mj-taranto

The Nail That Wouldn’t Behave – A Story About Ingrown Toenails

Tue, 02 Sep 2025 07:36:12 GMT

Meet Jack. He’s 14, loves soccer, and spends most afternoons running around the pitch with his mates. But for the last couple of years, he’s been hobbling more than sprinting. The culprit? A troublesome toenail on his big toe that has become so painful and embarrassing that he no longer wants to take his socks off in front of his friends.

At first, Jack shrugged it off. “It’s just a bit sore,” he told his mum. But soon, the toe became red, swollen, and tender to even the lightest touch. Wearing his footy boots felt like stepping on a Lego brick every time he moved. Then the tissue around the toe started to get bigger and would bleed whenever it was knocked.

If this sounds familiar, you’re not alone. Ingrown toenails are incredibly common in kids and adolescents — often thanks to active lifestyles, tight shoes, or nails that just grow in awkward shapes. Adults aren’t immune either — anyone can get them.

The good news? This is not something you have to put up with.

Step one is usually conservative care from your podiatrist. We can gently remove the offending nail edge, reduce inflammation, and give you tips to stop it from coming back — like proper nail trimming techniques and footwear advice.

But sometimes, as in Jack’s case, the nail problem keeps coming back to cause trouble and the tissue inflammation is too much to benefit from non-surgical measures. That’s when we can offer some surgical solutions. This can range from a simple surgical procedure, done under local anaesthetic, to a more invasive procedure which is usually done as a day procedure in a day surgery or hospital. As Jack’s problem was recurrent, we suggested a more permanent procedure to remove the sections of nail and skin that were problematic, under general anaesthetic (Jack was asleep and had no pain).

Jack had the surgery. Three weeks later, he was back on the field, scoring goals without a second thought about his toe. His mum says the only regret was not getting it sorted sooner.

If you or your child are dealing with a stubborn, sore toenail, remember: you don’t have to live with it. There is a definitive solution — and we’re here to help you find it.

Walking on Eggshells: Jane's Story

Tue, 06 May 2025 06:35:51 GMT

When Jane turned 58, she started noticing a bump forming on the side of her big toe. At first, it didn’t bother her much — just a little rubbing in her shoes. But over time, her bunion got bigger, and her second toe started curling upwards. It wasn’t long before even short walks became painful.

She thought the pain was “just part of getting older,” but her knees and hips had started aching too. Why? Because her body was compensating for her sore feet. Jane's gait (the way she walked) had changed, putting extra pressure on other joints. She also started feeling less steady on her feet, especially when barefoot or in slippers.

Finding shoes was another challenge — nothing seemed to fit comfortably anymore. Fashion took a back seat to function, and even then, her shoes still hurt by the end of the day.

Eventually, Jane reached out for help.

What Are Bunions and Hammer Toes?

Bunions are bony bumps at the base of the big toe that cause the toe to shift out of alignment. Hammer toes are bent, curled toes that can develop from the pressure caused by bunions or from muscle imbalances. Both conditions can cause pain, difficulty walking, and trouble finding shoes that fit.

What Can Be Done?

Thankfully, Jane had options.

Non-surgical treatment included:

- Custom orthoses (prescription shoe inserts) to support her feet and reduce pressure.

- Footwear advice to help find supportive, comfortable shoes.

- Stretching and strengthening exercises to help improve balance and foot function.

In some cases these options are not enough to provide symptom relief, and in Jane’s case, she explored surgical correction as her activities of daily living were being affected.

Our Podiatric Surgeons explained the procedure clearly, and helped Jane understand how surgery could relieve pain, correct the deformity, and help her walk comfortably again.

Ready to Take the First Step?

If your feet are holding you back like Jane’s were, let’s talk.

✅ Book an appointment with one of our non-surgical podiatrists for a full assessment and personalised treatment plan.

✅ Or, if you’d like to explore surgical options, you can book a consultation with one of our Podiatric Surgeons, Julie Taranto or Michael Taranto.

What to Expect During Your Post-Operative Recovery

Tue, 04 Feb 2025 08:35:03 GMT

At MJ Taranto, we understand undergoing surgery can feel overwhelming, and we want you to know that at our clinic, your recovery and well-being are our top priorities. Our team is passionate about providing the best experience for every patient, and we go above and beyond to ensure you feel supported every step of the way.

What Makes Our Care Unique?

Personalised Attention: After your surgery, you won’t just see a nurse—you will see your surgeon for all your post-operative care. This means that every redress, check-up, and follow-up is handled by the person who knows your case best: your surgeon.

Direct Access: We believe in open communication. If you have concerns or questions during your recovery, you can contact us personally, even outside of clinic hours. We’re here for you when you need us most.

Dedicated Administrative Support: Our clinic has staff members who specialise in supporting our surgical patients. From the moment you decide to proceed with surgery, our dedicated administrative team will guide you through the entire process. They will help you prepare for surgery, answer any questions you may have, and ensure you feel confident and informed every step of the way.

Full Investment in Your Recovery: Your recovery is a journey, and we are fully committed to helping you every step of the way. From pre-operative education to detailed recovery plans, we ensure you’re well-informed and confident in your progress.

What to Expect During Recovery

While every patient’s recovery timeline is unique, here are some general guidelines to help you plan:

Initial Healing: The first few weeks are focused on wound healing and managing swelling. We will guide you on how to care for your surgical site and keep you comfortable.

Gradual Return to Activities: Over the next few months, we’ll work together to help you safely return to your normal activities. This timeline will be tailored to your specific surgery and progress.

Long-Term Recovery: Full recovery from most surgeries can take 12 to 18 months. During this time, we will monitor your progress and address any concerns that arise. Patience is key, but rest assured, we’re with you for the long haul.

