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Quadriceps Tendinopathy


Quadriceps Tendinopathy

Quadriceps tendinopathy describes damage and irritation to the quadriceps tendon which results in painful symptoms at the top of the knee. The quadriceps tendon attaches the quadriceps muscles at the front of the thigh to the patella (kneecap) and works to straighten the knee from a bent position.  

What causes quadriceps tendinopathy?

Quadriceps tendinopathy is generally an overuse injury, occurring from excess strain and pressure on the quadriceps tendon past the point that it can safely handle. Any activity that overloads the quadriceps can cause tendinopathy, and many factors can contribute its development. These include:

  • Knee alignment problems, including irregular patellar tracking and associated knee conditions
  • A sudden increase in intensity of activity that overloads the quadriceps
  • Abnormal foot biomechanics
  • Tightness in muscles and tissues such as the iliotibial band
  • Unsupportive footwear
  • Squatting exercises and weight-lifting
  • Running sports and activities
  • Improper training technique

 

What are the symptoms?

Symptoms generally occur at the front and top of the knee, and may include: Pain and tenderness

  • Swelling
  • Aching that radiates into the thigh
  • Stiffness in the knee joint
  • Pain on standing from a squatting position

 

How is it treated?

Treatment starts with following the PRICE principles (protection, rest, ice, compression and elevation) to alleviate the painful symptoms. The focus is then on allowing the tendon to heal and reducing the likelihood of future re-injury. This may include:

  • Orthotics to reduce pressure away from the quadriceps tendon and correct any abnormal foot biomechanics
  • Footwear assessment to ensure the shoes are helping and not hindering recovery
  • Stretching tight muscles that may have contributed to overloading of the tendon, including the quadriceps once healing and repair have occurred
  • Strengthening weak muscles
  • Activity modification to reduce the load on the quadriceps tendon until it has healed
  • Strapping the knee to temporarily help relieve symptoms and facilitate healing and repair

 

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Published January 27, 2022

Do I Need Antibiotics For An Ingrown Nail?

Will antibiotics fix an ingrown toenail?  If I’ve had an ingrown nail removed, should I have antibiotics?  These are all good questions, and ones we get asked often by our patients with painful – and often recurring – ingrown toenails. Today our podiatrists share what you should know about ingrown toenails and antibiotics. Will Antibiotics […]




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How To Get A Splinter Out Of Your Foot The Right Way
Published January 27, 2022

How To Get A Splinter Out Of Your Foot The Right Way

So you’ve got a splinter stuck in your foot and despite trying with tweezers or other home first aid tactics, you can’t get it out. So, what can you do? Here’s the lowdown on splinters and when to seek help from our podiatrists.  Do Splinters Need To Be Removed? Splinters can be caused by a […]




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Causes Of Foot Pain At Work
Published January 27, 2022

Causes Of Foot Pain At Work

When you’re busy at work with a seemingly never-ending task list, foot pain slowing you down and holding you back is the last thing you need. Foot pain can have a wide range of causes that require very different care at home, and treatment to get fixed, which is why it’s important to know the […]




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Ingrown Toenail Not Healing?
Published January 17, 2022

Ingrown Toenail Not Healing?

Is your ingrown toenail not healing? Maybe you’ve been soaking it in Epsom salts, removed the nail yourself, had antibiotics to help treat it or have left it to get better on its own? No matter what you have tried, if you’ve had an ingrown toenail for over a week and the pain is still […]




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How To Spot An Ingrown Toenail Early
Published December 10, 2021

How To Spot An Ingrown Toenail Early

So you’ve got toe pain starting but you’re not sure if it’s an ingrown toenail. What are the signs you should be looking for if it’s an ingrown toenail and what else could be the cause of your toe pain? Our ingrown nail specialists share what we look for in an early ingrown toenail. What […]




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Retirement: Looking After Your Feet So They’ll Look After You
Published December 10, 2021

Retirement: Looking After Your Feet So They’ll Look After You

Looking forward to a retirement filled with… anything you like? Whether you’re retired or nearing it, it’s an exciting time that many spend decades looking forward to, knowing you can plan your days on your own terms, and finally enjoy all the things you haven’t had time for previously. There’s just one thing that many […]




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What Will Happen If An Ingrown Toenail Is Left Untreated?
Published November 2, 2021

What Will Happen If An Ingrown Toenail Is Left Untreated?

