Keep Up-To-Date with all of our latest News and Innovations in Podiatric Medicine.

How Our Patients Rate Us

Our patient ratings have continued to rise over the last month.
We are delighted to see that this numbers continuously growing with improved methods of diagnosis, treatment and follow-up.
Moving forward we will keep you updated with how we are tracking on patient feedback.
We endeavour to provide a service which is rated above 8 out of 10 regardless of the presentation or complexity of the condition.
We look forward to seeing you soon.

Would You Recommend The Foot & Ankle Clinic For Your Foot and Lower Limb Injuries?

Here is a recent graph of our new patient feedback. We are delighted to announce that we have been providing enhanced treatment options to our patients which has built solid exposure over the last 2 months.
The statistics are from our new location in Gregory Hills. This is where our headquarters is space and we have placed a large emphasis on providing industry leading customer service, thorough treatment plans and improved health outcomes.
We have implemented a large range of technology, a diverse range of podiatrists and extraordinary diagnostic processes to treat the cause of our patients complaints.
We look forward to seeing you soon.

Where Have Our Patients Been Finding Us?

Our patient base is growing in a healthy fashion during this COVID period.
We are grateful for all the support which we have received as well as the support which we have delivered to our patients. It is evident that we are making a large impact with our surrounding GPs, our online presence and through specialist referrals/word of mouth.
These are the statistics of our new clinic which has been set up in Gregory Hills. It is interesting to see that we are ranging between a healthy balance of multiple sources of exposure within the community.
All of our sites including within the Illawarra region will continue to provide a strong community presence as time progresses.

3D Custom Orthotics – Helping You Walk

Orthotics has been a large interventional strategy that we implement for many lower limbs and foot conditions. The Foot and Ankle Clinic podiatrists aim to find the cause of each condition so we can treat each patient long-term.

The role of orthotics is to allow the lower limbs to work in correct biomechanical function so any injuries or discrepancies can begin to rectify as pressure is usually removed from these areas.

It’s important to understand the true cause while walking and standing as it’s often evident weekly treatment that aims to treat the symptoms rather than the cause of each issue can just cause a regression when exerted. The original issue which caused the condition should be treated and this is why we utilize 3D custom orthotics to support joints, tendons, and ligaments. 

All orthotics can be placed within footwear and can be customized for even minimalistic footwear such as high heels or office shoes.

It’s important to consult one of our podiatrists if you do have this request so we can use our 3-D scanning systems to adequately create the right device for you.

Customised Medical Grade Work Boots – How They Can Help You!

We treat a variety of patients to sustain a work injury. We have a large database of footwear suppliers and modifications that we can implement in order to return our patients to work in a safe, comfortable, and efficient manner if required. Over the last 18 months, we have been able to implement a larger range of work safety boots alongside casual footwear in order to treat all lower limb and foot injuries.

Our podiatrists have found that implementing a reinforced heel counter, structured midfoot shank, modified forefoot toe box, widened last, and implementing a rocker bottom sole have helped to allow our injured workers to feel relief from their injuries and begin their recovery phase. 

We have been able to make some larger changes in work boots which support all ankle injuries, heel injuries, and midfoot degeneration. We have found increased relief in patients who also suffer from plantar fasciitis and Achilles tendon injuries. 

We use a 3-D scanning system on-site to allow for adequate customization based on the width, depth, and profile of each foot. Evidently, each foot is a different size and shape and this is adequately implemented across all our footwear.

Our Monthly Newsletter.

Every month we distribute newsletters to all our GPs and loyal patients.

We have a large patient base who do consult a podiatrist weekly for ongoing injuries, disability treatment, and WorkCover related cases. 

Within these newsletters, we aim to provide organisation updates from our staff, misconception information, and new treatment interventions. We also aim to provide education on common treatment options for lower limb conditions that are often overlooked.

This can cause long-term deterioration for people if not treated adequately. 

We have an invested interest in creating long-term relationships hence why our newsletters are our most important tool of communication to both our GPs and patients.

In the coming months, we will work within our community to increase awareness of lower limb injuries and deterioration.

We will implement measures on lowering this so we can increase the quality of life and functionality for the greater population.

Check out our “Newsletter” page on our website for a digital copy!

Health Is Wealth!

Every day we are assessing new patients who have chronic foot and lower limb degeneration. This is stopping them from completing their usual tasks and maintaining their health for exercise.