Pre-Operative and Post-Operative Communication

Communication is at the heart of what we do. Before your surgery, we will provide you with detailed information about what to expect, including a recovery timeline. Knowing what lies ahead can make a big difference in how you approach your recovery.

After your surgery, our lines of communication remain open. Whether it’s a question about your recovery, guidance on wound care, or simply reassurance, you can count on us to be available and responsive.

Our Commitment to Excellence

At our clinic, you’re not just another patient—you’re part of our care family. From the moment you walk through our doors to the final stages of your recovery, we are dedicated to providing one-on-one care that’s second to none. Your health, comfort, and satisfaction are our top priorities.

Step Up to Comfort: How Bunion Surgery Can Help You Walk Confidently Again

Thu, 10 Oct 2024 03:46:47 GMT

Let’s take a moment to talk about something that’s all too familiar for many of us: bunions. You know, those pesky bumps that form on the side of your big toe and seem to make wearing shoes a daily battle? If you’ve been tiptoeing around the subject of bunions, it’s time to shed some light on what they are and how we can help you take the next step towards relief.

Mary, a vibrant 65-year-old who loves gardening and taking long walks, started noticing a sharp pain in her foot. At first, she shrugged it off, thinking it was just part of getting older. But as the months went by, the pain worsened, and she noticed a bony bump forming on the side of her big toe. She’d had a small prominence here for a few years but it had never really bothered her before. Eventually, she found herself avoiding her beloved walks and spending more time sitting down. And when she did walk, she felt unsteady, almost like she could lose her balance at any moment.

After a bit of research, Mary discovered her pain was due to a bunion. Like many of us, she tried non-surgical options first—wider and deeper shoes, protective padding, and even a few over-the-counter pain relievers. While these provided temporary comfort, they didn’t solve the problem. The bump continued to grow, and Mary’s fear of falling increased.

Here’s the thing: bunions can become more than just a cosmetic issue or a source of discomfort. As they worsen, they can change the way you walk and increase your risk of falls, especially as we age. This is where surgical correction comes into play. For Mary, choosing bunion surgery meant more than just addressing the bump on the side of her foot; it was about reclaiming her mobility and independence. The procedure relieved her pain, corrected her toe’s alignment, and allowed her to get back to her active lifestyle without the constant worry of tripping or falling.

Bunion surgery isn’t a one-size-fits-all solution but for many, it can significantly improve quality of life. Our podiatric surgeons, Michael and Julie Taranto, are experts in assessing whether surgery is the right choice for you. They’re here to help you understand your options, whether it’s opting for a non-surgical approach or deciding that surgery is the best path forward.

So, if you or a loved one are dealing with bunions and the pain and balance issues that often come with them, don’t let it sideline you any longer. Take the first step towards comfort and confidence by scheduling an appointment with Michael or Juile Taranto today. We’re here to help you walk with ease again! Surgery is not without its risks, but it’s worth getting all the information so you can make an informed decision.

We pride ourselves on being able to provide availability for our patients, with same-day appointments usually available.

When Heel Pain is Not Getting Better: Amanda's Story

Tue, 06 Aug 2024 02:10:19 GMT

For as long as she could remember, Amanda had been living an active, fulfilling life. She enjoyed spending time with friends, going on weekend hikes, and even the simple pleasure of walking her dog in the park. But twelve months ago, a nagging pain in her heel began to rob her of her joy. It started as a dull ache, but soon every step felt like walking on broken glass. The diagnosis? Plantar fasciitis. To make matters worse, she was also experiencing symptoms of tarsal tunnel syndrome.

Amanda threw everything she had at the pain. She tried resting, icing, and changing her footwear. She invested in custom orthotics, followed rigorous exercise routines, and took anti-inflammatories regularly. She underwent shock wave therapy sessions, hopeful that each session would be the one to make a difference. Cortisone injections offered brief relief, but the pain always came back, often worse than before.

Her quality of life declined rapidly, making standing for long periods at work unbearable. Social outings became rare, as she dreaded the inevitable pain, with friends commenting they could see the pain in her face. It permeated every aspect of her life, turning even the simplest activities into ordeals. She missed out on hikes, family gatherings, and even trips to the grocery store became daunting.

One particularly painful morning, as Amanda struggled to make it from her bed to the bathroom, she realised she couldn't go on like this. It was time for a different approach. She booked an appointment with Michael Taranto, one of our Podiatric Surgeons, ready to discuss surgical options.

At the consultation, Michael listened to Amanda’s story with empathy and understanding and together they reviewed her history and explored surgical options. Michael assured Amanda that her investments in orthotics weren't wasted—they would remain an important part of her treatment regime even after surgery. Amanda felt a glimmer of hope for the first time in months, and though she wasn’t looking forward to the recovery, she knew the time had come for surgery. Michael explained the realistic expectations around pain reduction and the potential to regain quality of life.

Amanda's story is a reminder that sometimes, despite our best efforts with non-surgical measures, seeking the expertise of a Podiatric Surgeon can be the turning point. If you, like Amanda, have been struggling with persistent heel pain and have exhausted all other options, it might be time to take the next step. Come see one of our Podiatric Surgeons, Michael Taranto or Julie Taranto, to discuss your options and start enjoying the simple things in life again. Your future self will thank you.

Unstable Ankles

Thu, 06 Jun 2024 03:38:45 GMT

Does your ankle feel like it’s locking, catching or giving way at times? Unstable ankles are very common and are not just a result of repeated ankle sprains, although they certainly don’t help!

The ankle is made up of bones, joints, cartilage, ligaments, a soft tissue envelope called the capsule, and the fascia and retinaculum that help to hold the ankle together. Repetitive stress on the ankle, whether through wear and tear or an ankle sprain or fracture, can cause ongoing instability in the ankle. Cartilage damage, loose bony fragments, pinched scar tissue in the ankle joint, or ruptured or stretched ligaments can all contribute to instability, pain, and swelling.

