Podiatry

heel pain in runners

Heel Pain in Runners

Heel Pain in Runners 600 400 Ace Health Centre
Heel Pain in Runners is one of the most common injuries that will present to a Podiatrist. There are many causes of heel pain in runners. For the purposes of this article we will focus on heel pain due to overuse, in particular Plantar Fasciitis.

What causes Heel Pain in runners?

Running is a high impact sport. During running, peak ground reaction forces are typically 2-3 times body weight. This places considerable stress on the foot structures, in particular the Plantar Fascia and heel bone. Heel pain occurs when to load going through the plantar fascia continually exceeds what the tissue can tolerate. An example of this is when we increase our training volume or intensity too quickly. In this case our body hasn’t been given adequate time to get stronger and cope with the increase in load.

Tips to Prevent Heel Pain when running

  • See a Podiatrist or Physiotherapist who can assess your Running technique and foot posture.
  • Choose the correct Running shoe for your Foot Function, a Podiatrist can guide you on this.
  • When starting a new activity or sport, start out slowly managing training load. Doing too much too soon does not allow adequate time for tissues to adapt to the increased load they are under.
  • Strength and Flexibility, engage in some strength and conditioning exercise specific to your sport.
  • Quality Sleep and Nutrition. Sleep is very important for recovery, growth and repair. Fuelling the body with the right types of foods also plays an important role in injury prevention.

How can a Podiatrist help to treat Heel Pain?

The most important part is to reduce the load in the damaged tissues. As Plantar Fasciitis is caused by excessive load in the tissue, it is desirable to reduce the load in the short term. This helps to facilitate healing.

1) There are a few useful strategies for this;

  • Foot Orthotics / insoles; Custom insoles with the appropriate design are effective in reducing the load in the Plantar Fascia
  • Strapping;Certain methods of strapping that can reduce the load in the tissue immediately leading to immediate pain relief
  • Reduce training load; by stopping or modifying running or other activities until the tissues heal and pain subsides
  • Calf muscle stretching; stretching the calf muscles has been shown to be effective in reducing the load in the Plantar Fascia

2) Increase the ability of the Tissues to take the Load

  • High Load Strength Training for Plantar Fasciitis; High load strength training is aimed at progressively and slowly increasing the load on the Plantar Fascia. This is so it can adapt to be stronger and be tolerate his forces going through it. Evidence suggests High Load Strength training may aid in quicker reduction in pain and improvements in function.

Conclusion

There is no need for heel pain to become a long term chronic problem. Early appropriate intervention ensures the best outcome. This ensures a quicker reduction in pain, improved function long term and reduced likelihood of reoccurrence. Custom orthotics are one of the most effective way to get out of pain and allow an increase in load.

Call us today to book with out Podiatrist and see how we can help you.

Podiatrist Job Gold Coast

Podiatrist Job Gold Coast 150 150 Ace Health Centre

Podiatrist Job Gold Coast

A very exciting opportunity has arisen with a podiatrist job on the Gold Coast becoming available. Ace Health center is one of Australia’s leading podiatry and physiotherapy clinics, located in Clear Island Waters on the Gold Coast. Our goal within the clinic is to maintain a very high standard of clinician and patient care. In other words, we make sure our staff are taken care of, so that they can take care of their patients. One of our highest priorities is making sure our staff are happy. I have previously worked in a job where I was seeing up to 40 clients per day on the busiest days. I know how this affected me and so aim to never do this to any of our employees. You will never be overbooked, you will have time todo notes and letters, and have weekly CPD to maintain a high standard of care and knowledge. If the team well we will show our appreciation. For example, in November the team had a great month and so everybody took paid time off to spend the afternoon jet skiing.

In addition, we have a brand new clinic. This means that now is the perfect time to apply for our podiatry job as we further progress our clinic and services available.

So….. this is what’s available for you in the podiatry position?