Every so often, we have a patient come to our clinic with a severe ingrown toenail that had started weeks ago – or sometimes even months ago. The reason for waiting so long in pain? They were waiting for it to grow out. Truthfully, the idea that an ingrown toenail will just ‘grow out’ if […]




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Is It Normal For My Child To Have Flat Feet?
Published November 2, 2021

Is It Normal For My Child To Have Flat Feet?

As parents, we’re often concerned about many aspects of our children’s wellbeing and development – and their feet are no exception. When kids have flat feet, especially when arches haven’t formed by the time a child starts school, we see many parents concerned about: If flat feet are normal at school age? Will they develop […]




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Published October 6, 2021

Ingrown Toenail: What NOT To Do | Podiatrist Tips

Recently over our lockdown period, as we were unable to see patients under our higher alert levels, the questions around ingrown toenails came rolling in. A lot of the queries came after people had tried fixing their ingrown toenail at home. Some felt their pain had become worse, for some it stayed the same – […]




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Foot & Leg Cramps At Night
Published October 6, 2021

Foot & Leg Cramps At Night

There’s no feeling quite like the sudden, painful and involuntary tightening in your feet and legs that we know as a cramp. During a foot or leg cramp, the affected muscle forcefully contracts, and you may notice your toes curling, your foot pointing down, or your muscle bulging in response. Cramps can last from a […]




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Help! My Child’s Ingrown Toenail Keep Coming Back
Published August 20, 2021

Help! My Child’s Ingrown Toenail Keep Coming Back

We often have parents of 8 to 16-year-olds bring their kids in for the second time for the same problem: an ingrown toenail on their big toe that’s causing them (both mum and child), much pain and frustration. And they usually have the same questions:  Why has the ingrown nail come back?  How can we […]




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How To Stop Your Old Injuries From Flaring Up
Published August 20, 2021

How To Stop Your Old Injuries From Flaring Up

We all know the feeling: we get excited about a new activity or sport, we head into it feeling confident and strong – and then we feel incredibly disappointed when an old pain, ache or injury flares back up – and sometimes feels worse than ever before. This is where prehab comes in – the […]




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An Ingrown Toenail In A Six Month Old
Published August 6, 2021

An Ingrown Toenail In A Six Month Old

Does your baby have a red, swollen toe by the side of their toenail? Could it be an ingrown toenail – and do babies even get ingrown toenails? Yes, they do – and yes, swelling redness and tenderness by the side of the toenail may be an indicator of ingrown toenails in babies. Here’s an […]




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Are Heel Pain & Back Pain Related?
Published August 6, 2021

Are Heel Pain & Back Pain Related?

The heels and our back seem miles apart, so could there be a relationship between the two? According to studies, there is, with up to 75% of people with ongoing heel pain being shown to have unmanaged low back pain or low back dysfunction. As podiatrists, this tells us that if our heel pain isn’t […]




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My Nails Are Cut Short. Can I Still Have An Ingrown Toenail?
Published June 23, 2021

My Nails Are Cut Short. Can I Still Have An Ingrown Toenail?

We had a patient come in to see us recently with the tip of her second toe being red, feeling tender and looking a little swollen. She had experienced ingrown toenails previously, and said it felt a little bit like that. Except this time, she had cut her toenails short a week or so prior […]




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Get Your Feet Ski Ready: Pre-Ski Skin & Nail Care
Published June 23, 2021

Get Your Feet Ski Ready: Pre-Ski Skin & Nail Care

With a great deal of uncertainty about where we can and can’t travel this winter, there’s one place that many families are excited about heading to – their snow trip! While there’s a lot of information out there on how to best prepare your body for the ski season to help minimise your risk of […]




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I Think My Toe Is Broken. What Should I Do?
Published June 3, 2021

I Think My Toe Is Broken. What Should I Do?