Whilst there are conservative options for the treatment of symptoms of ankle instability, such as ankle braces, supportive footwear, targeted exercises, and orthotics, there are instances where instability and pain will persist. In these cases, surgery can be undertaken to reconstruct the ankle ligaments and remove any floating bone or damaged cartilage.

The recovery from ankle reconstruction surgery is quite lengthy and involves physiotherapy as part of the rehabilitation process.

If you have symptoms associated with ankle instability, come in and see one of our Podiatric Surgeons who will be able to assess and discuss your options in more detail. Call 9250 1676 or book through our website.

Not Just Heel Pain

Fri, 12 Apr 2024 08:32:41 GMT

Not Just Plantar Heel Pain

The long Perth summer goes hand in hand with wearing thongs and being down at the beach. It’s important to be mindful that this extended period in unsupportive shoes can exacerbate underlying or existing issues in the plantar fascia (band beneath the arch of the foot), or trigger new symptoms in the arch and heel.

You might have heard about plantar fasciitis, which is quite common and can be a real pain in the heel (literally), but did you know that there's more to heel pain than just that?

Let's talk about it.

Plantar Heel Pain 101

Plantar heel pain is any kind of discomfort or ache you feel in your heel area. While plantar fasciitis is a common cause, there are other culprits too. One of them is something called tarsal tunnel syndrome.

Tarsal Tunnel Syndrome: A Sneaky Troublemaker

Tarsal tunnel syndrome is similar to carpal tunnel syndrome, which occurs in the wrist. Imagine a tunnel in your foot where important nerves and blood vessels pass through. If that tunnel gets squeezed or compressed, you've got yourself tarsal tunnel syndrome. It can feel a lot like plantar fasciitis, but it's a whole different ball game.

With tarsal tunnel syndrome, you might experience tingling, burning, or shooting pains that travel from your heel down to your toes or in the other direction too. Sometimes it can feel like electric shocks zapping your foot.

What’s Going on Inside?

So, why does this happen? There are a few common possibilities. It could be due to an unusual foot structure or an injury or past trauma, like a sprained ankle. Other times it’s caused by pressure from blood vessels or other soft tissue structures in the area. And sometimes it's just bad luck and your nerves get irritated for no apparent reason.

Treatment Options: Finding Relief

Okay, enough with the doom and gloom. Let's talk about what we can do to ease the pain. For starters, there are some simple tricks you can try at home:

· Rest: Give your feet a break. Avoid activities that make the pain worse.

· Ice: Apply an ice pack to your heel for about 15 minutes a few times a day to reduce inflammation, or roll your foot on a frozen water bottle to give the effect of ice massage.

· Stretching: Gentle stretches of the calf and foot can help loosen up tight muscles and ease tension.

If these DIY remedies aren't cutting it, it might be time to see a healthcare professional. Our podiatrists can assess you and may recommend:

· Medical Imaging: Diagnosis is key in achieving optimal results.

· Orthotics: Custom-made shoe inserts can provide extra support and cushioning for your feet.

· Physiotherapy: Working with a physio can help strengthen your muscles and improve your range of motion.

· Medication: Pain relievers or anti-inflammatories might offer some relief.

· Shockwave Therapy: High-energy acoustic waves are delivered into the tissue to stimulate healing.

· Injection Therapy: such as guided corticosteroids or PRP (platelet-rich plasma)

Surgical Option: Last Resort

Surgery to decompress (relieve tension in the tarsal tunnel) is usually the last resort when all other treatment options have been unsuccessful. If your symptoms are severe and impacting your daily life, our Podiatric Surgeons Julie Taranto or Michael Taranto may recommend surgical decompression of the tarsal tunnel. It sounds scary, but it's often very effective in relieving pain and restoring function.

Hammer Toe Correction Surgery

Thu, 08 Feb 2024 08:48:01 GMT

Hammer Toe Correction Surgery

Hammer toes, a common foot deformity where the toes bend unnaturally at the joints, causing pain and discomfort, has seen significant advancements in corrective surgeries. As a trusted provider of podiatric surgery in Australia, our surgeons remain committed to staying at the forefront of these developments to ensure optimal patient outcomes.

Understanding Hammer Toe

Hammer toes typically result from an imbalance in the muscles, tendons, or ligaments that hold the toe straight. Over time, this deformity can become rigid and painful, hindering daily activities.

Indications for Surgery

While conservative treatments like proper footwear and orthotics may alleviate mild symptoms, surgical intervention becomes essential for severe cases that impede normal function. This may include persistent pain, difficulty walking, or the development of friction lesions or open sores.

Surgery

Surgical techniques are individually tailored for each patient, with the majority of surgery being day-case surgery, that is, in and out on the same day and being able to weight bear immediately. The aim of surgery is to perform targeted correction of the hammer toe deformity while preserving function.

Patient-Centric Care

Our surgeons tailor each intervention to the unique needs of the patient. From pre-operative evaluations to post-operative care, a comprehensive approach ensures the best possible results. We prioritise patient education, fostering a deep understanding of the procedure and expectations.

Recovery and Rehabilitation

Advancements in surgical techniques contribute to quicker recovery times and improved outcomes. Following surgery, patients are guided through rehabilitation protocols to enhance strength, flexibility, and overall foot function.

If you or someone you know is struggling with hammer toe deformities, the surgeons at MJ Taranto Foot and Ankle Podiatric Surgeons are here to provide expert guidance and tailored solutions.

Contact the skilled surgeons at MJ Taranto Foot & Ankle Podiatric Surgeons today for a consultation on 9250 1676 or click the link to book online.