  • Shockwave therapy
  • Nail surgeries
  • Full-color 3D printed orthotics
  • 3D scanning
  • Learn orthotics 3D design skills
  • Learn orthotics manufacture skills
  • Balance and strength CPD
  • Gym and pilates set up
  • No home visits or nursing homes
  • Ongoing education and CPD
  • Working with Australian podiatrist of the year
  • Work with and learn from 4 physiotherapists
  • Full reception service todo your bookings, sterilizing, payments, and more
  • A high Biomech caseload prescribing 40+ sets of orthotics per month
  • Pediatrics, sports, and generally mixed client caseload
  • Time todo notes and letters each day
  • Education for having clients complete their rehab and treatment plans
  • If you want something to help treat, feel free to order it. Keeping high standards of treatment is important.
  • Wireless ultrasound
  • And More…..

Our podiatrist job Gold Coast is 2km from Pac fair in Broadbeach, so very centrally located. This, therefore, means easy access to work from some of the best places to live on the Gold Coast.

What do we expect from you, our new podiatrist?

  • Firstly we want you to be open to learning new skills
  • Arrive 15 mins early to work, to allow time to get ready and make a coffee if needed
  • Be open to the way we treat. Every team works differently for every business. Being open to follow our way of operating is very important. This way our great vibe within our Gold Coast podiatry clinic can continue, and so will our great services
  • Work hard. Nothing in life is free, having a good work ethic is very important to us. If we feel you have this then you will be rewarded equally as much
  • Work as a team. I know this is in every job description and it’s there for a reason. Keeping a team’s ethos is important. Having teammates you can rely on is priceless
  • In addition, it’s important to finish all of your notes and letters before you leave each day.

In conclusion, the podiatrist job Gold Coast is available now for you to contact us and apply. Most importantly, please send your CV to admin@acehealthcentre.com or give us a call on 5572 6222

 

 

 

rolled / sprained ankle

How to heal a rolled or sprained ankle

How to heal a rolled or sprained ankle 632 522 Ace Health Centre

How to heal a rolled or sprained ankle

A rolled ankle (or sprained ankle) is a very common injury within daily activities as well as sport. Sports that involve running, cutting, and jumping are at higher risk. So what happens when you do experience one, and how do you heal a rolled ankle?

What happens?

A rolled ankle occurs when we land improperly, receive contact from someone, or take a misstep off an edge. When this happens the structures within the ankle (ligaments) that are used to provide support are stretched and blood vessels are popped as well. This is why we see swelling within the rolled ankle very quickly, as well as pain, and some feeling of unsteadiness later on.

How bad is it?

Although it is very common, and may seem scary at first there is little to worry about. Depending on the intensity of the sprained ankle, you may have experienced minor stretching of the ligament. You will experience swelling and some pain or discomfort. In rare instances we will see further stretching, or complete tearing of these ligaments.

How to heal a rolled or sprained ankle?

Regardless of the extent of the sprained ankle we can see a good recovery if the proper steps are taken. Early on it is important to follow the RICE principle – Rest, Ice, Compression, and Elevation. This principle will allow time for the tissues and structures to heal. This allow the body to naturally begin the healing process. After the first 1-3 days it is important to start doing gentle movements in order to keep the ankle moving freely. Movement can  prevent any further stiffness in the ankle. Following the next week it is important to begin some strengthening exercises along with balance exercises to provide support in the injured area.

Book in today to get more information and help! Call 55726222 or book online. 

5 heel pain treatment home tips to get you started

5 heel pain treatment home tips to get you started

5 heel pain treatment home tips to get you started 1200 630 Ace Health Centre

Being a podiatrist over the years I’ve seen more plantar fasciitis and heel pain cases than probably any other injury. If you have it I can almost guarantee you know somebody else whos had it. Heel pain, if not treated properly, can stick around for years. So, before you see a health professional. Preferably a podiatrist. Heres 5 heel pain treatment home tips to get you started.

Heat in the mornings

As you know, with plantar fasciitis, it tends to be worse in the mornings, or after long periods of rest/sitting. This is because the facia (a thick band of tissue)is cold and tight. The same way your body ceases up when it’s cold. We, therefore, need to warm it up. Get it to relax, so it’s not so tight. The heat not only allows it to relax off, but it also helps bring blood to the area. Blood is essential for healing. So… Grab yourself a hot wheat pack, a hot water bottle, a hot footpath. Place your foot in it for 10 minutes, in the morning and lunchtime. It’s important not to add heat in that evening. This is the first heel pain treatment of the day for you.

