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Making the decision to undergo foot surgery can be an anxious time, however being prepared and knowing what is expected during the recovery period can ease any worry and angst about the process. The recovery stage is different for all types of procedures and is also different for every person that undergoes surgery, however these points provide a general guide as to what to expect after foot surgery. These topics will be discussed both prior to surgery and during your post -operative care and recovery period by your surgeon and surgeon’s assistant. It is important that you bring up any queries or concerns you may have regarding your procedure prior to undergoing surgery.

You may require some form of immobilization

Most foot surgery procedures require you to wear a special post-operative shoe with a firm sole that prevents your foot from bending while walking. These Foot Surgery Perth - Post-operative Shoeare used for most bunion, hallux limitus and Morton’s neuroma excision procedures. They do allow you to walk immediately following surgery, however it is important to limit your weight-bearing time to what your surgeon has recommended. Some procedures such as ingrown toenail surgery require no immobilization and you are able to walk immediately afterwards in an open toed shoe or sandal. Most people can get back into regular enclosed shoes between 3 and 10 days following ingrown toenail surgery. Few foot surgery procedures require you to be completely immobilized either in a cast with crutches, or in a moon boot, however if this is a requirement for your surgery it will be discussed with you prior to the procedure.

Rest and elevation is vital for healing

Most foot surgery will result in minimal swelling, provided that you rest and elevate the area in accordance with instructions given by your surgeon. Excessive swelling at the area results in delayed healing times, therefore it’s best to focus on rest and elevation for a short period of time, rather that risk slower healing by doing too much too soon. Extra preparation prior to surgery such as pre-preparing meals or organising extra assistance around the house is a good idea to ensure you can rest as much as possible.

The area will need to remain clean and dry

To prevent the incidence of infection following surgery, your foot will need to remain clean and dry for a period of time. The bandage will prevent dirt and bacteria from entering the site, however it is important not to expose the foot to potential pathogens by walking in sand or dirt. The area will also need to remain dry at all times; this is easily done using a bag secured around the ankle. Baths are also a good alternative for people who are fit and mobile. You can begin getting the foot wet once the sutures have been removed and the wound is healed. Your surgeon will give you the all clear when it is safe to get the site wet.

Undergoing foot surgery shouldn’t be a negative experience! Getting back to the activities that you enjoy is something to look forward to beyond the recovery period. Making sure you are well informed about the specifics of your procedure and recovery will lead to a smooth and speedy return to activity. For an in-depth consultation with Dr Andrew Knox call (08) 9383 3851 or book online.

Disclaimer: This blog is intended for general information purposes only. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. 

Foot surgeries performed by Dr Andrew Knox of Perth Podiatric Surgery take place at four excellent facilities across Perth.

Perth Podiatric Surgery

Shop 8, 12-18 Napoleon Street, Cottesloe WA 6011

www.perthpodiatricsurgery.com

Foot Surgery Hospital Perth - Perth Podiatric Surgery

Perth Podiatric Surgery in Cottesloe is fully equipped to perform minor foot surgeries including ingrown toenail surgery, wart removal surgery and soft-tissue procedures such as hammertoe release. These procedures are performed by Dr Andrew Knox under local anaeesthetic at our practice. If you are worried about pain from the local anaesthetic injection, a simple pain-relieving inhaler (Penthrox) is available to be self-administered during the procedure, or oral sedation can be provided. Most minor procedures last between 15 and 30 minutes, and usually require only mild pain relief afterwards.

The Park Private Hospital

14 Alvan Street, Mount Lawley WA 6050

www.tpph.com.au

Foot Surgery Hospital Perth - Perth Podiatric Surgery - The Park Private Hospital ExteriorThe Park Private Hospital is a recently refurbished, modern facility located in the heritage precinct of Mount Lawley. With 19 beds, 2 brand new operating theatres, and a dedicated team of nursing and administration staff, The Park Private Hospital aims to provide patient focused care of the Foot Surgery Hospital Perth - Perth Podiatric Surgery - The Park Private Hospital patient roomhighest level. Dr Andrew Knox of Perth Podiatric Surgery, Cottesloe operates at The Park Private Hospital on a regular basis performing a wide range of foot and ankle surgeries.