Surgical Management of Ganglion Cysts in the Foot

Mon, 06 Nov 2023 06:56:38 GMT

Surgical Management of Ganglion Cysts in the Foot: Regaining Comfort & Mobility

Ganglion cysts, fluid-filled sacs that often form around tendons or joints in the foot, can be a source of discomfort and uncertainty for many individuals, causing pain, stiffness, and reduced mobility. In Australia, podiatric surgeons are well-versed in the surgical management of ganglion cysts, offering patients a path to relief and improved foot function.

Understanding Ganglion Cysts:

Ganglion cysts are non-cancerous lumps that typically develop near the joints or tendons of the foot. While the exact cause is not always clear, they are often associated with repetitive stress or overuse of the affected area. These cysts can vary in size, and their presence may lead to discomfort when walking, exercising, or simply standing for extended periods.

When is Surgical Management Considered?

Surgical intervention becomes an option when conservative treatments, such as rest, aspiration (draining the cyst with a needle), or corticosteroid injections, do not provide lasting relief, or when the cyst returns after aspiration. Surgery may also be recommended if the cyst affects joint function, leads to instability, or causes significant pain.

The Surgical Procedure:

Ganglion cyst surgery aims to remove the cyst and its adjacent tissue. The procedure typically involves making an incision over the cyst and carefully excising it. In some cases, the surgeon may also address any underlying joint or tendon issues contributing to the cyst's development.

Recovery and Rehabilitation:

Recovery time varies depending on the specific procedure, but patients can often weight bear immediately following the procedure and resume normal function within a few weeks. Post-operative physical therapy may be recommended to aid in restoring strength, flexibility, and overall foot function.

If you're experiencing the discomfort of a ganglion cyst in your foot, don't hesitate to consult with a qualified podiatric surgeon at MJ Taranto Foot and Ankle Podiatric Surgeons to explore the options available to help you regain comfort, mobility, and improved quality of life.

What is a Podiatric Surgeon?

Tue, 05 Sep 2023 01:04:20 GMT

Are you familiar with the term Podiatric Surgeon, but unsure of what it entails? This month, we’re diving into the history of the profession in Australia, and shedding light on the role Podiatric Surgeons can play in treating foot and ankle conditions.

Podiatric Surgery has been a profession in Australia since 1976 and is now recognised as a specialty surgical profession by the Australian Health Practitioner Regulation Agency (AHPRA). Podiatric Surgeons make up less than 1% of registered Podiatrists practising in Australia. They're unique Podiatrists qualified to diagnose and treat disorders of the foot, ankle, and related structures using medical and surgical methods.

To become a Podiatric Surgeon, they must undergo extensive postgraduate training and education, dedicating themselves to many years of study, research, and practice to investigate and master medical and surgical therapeutics of the foot and ankle. So, essentially, they're Podiatrists who have levelled up.

Podiatric Surgeons can treat a wide range of conditions such as structural deformities, heel pain and nerve conditions, tendon and soft tissue problems, foot and ankle arthritis, skin and nail conditions, birth defects of the foot, and trauma injuries (fractures and dislocations). They will discuss the best treatment options, both surgical and non-surgical (not everyone needs foot surgery), with their patients to help them select a plan that balances their needs and expectations with delivering the best outcome.

Podiatric Surgeons have a long history of safe practice in Australia, operating in private hospitals and adhering to the same hospital protocols as other surgeons. So, when you trust your feet to a Podiatric Surgeon, you can be sure they're in good hands.

Dealing with Foot & Ankle Deformities

Tue, 04 Jul 2023 04:59:21 GMT

Dealing with Foot & Ankle Deformities: A Guide to Bunions & Bone Spurs

Structural deformities of the feet and ankles are common conditions that can affect people of all ages. Bunions and bone spurs are two of the most frequently encountered deformities in the feet.

Bunions appear as a noticeable bump at the base of the big toe joint, while bone spurs are bony protrusions that develop on the surface of a bone.

These conditions can be caused by various factors such as genetics, age, wearing tight shoes, and arthritis. If left untreated, bunions and bone spurs can lead to significant pain, difficulty walking, and even joint damage.

Fortunately, surgical treatment options are available to correct these conditions and alleviate pain and discomfort.

Bunions

A bunion is a bony bump that develops at the base of the big toe joint (a similar bump can develop on the other side of the foot near the little toe, and that’s called a Tailors Bunion). This bump forms when the big toe pushes against the next toe, causing the joint to become misaligned.

Symptoms of a bunion can include pain, swelling, redness, and difficulty walking or standing for long periods. Treatment for a bunion typically begins with non-surgical options, such as wearing wider shoes, orthotics, using padding to reduce pressure, and taking anti-inflammatory medications. However, if these measures fail to provide relief, surgery may be necessary.

Bunion surgery involves removing the bony bump and realigning the joint. There are several types of bunion surgery, including:

· Osteotomy : This involves cutting and realigning the bone to correct the deformity.

· Arthrodesis : This involves fusing the joint to prevent it from moving and causing further damage.

· Exostectomy : This involves removing the bump without realigning the joint.

· Resection arthroplasty : This involves removing the damaged portion of the joint.

The type of surgery recommended will depend on the severity of the bunion and the patient's overall health.

Bone Spurs

A bone spur, also known as an osteophyte, is a bony growth that develops on the surface of a bone. Bone spurs can form on any bone in the body, and are often caused by arthritis, which can cause the bones to rub against each other and create friction.

Symptoms of a bone spur can include pain, swelling, stiffness, and difficulty moving the affected joint. Treatment for a bone spur typically begins with non-surgical options, such as using ice, taking anti-inflammatory medications, and wearing supportive shoes. However, if these measures fail to provide relief, surgery may be necessary.

Bone spur surgery, most commonly a resection or osteotomy, involves removing the bony growth and smoothing out the surface of the bone. The type of surgery recommended will depend on the severity of the bone spur and the patient's overall health.