It’s important to understand that movement enables healthy habits as well as regulates your bodily functions in a holistic manner.

Without adequate movement whilst weight-bearing or non-weight-bearing, we are unable to regulate our bodily functions as efficiently.

This can lead to negative habits or “slumps” which keep sucking you away from who you really are.

Thankfully we have implemented a program to uncover the causes of your lower limb issues and be able to treat them from a long-term perspective.

Our aim is to not discourage the exercise of movement you require however encourage healthy habits, treating the cause of each problem, and maintaining function 10 to 15 years from now.

We see too many people that consult for their initial consultations towards their retirement age. Their only request is to make them mobile again as they have been working their whole lives to enjoy this period of life.

Don’t let lower limb issues stop your quality of life. As health is ideal wealth for you to enjoy and prosper throughout each stage of your life. We approach our profession keeping this in mind rather than just short-term success.

Please Email or call us for more information as education around this is imperative to your success.

Are You Feeling Trapped During COVID-19 Lockdown?

Thankfully all of our current patients have been utilizing the lockdown period to finally address lower limb issues, foot pain, and diabetic/foot health reviews.

At the moment, we are providing a safe, structured service that enables you to get out of the home.

The following services will enable you to be at your best during this period:

  • General Foot Treatments and Assessments,
  • Diabetic Review,
  • Work Cover Initial Consultations and Treatment Plan Commencement,
  • DVA veteran care,
  • DVA footwear,
  • Orthotics and Exercise Aids Prescription with No Gap Fee,
  • Foot pain Assessment and Treatment,
  • Regenerative care,
  • Low Level Laser Therapy for Fungal Nails,
  • Chronic Degeneration Invasive and Non Invasive Therapy

Please send us an Email or get in contact with us for more information.

This could be the start of you being fit, healthy and at your best after the lockdown period.

Our Newest Locations!

The Foot and Ankle Clinic of Australia has some exciting news for you!

Due to all the support we have been receiving from our communities and patience we have been able to multiply the number of locations we are now operating from.

This means we are looking to give back in order to continue to support our community.

As an initiative from us, we are aiming to deliver an educational service for your problems that are currently occurring throughout your lower limbs and feet.

We also implement a screening assessment in order to understand if you are eligible for any funding part of the government schemes or insurance.

You will be surprised at what you qualify for and we are here to help you for many years to come.

To commence this service we are now located throughout new clinics in QLD and WA. We also have ACT clinics commencing once lockdown has surpassed.

Please Email or contact us on the following details in order to enquire how we can get you started and assessed for further access to long-term services.

Staff Spotlight: Daniel Dalirazar

Hi, My name is Daniel Dalirazar and I am a Podiatrist for The Foot & Ankle Clinic of Australia. I have achieved a Master of Podiatric Medicine at The Western Sydney University.

Throughout my degree I have acquired skills and knowledge in vascular and neurological assessments, biomechanical calculation in adults and children, orthotic prescription, nail surgery, and currently specialise in Diabetic care for the Illawarra.

In my own time, I participate in competitive tennis and table tennis.

Our New Headquarters: Building has commenced!

Our new headquarters is currently being built at the SOMA WELLNESS Centre in the rapidly growing south-western side of Sydney, Gledswood Hills.

We have almost finalised the design phase and will be now commencing the initial building process.

We can’t wait to show you what is coming. This will make history. 

Diagnostic Imaging: Using Technology to help our Patients.

All our podiatrists implement the use of diagnostic imaging in order to understand the cause of each condition and it’s severity.

As we say to our patients there is no point guessing their condition however knowing every detail about their condition in order to treat them for effective long term outcomes. It’s also a valuable tool to keep all diagnosis objective rather than subjective. This aids in tracking progression for the patient alongside measurement of how well a treatment plan is progressing.

Visit one of our podiatrist today in order to understand the complete diagnostic process that is aimed to keep you walking in 10 to 15 years from now. 

Reporting: Keeping You and Your GP Up-To-Date.

We have build a great reputation with our medical colleagues and great patient base.

We have done so through quality reporting of initial patient contact alongside assessment reviews. We implement a comprehensive report every time a patient consults our podiatrists within our premium clinic so they can understand from start to finish what their condition is, why it was caused and the multiple treatment avenues we may have for them.

