What is it? Falknor's Dry Needling is a surgical procedure in which the wart (verruca) is punctured with a sterile needle repetitively producing bleeding and stimulation of the body’s immune system to recognise and respond to the Human Papilloma Virus.
Is it painful? This procedure is performed under local anaesthetic blocking pain. Anaesthetic action typically lasts one hour although patients report post operative pain experienced is very low.
What is the advantage of this procedure? There are many wart treatment options although the results are mixed, the treatments are often painful and they often require several consultations. Wart needling is an effective treatment, often working following the first treatment. Protective dressings can be removed within one-to-three days post procedure permitting return to regular duties. A review consult is held eight weeks post procedure to assess treatment success.
Risks and complications of the procedure? Although carried out with due care the possible complications of this and any procedure involving injections include infection, bleeding, bruising or an unexpected reaction to the anaesthetic. Strict surgical procedure ensuring sterility are undertaken to ensure risk of complication is minimal.
If it does not work, what are my options? The treatment is typically repeated for a second session, on review after the second wart needling session if a positive outcome is not achieved alternate treatments are considered.
Will I need to take a pain killer afterwards? These are generally not necessary and anti-inflammatories should be avoided as this can reduce the body’s immune response and therefore success of the treatment.
How successful is the treatment? Warts are a notorious source of frustration for both practitioners and patients alike, as no single treatment is completely effective for all patients. Studies indicate Falknor's Dry Needling is 70% successful in the treatment of persistent warts and offers a high level of treatment efficacy compared to alternate therapies.
Our Podiatrist is experienced in the Falknor's Wart Needling procedure in the treatment of persistent warts, for further information book online or phone 02 5926 3806
Warts (verrucae) are lumpy growths caused by human papilloma virus infection of the epithelial (skin) cells. Warts seen on the feet are typically mosaic or plantar wart variations which are often resistant to topical Pharmacy preparations. Mosaic warts appear as a group of tightly clustered warts typically affecting the hands and soles of the feet. Plantar warts look like hard bumps and are often misdiagnosed as corns, they may have tiny black dots within them (as pictured) and typically affect the soles of the feet.
Warts are common, particularly during childhood with studies indicating up to one in five children have warts and that children aged 12 to 16 years are most commonly affected. Anyone can develop warts, factors that increase risk include:
Warts are a notorious source of frustration for both practitioners and patients alike, as no single treatment is completely effective for all patients. At Peak Performance Podiatry we only offer treatments with a strong evidence base indicating high levels treatment efficacy including:
CAUTION: If you have diabetes or a weakened immune system (for example, HIV) and have developed plantar warts, speak to your Podiatrist before undertaking any type of treatment. DO NOT attempt to remove a wart yourself by burning, cutting, tearing, picking, or any other method.
Every year when the cold hits we see a worrying increase of feet suffering from chilblains particularly on the toes.
Chilblains are an uncomfortable and often painful skin condition that occur as a reaction to cold temperatures. Symptoms typically include a burning or itching sensation, swelling or colour change from pale pink to red or dark blue in the affected areas. In more severe cases the surface of the skin may break and sores or blisters can develop. Chilblains rarely cause permanent damage but they are uncomfortable and do require treatment to prevent ulcers and/or infection. If you suffer recurrent or chronic chilblains you should discuss this with your Podiatrist or General Practitioner.
Factors that increase risk of chilblains include:
To prevent chilblains:
At Peak Performance Podiatry, our Podiatrist Evan is experienced in assessment and treatment of Chilblains. For further information book online or phone 02 5926 3806.
What is a CAM Walker?
A Controlled Ankle Movement (CAM) Walker AKA Moonboot is designed to immobilise and offload the ankle & foot allowing damaged bone or soft-tissues to heal.
Why have I been prescribed a CAM walker?
Whether you have sustained a severe ligament/tendon overstrain, tear or rupture, fractured a foot/ankle bone or have a non-healing chronic wound a CAM walker will prevent excessive loading and movement of the affected tissues supporting healing. CAM Walker wear is typically part of longer term management in conjunction with a subjective rehabilitation plan. Conditions or injuries commonly involving CAM walker immobilisation in treatment include:
Potential risks of a CAM Walker?
Due to the thicker CAM Walker sole you may experience a change in gait leading to strain of the knees, hips or lower back, this can be mitigated by wearing a supportive shoe with a similar sole thickness on the opposite foot. Likewise care must be taken on slippery/uneven surfaces or climbing stairs to avoid falls. We additionally advise against driving while wearing your CAM walker. Immobilisation in conjunction with injury can increase the risk of clot formation (Deep vein Thrombosis), if you feel abnormal pain or swelling in your leg additional to existing injury related pains, remove the walker immediately and present to your nearest hospital or GP.
What happens at the end of the wear period?
Before ceasing CAM Walker wear you are required to visit your prescribing practitioner for assessment to determine if adequate healing has occurred and if rehabilitation can then commence. Often an X-ray, diagnostic Ultrasound and/or physical re-examination is required to establish if sufficient healing of the damaged tissues has occurred.
Where to purchase a CAM walker?
CAM Walkers can be purchased in our Tumut Clinic and should be fitted by a trained practitioner (Podiatrist or Physiotherapist) to ensure appropriate fit and offloading.
At Peak Performance Podiatry, our Podiatrist Evan is experienced in prescription and fit of CAM Walkers. For further information, injury assessment or CAM Walkers fit and issue book online or phone 02 5926 3806.
The Pod Blog
Our Podiatry Blog is here to help you stay up to date with preventive foot care tips and tricks, the latest in evidence based treatments, footwear trends and how you can self manage common conditions affecting the feet and lower limbs.
Evan Feather [BPodMed]