Calf strength

The reason for the injury in the first place is due to the fascia not being strong or conditioned enough. Like any other injury, we need to add a strength component. Doing calf raises helps put a load through the fascia, helping it to get stronger. Depending on your level of strength and injury you can perform either double leg or single leg calf raises, and progress onto hopping. You wasn’t to be able to progress your exercises to optimize your heel pain treatment plan

Hip and glute strength

Hip and glute strength is extremely important in creating stability within the foot. It’s often something that’s missed when treating painful heels. Your hip and butt muscles are essential for an efficient gait. Creating more stability from the hip can help stop the foot from being as unstable. This, therefore, helps stop the overuse of the fascia along the bottom of the foot. This allows for the area to recover and heal a little more.

Balance for heel pain treatment

It sounds silly but a lot of people suffer from poor balance. It’s not as if you’re practicing your balance when your walking, standing or sitting. So, unless you do an activity that involves balancing, the truth is your probably not good at it. When you walk you place one foot on the floor and the other leg swings. You balance on one foot for a short period of time. If your balance is not good it will make that grounded foot very unstable. This can make the fascia in your foot, work overtime, and increase its risk of injury. Performing simple 1-foot balance exercises daily can help with this.

Wear GOOD shoes

Wearing just any shoes will not help. In fact, wearing the wrong shoes can make it worse. Sticking in a good sports shoe that has been prescribed to your foot type by a podiatrist is the best thing you can do. Stay away from very soft shoes. Soft shoes will give you short term relief but the long term will make it worse. This is a huge part of your heel pain treatment. When you get out of bed get straight into your shoes!

no gap orthotics gold coast

No Gap Custom Orthotics On The Gold Coast

No Gap Custom Orthotics On The Gold Coast 600 400 Ace Health Centre

No gap orthotics on the gold coast

At Ace in Gold Coast clinic we’re not just doing cheap or semi custom orthotics for our no gap* deal. We are supplying MotionX world’s first fully custom 3D printed orthotics. These are at the top of orthotic innovation and customization. New to the world of supplying orthotics their technology was only available as of 2019. They are the first in Australia to possess this technology an one of the first in the world. We are very lucky to be the first clinic in the world that has started supplying them. Our no gap* orthotics gold coast offer is available now.

No gaps in our No gap* deal

Just because you don’t pay anything out of pocket doesn’t mean that you will receive any less attention, service or followup. As the same as everybody else, you will receive a biomechanical analysis, free / no gap* fitting and follow ups, and a satisfaction guarantee.

 

What type of orthotics can you have?

The answer is whatever you need. If you need some new orthotics to help you hit that new PB, to recover from an injury, to help prevent you getting an injury or for everyday comfort.

We have models for your dress and fashion shoes, high heels, running shoes and more. You can choose from harder materials and softer, or we can cover hard materials with soft materials.

We can do all of these options with out no gap offer* at our clinic located mid Gold Coast.

 

How do i claim for my No Gap* Orthotics on the Gold Coast

To claim for our no gap orthotics offer at our Gold Coast clinic there are a couple of things you need to know. *No gap is subject to your private health fund, fund rules, level of cover, being processed via out HICAPS and reset date. To be able to claim you must have an appointment with our podiatrist. Please also note To be able to claim we must swipe your health fund card for the orthotics at the time of collection.

Please note that it is not our responsibility to know what level of cover you have and how much your health fund will cover you for. Accept all major health funds including HCF, Medibank, BUPA, CBHS, Teachers, Defence Health and more.

 

To get your no gap* orthotics gold coast book here today.

Pressure distribution analysis. ACE Health Centre. Gold Coast.

Podiatrist Job On The Gold Coast

Podiatrist Job On The Gold Coast 1000 667 Ace Health Centre

The Ultimate Podiatrist Job On The Gold Coast

Here at ACE health center, we have come to the point where we need to add to our team! We are looking for a podiatrist who would like to work and live on the sunny Gold Coast. Ace health center is a multidisciplinary clinic that also utilizes pilates and gym equipment to help rehab clients back to health. Our clinicians have a strong background in strength and conditioning and would love to be able to pass their knowledge onto somebody new.

So why come work for us?