If you are experiencing symptoms of a bunion or bone spur, it is important to consult with a Podiatric Surgeon to determine the best course of treatment.

Contact the skilled Surgeons at MJ Taranto Foot and Ankle Podiatric Surgeons

today for a consultation on 9250 1676 or click the link to book online.

Restoring Ankle Function

Fri, 19 May 2023 06:51:32 GMT

Restoring Ankle Function: Surgical Treatments for Ankle Injuries and Instability

Ankle injuries are a common occurrence, and they can range from mild sprains to severe fractures. If left untreated, ankle injuries can lead to chronic ankle instability, a condition where the ankle is prone to giving way or twisting, even during normal activities. In severe cases, surgery may be necessary to treat ankle injuries and instability.

There are several surgical options for treating ankle injuries and instability. The type of surgery recommended will depend on the severity and nature of the injury, as well as the patient's age, activity level, and overall health.

At all times, the primary objective of ankle surgery is to restore function as best as possible. Where possible, this is achieved by undertaking an anatomical repair to reconstruct ankle ligaments. This type of surgery is often recommended for patients with chronic ankle instability or severe ankle sprains.

The benefits of ankle ligament reconstruction include improved stability, reduced pain, and a faster return to normal activities.

Recovery and rehabilitation following ankle surgery are critical for a successful outcome. Patients will need to follow a rehabilitation program that includes formalised physiotherapy, with exercises to improve ankle strength and flexibility, in order to gradually increase their activity level.

If you are experiencing ankle pain or instability, you may want to consider booking a consultation with one of our Surgeons at MJ Taranto Foot and Ankle Podiatric Surgeons, who can evaluate your condition and recommend the best course of treatment. With the right treatment, you can regain ankle function and return to the activities you love. Give us a call on 9250 1676 or click the link to book online.

Shooting for Health: Common Basketball Injuries of the Foot & Ankle

Fri, 24 Mar 2023 04:37:55 GMT

Shooting for Health: Common Basketball Injuries of the Foot and Ankle

If you're a basketball player, you know that the sport can be tough on your feet and ankles. From sprains to stress fractures, there are a variety of foot and ankle injuries that can sideline you.

Some of these injuries include:

· Ankle sprains - Ankle sprains are one of the most common injuries in basketball. They occur when the ligaments in your ankle are stretched or torn, often by a sudden twist or turn of the ankle. Symptoms include pain, swelling, and bruising. In severe cases, surgery may be necessary to repair the ligaments and tendons that support the ankle joint.

· Plantar fasciitis - Plantar fasciitis is a condition that causes pain and inflammation in the bottom of your foot, particularly in the heel area. It's often caused by overuse, which is common in basketball. In severe cases, surgery may be necessary to remove damaged tissue and relieve symptoms.

· Stress fractures - Stress fractures are tiny cracks in the bone that develop from overuse. They're common in basketball players, particularly in the foot and ankle. Symptoms include pain, swelling, and difficulty walking. Treatment typically involves rest and immobilization, but surgery may be necessary in rare cases.

· Achilles tendon rupture - The Achilles tendon is the largest tendon in the body! It connects the calf muscles to the heel bone, and it can rupture or tear during a sudden movement or from overuse. Surgery is typically required to repair the tendon and restore normal function.

· Lisfranc (midfoot) injury - A Lisfranc injury is a fracture or dislocation of the bones and/or ligaments in the middle of the foot. It is often caused by a sudden twisting motion or direct trauma to the foot. Treatment for a Lisfranc injury typically involves immobilization in a cast or walking boot, and in some cases, surgery may be necessary to realign the bones and repair the ligaments.

Other (nonsurgical) treatments for these conditions may include:

· Rest and ice

· Physical therapy

· Immobilization with a brace or cast

· Anti-inflammatory medication

· Orthotics to help support the foot and ankle

· Injections of corticosteroids or platelet-rich plasma to reduce inflammation and promote healing.

At MJ Taranto Foot and Ankle Podiatric Surgeons, we're committed to helping our patients recover from these and many other injuries.

If you're dealing with an injury of the foot or ankle, don't wait to seek treatment. The sooner you get help, the better your chances of a full recovery.

Contact MJ Taranto Foot and Ankle Podiatric Surgeons today on 9250 1676 to schedule an appointment or click the link to book online.

In 2023 we are proud to support the Eastern Suns (Kalamunda and Districts Basketball Association).

You Won’t Want to Leave These Thongs at the Beach!

Tue, 01 Nov 2022 08:37:03 GMT

You Won’t Want to Leave These Thongs at the Beach!

Everyone’s excited for summer: the weather, the fun outdoors and of course, the beach. The beach means bathers, it means sun and sand, and it means thongs. What many people don’t understand is the importance of a well supporting thong. While many may see this as a quick slip on, convenient shoe, we see thongs as the make-or-break variable for your perfect summer. While thongs may be the ideal footwear for beach days, a poorly made shoe can cause serious and painful long-term effects. Most thongs nowadays have a lack of support. However, this problem is magnified for people struggling with increased pronation. Small amounts of pronation are considered healthy, as it allows the foot to adapt to uneven surfaces, absorb shock and build resilience. But increased pronation can become problematic and can cause problems such as bunions and plantar fasciitis.

The thing about thongs is that they don’t have supporting ankle or heel straps, which, yes, is kind of the point of an accessible and easy shoe! This model often causes people to use their toes to scrunch or grab the thong as they walk to prevent it from falling off. This movement doesn’t just cause problems in the toe joints and ankle but can spread all the way to the neck. The main problem with thongs is primarily based around the lack of support on the bottom of the shoe. Most thongs don’t have heel elevation, and elevation can reduce stress on the Achilles tendon which in turn, reduces the risk of developing tendonitis in the future.