Patients are either admitted overnight, or have their surgery performed on a day surgery basis. Whether of not you need to stay overnight following a procedure depends on the type of procedure you are having done and any medical conditions you may have. This will be discussed with you by Dr Andrew Knox and your anaesthetist prior to surgery. Common procedures performed by Dr Knox at The Park Private Hospital include; bunion correction surgery, hallux rigidus surgery, hammertoe surgery and surgery for Morton’s neuroma. More complex midfoot and rearfoot procedures such as the repair of foot fractures, tendon debridement and repair are performed by Dr Knox at this hospital also. Procedures can be performed under general anaesthesia, with intravenous sedation or local anaesthesia. The Private Park Hospital is recognised as a HBF Member’s Plus Hospital and a Medibank Private Member’s Choice Hospital.

McCourt Street Day Surgery, West Leederville

28 McCourt Street, West Leederville WA 6007

www.mccourtstdaysurgery.com.au

Foot Surgery Hospital Perth - Perth Podiatric Surgery - McCourt Street Day SurgeryMcCourt Street Day Surgery is a privately owned day surgery facility located in West Leederville, where Dr Andrew Knox performs foot surgery procedures under general anaesthesia, intravenous sedation and local anaesthesia. Common procedures performed at McCourt Street Day Surgery include surgery for ingrown toenails, bunion correction surgery, Morton’s neuroma surgery, hammertoe surgery and hallux rigidus (arthritic big toe joint) repair. McCourt Street Day Surgery is recognised as a HBF Member’s Plus Hospital and Medibank Private Member’s Choice Hospital.

Walcott Street Surgical Centre

41 Walcott Street, Perth WA 6050

www.tpph.com.au/about-us/walcott-street-surgical-centre

Foot Surgery Hospital Perth - Perth Podiatric Surgery - Walcott Street Surgical CentreThe Walcott Street Surgical Centre is a licensed and accredited day procedure facility. The centre caters for outpatient foot surgery procedures performed under local anaesthesia. Dr Andrew Knox generally performs minor soft tissue surgeries here including ingrown toenail surgery, surgery for toenail deformity and wart removal surgery.

 

 

For further information on any of the hospitals or day surgeries listed above, please contact the relevant facility of Perth Podiatric Surgery on (08) 9383 3851 or via email here.

Disclaimer: This blog is intended for general information purposes only. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. 

Foot specialists in Perth see a wide array of foot and ankle complaints through their doors each day. Many patients see a Podiatric Surgeon as their first point of contact, while others will be seeking out a second opinion or want further options following failed regular podiatry treatment. A foot specialist is highly trained in understanding and diagnosing your foot problem, as well as providing up to date, proven treatments that may consist of surgical or non-surgical management. Listed below are some of the most common podiatric conditions seen by Foot specialists in Perth.

Bunions

Also known as Hallux Valgus, bunions are a common foot problem, which result in painful deformity of the big toe joint. Bunions can affect people of any age or gender and cause problems with fitting into normal footwear and pain or nerve discomfort within or surrounding the joint. Bunions should be assessed by a foot specialist who can advise on the most suitable treatment for your bunions based on the degree of the deformity, the quality of the bone and joint and your medical and family history.

Hammertoes

Hammertoes occur when the lesser toes become retracted from their normal position. Often painful lesions such as corns or callous can occur on the bony prominences due to pressure and some people will also experience shoe fitting problems and pain under the ball of the foot. Surgical intervention by a foot specialist is aimed at straightening the toe by release of tendon structures and/or re-aligning the small joints.

Arthritis of the big toe joint

Also known as hallux limitus, arthritis of the big toe joint involves a progressive limitation in movement, causing pain, stiffness and discomfort during activity. Hallux limitus may occur due to a number of factors including inflammatory, traumatic, structural and functional causes. Manufactured custom made orthotics by a podiatrist aims to offload the big toe joint, reducing pain during activity. Hallux limitus should be assessed by a foot specialist to assess the degree of limitation and arthritis within the joint. A foot specialist will also advise on whether surgery may be necessary to increase motion and improve function of the joint.

Morton’s Neuroma

People with Morton’s Neuroma often complain of pain in the ball of the foot, numbness, tingling or shooting pain in their toes or the feeling of ‘walking on a pebble’. These common symptoms are the result of the nerve that provides the toes becoming entrapped and scarred. Initial treatment often involves a clinical assessment and sometimes imaging is required to confirm the diagnosis. A foot specialist can advise on both conservative and surgical management options with can include footwear changes, offloading, corticosteroid injection or surgical removal.