  • We have state of the art facilities including 3D scanners, shockwave therapy, digital gait analysis, pilates, and gym
  • We pioneer the worlds first full-color 3d printed orthotics
  • Use Australia’s only full color industrial in house 3D printer
  • Try orthotic manufacturing and finishing
  • Learn digital orthotic design
  • Perform shockwave therapy
  • Learn injury rehab with strength and conditioning qualifications
  • Learn about business
  • Get a mixed client load, from ages 1-100 years old
  • Mixed treatment base – ingrown toenails, orthotics, injury rehab, corns, callus, verrucae, balance classes and more
  • Learn from the Gold Coast top 3 podiatrists 2019, podiatrist of the year finalist 2019, and young entrepreneur 2017, 2018, 2019
  • Learn from Griffith uni lecturer and our physio Amelia
  • Have fun with our great team
  • Regular clinical meetings and learning
  • Quarterly CPD with an external talker
  • Company mobile phone and possible car (dependant on job taken and experience)
  • Learn digital gait analysis
  • No cleaning your own instruments or doing your own sterilizing
  • We have an air purifier (trust us, this one is important)
  • We reward hard work and teamwork

What do we want for our Gold Coast Podiatry position?

  • Hard-working – we reward hard work and it won’t go unnoticed
  • Teamwork – nobody is superman, so offload some things and help each other out
  • Refer – no one person can know or do everything. What has a great team and they are all very smart.
  • Tell the truth – this may seem like a simple one but sometimes tell the truth can pay off
  • Talk to us – If you have a problem and we don’t know, how can we help you, or resolve the issue.
  • Be happy and have fun – these things are contagious and rubs off on each other

I’m not really sure what else you would want in a job?

Our Gold Coast podiatrist job can either be clinical or a mix of clinical and representative work (chatting to orthotic clients, helping them prescribe, showing products and doing walkthroughs). We are open to knowing what you want in a job and what you hope to achieve within your time with us. Within our Gold Coast podiatry job, you can choose your own role. You can either have a very clinical role or part clinical and part sales / representative role.

We have 3 Physio’s, dietitians, pilates, and podiatry in our clinic. in clear island waters. There is a lot to learn from each modality and we can all benefit each other and help our clients better.

We hope that after reading this you will have an idea if this is the job for you. If you think you have what it takes then give us a call today and ask to speak with Mike!

Orthotics – why has the podiatrist recommended them?

Orthotics – why has the podiatrist recommended them?

Orthotics – why has the podiatrist recommended them? 600 600 Ace Health Centre

Orthotics. – why has the podiatrist recommended them?

Orthotics have many uses. Depending on the patients medical history, drugs, muscoskeletal pathology, footwear, skin type will make up the decision of if orthotics are needed and the prescription of the orthotics. There are many differences between over the counter and custom. The main thing is that you get what you pay for in terms of fit, durability, comfort and service. Most of the over the counter insoles will be too soft to provide support and so defeat the point of having an orthotics.

An orthotics is only as good as you shoe you place it into and so its important the shoes is stable and firm. Placing it into a soft unstable shoe will not provide enough stability for the orthotics to have a outcome in. We use motionX to manufacture ours. 

An orthotic though should never be thought of as a final cure. It should be looked as as part of a multi-disciplinary treatment.

Here is a list of reasons why a patient might need orthotics and why a podiatrist has prescribed them.

 

Pressure redistribution

This is one of the main reasons a podiatrist will prescribed an orthotic. For pathologies such as diabetics, neuropathy, poor circulation, cancer, chronic pain issues and rheumatoid arthritis. Taking pressure under the arch and redistributing it to other places will help to increase circulation to areas that were under high pressure. This reduces pain, reduces risk of ulceration, reduced the formation of hard skin and callous / corns. A callous and corn can be as dangerous in a diabetic person as a melanoma! Supporting the arch take more pressure off the ball of

the foot during gait that metatarsal domes.

 

Create stability

In people with neuropathy, elderly patients with falls risks, people with chronic ankle sprains increasing the point of contact increases neural feedback to the brain. This can help improve balance and reduce risk of falls and injury. One of the last areas in the foot to lose sensation is the arch. Therefore, having contact with the arch is important in people with these issues.

 

Sports and msk injuries

Chronic sports injuries often need help healing. When you injure your arm or a finger you can put it in a cast of sling. With the foot this is very different as a person needs their feet every day to walk and stand. This weightbearing means that areas never get chance to rest and heal. Orthotics can move areas of load, change mechanics and therefore allow areas to heal up faster.

