Our Services
“The good physician treats the disease; the great physician treats the patient who has the disease.”
- Sir William Osler
As foot and ankle experts, we treat more than just the foot and ankle.
We treat you with a holistic approach - after all your feet carry your body!
Laser Therapy
Class 4 laser therapy enhances ATP (adenosine triphosphate) generation, which plays a crucial role in numerous cellular processes. This heightened ATP production accelerates cellular healing, leading to improved symptom relief for patients. This includes diminished discomfort, inflammation, and enhanced range of motion.
Our clinic is well equipped to treat a range of podiatry issues such as but not limited to;
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Musculoskeletal conditions
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Plantar Fasciitis
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Achilles Tendinopathy
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Ankle Sprains
If you aren't sure if this is right for you - discuss this with one our Podiatrists at your next appointment with us!
*Manning Podiatry is licensed and registered with the WA Radiological Council to operate a class 4 laser within our clinic by practitioners with a laser license.
Wart Management
Warts that grow on the soles of your feet are called plantar warts - they can cause pain and discomfort in your foot, altering your posture and gait to accommodate this discomfort.
We recommend making an appointment to see us if your lesion is bleeding, painful or interferes with your daily activities. We commonly manage warts with sharp debridement (scraping) of the wart tissue and application of a concentrated salicylic acid (which can't be purchased over the counter) or silver nitrate or phenol, which are caustic to the wart tissue. This helps prevents further growth and spreading of warts.
Should the above treatment not work, we can simply surgically remove the wart under local anaesthetic. If you aren't sure, book in to discuss your specific treatment options available.
Orthotic Therapy
Orthoses are inserts placed in footwear to aid in optimising the posture of the heel relative to the ground - it's not to merely crank up the arch! The more we can help control the foot to optimise function, re-distribute pressure and reduce unnecessary energy expenditure means less fatigue in the feet.
There are many different types of orthoses available, however deciding on a type of device depends on what we are trying to achieve; whether it's to correct the foot posture (functional) or to merely support the foot in its current position (accommodative). There are of course limitations to the amount of correction that can be achieved with an orthotic and in some cases surgical correction is required to alter the foot posture permanently to optimise both function and comfort. Should this be the case, we can discuss options available, however, conservative treatment should be exhausted prior to exploring more invasive options.
Whether a conventional "over the counter" or a custom orthoses is selected depends on your foot posture measurements which reflect your heel position, arch type, length and width of your foot. Other factors we consider are also the type of shoes the orthoses will be fitted into eg. footy boots, pumps and sneakers.
At Manning Podiatry, we are proud to be the first WA clinic to offer a zoned lattice structure orthoses which provides custom correction and density control in up to 7 different areas of the orthotic (unlike the generic plastic type). With access to this advanced technology, the bulk of the device is reduced without compromising structure and comfort.
By combining an interactive assessment tool empowered by AI technology and complemented by hands-on biomechanical evaluations conducted by our Podiatrist, we can craft a customised prescription tailored to your specific foot characteristics. Our seamless integration with a 3D scan of your foot enhances our accuracy to create a custom orthoses in collaboration with our skilled orthotic lab team.
If you are experiencing feet pain, knee pain, lower back pain - book in for a biomechanical assessment as you may benefit from orthotic therapy.
Ultrasound Therapy
Therapeutic ultrasound therapy is a non-invasive treatment method used to aid in the healing of muscle and ligament injuries. It involves the use of sound waves to stimulate the recovery process within the injured soft tissue beneath the skin's surface.
At Manning Podiatry we commonly use therapeutic ultrasound to;
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Reduce Pain and Inflammation: alleviate pain and inflammation in conditions such as plantar fasciitis, Achilles tendonitis, bursitis, and other soft tissue injuries.
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Promote Tissue Healing: accelerate the healing process in injuries involving tendons, ligaments, and muscles by increasing blood flow to the affected area. This is beneficial for conditions like sprains and strains.
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Break Down Scar Tissue: help break down and reduce the formation of scar tissue in cases of chronic injuries or surgical procedures.
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Manage Chronic Conditions: used as part of a comprehensive treatment plan for chronic conditions like osteoarthritis or rheumatoid arthritis to provide pain relief and improve joint mobility.
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Neuromas: help manage neuromas, such as Morton's neuroma, by delivering targeted energy to the affected nerves to alleviate pain and discomfort.