Ingrown Toenails

Ingrown toenails are a common nail disorder in which the nail grows into the soft flesh at one or both sides of the nail. This generally results in symptoms such as pain, redness, swelling and sometimes infection. Ingrown nails most often occur due to poor nail cutting technique, trauma, ill fitting footwear or genetic pre-disposition. Nail surgery is a safe and effective procedure commonly performed by foot specialists in Perth and provides a permanent solution to fix ingrown toenails.

At Perth Podiatric Surgery, Dr Andrew Knox is highly experienced in performing foot surgery for the people of Perth of all ages. If you are wanting to have your need for podiatric surgery assessed or a second opinion on a podiatrist’s advice, please book an appointment online or call us on (09) 9383 3851.

Disclaimer: This blog is intended for general information purposes only. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. 

One of the most important aspects of maintaining a healthy lifestyle is physical activity, and in order to move our bodies regularly, our feet must be in top condition. The prevalence of lifestyle diseases is on the rise in today’s modern society and inactivity is a leading cause of many of these chronic diseases.

Research shows that painful feet or foot deformity can significantly impact on a person’s ability to remain physically active. Our specialist podiatric surgeon, Dr Andrew Knox, diagnoses and treats foot and ankle problems via surgical and non-surgical methods. We see a range of different foot problems that limit physical activity including bunions, hammertoes, Morton’s neuroma, flat feet, plantar fasciitis and Achilles tendon issues. Dr Andrew Knox is experienced in treating foot problems in people of all ages, from those who enjoy a daily walk with the dog, right up to the professional athlete.

Based in Cottesloe, Perth, your consultation with Dr Andrew Knox will involve a detailed history, examination and evaluation of your current activity levels. Through a comprehensive treatment and management plan, patients are often quickly able to get back to their desired activity levels with less shoe-fitting problems, reduced pain during activity and quicker recovery from exercise due to improved lower-limb function.

If your feet are stopping you from keeping active or living the energetic lifestyle you want, book an appointment online here or call (08) 9383 3851.

Disclaimer: This blog is intended for general information purposes only. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. 

If your foot problem has not responded to treatments provided by other health professionals, we recommend seeing our Podiatric Surgeon Dr Andrew Knox for opinion. Dr Knox is registered as a Specialist in Australia and is the best qualified person to offer advice on what surgical and non-surgical treatment methods are available for your foot problem.

We find that many patients only find our practice details out of sheer frustration, after trialling years of unsuccessful conservative treatments. This is contrary to best practice, which would suggest that early Specialist opinion from a Podiatric Surgeon may significantly reduce the potential for unnecessary treatments and cost to the patient.

As part of your Specialist appointment with Dr Knox, your foot problem may require a number of examinations including a detailed history of the problem, clinical assessment, radiographic evaluation, biomechanical tests and screening of your general health and medical fitness. In most cases a diagnosis and management plan can be provided on the day, however in some cases patients will require further tests to be performed such as MRI or input from another medical specialist.

You do not require referral to see a Podiatric Surgeon, however it is helpful if a summary of your previous treatment history or scans (e.g. x-rays) can be provided at the time of your appointment.

Book an appointment with Dr Andrew Knox for a review of your unresolved podiatry concerns to discuss how we can improve your foot and ankle health. Book online through HealthEngine here.

Disclaimer: This blog is intended for general information purposes only. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. 

Custom made orthotics are specially-designed insoles which can help to treat a variety of common foot problems and gait problems. Podiatrists are the only professionals who are suitably trained and qualified to provide custom made orthotics in Perth, and have the best understanding about the mechanics of the feet and lower limbs. Conditions including heel pain and arch pain, flat feet, high arched feet, Morton’s neuroma and shin splints can be successfully managed through orthotic therapy in combination with other podiatric treatments.

How are custom orthotics made?

We use the latest in orthotic technology to manufacture custom made orthotics at Perth Podiatric Surgery. This involves using a 3D camera to capture an image of the foot and a detailed biomechanical assessment including visual gait analysis. Our orthotics are 100% locally made in Western Australia and generally take around 1 week to turn around from the date of scanning.

What are custom orthotics made of?

