General Foot Conditions - Karin Bruckner
Karin specialises in nail surgery and does procedures to prevent ingrown toenails from reoccurring. Onychomycosis (nail fungus) is also a special interest of hers. Patients seen by Karin are athletes, retirees, diabetics, children and anyone needing foot care. Her practice is nestled at the foot of Table Mountain in Vredehoek, also known as Devil’s Peak, which is close to the centre of Cape Town with easy access and parking. The surgery is equipped with the latest technology including computerised gait analysis (RSSCAN) equipment, laser, and a nail debriding machine. The laser which is available at the practice allows for treatment of nail fungus infections without the side effects which can result from drug therapy. It’s non-toxic and can treat all ten toes in 15-20 minutes with no downtime.
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WHAT IS A BUNION?

Definition:
A bunion is an exostosis (a bony protruding bump) at the base of the big toe caused by misalignment of the joint. It may be swollen, tender and painful with the wearing of footwear.

 

Causes:
Hereditary, biomechanical abnormalities, neuromuscular disorders, inflammatory joint disease (arthritis), trauma, congenital deformities.

 

Karin Brückner will do a physical examination of the foot, padding or taping, prescribe orthotics, advise on conservative management, or perform X-ray evaluation and refer for surgery if indicated.

WHAT ARE CORNS OR CALLUSES?

Definition:
A callus or corn is an accumulation of thick keratotic skin that forms at points of pressure or over bony prominences. Calluses form on the bottom side of the foot. Corns form when the pressure becomes severe on the toes and between the toes, as well as sometimes under the bony prominences under the foot.

 

Causes:
Repeated friction and pressure from skin rubbing against bony areas or against an irregularity in a shoe, as well as hereditary disorders.

 

Solution:
What might a podiatrist do? Perform a physical examination, perform X-ray evaluation if needed, trimming or padding of the lesions, advise on prevention by making adjustments and referring for surgery if necessary.

WHAT IS A NEUROMA?

Definition:
A neuroma is a painful condition often referred to as a pinched nerve, swollen nerve, or nerve tumor. In definition more specifically as a benign growth of nerve tissue frequently found between the third and fourth metatarsals, radiating numbness to the toes. This may result in pain, burning, tingling, or numbness between the toes and in the ball of the foot.

 

Causes:
Improper or ill-fitting shoes, trauma, high-heeled shoes, or heredity factors.

 

Solution:
A podiatrist will perform a physical examination, X-ray evaluation to rule out other causes, padding and strapping as well as manufacturing customized orthotics.

 

Supplying inflammatory medication, administering cortisone injections or referring to a surgeon to perform surgery as needed.

 

Morton’s neuroma youtube video clip:

 

WHAT IS A HAMMER TOE?

Definition:
A hammer toe is a contraction deformity, resulting in a boney prominence on top of or in between the toes of the feet.

 

Causes:
Hammer toe can be caused by:

  • Improper, ill-fitting or high heel shoes, trauma.
  • Heredity factors.

 

Solution:
Change to shoes with lower heels, wear supportive shoes with a roomy toe box or open shoes.

 

What might a podiatrist do? A podiatrist will perform a physical examination, take X-rays and evaluate. Recommend padding and taping, and make silicone protective supports and advise on possible surgery, and refer when necessary.