 

Reduce injuries

Just like going to the dentist a podiatrist looks for pathological movements, weaknesses and structures that can cause injuries. If these are seen then orthotics may be prescribed to help prevent future complications. Just like people clean their teeth and use braces for prevention. Appropriate footwear and orthotics can play just as important part.

 

Realign structures

Everybody thinks that this is what orthotics are for, and yes they are correct in ‘some’ cases. Though that is dependent of the patient’s needs. Whether they need a devise that is palliative or aiming to change structural alignment. One that change aleignment are good for a few issuers such as knee arthritis, tibialis posterior dysfunction, excessive supination, hip bursitis, and a big leg length difference. To be able to have a orthotic that will realign a structure will depend on the patients mobility with their lower limb as you cannot change a ridged structure.

To get your orthotics Book Here

ACE dry needling treatment

Dry Needling, What does it involve?

Dry Needling, What does it involve? 1000 667 Ace Health Centre

Dry Needling involves inserting a sterile, single-use acupuncture needles directly into muscles trigger points. Trigger points are composed of taut bands within the muscle. These regions cause and contribute to pain.

Research studies have shown that inserting such needles into trigger points causes biochemical changes. These changes occur within the body, which help reduce pain.

Is Dry Needling the same as acupuncture?

Although Dry Needling uses the same needles as acupuncture, it is not the same technique. Needling is strictly based upon Western medicine principles. It is designed to treat myofascial trigger points. These trigger points are different from traditional acupuncture points.

How does dry needling work?

Pioneering studies by Dr. Jay Shah and colleagues have shown that inserting needles into trigger points causes biochemical changes that alleviate pain. It is essential to elicit local “twitch” responses within the muscle. These twitches are the first step to breaking the pain cycle and releasing tight trigger points within muscles.

Is it painful?

Firstly the initial insertion of the needle does not usually cause any discomfort. The local twitch response can cause a brief painful reaction. In addition some patients describe this as an electric shock or a cramping sensation.

It is important to remember that the therapeutic effect only occurs by achieving a twitch response. Therefore, it is a desirable reaction. Most patients describe the treatment as feeling uncomfortable, but not painful.

Are the needles sterile?

Yes. We only use sterile, single-use, disposable needles.

What will happen after treatment?

It is common to feel some soreness post-treatment as with many manual therapy techniques. However, once this soreness has subsided there should be an improvement in the initial symptoms.

Typically, soreness can last anywhere between 1 hour and 2 days post-treatment. Some patients require 1-2 Dry Needling sessions, while others require 8-10. Therefore individual results can vary.

What can I do after the treatment?

In addition it is recommended to apply heat to the muscle post treatment. Heat helps to alleviate post-treatment soreness. You may need to temporarily modify your exercises or activities for 1 or 2 days afterward. Dry Needling is only one part of your treatment. Multiple therapy techniques can also be used to gain the best results.

In addition, your physio advise you on the correct exercises to perform in conjunction with your dry needling. After that the exercise programme will be progressed over time via your physio. Progressing exercises is important to complete your rehabilitation.

Conditions treated with Dry Needling?

Dry needling is used treat a variety of  different injuries all over the body. For example:-

  • Back and neck pain
  • including postural problems and tension
  • Arm pain (shoulder impingements, tennis or golfer’s elbow)
  • Headaches
  • Buttock and leg pain (including sciatic pain)
  • Hamstring strains
  • Knee pain
  • Calf tightness or cramps

 

In conclusion, Dry needling can be extremely beneficial for many injuries. Book today for your Dry Needling session with out talented physio Lily

Ingrown Toenail.A condition in which the corner or side of a toenail grows into the flesh . Best podiatrist Gold coast. Bulk Billing Podiatry. Medicare Podiatry. Ace Health Centre.

Fixing an ingrown toenail on the Gold Coast

Fixing an ingrown toenail on the Gold Coast 1000 667 Ace Health Centre

Fixing an ingrown toenail on the Gold Coast

Fixing an ingrown toenail on the Gold Coast is a fast and easy procedure. Many people have horror stories from prevues treatments where they have needed stitches, the nail has returned and worse the nail is still infected. The other point is that a course of anti-biotics will not cure an ingrown toenail. If the nail is still in the skin the infection will simply return once the course of antibiotics has worn off. If the piece of nail, is not removed the issue will not be resolved. There a quite a few different treatment options.