This not only helps their understanding it also aids in the effective inclusion of their network of doctors and treating practitioners. Our aim is to create an ecosystem for our patients of great medical support and a collaborative approach to better their health outcomes.

We want to remain a catalyst in this department and encourage any feedback on this. 

AfterPay

As a company we have implemented multiple avenues to be able to take care of your health and functional needs.

We do understand that items such as orthotic or procedures can cost amounts which may not be accessible.

For this to still be a priority with your ability to move and live life the way you want to we have now implemented after pay so you can conduct treatment and pay later.

Ask our Reception Staff about our AfterPay options.

Mobile Podiatry

We now offer podiatry services which are mobile!

This means we can now come to your home depending on your level of coverage and treatment requirements.

We aim to deliver a comprehensive service which is also experienced at our premium sites.

In order to achieve this we aim to deliver our services consistently, every week, rather than on a usual 8 week basis.

Staff Spotlight: Dr Ebrahim Moussalli

Hi, my name is Ebrahim Moussalli and I am one of the Podiatrists for the Foot & Ankle Clinic of Australia. I am 27 years old born in Sydney.

I graduated as a podiatrist in 2019. I enjoy helping people and making a difference. I have a sports background and particularly enjoy playing soccer and going to the gym. I like to go fishing for relaxation whenever i get the chance.

I previously worked in fast food and as a labourer during my time in Uni. My duties include helping our wonderful patients manage their foot ailments and overall concerns. I am currently located at Narellan primary health and Wollongong private hospital.”

EPC – We provide Bulk Billing Services:

We provide access to all of our patients. Across a large majority of our sites we bulk bill our consultations so patients can attain the adequate care they require. Many of our patients are unable to afford further treatment hence why we provide them with this level of access so we can maintain and treat their ongoing needs.

We require an EPC plan for these patients which is usually organised by their GP. The GP makes the referral for each patient once per year so the patient can attain up to 5 consultations per year under Medicare with no extra cost.

Please message us or call us if you require any further information and our locations on where you can access our podiatry services. 

Plantar Fasciitis – What is it? How should I treat it?

Plantar fasciitis is actually several conditions that affect the heel. The affected areas may include the plantar fascia insertion on the heel bone, the calcaneal bursa, the actual heel bone and the nerves on the medial side of the heel and the plantar heel. Treatment for this condition begins with shoe recommendations, mainly centering on a stiff-soled shoe with good structure and additional recommendations for a pair of orthotics or Custom Medical Grade Footwear. We will also try to have patients maintain use of an arch-supporting shoe, even within the home. We usually begin with physical therapy as a first-line treatment, both at home by the patient and with a physical therapist. We then adjust treatment based on the acute or chronic stage of diagnosis. 

Acute – 

If the problem is acute, we often use anti-inflammatory treatments, gentle stretching and support through continued taping. However, a majority of the heel pain we see is more chronic in nature. In these cases, we add Graston scraping of the fascia and deep massage to break up the chronic scar tissue formed in the fascia due to chronic tears and fibrous changes. This process can last about four to six weeks and has a recovery rate of 70%. A single cortisone injection is recommended if the patient is still having issues after this treatment. We locate the inflamed areas and provide the injection as required, and most commonly we find that it is only required in the fascia region. However, if the bursa region is inflamed, we will also deliver an injection to that region. This helps another 10% of patients stop their residual pain.

Chronic – 

We treat chronic cases of fasciopathy with what we call adjuvant therapy. This category includes shockwave therapy, platelet-rich plasma (PRP) therapy, amniotic cell injection or any other treatment that will result in inflammation and a response from the body to heal the region. We tell patients not to ice the heel and to stay away from anti-inflammatory treatments or medications. This often requires three to five shockwave treatments every five to seven days or two PRP or amniotic injections a month apart. More than 90 percent of our patients have a resolution of pain with this line of treatment.

FACA HOME: Helping People in their Homes

Every month our team looks at various ways we can help the community with different operations and new service roll-outs.

Our latest service is our FACA HOME campaign, which is an effort to see as many military veterans as we can within the comfort of their home. Our new model focuses on bringing a premium service to all DVA patients, without the stress of them having to organise transport or appointment times, as well and the potential pain or discomfort that would come with travel if they have a serious foot condition. We are extending this roll-out to insured patients as well.