So how can you kill two birds with one stone? Have an epic summer as well as keeping your tootsies safe for more epic summers ahead?

Wear thongs with good arch support. Brands such as Archies are an excellent example of this, providing both structured and comfortable footwear for those summer days. Their entire range is equipped with everything you never knew you needed in a thong. Real arch support, comfy material, adjustable straps, no plugs and super lightweight in a range of colours means there’s an Archie style for everyone. And now there’s even Archies with bling – all the comfort as well as style!

Our team of Podiatrists at Junction Foot and Ankle Group love these thongs so much that we stock them at our clinic. Come in and grab a pair.

It's nearly Foot Health Week!

Tue, 01 Nov 2022 08:35:08 GMT

Don’t let this be your Achilles heel

Pete and his dear wife Noreen are super excited to be heading over East for the footy finals! Their brood of children are finally off their hands and before the grandies come thick and fast they have decided to splurge a little and see the big game in style. They’re going Premium Economy! Last time they headed over East was in their caravan pre-pandemic, and the constant up and down onto the step into the van caused Pete’s heel to become a pain in the arse.

Pete had been struck down with Achilles tendinopathy, a degenerative condition that affects the Achilles tendon at its weak point. Pete was determined that this not be the end of him. On his return to Perth he promptly went to see his physio who hooked him up with a program of strengthening exercises. While these are super important, and did help some, Pete needed something else….and how was he going to play golf?

Pete heard about Shockwave therapy at Junction Foot and Ankle Group from one of his golf mates who had something called plantar fasciitis. Shockwave had helped his mate, so why not him?

Shockwave therapy accelerates the healing process of degenerative tissue that has stalled in its healing process. It does this by activating the body’s self-healing capabilities. Along with other physiological and biochemical benefits of treatment, Shockwave therapy stimulates new blood flow to the tendon and surrounding tissue, helping to reduce tendon swelling and increase cell activity to undertake the repair process. It works well on Achilles teninopathy, plantar fasciitis and other tendinopathies.

So, Pete began the Shockwave treatment, along with a tailored exercise regimen and modification to his orthotics and footwear. At Pete’s review six weeks later, his pain was 80-90% better and he was walking much more comfortably… just as the golf course was beckoning!

It's Footy Finals Time!!

Wed, 31 Aug 2022 08:56:03 GMT

It’s getting chilly…

Mon, 04 Jul 2022 00:33:43 GMT

It’s that time of the year when the woollen bed socks and big fluffy dressing gowns make an appearance. With the temperature dropping there are some particular problems that may arise in the feet.

Chillblains are a condition that can affect the hands and feet. They appear as small, red, itchy swellings on the skin which sometimes look like violet-coloured patches. They form after exposure to cold air or dampness and are a result of the small blood vessels near the surface of the skin going into hiding.

Chillblains in themselves are usually short lived and don’t normally cause any permanent damage. They can range from being uncomfortable to really painful. Sometimes chilblains can be a symptom of a more significant circulation disorder, such as Raynaud’s.

The trick is to avoid sudden changes in temperature. That means no walking out to get the paper on the dewy grass wearing your double-pluggers early in the morning. Try to keep your whole body warm so that your core temperature is maintained.

Applying creams that have a warming effect can be helpful. If the chilblains are itchy, using Witch Hazel can help.

At MJ Taranto Podiatric Surgeons, we know all about chilblains and how to manage them. We are also trained to undertake assessment of the circulation in your feet and can detect if there are any underlying concerns that may require further assessment.

Our health and wellbeing commitment to you

Thu, 28 Apr 2022 05:19:28 GMT

At MJ Taranto Podiatric Surgeons, the safety and wellbeing of our patients has never been more important to us. That is why we're implementing more safety measures to minimise risks associated with COVID-19.

At Junction Foot and Ankle Group, the safety and wellbeing of our patients has never been more important to us. That is why we're implementing more safety measures to minimise risks associated with COVID-19.

We have implemented the following:
- Increased our focus on social distancing measures
- Increased hygiene and personal protection within the Practice
- We continue to work with recommended guidelines
- We are regularly reviewing and updating our policies and procedures as required

We ask that all of our Patients:
- Wear well-fitted masks to their appointments
- Use the hand sanitizer provided upon arrival
- Check in with the Service WA app on arrival
- Arrive on time to their appointment and if you are early please wait in your car to help reduce the traffic in the waiting room
- Attend your appointment alone wherever possible

While things may look a little different at the moment, our commitment to our patients hasn't changed. As we navigate through these changes, please be patient and kind to our staff and to each other!

We look forward to seeing you at your next appointment!

Bring on Summer!

Thu, 24 Feb 2022 06:30:35 GMT

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Unstable ankles

Mon, 04 Oct 2021 01:20:55 GMT

Does your ankle feel like it’s locking or catching or giving way at times? Unstable ankles are very common and are not just a result of repeated ankle sprains, although this certainly doesn’t help!

The ankle is made up of bones, joints, cartilage, ligaments, soft tissue envelope called the capsule, fascia and retinaculum that help to keep the ankle held together. Repetitive stress on the ankle, whether through wear and tear or an ankle sprain or fracture, can cause ongoing instability in the ankle. There may be cartilage damage, loose bony fragments, scar tissue which can get pinched in the ankle joint, and rupture or stretching of ligaments which contribute to the instability, pain and swelling.

The use of ankle braces, supportive footwear, targeted exercises and orthotics are used to treat symptoms of ankle instability. But in cases when these measures are not enough to relieve pain, or instability persists, surgery can be undertaken to reconstruct the ankle ligaments and remove any floating bone or damaged cartilage.
The recovery from ankle reconstruction surgery is quite lengthy but we try to get you moving as soon as possible and involves physiotherapy as part of the rehabilitation process.

Footy finals are ramping up! How are your shins feeling?