In podiatry, therapeutic ultrasound is a versatile tool that can aid in pain management, tissue healing, and the overall improvement of foot and ankle health. Its non-invasive nature and ability to target specific areas make it a valuable treatment modality.
Biomechanical Assessment
Any abnormality in the function and alignment of the lower limbs can lead to injury, lower limb pain, lower back pain, abnormal walking patterns and uncomfortable shoe wear.
A comprehensive biomechanical assessment helps to determine the underlying cause for impaired foot function, callus/corn patterns and identify how the body compensates for these irregularities.
In a biomechanical assessment your podiatrist will:
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Analyse and explain your foot posture and gait pattern
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Review your current footwear and provide advice
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Examine the flexibility, mobility and strength of your joints and muscles
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Discuss lifestyle and physical elements that impact on your legs and feet
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Assess and discuss your specific symptom/s and concern/s as well as give advice on posture improvement, stretching exercises, and other relevant treatment options suitable for your specific needs.
Depending on your assessment findings, we can discuss conservative treatment options through to surgical intervention options.
Book with us to find out more about your foot and lower limb health!
Diabetes Assessment
Diabetes is a systemic metabolic condition with potentially severe consequences for foot health when not promptly identified. Therefore, a diabetic foot evaluation is of paramount importance for individuals living with diabetes. Our skilled podiatrists routinely conduct comprehensive neurovascular assessments to assess blood circulation and sensory function in your feet. This proactive approach is aimed at preventing the development of severe foot issues like ulcers and help avoid potential amputations.
During a diabetes assessment, your podiatrist will:
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Ask you some questions about symptoms associated with diabetes foot complications, as well as your lifestyle habits
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Assess your legs and feet for any signs of complications such as peripheral vascular disease or loss of protective sensation
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Examine the adequacy of your blood flow and sensation
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Assess for any potential risk of diabetic foot ulcer such as an ingrown big toenail, fungal infection, callus / corn etc.
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Footwear review
After completing a comprehensive diabetes foot assessment, your podiatrist will provide you with information about your diabetes foot complication risk status, and ways to lower / maintain your risk status. Your podiatrist will also inform your preferred doctor in regards of the results of your foot assessment and management plan.
Dry Needling
Dry needling is a form of treatment utilising acupuncture needles to treat trigger points in muscles. Trigger points are tight “knots” in a muscle that can be painful and reduce overall function.
An extremely thin acupuncture needle is used to penetrate the skin to reach these trigger points and “release” the knot, reducing pain and improving muscle function. Dry needling can be used in the management of foot conditions such as heel pain, Achilles tendinopathy, calf muscle cramps, shin splints and ankle sprains. It can be used as a sole intervention for these conditions or as an adjunct treatment.
If you aren't sure whether this might help your condition, please discuss this option with one of our Podiatrists at your next appointment.
Physical Rehab
Muscle weakness and joints stiffness increases after a foot and ankle injury, be it related to sports or from everyday life. This is because a period of rest / activity modification is often warranted after an injury to allow optimal tissue healing.
After an injury, some patients may lose confidence in returning to sports in fear of acquiring another foot-related injury.
Having a comprehensive physical rehab program not only prevents and minimises the risk of a recurrent injury, it also helps in regain patient's confidence in returning to activity.
Our podiatrists have the knowledge to curate and recommend some exercises that suits you best during recovering and post injury.
Ingrown Toenail Surgery
Our clinic offers Partial Nail Avulsion (PNA) surgery which permanently removes the side of the nail that is causing damage to the skin. Depending on your condition we may perform one of two procedures: chemical cautery or wedge resection of the offending nail. Both procedures are performed under local anaesthetic.
Chemical cauterisation utilises a chemical - phenol. This destroys the nail matrix therefore preventing future growth of the offending nail. It is a quick and effective procedure with a success rate of ~95% in resolving ingrowing toenail problems. Healing rates differ between patients, however ongoing weeping may occur for up to 3-4 weeks post procedure before the site is fully healed.
A wedge resection is a clean surgical excision of the offending nail and a small portion of the surrounding skin. This too is a quick and effective procedure with a success rate of ~94%. Healing rates differ between patients, however this procedure commonly utilises sutures which remain in place for approximately 2 weeks before the site is fully healed.
In rare cases such as for severely damaged or thickened toenails, a Total Nail Avulsion (TNA) procedure is approached, which permanently removes the entire nail.
Our highly skilled clinician's will be able to discuss the most appropriate procedure for you during your consultation.