Paul Bours - Foot inside of Arch area

Accessory Navicular Syndrome
Charcot Foot
Cavus Foot (High-Arched Foot)
Flexible Flatfoot
Heel Pain (Plantar Fasciitis)
Pediatric Flatfoot
Posterior Tibial Tendon Dysfunction (PTTD)
Tarsal Coalition

Paul Bours - Inside of Arch Area

Bunions (Hallux Abducto Valgus)
Hallux Rigidus
Gout
Ingrown Toenail
Sesamoid Injuries in the Foot

#Paul #Bours - Sydney Foot Clinic

Dr Bours has been a board member and past President of the Australian Podiatry Association (NSW), a NSW representative in the Australian Podiatry Council, and he has held a board position with the peak Australian podiatric surgical body, the ACPS
Institute of Surgical Podiatry

Level 2
44 Bridge Street
SYDNEY 2000
Tel: 9252 2088
Fax: 9252 2103
Email: quaytherapy1@gmail.com

#Paul #Bours - Surgical risk and complications

All surgery has risks and potential for complications. Risk may come from the anaesthetic -whether it is a general or even local, or from the surgery itself. The variables are the choice of surgery and the performance of the surgery itself. Unfortunately surgeons of the foot and ankle do not always agree on what procedure is best to treat a foot deformity as there is no “cookie cutter” answer to foot and ankle problems.

The choice of a surgical procedure depends on many variables; for instance there are 130 recognised surgical procedures to treat bunions, many are vallid and it depends on your particular foot. Variables to consider in the choice of surgery can be the patient’s age, expectations, medical history, work and sport demands and surgeons preference. Some complications are infection, swelling, scarring, sensitivity, loss of function, transfer lesions, as well as return of the original deformity. Some surgeries will never have 100 % outcomes because essentially we may be dealing with “damaged goods”. This especially is true for deformed structures such as bunions or arthritic joints.

Paul Bours - Sole of your foot

Calcaneal Apophysitis (Sever’s Disease)
Fractures of the Calcaneus (Heel Bone Fractures)
Heel Pain (Plantar Fasciitis)
Plantar Wart (Verruca Plantaris)
Puncture Wounds

#Paul #Bours - Fore Foot Specialist

Ankle Fractures
Ankle Sprain
Chronic Ankle Instability
Equinus
Gout
Posterior Tibial Tendon Dysfunction (PTTD)
Talar Dome Lesion

#‎Paul‬ ‪#‎Bours‬ - Sole of your foot

Cavus Foot (High-Arched Foot)
Charcot Foot
Flexible Flatfoot
Heel Pain (Plantar Fasciitis)
Pediatric Flatfoot
Plantar Fibroma
Plantar Wart (Verruca Plantaris)
Posterior Tibial Tendon Dysfunction (PTTD)
Puncture Wounds

#Paul #Bours - Sole of your foot

Bunions (Hallux Abducto Valgus)
Hallux Rigidus
Plantar Wart (Verruca Plantaris)
Sesamoid Injuries in the Foot
Toe and Metatarsal Fractures (Broken toes)

#Paul #Bours - How can i manage at home during recovery from foot surgery?

After the first 48 hours of foot elevation, you can usually gradually return to most activities wearing your post operative shoes. The dressing placed at the time of surgery is left intact until your first postoperative visit. The surgical dressing cannot get wet. Therefore, baths are encouraged. If one chooses to shower, then an “over-the-foot” bag is necessary.

#Paul #Bours - What is rehabilitation after Surgery?

Foot and ankle surgery rehabilitation can be done at home but usually requires some formal physiotherapy. The physiotherapist will advise you on correct exercises, walking patterns and stretches to ensure optimal post operative recovery. Some patients require orthotics (foot supports), and special footwear. This care helps ensure that the results of the operation are long lasting.

#Paul #Bours - How long is the recovery period after foot surgery?

Full recovery typically requires between 6 and 12 weeks. Swelling is the “enemy” after surgery and precautions must be taken to minimize it. A slow, gradual return to activities is encouraged.

Paul‬ ‪#‎Bours‬ - Tailor’s Bunion (Bunionette)

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Tailor’s bunion, also called a bunionette, is a prominence of the fifth metatarsal bone at the base of the little toe. The metatarsals are the five long bones of the foot.
Toe and Metatarsal Fractures (Broken toes)

The structure of the foot is complex, consisting of bones, muscles, tendons, and other soft tissues. Of the 26 bones in the foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot).