Excruciating pain in one of your toes? Wondering whether you’ve broken it – and if you have – whether you should go to the hospital or a doctor or a podiatrist and what they’ll do? Broken toes are more common than many people realise – and unfortunately, so is suspecting a broken toe, not doing […]




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Why Do Toenails Thicken?
Published June 2, 2021

Why Do Toenails Thicken?

A number of our patients with ingrown toenails find that their toenails have been thickening with age. For some, this thickness means that the nail is pressing against the top of their shoe, which is pushing the nail into the skin. For others, it’s very uncomfortable and they find their nails difficult to trim – […]




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Why Do My Feet Hurt In The Morning?
Published May 4, 2021

Why Do My Feet Hurt In The Morning?

If you’ve been waking up with sore feet, heels or arches in the morning, this is for you. There’s a very specific kind of heel pain with the following three symptoms that you may relate to: Pain at the bottom of the heel that radiates into the arch Pain when standing up first thing in […]




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Medical Pedicure: The Safe, Feel-Good Foot Care Mums Love This Mother’s Day
Published April 27, 2021

Medical Pedicure: The Safe, Feel-Good Foot Care Mums Love This Mother’s Day

Looking for a unique Mother’s Day gift in Auckland that your mum will truly appreciate? Our medical pedicures take care of mums feet – from her toenails to her corns and calluses, while giving her the assurance that her feet are being cared for by registered health professionals, safely and under strict hygiene and sterilisation […]




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Do Ingrown Toenails Cause Foot Pain?
Published April 19, 2021

Do Ingrown Toenails Cause Foot Pain?

So you currently have – or have recently had – an ingrown toenail. And now you’ve developed some foot or leg pain. What’s going on and could they be linked? How Ingrown Toenails Affect Your Feet First thing’s first: ingrown toenails typically do not cause foot pain. Their pain is usually limited to the toe […]




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Is My Ingrown Toenail Causing My Toe To Feel Numb?
Published March 27, 2021

Is My Ingrown Toenail Causing My Toe To Feel Numb?

While the most common descriptors of ingrown toenails from our patients include painful, frustrating, uncomfortable, annoying, excruciating, can’t-wear-shoes-anymore and can’t-sleep-at-night, we recently had a patient call in to book an appointment because he’d had an ingrown toenail for a couple of weeks now, and alongside some pain and discomfort, it was feeling quite numb. Meeting […]




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The Top Four Pains In Runners – And How To Treat Them
Published March 26, 2021

The Top Four Pains In Runners – And How To Treat Them

We ask a lot of our bodies when we run. The force through our joints and our legs easily exceeds three times our body weight – so it’s not all too surprising that a large portion of our patients are either regular runners, or developed their symptoms when wanting to get into running. Today, we’re […]




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Does Soaking Your Ingrown Toenail In Epsom Salts Fix The Problem?
Published February 25, 2021

Does Soaking Your Ingrown Toenail In Epsom Salts Fix The Problem?

A few times every year, we see patients who were under the impression that they could fix their ingrown toenail by doing regular Epsom salt baths. They will have usually tried 3-4 baths over a couple of weeks before they book in to see us because their ingrown toenail hasn’t gone away. This comes as […]




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Fixing Curly Toes: Hammertoes, Claw Toes & Mallet Toes
Published February 25, 2021

Fixing Curly Toes: Hammertoes, Claw Toes & Mallet Toes

So you’ve developed a hammertoe – or maybe you’ve noticed that your child’s toes are starting to curl. So what can you do about it? Should you do anything about it? What if there’s no pain – is it fine to leave them? Today, Auckland’s premier podiatry team, Perform Podiatry, talks about the causes and […]




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What Else Can The Auckland Ingrown Toenail Clinic Help You With?
Published January 8, 2021

What Else Can The Auckland Ingrown Toenail Clinic Help You With?

