Located in Frenchs Forest on the Northern Beaches of Sydney, Frenchs Forest Foot Clinic offers complete Podiatry care for the entire family, from children to the elderly, athletes to the inactive, for everyday aches through to complex sports injuries.
It’s been estimated that our feet carry us 128,000 kilometres in our lifetime!
Our feet exist as an intricate network of muscles, ligaments and bones. The feet contain one quarter of the bones in our entire body. This makes them a very important part of our anatomy and something that we really should not neglect.
Foot pain may result from a variety of causes such as:
- Footwear and Foot structure (biomechanics),
- Skin growths (corns and calluses and warts),
- Disease (diabetes, rheumatoid arthritis, osteoarthritis),
- Soft tissue injury or infection
Foot and leg pain that comes from the foot rolling in too much (pronation) or the foot rolling out too much (supination) can also affect the feet, ankles, knees, hips and lower back. Heel spurs, fallen arches, bunions, entrapped nerves and osteoarthritis can also cause foot pain. Many people put up with these problems for years and only get medical advice when it is too late and when surgery is needed. Early detection and treatment of foot problems can avoid a lifetime of trouble.
Frenchs Forest Foot Clinic particularly welcomes diabetic patients for assessment, complication screening and foot ulcer care.
Our aim is treat your foot and lower limb problems and then give you the tools and knowledge to prevent future issues.
At Frenchs Forest Foot Clinic we provide assessment and management of all lower limb conditions including:
- Childrens Walking problems
- Cracked heels
- Custom Insoles/Orthoses
- Diabetic Assessment
- Diabetic shoes
- Flat feet
- Fungal toenails
- Heel spurs
- Heel/Arch pain
- High arches
- Ingrown toenails
- Nail surgery
- Sports injuries
- Vascular assessment
- Wound / Ulcer Care
Feet & Diabetes
Amputation is about 15 times more common in people with diabetes and diabetics account for almost half the amputations carried out in Australia each year.
The vast majority of diabetic foot complications resulting in amputation begin with the formation of skin ulcers.
Early detection and appropriate treatment of these ulcers may prevent up to 85 percent of amputations
As well as impaired healing, diabetic wounds are observed to have a higher incidence of infection. At this time, a comprehensive understanding of diabetic wound healing has yet to be reached. However many important factors that disrupt healing in the diabetic wound have been identified.
The primary risk factors for diabetic foot complications are:
- Peripheral neuropathy
- Peripheral vascular disease
- Previous ulceration
It is essential to minimise the risk of diabetic foot pathology.
Careful inspection of the diabetic foot on a regular basis is one of the easiest, least expensive and most effective measures for preventing foot complications. Appropriate care of the diabetic foot requires recognition of the most common risk factors for limb loss.
Many of these risk factors can be identified based on specific aspects of the history and a brief but systematic examination of the foot.
All people with diabetes should receive basic footcare education and have their feet checked regularly.
At Frenchs Forest Foot Clinic we have amongst the most experienced clinicians on the northern beaches in the management of the high risk diabetic foot. We are able to offer:
- Routine screening including neurovascular assessment – looking at blood flow (pulses) and sensation the lower limb
- General maintenance (debridement and nail care)
- Footwear and footcare advice
- Insoles, orthotics, footwear modifications, casting and pressure offloading devices
- Wound management
- Ongoing management of the post op/ post ulcer patient
How do we treat diabetic foot ulcers
Because these ulcers almost always form in patients with loss of sensation in their feet (neuropathy), they are often painless. Even in the presence of severe infection, many patients have few complaints about pain or discomfort and are often more concerned with soiled footwear and stockings than with the actual penetrating wound.
Adequate debridement is the first step in the evaluation of a foot ulcer.
Debridement with a sharp instrument should remove all necrotic tissue and surrounding callus until a healthy bleeding edge is revealed this will help healing. Plain-film radiographs might be obtained to look for soft tissue gas and foreign bodies and to evaluate the ulcer for bone involvement. Vascular studies may also be necessary to more accurately evaluate blood supply to the ulcerated limb.
Appropriate dressings and offloading of the ulcerated area will optimise conditions for healing and in some cases antibiotics might be needed to treat underlying infection.
With careful management it is usually possible to heal diabetic foot ulcers.
Always interested in the human body and health, Isobel completed her Bachelor of Podiatry at Newcastle University. She furthered her studies by undertaking an Honours program in Health Sciences where she focused on Paediatric Biomechanics.
Isobel enjoys all aspects of Podiatry, however is keenly interested in the Diabetic foot, and has spent time at the High Risk Foot Clinic at both Westmead and John Hunter Hospitals. Isobel is a beach girl at heart and enjoys all activities by the water
Tracey qualified as a podiatrist in 1998. From having lectured podiatry students, holding executive positions with podiatry and foot related associations, as well as having worked in the public, private and aged care sector, Tracey has diverse varied experience.
Tracey has also completed a Postgraduate Diploma in Diabetes, and has particular interest and experience in diabetes and its effects on the feet. Having 3 children of her own has also given Tracey better insight into dealing with children and their feet. Tracey has published several articles and presented on numerous occasions at scientific conferences.
With a genuine passion for helping others Tracey strives to provide the highest level of care by utilising the best available evidence to guide clinical decisions.
Janine came to podiatry later in life after a career in business and the teritary sector. She is particulary interested in the older foot, but enjoys treating people of all ages.
Janine aims to keep people mobile and improve any foot discomfort. Outside of work she enjoys reading, gardening and her family.
Ground Floor Suite 1
49 Frenchs forest Road East
Frenchs Forest 2086
How to get there
There is patient parking conveniently located directly outside our front door and parking is also available next door at the Parkway Hotel & on Frenchs Forest Road East. The 136 bus stops nearby