If you are interested in organising a Home Visit with one of our podiatrists, contact our administration team via phone (1300 030 324) or email (admin@thefaca.com.au) and we will book a time for your visit.

Our Team Behind The Scenes

Our Team Behind The Scenes

The base of any good practice is a solid administrative team to handle the ins and outs, and our practice is no exception. Our administration team are our first point of contact with our patients, and act as a bridge between our patients and our Podiatrists. Our team also handles a lot of back end and organisational tasks to ensure the patients get the best and most effective treatment.  These can include:

  • Booking in patients
  • Rescheduling appointments
  • Processing billings and payments
  • Organising Home Visits
  • Liasing with the NDIS, DVA and WorkCover for patients 

You can contact either of our lovely receptionists Dannielle and Sarah, or our Administration Officer Angus by phone on 1300 030 324 or via email at admin@thefaca.com.au and they will be happy to assist in any enquiries you may have.

Our New Headquarters

We are always growing and expanding our business in as many ways as we can, and a part of this is opening up new clinics to practice our cutting edge podiatric medicine. Our newest clinic is situated in the heart of Sydney’s south west, an area that is seeing amazing growth and expansion. Located in the exciting new suburb of Gregory Hills, our new clinic falls in right at home at the amazing SOMA Wellness Centre, only a 10 minute drive from the heart of Campbelltown. At this clinic we are striving to create a place to improve and innovate our practices, and offer multiple treatment options such as:

  • Ordering and prescribing Orthotics
  • Biomechanical Assessment
  • Ordering and prescribing Custom Medical Grade Footwear
  • Laser Therapy
  • Dry needling and injections
  • NDIS, DVA and WorkCover consultations and treatment

We are currently practicing at SOMA every Tuesday from 9am to 5pm.

Call us on 1300 030 324 or email admin@thefaca.com.au to make a booking or enquire about our services.

Selecting Running Shoes

It’s important to stay active. When we have an injury, we compensate through various regions of our lower limbs. Unfortunately, this leads to a lack of activity and increased chronic injuries.

It’s important to understand the causes of your condition utilising a biomechanical assessment and concluding a long-term interventional strategy rather than short-term Band-AIDS.

Our aim is to treat all our patients from the cause in order to attain long-term results. Performance is vital to our well-being and this is our objective.

Foot Pain and Sleep

A lot of our patients advise that when they are resting their feet feel amazing. Upon awaking they do feel excruciating pain when they take those few initial steps in the morning. Is that you?

You could be suffering from inflammatory or degenerative conditions which can become longstanding. A few conditions to mention which can cause this are:

Plantar fasciitis, Achilles Tendon, tibialis posterior tendinitis, tarsal tunnel syndrome or plantar fibromas.

Have this reviewed today.

Inside Your Foot

The foot is a complex structure. There is many tendons, ligaments and nerves which innervate the foot. Not to mention the Each foot is made up of 26 bones, 30 joints and more than 100 muscles, tendons and ligaments

Unfortunately, when issues do arise it can be extremely hard to distinguish what is causing the problem alongside taking pressure off the problem as we are always walking on it.

At the present moment we have a streamline system in order to diagnose, assess and treat each condition objectively so we can make sure we are getting both the short and long-term results.

We look forward to finding how we can help you and your ongoing issues

Bare Foot On Rock

Being able to have the freedom to function bare foot is a lot of our patients dream.

Unfortunately, when they do attain ongoing issues, they do lack support on a day-to-day basis. We encourage our patients to live their usual lives and formulate plans based on attaining their capacity back to where they were.

We utilise objective measurements to understand their condition before undertaking treatment.

Selecting Casual Shoes

We all want to wear the shoes that we like however sometimes these can cause us ongoing issues. Have you ever felt increased pain when you wear your favourite pair of shoes?

Unfortunately, that could be causing you more damage than good. It depends on the shape and function of your foot on how they fit into your favourite pair.

The last thing we want to see is patients coming to us 10 years later with degenerative conditions which often have long-term implications. Have your feet checked out today if they continually hurt or cause you pain. We always say listen to your body.

Applying The Principles Of Lean Management To Podiatry Practice

I believe Lean management techniques can and should be applied to podiatry practices today. In today’s healthcare environment, providing high quality care in a fast and cost-efficient manner is a recipe for success. Doing more for your patients, your employees and yourself while using less money, time and energy is the way to go, don’t you think?