Ingrown Toenail Treatment Options

Trim the nail

This is often the case for first timers. The cause of the ingrown toenail is often damage. The toenail was possibly cut wrong, a spike was left or it was kicked. Therefore trimming the nail so then it can grow out normal can sometimes resolve the issue. If it is particularly painful and aesthetic can be given.

Surgery with Phenolisation

This is the best way to resolve re-occurent ingrown toenails, or toenails with growth of excess skin at the side (hyper-granulation tissue). This is performed under local anaesthetic. The side of the nail is gently lifted and the nail trimmed. It is then removed. Phenol is then applied to the area the nail was removed. The phenol prevents the nails from regrowing in the area it is applied too. This is 99% successful if applied correctly. This is the best way for fixing an ingrown toenail.

Total removal of the nail

For extreme cases where the nail is very damaged, has extreme fungal infections where the nail is very thick. In other words this can be the best option. The nail is again numbed with a local aesthetics, gently lifted, removed and phenol applied. Above all when healed healthy skin covers the surface of the toe where the nail used to be. This makes it look clean and not obvious than anything has been done.

 

Conclusion For Fixing An Ingrown Toenail

In conclusion if you want a job doing correctly then go to the correct specialist. It’s the same as taking your car to a guy who fixes then from home, or taking it to a person who specialises in that brand. You are always going to get a much better outcome and job with the specialist. Whatever procedure you require fixing an ingrown toenail is pretty straight forward and easy. Call us today to book in today at our Gold Coast clinic with out podiatrist and see if we can help.you.

lower back pain treatment

Lower Back Pain Factors & Treatment

Lower Back Pain Factors & Treatment 788 522 Ace Health Centre

In this blog we will discuss Lower Back Pain Factors & Treatment. Ace health centre specialise in many different lower back issues. Most importantly the assessments come Via physiotherapists, podiatrists and exercise physiologists. Therefore experts can put together a well rounded management plan for you.

What is lower back pain?

Low back pain refers to pain in the lower third of your back (lumbar spine). Lower back pain is the most common condition treated by physiotherapists. There are three main causes of low back pain. 2% is attributed to referral pain from visceral disease. 1% is attributed to non-mechanical spinal conditions such as inflammatory arthritis, scheurmann’s disease and paget’s disease.  The majority (97%) of low back pain is diagnosed as non-specific low back pain. In other words, This means back pain that does not attribute to a known pathology and specific structure or deformity. There are more factors here.

Lower back pain factors

Firstly some of the major lower back pain factors that puts you at risk of low back pain. These include being overweight, a sedentary lifestyle, poor posture and environmental and workplace factors.  Symptoms can include pain in the low back, buttock and hip. Secondly, It can also include pins and needles, numbness or weakness into one or both legs.  Even though this is the case, it is important to visit a physiotherapist to clear the more sinister causes of low back pain. These are for example what we call red flags. Some of these red flags include:

  • bladder dysfunction
  • a history of cancer
  • night pain
  • history of trauma
  • saddle anaesthesia
  • lower limb neurological deficit
  • unexplained history of weight loss
  • fevers/ chills and recent infections

Lower back pain treatment and management

Management options include a combination of manual therapy and advice and education regarding your condition. Furthermore, Physiotherapists also identify the contributing factors to your condition. They will devise an exercise plan to best manage and prevent future episodes of low back pain.  The biggest prevention strategy is through movement and strengthening.

This can be in the form of a tailored home exercise program or attending regular group exercise classes in clinic. It is expected that 80% of Australians will experience low back pain at some stage in their life. In addition, 60-80% of people experience another episode of back pain after a year. Therefore this is why prevention and continual work with a physiotherapist is so important. Most importantly you should continue even after the initial low back pain episode has subsided.

 

In conclusion at ACE Physio, we will work with you to develop a personalised plan for Lower Back Pain. Above all, we shall asses Factors & Treatment that will ease your pain and get you back doing the things you enjoy! Please call ACE Health Centre to book an appointment with our physiotherapist.