The orthotic shell is made of a semi-rigid polypropylene plastic which is covered by a soft vinyl or neoprene material. They do not generally feel hard underneath the feet when they are worn and can be designed to fit in most pairs of shoes and sandals. Our experienced podiatrist and specialist podiatric surgeon will determine how much mechanical control is required in the orthotic in order to provide better alignment to the foot and reduce any excessive pronation.

How long do orthotics last?

Custom made orthotics are very durable and can last between 5-10 years before they have to be replaced for a new pair. The top cover material will wear down quicker than this however, but can be replaced through our practice for a fee of $60.00

How much do orthotics cost?

Our practice charges $850.00 (Current 24/02/2017) for a pair of orthotics to be made, which is inclusive of the Biomechanical Assessment and Orthotic Scanning Appointment, Manufacture of the orthotics themselves, and a Progress review appointment. All private health insurers provide rebates on custom made orthotics, and generally cover at least 50% of costs for the manufacture of the devices. Patient’s are therefore only required to pay ‘the gap’ on their orthotics, as most of the cost is rebatable on-the-spot via HICAPS. Occasionally, further modifications have to be performed on the orthotics after they are issued, but there are no additional costs incurred by the patient for this service.

Perth Podiatric Surgery utilises state-of-the-art 3D orthotic scanning technology to create a product which is fully customised and durable. If you think orthotics could help your foot problem, book an appointment to see Dr. Knox today by calling 9383 3851 or booking online.

Bunions are a very common podiatric issue with many people (especially women) developing the big toe deformity as they age.

When a bunion develops, the big toe will begin to point towards the other toes as opposed to straight. The result is a bump on the joint of the big toe which eventually becomes swollen, inflamed and painful.

If non-surgical treatments for your bunion haven’t adequately relieved the pain, surgery may be the next step. We discuss what to expect from bunion surgery.

Before bunion removal surgeryBefore Bunion Removal Surgery

  • Your podiatric surgeon will talk you through any issues specific to you prior to surgery. As with any surgery, your general health will be assessed prior to undergoing a surgical procedure for bunion correction.
  • Some medications may need to be ceased, which will be discussed with you by the anaesthetist.
  • Fasting will be required prior to surgery; how long for will be advised by your anaesthetist in a consultation leading up to the bunion removal surgery.
  • Bunion removals are performed as an inpatient procedure in hospital, and may occur on a day surgery basis or with an overnight stay.
  • You will be unable to drive safely following the surgery so it is important a ride home is organised beforehand.

During the bunion surgery

  • Most of the time, the surgery is performed under a general anaesthetic.
  • Depending on your case, your podiatric surgeon may perform the bunion removal surgery in a number of different ways:
    • Osteotomy – cutting the big toe joint and realigning the toe
    • Arthrodesis – replacing the damaged joint with screws / plates
    • Exostectomy – removing the bump from the joint without re-alignment being required

After your bunion removal surgeryAfter Bunion Removal Surgery

  • Healing from bunion removal surgery takes 2-3 months, however a degree of swelling may persist for up to 12 months after surgery. This process will be monitored periodically by your podiatric surgeon.
  • Avoid getting your stitches wet by protecting it in the shower and not swimming until it is advised safe to do so.
  • A post-operative sandal will be prescribed for wear that will prevent your toe from accidental knocks and scrapes in the first few weeks that will impact recovery.
  • Crutches or walking frames are not usually necessary after bunion removal surgery and patients are usually permitted to put full pressure on their foot straight away. It is best to take it easy and avoid standing as much as possible in the first few weeks after surgery.
  • Pain after surgery varies between patients individually, however it is usually controlled through a combinations of paracetamol and codeine-based painkillers. The anaesthetist will discuss the most appropriate pain relief medication to suit your needs after surgery.
  • Ice can be used to reduce inflammation and swelling early on in the recovery, however you should expect some swelling to remain for the full recovery period.
  • Patients are usually required to commence self-physiotherapy exercised as home a few weeks after surgery. This allows for normal movement and strength to be regained in the big toe after the operation.

 

 

Dr Andrew Knox is one of the few certified foot specialists and podiatric surgeons in Australia. If you think bunion surgery could be right for you, organise a consultation today by calling 08 9383 3851 or booking online.

Disclaimer: This blog is intended for general information purposes only. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.