Ingrown toenails are our speciality. From one-off treatments to nail surgeries – and even removing the toenail entirely. We love helping patients finally get long-term relief from this painful and frustrating problem. But – are ingrown toenails all we do?  It’s a great question, so today we thought we’d fill you in on all the […]




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Why Won’t My Achilles Tendon Stop Hurting?
Published January 8, 2021

Why Won’t My Achilles Tendon Stop Hurting?

A one-off pain at the back of your heel at your Achilles tendon that starts but then shortly subsides for good is one thing. Ongoing Achilles pains and problems that keep reappearing – or even worse, never truly go away – takes the problem to a whole new level of discomfort, frustration and pain. Ongoing […]




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How Does Your Nail Look After Ingrown Toenail Surgery?
Published December 1, 2020

How Does Your Nail Look After Ingrown Toenail Surgery?

Partial nail avulsions are our most popular and effective solution to ingrown toenails – permanently. If you’re thinking about having this procedure and have heard that it involves removing a small part of the problematic edge of your toenail, you may wonder what your nail may end up looking like after it has healed.  The […]




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Helping Auckland Families With Growing Pains
Published December 1, 2020

Helping Auckland Families With Growing Pains

Growing pains are one of the most common pains that we see and treat in kids. While some mistake growing pains for when active kids overuse the muscles of the feet and legs to a point where they are very tired, achy and sore, this isn’t the case. Others have been told that growing pains […]




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Is My Ingrown Toenail Infected?
Published November 1, 2020

Is My Ingrown Toenail Infected?

An ingrown toenail develops when a small piece of the nail, or nail spicule, pierces the surrounding skin and begins to grow into the skin, instead of growing out independently alongside the skin. It doesn’t take a big piece of nail to cause you tremendous pain and irritation – think of it like a sharp […]




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Our Patients: From Ballet Dancers To Soccer Stars
Published November 1, 2020

Our Patients: From Ballet Dancers To Soccer Stars

Recently, we shared all about the big range of problems that our podiatry team here at Perform Podiatry can help you with. From in-toeing to foot drop, to managing falls risk and instability on your feet, we’re trained to help you with it all – you can read all about it here.  Today, we thought […]




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Think Your Ingrown Toenails Are Worse In Winter? You’re Probably Right. Here’s Why
Published October 2, 2020

Think Your Ingrown Toenails Are Worse In Winter? You’re Probably Right. Here’s Why

The beauty of summer is that it allows us to get some relief from our ingrown toenails by wearing open-toed sandals and walk around with bare feet, which can also delay the onset of painful symptoms in the first place. In winter and the chilly NZ spring-time? Not so much. Our ingrown toenails can become […]




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Medical Pedicures: Why You Should Replace Your Salon Pedicure With A Medi Pedi
Published October 2, 2020

Medical Pedicures: Why You Should Replace Your Salon Pedicure With A Medi Pedi

Having your nails and the skin on your feet taken care of feels great. What feels even better is walking away feeling confident that your foot care has performed safely, under strict hygiene and sterilisation protocols, and by registered podiatrists that have dedicated their careers to learning everything there is to know about your feet […]




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Have Diabetes? Your Ingrown Toenails May Be Putting You At Risk. Here’s Why
Published September 12, 2020

Have Diabetes? Your Ingrown Toenails May Be Putting You At Risk. Here’s Why

When you have diabetes, your risk of foot problems increases significantly. This is because the effects of diabetes on your nerves and blood vessels damages two critical processes when it comes to the feet and legs: Your sensation – the ability to feel what’s happening to and around your feet Your circulation – the blood […]




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Preventing Falls With Podiatry
Published September 12, 2020

Preventing Falls With Podiatry

Having a fall, whether it’s in our own home or when we’re out and about, can change our lives entirely. The injury we sustain from a fall can affect our ability to not only walk and move but stay independent – it might mean we have to stop living independently within our home and instead […]




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Which Ingrown Toenail Treatment Is Best For You?
Published August 31, 2020

Which Ingrown Toenail Treatment Is Best For You?

