is usually a much more expensive treatment and treatment time is typically longer.

Unlike our laser unit, the scanning laser has not been trialled in a double blind trial to prove its effectiveness in lymphedema.

How does laser treatment actually work?

The laser affects the individual cells and re-energises them to be more active. This new energy helps to break up fibrous tissue and produces positive effects in the body as enhanced blood and lymphatic flow, and photo-mediated neural responses.

About Fungal Nail Laser Treatment

We get asked every day in our clinic: Where did I get my fungal nail infection from?

Fungal infection can be picked up from any public barefoot areas such as swimming pools, public shower and changing rooms. However, nail salon is by far the most common place where ladies get fungal nail infection.

The biggest risk factors in the development of fungal nail infection include; occlusive, dark, warm, and moist environment facilitated by general poor hygiene of the foot

A fungal infection is generally caused by a combination of these 3 factors; excessive thick skin, skin moisture and direct contact with pathogenic fungal organisms.

Use of artificial nails and nail polish can also contribute to the growth and spread of a nail fungal infection. As mentioned above, the occlusion of the nail “suffocates” the nail and the fungus can grow freely without being detected. Not only that, the nail polish can often be contaminated with fungal spores and can spread as you apply them on other nails. YES, fungal spores can survive in nail polish!

If you are on antibiotics or corticosteroid medications which suppress the immune system, you have a higher risk of picking up a fungal infection. This goes for other medical conditions such as diabetes and circulation problems which affect the body’s ability to resist any fungal infections.

Apart from the factors mentioned above, physical trauma to the nail such as wearing tight shoes, dropping heavy object on the nail and natural thickening of the nail as we age also increases the risk of fungal nail infection. Injury to the nail creates an opening for a fungal organism to get into the nail and start an infection.

Delaying treatment for fungal infection can lead to permanent damage to the toenails.

What can I expect during laser treatment?

The treatment is associated with a warm sensation under the nail bed and the patient generally describes no major discomfort. However, we have found a small majority of people have lower heat threshold than the others. Even if that is the case, any discomfort during treatment would be tolerable and not constant.

How soon can I expect results?

Toenail growth is estimated at 1.62mm per month on average for a generally healthy adult. So, do not be disappointed if you cannot see visible improvement after a few weeks. We usually start to see clear growth at the base of the nail after 3 months.

About Shockwave Therapy / Heel Pain

How does it work?

This is an evidence-based treatment for heel pain and Achilles tendinosis. Scientific studies show that medically induced shockwaves can cause a beneficial reaction in soft tissue through a few different ways:

  • overstimulates the pain nerve fibres to block an increase in pain stimuli and therefore intensifies the analgesic effect (Gate Control Theory).
  • Produces an anti-inflammatory effect (Inhibits the COX II enzyme)
  • Promotes healing by stimulating fibroblast (soft tissue cells) production for soft tissue healing- tendon, ligament, fascia, muscle; osteoblast (bone cells) production for bone healing
  • Breaks down calcification deposits and scar tissuesIn short, when applied where pain occurs, shockwaves produce an analgesic effect, increase blood circulation and facilitate the repair process.
What does the Shockwave Therapy involve?

Shockwave treatment protocols have been developed based on extensive clinical research. One course of treatment for an injured/painful area is usually between 3-6 weeks, with the shockwave being delivered at 1-week intervals. The shockwave energy pulses are applied directly to the affected area via a handpiece held against the skin. For most conditions, between 2000-3000 pulses are being applied to the area each time. Treatment effect will vary between people and injury being treated. Many of our patients have experienced an immediate pain relief from one treatment session after suffering for years. Generally, the relief could last up to 7-10 days after the first treatment. The treatment effect accumulates with repeated treatment for longer lasting relief.

Is it painful?

After examination of the affected area, shockwaves are applied via a handpiece held against the skin. The initial phase of treatment may cause some deep pain however this indicates correct targeting of the problem area. This is usually followed by numbness or heaviness in the area and the latter phase of the treatment feels less painful. The treatment sessions are of 5-10 minutes duration during which you may receive up to 3000 pulses. Many patients walk out of the treatment feeling immediate relief of pain.

AFTER THE TREATMENT: You may feel some soreness which may intensify on the night of treatment. Simple analgesia and icing might be required to control this pain. There might also be some minor bruising in the treatment area. You should rest from aggravating activities for 2-3 days after treatment as your practitioner will discuss with you.

SIDE EFFECTS: Post-treatment pain as above. Local bruising – uncommon and minor. Unlike cortisone injection and surgery, tendon rupture has not been reported following radial shockwave therapy,

About Nail Bracing

How quickly does the Brace relieve pain?

Most patients report symptomatic relief in just 30 minutes or less.

How long does the tension of the Brace last?

The correcting forces work for approximately 3-4 weeks. After this time, a new brace will be applied to the nail plate to reinforce the changes.

How many times should I have the Brace applied?

It depends on duration of the problem, sharp of the toe, and size, thickness and curvature of your toenail. The band grows with the toenail, minimal of 2-4 applications may be needed for long lasting result. Complete correction of the toenail could take longer.

Does wearing the Brace affect general lifestyle?

Not at all. There are no restrictions. The brace is invisible, so you won’t need to hide your nail!

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