Thu, 09 Sep 2021 01:07:35 GMT

This year has been a strange sort of year for sport all round - players and fans alike.

Shin splints are most common at the beginning of the footy pre-season training. If you find yourself complaining of shin pain, you might have shin splints.

Shin splints, also known as medial tibial stress syndrome, are an exercise related pain. Shin splints commonly occur at the inner aspect of the leg.

Shin splints are an overuse injury, resulting from repetitive activity – such as running or jumping. Pain is caused by an inflammation of the lining of the leg bone at the point where muscles attach.

Some things that might contribute to the development of shin splints include biomechanical abnormalities (e.g. a flat foot or a rigid high arched foot), poor shock absorption, knee position, footwear, and changes to training regimes.

There are a variety of different options available to treat shin splints, including rest (although non-weight bearing exercise such as swimming is generally ok), anti-inflammatory medications (taken only as directed), ice application, massage techniques, ultrasound, orthoses, or shockwave therapy. Your Podiatrist may recommend orthoses for your shoes, the aim of these is to correct biomechanical abnormalities occurring in the foot and lower limb. This allows the foot to function better and reduce the stress placed on the leg.

“The middle of my foot is killing me!”

Mon, 09 Aug 2021 04:16:10 GMT

If you’ve got pain in the middle part of your foot, it’s worth having it investigated.

Let’s face it, the foot is a complex piece of anatomy, made up of bones, joints, ligaments, tendons, muscles, nerves and blood vessels. Any one of these groups of structures can be involved in foot pain. But if you have pain in the middle part of your foot that is not resolving, you should get it seen to. It may be caused by a condition known as midfoot arthritis, which is progressive and can occur because of a number of reasons. This might be following trauma or damage to the foot (traumatic osteoarthritis), or because of underlying condition such as rheumatoid arthritis. Even faulty foot mechanics, such as flat feet, can result in midfoot arthritis. The condition primarily affects adults and it’s typical to have pain and swelling, which gets worse with activities such as walking or any action involving twisting of the foot.

It can be tricky to make a diagnosis of midfoot arthritis, especially if there are other structures involved in the pain or pathology. Sometimes these can be very subtle and can mimic one another. Imaging (such as x-rays, MRI, CT) are used to confirm the diagnosis.

At Junction Foot and Ankle Group we know all about midfoot arthritis. Podiatric Surgeons Dr Julie Taranto and Mr Michael Taranto are foot and ankle specialists and are able to assess and manage this condition. Non-surgical treatments include pain management, injection therapy, attention to footwear, foot supports or orthoses, shoe modifications and weight loss. When non-surgical management fails to provide adequate relief of pain or if your activities of daily living are affected, surgery may be needed. During a surgical consultation with our Podiatric Surgeons the surgical options available to you will be discussed along with the associated risks and recovery time.

Online Bookings!

Mon, 09 Aug 2021 02:19:41 GMT

Online bookings available!

We’re not sure if our fantastic and loyal patients realise, but MJ Taranto Podiatric Surgeons are offering 24/7 Online Bookings through our website. This will allow you to select your own appointment time with any of our amazing Podiatric Surgeons.

Of course, if you cannot find one, then please feel free to call and speak to our friendly Receptionists Emma or Asha and they will assist you.

Frogs and Toads, Warts and All.

Mon, 09 Aug 2021 02:19:39 GMT

This month we talk to Michael Taranto about successful treatment of plantar warts.

“Like a lot of little boys growing up, I was told that touching frogs gave you warts. Of course, this is a myth – don’t blame the poor old frog!” says Michael Taranto.

There is only one cause of warts, and that is the human papillomavirus (HPV). HPV causes rapid growth of the skin, resulting in raised bumps on the outer layer of the skin. “In podiatry terms, we talk about plantar warts as a soft tissue condition. The virus causes them and invades the skin often through almost invisible cuts” Michael explains. “At the risk of sounding pedantic, technically only those warts on the sole of the foot are called plantar warts,” he adds, “but there is no doubt most patients find warts anywhere on the feet quite painful. And whilst there is only one virus (HPV) which causes warts, there are many different strains of this virus.”

Warts can be treated with a number of topical agents. Just about anything, including banana peel to duct tape have been touted as helping some people. Podiatrists have typically used creams, pastes and solutions to treat warts on the feet, with surgery (curettage, or removal of the warts) being reserved for the most resistant, painful cases.

Many over-the-counter preparations (purchased at your local pharmacy) are not strong enough to get into the wart tissue. This is for reasons of safety and making sure the risk of harm to the consumer is low. However, podiatrists are specially trained to treat warts and Michael and his team have experienced excellent results from a specially made topical agent used under podiatry guidance and expertise.

Having nightmares about children's shoes?

Thu, 15 Oct 2020 05:35:36 GMT

We don't know if you've noticed, but children grow constantly!

Every year you probably find yourself buying new shoes for each child (that's if you make it a whole year) and it's not just the school shoes you have to worry about.

If your child plays sports, you probably have to buy new runners as well. If they play basketball, go to dance classes or are on a football team, you'll probably have to purchase an upgrade on specialised footwear too.

It seems never-ending, (and expensive!) But, having your child wearing suitable footwear that fits them is important and may save them from avoidable conditions affecting the foot and ankle.

We know that shoe shopping can be a nightmare. So, to ease the pain, we've put together our top tips for finding your child's perfect fit:

If your child has orthotics, make sure you take them with you when you go to buy shoes. You can't imagine how many times orthotics are left behind, and making them fit into the new shoes after you've purchased them is never a good idea.
Make sure you can fit one thumb width between the end of your child's longest toe and the top of the shoe. This ensures good fit with room to move. Test this while the child is standing, not sitting.
Make sure the shoe fits at all sections of the foot - forefoot, midfoot and rearfoot. The right shoe should fit the foot comfortably without any gaps or bulging.
Finally, organise a visit to your podiatrist before you go. That way you can be sure that they have the right orthotics (if they need them) and you know more about what your child needs to accommodate their unique foot shape. The podiatrist can also advise you on other features and merits of supportive footwear, including information on the shape and flexibility of the shoe, and which features are important for your child’s particular foot type.