So you – or your family member – has an ingrown toenail. And you’ve read conflicting information online that’s left you wondering whether you should be soaking your foot in salty water or having the whole nail removed completed. We get it – it can be confusing. So today, we thought we’d give you the […]




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Treating Foot Drop With A Brace
Published August 31, 2020

Treating Foot Drop With A Brace

Foot drop is the term given when weakness in one or both feet makes you unable to point your toes up towards the sky, otherwise known as dorsiflexing the foot. When this happens, your foot remains in a dropped position when you walk, with your foot pointing downwards. This makes it difficult for your foot […]




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Are Men Or Women More Likely To Injure Their Feet & Legs?
Published August 25, 2020

Are Men Or Women More Likely To Injure Their Feet & Legs?

We have the privilege of treating foot and leg injuries day in and day out. It’s very easy to pick up on patterns – like the shoes you wear into the clinic giving us the first hint of what your pain or injury may be, or your walking style giving away some biomechanical problems that […]




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Partial Nail Avulsion
Published July 12, 2020

Partial Nail Avulsion

Partial Nail Avulsion A partial nail avulsion (PNA) provides a professional, safe and effective solution to the problem of frustrating and painful ingrown toenails. This is one of the most common procedures carried out in our clinic. The procedure removes the small part of the toenail edge that is growing downwards/inwards, piercing the skin and […]




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Total Nail Avulsion
Published July 12, 2020

Total Nail Avulsion

Total Nail Avulsion A total nail avulsion (TNA) procedure involves the safe removal of the entire toenail. This procedure is indicated in a variety of circumstances, such as cases of ingrown toenails where both sides recurrently ingrow and there is a large curvature at the sides of the nail. Here, instead of removing two larger sides of the painful […]




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Patient Experience: What’s It Like To Have Ingrown Toenail Surgery?
Published July 6, 2020

Patient Experience: What’s It Like To Have Ingrown Toenail Surgery?

Ever wish you knew someone that has gone through the same procedure as you so you knew what to expect? We absolutely get it – and while ingrown toenail surgeries are common enough these days that you’ll likely know someone that has had it done – it’s also not the type of thing that many […]




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Stretching For Recovery – Is What You’re Being Told TRUE or FALSE?
Published July 3, 2020

Stretching For Recovery – Is What You’re Being Told TRUE or FALSE?

Here at Perform Podiatry, we treat a lot of foot and leg pain. It’s our speciality! And while orthotics are a very important component of the treatment plan, there are other components too – namely stretching and strengthening, as well as having the right footwear during your recovery. Because we’ve recently seen a few patients […]




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Orthotics for Children: The Gait Plate for In-toeing
Published July 3, 2020

Orthotics for Children: The Gait Plate for In-toeing

The position of your children’s feet will determine will either keep them free to run and play, or can have them tripping, falling and in pain. A common foot position in children that can stop them from reaching their full potential is in-toeing. So why does in-toeing develop and what can you do about it? […]




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How Orthotics Help Arthritic Joint Pain
Published July 3, 2020

How Orthotics Help Arthritic Joint Pain

Osteoarthritis (OA) is painful, frustrating and limiting for many New Zealanders. OA affects almost 50% of those aged over 60 years, and almost all over 80 years old. This makes it very important to both manage the symptoms effectively when they arise – as well as reduce the rate that it develops too! While the […]




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Busting The Top 3 Orthotic Myths!
Published July 3, 2020

Busting The Top 3 Orthotic Myths!