Private practice podiatrists should focus on five key areas when they are at work:

1. Do a great job. Help lots of people with their foot and ankle problems in a big way. This is the most important thing.

2. Produce high quality, timely medical records. This is often how a physician is judged (and paid).

3. Code correctly. You should receive proper reimbursement for for medically necessary podiatry services (or private payment), and nothing more.

4. Achieve high patient satisfaction. The public is going to figure out that it is possible to pay someone to garner all positive reviews on Google. Strive to have all your patients leave your office with what they came for, delivered in a kind, competent, hygienic and professional manner. I still think there will soon be a outside entity that does quality reporting for consumer groups and other interested parties that looks past the “5 star” hype.

5. Grow the business. Attract more of your favourite type of patients (the ones that you uniquely can help the best). If you have fun doing what you do best, your patients will have fun obtaining wellness from you.

Ideally, private practice podiatrists will focus on the above five items as the highest and best use of their time. These are the five core functions of a doctor in private practice. We should focus on getting better and better at these five things. But, what about all the other important factors that go into creating a medical practice that delivers high quality care in a compliant, fast and cost-efficient manner? That is where out-sourcing comes in.

When birds fly in formation, they go faster but use less energy. That is what Lean management is all about. For the birds to do their best, they must come together and fly in formation. In today’s healthcare environment, that is what I recommend small practice podiatrists do.

Midfoot Fusions: How To Address The Complications

Midfoot arthrodesis can address a wide variety of pathologies. When nonsurgical interventions fail to relieve pain and or if there is a risk of joint collapse that may lead to limb loss, one may choose surgical intervention. The goals of surgery should remain to create a stable and pain-free foot with improved function.

Common postoperative complications of midfoot arthrodesis include infection, wound healing complications, nonunion, malunion, compensatory joint arthrosis, hardware issues and peripheral nerve complications. Although these complications may occur in all patient groups, they are much higher in those patients with Charcot neuroarthropathy.15 Accordingly, it is advisable that podiatric surgeons have an elevated awareness of potential complications in this patient population. Good surgical techniques such as proper joint preparation and alignment as well as robust fixation are some of the intraoperative steps a surgeon can take to prevent many of the aforementioned complications.

In addition, we also advocate for the use of bone grafts and other orthobiologics when appropriate. Encouraging smoking cessation for patients is also wise as is optimizing the patient’s nutritional and overall health status in order to facilitate a desired outcome.

^*^Here at the foot clinic of Australia we aim to provide the highest level of Conservative care possible. We aim to prevent surgery or reduce ongoing complications post surgery in order to mitigate further risk in the distant future.

We can implement Conservative techniques such as orthotics, footwear, joint

mobilisation and techniques in order to improve life quality and restore function.

Recommending Sporting Shoes: Educating Athletes On Keys To Appropriate Selection

“What is the most appropriate shoe for me?” This may possibly be the most common patient question for any of us who treat athletes of any age or proficiency. I have had the opportunity to work with athletes from beginners to professionals. Many factors weigh into the choice of shoe, including price, past injury and, in sport particularly, shoe size. People who participate in sport often have difficulty finding large enough shoe sizes at a typical sports store.

The reality is many of today’s shoes are not just for playing basketball, they are fashion statements, which slightly complicates the selection process.

So how do we choose and make recommendations for patients? Comfort should be the primary factor above all other factors.

With these findings in mind, how do we recommend the best shoe to our sport-playing patients? For the athletes I treat, I find it is beneficial to add an additional insole, across all ages, but especially in older players. The sock liners that come with basketball shoes are thin and easily replaceable. The lone exception to this is some of the early Kobe Bryant basketball models with Nike. These shoes have exceptionally thick cushioned insoles that one cannot easily replace with an over-the-counter or a custom device. Often, sporting orthotics tend to be flexible and offer more of a custom footbed than a true biomechanically-controlling orthotic. Players like the ability to pivot without too much control.

For players with larger feet, shoes may be difficult to find at the average athletic shoe store. Ordering online directly through the shoe companies frequently offers the best opportunity to buy larger-sized shoes. Unfortunately, this becomes a trial-and-error exercise and one I do not typically recommend. Sometimes it does become the only option.

Today’s sporting shoes offer excellent shock absorption and stability in comparison to older shoe models. Some due diligence may be necessary to find an appropriate shoe for your athletic patients but there are a lot of options available.