About Paul Bours

Dr Bours graduated from LaTrobe University with a BAppSc (pod) and Graduate Diploma in Podiatry (research). He then undertook a Graduate Certificate in electro-therapeutics (RMIT) and a Masters of Podiatry at Curtin University. He practiced in country Victoria and NSW, eventually establishing himself in the Sydney CBD in 1989. Dr Bours continued post-graduate study in podiatric medicine, both nationally and internationally to become a Fellow of the Australasian College of Podiatric Surgeons and Fellow of the Academy of Podiatric Sports Medicine. Dr Bours completed a post-graduate program in podiatric medicine at the California College of Podiatric Medicine at the University of California in 1986, and has been a visiting resident at the prestigious Podiatry Institute at the Northlake Medical Centre in Atlanta Georgia. He also completed a 12 month residency in Pitt County Hospital North Carolina USA supervised by world renowned surgeon Dr. Luke Cicchinelli DPM FACFAS. Dr Bours is also a Fellow of the Academy of Ambulatory Foot and Ankle Surgeons, a group of orthopaedic and podiatric surgeons who practice key-hole, or Minimal Invasion Surgery (MIS).

Dr Bours has also been involved with athletes, consulting with the Swans AFL team as their first Sydney based podiatrist as well as being contracted to the Army in Bandiana NSW. Dr. Bours has participated in medical missions to El Salvador, Venezuela. Since 2007 he has participated in an annual fund raising cycle for the Starlight Foundation. He has presented scientific papers at numerous conferences nationally and internationally, and has lectured at several universities in foot and ankle surgery. He remains active in podiatric medical clinical training with the University of Western Sydney.

Paul Bours - what is worn on the foot following surgery?

Immediately after surgery, the entire foot will be carefully wrapped in a bulky dressing or cast as protection for the first few days. Keeping the foot elevated during this time will help minimize swelling. Some swelling and stiffness can be expected following surgery, for as long as eight to twelve weeks. Crutches may be needed for walking or standing as the foot heals. . Each surgical procedure requires a different type of foot immobilization such as a bandage, splint, surgical shoe, cast, or open sandal. Good postoperative results require proper foot support to prevent future problems. Early use of leg and foot muscles hastens recovery. After sufficient healing time, most patients can resume wearing their usual footwear.

#Paul #Bours - Buckled, curley toes Issues

Pain either from rubbing on shoes.
Finding shoes to not rub them is difficult.
The function of the toe to propel us forward is reduced.
Nail problems form rubbing on shoes

#Paul #Bours - Minimal Invasion Surgery

To reduce risks and complications of surgery.

New techniques allow for special instruments to be inserted through small holes in the foot and used to straighten bone and release tight tissues.

This can be performed in-office
Under local anaesthetic.

Paul Bours - If you need Podiatric surgery call with us.

Institute of Surgical Podiatry

Level 2
44 Bridge Street
SYDNEY 2000

Tel: 9252 2088
Fax: 9252 2103
Email: quaytherapy1@gmail.com

Paul Bours‬ - Buckled, curley toes Issues

Pain either from rubbing on shoes.
Finding shoes to not rub them is difficult.
The function of the toe to propel us forward is reduced.
Nail problems form rubbing on shoes

Paul bours - Foot ankle Front

Bunions (Hallux Abducto Valgus), Gout, Hallux Rigidus, Ingrown Toenail, Sesamoid Injuries in the Foot, Toe and Metatarsal Fractures (Broken toes), Capsulitis of the Second Toe, Tailor’s Bunion (Bunionette), Accessory Navicular Syndrome, Fractures of the Fifth Metatarsal

#Paul #Bours - Surgical risk and complications

Surgery is only considered after conservative management such as stretching, orthotics, exercise and shoe modification has been exhausted or deemed inappropriate. Remember surgery includes an element of risk of sub-optimal outcomes and complications. Even the best surgeon can have complications. It is always advised to consider a second opinion when considering surgery. If you have seen another surgeon I am happy to provide further advice. Call us on 9252 2088.

Paul Bours - specialist in forefoot corrective surgery

All general podiatry and specialist in forefoot corrective surgery

Any surgical or invasive procedure carries risks. The information provided here is for general educational purposes only. Before proceeding, you should discuss your particular situation with Dr Bours or seek a second opinion. Call us on 9252 2088.

Paul Bours - Front of your Foot

Bunions (Hallux Abducto Valgus)
Gout
Hallux Rigidus
Ingrown Toenail
Capsulitis of the Second Toe
Accessory Navicular Syndrome
Ankle Fractures
Ankle Sprain

#Paul #Bours - World's Best Techniques in Foot and Ankle Surgery Podiatric surgery v’s orthopaedic surgery

Podiatric surgery v’s orthopaedic surgery

Podiatric surgeons are podiatrists who have post graduate training in surgery to a level needed to obtain Commonwealth accredited specialist registration. This is a different pathway from an orthopaedic surgeon who obtains specialist registration, then works toward sub-specialisation in foot and ankle. Arguably, the time and experience spent in training looking at foot and ankle problems by an orthopaedist will be less than that of a podiatric surgeon. On the other side of the argument Podiatric Surgeons don’t have experience in delivering babies or performing hip replacements, but nor do they need to!

http://podiatricsurgery.com.au/podiatric-surgery/

#‎Paul‬ ‪#‎Bours‬ - Dr Paul Bours’s 30 year clinical experience

Dr Bours has graduate and post graduate qualifications in electrotherapeutics , orthotics, manual therapy and pharmacotherapy which enables him to offer patients a wide variety of treatment options before surgical intervention