For those that haven’t had orthotics before or vaguely remember them from earlier years, a lot of questions or misconceptions may exist. Orthotics are far from the big, bulky devices that they may have once been. In fact, they become unnoticeable for regular wearers and more than that – a true lifesaver providing much-needed relief […]




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What Can A Podiatrist At Perform Podiatry Help You With?
Published June 17, 2020

What Can A Podiatrist At Perform Podiatry Help You With?

Do we trim toenails? Do we correct your foot posture using orthotics? Do we remove your corns? Do we help correct bunions? The answer is a big yes to all of the above – and a whole world more.  Every once in a while, we’re reminded that for those that have never been to a […]




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Caring For Your Ingrown Toenails After Nail Surgery
Published March 18, 2020

Caring For Your Ingrown Toenails After Nail Surgery

If you’ve recently had an ingrown toenail surgery and are wondering how to optimise your recovery, here are some quick tips that we let our patients know about after their procedures. Immediately after your procedure Take the rest of your day off from work, school and any physical activity commitments. You want to kickstart the […]




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How Can Orthotics Relieve Pain From My Foot?
Published March 18, 2020

How Can Orthotics Relieve Pain From My Foot?

Orthotics are one of the most common treatment methods we use with foot pain and injury, due to the fantastic results we can achieve with them. If you’re not very familiar with orthotics, you may wonder how orthotics can help with so many problems – and how they work. Today, we’re talking about a very […]




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Caring For Your Ingrown Toenails After Nail Surgery
Published March 18, 2020

Caring For Your Ingrown Toenails After Nail Surgery

If you’ve recently had an ingrown toenail surgery and are wondering how to optimise your recovery, here are some quick tips that we let our patients know about after their procedures. Immediately after your procedure Take the rest of your day off from work, school and any physical activity commitments. You want to kickstart the […]




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Here’s Why Being Pregnant Made Your Feet Bigger
Published March 17, 2020

Here’s Why Being Pregnant Made Your Feet Bigger

It’s not a myth. Pregnancy really can and does make women go up in shoe size, and unfortunately, for some women, their feet stay bigger too. This phenomenon can be confusing, after all, why can your foot size increase when you’re pregnant but not when you put on weight? Today, we’re sharing exactly why. A […]




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What Is It Like To Have Ingrown Toenail Surgery?
Published February 24, 2020

What Is It Like To Have Ingrown Toenail Surgery?

We know it’s often referred to as ingrown toenail surgery, but honestly – that makes it sound so serious and scary! The truth is that these are very simple and straightforward procedures.  They are done in your regular appointment chair. They are done under local anaesthetic, so it’s painless. The total ‘treatment’ time is normally […]




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Treating In-Toeing In Kids
Published February 24, 2020

Treating In-Toeing In Kids

The position of your children’s feet can either keep them free to run and play, or encourage them to trip, fall and result in pain. In-toeing affects many kids as they learn to walk confidently. At a young age, in-toeing may not be an issue – as long as it doesn’t cause other problems and […]




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Conservative Nail Care
Published February 16, 2020

Conservative Nail Care

CONSERVATIVE NAIL CARE   Simple and easy Safe and sterile Immediate relief Complete in 5-15 minutes Anaesthetic available if required Conservative management for ingrown toenails is an effective option for simple ingrown (or involuted) toenails that have become problematic for the first time. The pain is alleviated by using simple and sterile podiatric tools to […]




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Worried About The Way Your Child Is Walking?
Published February 15, 2020

Worried About The Way Your Child Is Walking?

“And what is the problem that your daughter is having with her feet?” “She’s walking funny. I don’t know if it’s normal – it doesn’t seem quite right” That right there is a conversation that our receptionist has on the phone many times a week. Parents notice that something isn’t *quite* right with the way […]




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Keeping you healthy and performing at your best

Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.

We're located inside the One Health medical centre at Building 122 Remuera Rd, Remuera, Auckland 1050, New Zealand

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