Check out our new shoes!

Thu, 15 Oct 2020 05:31:59 GMT

With the cooler weather just around the corner we are excited to announce a new range of enclosed shoes, all of which are suitable for orthoses. There are a couple of old favourites in there as well and some from the new range of Revere shoes.

Finding fashionable shoes that accommodate your orthoses can be tricky. With a large number of female podiatrists at our practice who also wear orthoses, we know first-hand what this can be like. But we’ve put our heads together to come up with some fashionable options for our patients. We love the Revere styles we’ve chosen and we’re impressed by the extra depth and width features of these shoes. They resemble more of an anatomical foot shape which make them really comfortable and even suited to problematic feet.

Remember to bring in your orthoses when you come in. For correct fitting you should try the shoes on later in the day when your feet may be slightly larger, and it’s best to bring in whichever socks or stockings you plan to wear with them.

Come in and check out our display in the clinic. If you’re not sure if your orthoses are suitable for these new shoes just ask our friendly staff. If you have full length orthoses and would like a shorter slimmer pair to fit more easily into fashionable shoes bring in your existing foot moulds.

The road back to school and sport - How can my child avoid the pitfalls of pre-season training?

Thu, 15 Oct 2020 05:30:33 GMT

Thankfully we seem to be over the initial threat of COVID-19 and as things return to some semblance of normal and some restrictions are relaxed, we hopefully will see a return to team sport for our kids.

And because the usual pre-season training didn’t get a chance to take place, our kids may be wanting to take off full throttle. At Junction Foot and Ankle Group we know all about overuse injuries which can occur in kids just as well as adults. These can be quite painful and distressing for your young athlete.

It's important parents and coaches transition kids into team sports with ease. Despite the many opportunities for online exercise which our kids may have been involved with over the last few weeks, most of them have come off the back of a lazy period, where they have been relaxing, eating you out of house and home and growing like weeds. Soon they may get the call to front up to training and everyone will be super keen to get back into shape.

To understand what is happening we need to unpack the relationship between training and children a bit more.

Training Load
Load is the term we use for the amount of activity performed. Risk of injury increases with quite small changes in load. A recent high-quality review paper (Windt, J & Gabbett, T, 2017) reinforced the traditional view that when weekly load changes by 10-15% there is a significant increase in injury risk.

Children
Children typically have two growth spurts. When this occurs their bones grow rapidly, the soft tissues around those bones adapt and lengthen over the next couple of months. While the soft tissues are catching up, they are under slightly more stress.
The perfect storm happens when kids start pre-season training after a summer of inactivity whilst undergoing a growth spurt. The two most common injuries in this situation are:

Sever’s disease – or heel pain in kids, and
Osgood Schlatter’s disease – or knee pain in kids

Both these conditions are the same problem occurring in different locations. Despite their scary name, they are definitely not diseases.

Straight talking - Let's chat about bunions!

Thu, 15 Oct 2020 05:26:00 GMT

It’s that time of the year when the summer wardrobe gets switched for the warmer winter clothes and boots.

Your old faithful ugg boots have made an appearance but your favourite boots and shoes no longer seem to fit you. If you’ve noticed your foot becoming wider across the toe area, and previously well-fitting shoes are now tight and uncomfortable, you may be developing a bunion. Or maybe you’ve always had footwear restrictions because of a bunion but it’s become more noticeable and painful when it wasn’t before.

Bunions are caused by a complex combination of factors, namely our genes. We inherit genes that give us our foot type and function, and these factors determine whether or not we are likely to develop bunions. Both men and women can develop bunions and there is even a juvenile form of bunions that can occur in children.

Many people have bunions and not all require surgical treatment. Unfortunately, many people are told not to seek treatment unless their bunions are killing them, and as a result we often see bunions in the elderly which have been untreated. The more advanced the bunion deformity, the more likely it is that there are other associated problems, like crooked toes (called hammer toes) which can rub on shoes and become painful. And the more chance there is cartilage damage inside the bunion joint. Bunions develop because of an instability within the big toe joint, and they are progressive which means they usually get worse over time. Research has shown that in older people, bunions have been linked to falling over. Let’s face it, we don’t need to add to the list of obstacles that can cause falls. And we want to stay on our feet for as long as we can.

Do you have weak ankles?

Thu, 15 Oct 2020 05:21:13 GMT

If you’ve found your ankles giving way when you walk, or you feel unstable on your feet, you may have ankle instability.

Ankle instability is usually caused by repetitive sports injuries such as sprained ankles, more common in certain sports involving a quick change of direction or jumping and landing awkwardly, like netball, basketball and football. It can be caused by injury to the lateral (outer) and/or medial (inside) ankle ligaments and can usually cause strain or stretch.

In severe cases the ligaments can tear or rupture, which can be partial or complete. People often feel like the ankle is giving way or is unstable and may experience a number of subsequent ankle sprains following their original injury. These sprains can occur with just a minor twist or trauma.

Most ankle sprains, if treated early and appropriately, respond very well to non-surgical care, including specific exercises, orthotics and ankle braces. However, in some cases the ankle instability persists and interferes with a person’s activities of daily living. In these circumstances, surgery may be considered.
Surgery is aimed at providing an anatomical repair of the soft tissue structures involved in the injury. Our Podiatric Surgeons will undertake a thorough assessment and examination of your ankles and determine if there are any co-existing instability problems. Often imaging will be obtained to assist in this assessment.