Toenail fungus

Toenail fungus (Onychomycosis) is more common than you may think, affecting about 10% of Australians. Whilst it is not dangerous and rarely causes pain, it is what it does to the appearance of the nail that brings most people to see us. White, yellow, or brown discolouration is common, and, in time, the infected nail will often become thick and brittle.

Toenail fungus can be stubborn and difficult to shake. With 20 years’ experience treating toenail fungus with almost every treatment available (i.e. topical treatments, laser, oral medication, and more) we know what works and what doesn’t. After examining your nails, we will give you honest advice on the best treatment available for your individual case.

Plantar warts

Plantar warts (Verruca pedis) are lesions that occur on the bottom of the foot or around the toes and are caused by the Human Papilloma Virus (HPV). They are transmitted from one person to the next through direct contact – either from someone with the virus, or through socks, shoes, or surfaces. A simple wart is not a serious health concern, however they can be very uncomfortable, or even painful, when they present on the weight bearing areas of the feet. Warts can also grow and spread, so early treatment is recommended. 

Treatments include medicated pastes and liquids, cryotherapy, and minor surgical procedures for those that are stubborn and persist.

Tinea Pedis (Athlete’s foot)

Tinea pedis is a fungal infection of the skin that normally begins between the toes but can occur anywhere on the feet. It is often present in those with sweaty or damp feet, who spend a lot of time in confined footwear. Tinea can present in various forms but typically appears as red, flaky skin that can itch, sting, or burn. In most cases, treatment is straightforward and consists of addressing foot hygiene, footwear advice (shoes, socks, and the materials they are made from), and topical medications.

Calluses and corns

Calluses and corns are thick, hardened layers of skin caused by friction and pressure. Calluses are spread out over larger areas of skin, generally occur in the weight bearing areas of the feet and may or may not be painful. Corns are similar to calluses but are generally smaller with a hard central core that sits deeper into the healthy skin. Corns are often painful and can occur in the weight bearing areas of the feet as well as in between and on the tops of toes.

The pressure and friction that causes calluses and corns to develop can come from poor fitting footwear, bony prominences, walking and running patterns, and various skin conditions.

Immediate treatment of calluses and corns involves shaving back the thickened skin, and in the case of corns, removing the hard, central core with a scalpel. This treatment is typically quick and painless.

Longer term management involves addressing the causes and contributing factors. This means taking a good look at the structure and function of your feet to address any bony prominences or biomechanical issues. Footwear assessment and advice is also important.

Diabetes foot health assessment

It is recommended that patients with diabetes have their feet assessed every 12 months, or earlier in some cases. This is because people with diabetes have higher risk of developing foot problems due to possible changes in circulation and sensation to the feet.

A diabetes foot health assessment consists of the following:

• A discussion about your diabetes and foot health history
• A vascular examination to check the circulation to your feet
• A neurological examination to check your protective sensation
• Checking the condition of your skin and nails
• Checking your footwear for correct fit and providing advice on the best shoes for your foot type and activity levels
• Checking your muscular strength and motor control

Following your assessment, we will provide you with advice and treatment to ensure your feet are in the best possible condition and health.