Charlotte Bosley

We’re thrilled to introduce Charlotte, our enthusiastic and dedicated receptionist who joins us every Wednesday. She brings a positive, enthusiastic, and kind demeanour to our patients and our clinic.  With a genuine passion for assisting others, she is always eager to lend a hand wherever needed. Charlotte is currently pursuing a degree in Design/Commerce at the University of Auckland. Beyond her studies, Charlotte values quality time with her flatmates and friends, enjoying movie nights, baking, gym sessions, and leisurely walks. Charlotte’s vibrant spirit and commitment to exceptional customer service make her a valuable asset to our team.

Chiemu Iioka BHSc (Pod)

Chiemu brings over three years of clinical experience in podiatry gained at Auckland University of Technology’s (AUT) inter-professional health clinic. He has a strong passion for musculoskeletal podiatry and enjoys assisting individuals with sports-related or other injuries. Chiemu is dedicated to providing exceptional care to every patient. His warm and engaging personality ensures that each individual feels at ease and valued in his care, fostering a supportive environment. Outside of his professional pursuits, Chiemu is a dedicated karate and kickboxing competitor.  He has competed in prestigious international competitions across locations such as Chile, Turkey, and New Caledonia. This athletic background inspires him to work closely with patients striving toward specific goals, ensuring they are optimally prepared to achieve their objectives.

The Best Medical Pedicure In Auckland?

When it comes to foot care, not all pedicures are created equal. While some just want a bit of colour on their toes, for those looking for more than just aesthetic improvement, medical pedicures performed by a podiatrist (who specialises in them) is an experience that leaves you feeling safe and secure about your foot health. Yes, this type of pedicure is well known not only for its ability to improve the appearance of the nails (even without using polish), but also to address a range of other foot-related health issues (pertaining to the nails and skin on the feet). Where others just put a cosmetic bandaid over the problem, we go a lot further to see what we can do to help prevent your concerns from returning, as well as addressing them on the day. Whether you are managing diabetes, suffering from nail disorders, or simply looking to maintain optimal foot health, understanding the importance and benefits of a professional medical pedicure is essential.

What is a Medical Pedicure?

A medical pedicure is a specialised foot care service performed by qualified podiatrists. Unlike a regular pedicure that focuses solely on cosmetic improvements, a medical pedicure targets the long-term health of your feet. During your service, your feet are first thoroughly examined to detect any underlying issues such as fungal infections, ingrown toenails, or excessively dry and cracked skin.

Your podiatrist will then get started using tools that are not only effective and of very high medical quality, but are sterilised and used in an environment that prioritises safety and hygiene. This aspect is particularly important for those with health conditions like diabetes, where maintaining impeccable foot hygiene is a key part of preventing serious complications.

One of the most important parts of medical pedicures is also the education component, in that our team provides comprehensive advice about how you can best support your foot health going forwards. We have just one pair of feet to last us a lifetime, so it’s always important to take the very best care of them.

Nail Restoration Addition To Medical Pedicures

As of 2024, we’re also proud to offer an ‘add on’ option to our medical pedicures with Keryflex nail restoration. Keryflex transforms toenails in one appointment from looking discoloured and damaged (or however your nails are looking now in their current state) to being clear and healthy-looking. It does this by creating an artificial nail over the existing nail that looks, feels and acts like a real nail. What we love is that it doesn’t cause any damage to the nail beneath, and it lets the original nail grow out while looking great.

Keryflex nails are light, flexible and natural – so they move naturally with the toes instead of rigid, damaging alternatives that you may find at a salon. The nail is non-porous and doesn’t allow moisture to penetrate between the natural nail and the Keryflex nail. This means it won’t irritate or cause further damage, and it won’t exacerbate any existing fungal nail infections or other conditions that you may have. In fact, Keryflex contains an antifungal (Piroctone Olamine) to help interfere with the growth of existing fungal infections. Read more about Keryflex here.

Best Medical Pedicure Clinic In Auckland

Here at Perform Podiatry, we take great care in offering high-quality medical pedicures that consider your range of foot health needs and priorities. With us:

  • Your medical pedicure is always completed by only qualified, registered and experienced podiatrists
  • You can feel safe knowing we uphold the highest standards of hygiene. 
  • You know we go above and beyond from our 250+ reviews on Google that give us a 5-star average
  • If during your appointment we uncover other foot ailments or problems (like plantar warts), you know you’re in the best hands and place to have this treated too
  • We’re conveniently located inside the One Health building on Remuera Road

What to Expect During Your Visit

When you first enter the clinic, we’ll start with a consultation so your podiatrist is fully informed as to why you’ve come to see us, your medical history, all about any foot concerns you have or any changes you’ve noticed, and the like. This assessment helps identify any specific issues that need special attention – including any ones that you may not have picked up on.

We’ll then start by trimming your toenails using our German-made and individually steam-sterilised nail clippers, reducing any hard areas of dry, dead callused skin, removing any corns from the feet and toes, treating and reducing any cracks in the heels, and managing similar problems using a surgical-grade scalpel. 

We make sure to remove any skin, dirt and anything else trapped beneath or down the sides of the nail with a sterilised file. When this build-up is allowed to remain, you can experience discomfort, pressure, and you may be more vulnerable to infection. Part of your treatment uses a precision burr to reduce the thickness of the nails where needed, while smoothing the ridges of the nails and removing overgrown cuticles and jagged nail ends. All our burrs are steam-sterilised and we have a large variety of different sizes, shapes and materials for each purpose – whether it be reducing a very thick, crumbly nail or polishing a delicate, thin nail. 

Your dry, flaky and uneven skin will be smoothed and reduced and a disposable nail file is used to smooth out any final edges that may catch on your socks or stockings. The nails are then cleaned with a clear antiseptic spray, followed by tea tree oil – a natural antifungal and anti-bacterial. Finally, we apply the appropriate moisturiser to your feet to make you feel great on your feet.

Aftercare and Maintenance

Giving you the right information to support your foot health for the long-term is a key part of what we do here at Perform Podiatry. We’ll advise you on the best things you can be doing for your specific circumstances, which may include:

  • Regularly applying a foot-specific moisturiser to help keep your skin soft and prevent cracks or dryness.
  • Keeping your toenails trimmed straight across to avoid issues like ingrown toenails. Also, avoiding cutting too close to the skin.
  • Choosing shoes that fit well and provide adequate support. Avoiding tight shoes that could cause pressure points or contribute to foot deformities.
  • Regularly inspecting your feet for any changes or signs of problems, especially if you have diabetes or other conditions that affect foot health.
  • Scheduling follow-up visits as recommended by your podiatrist to keep your feet in optimal condition and prevent future issues.

FAQs

Is a medical pedicure covered by health insurance?

Your coverage will vary depending on your health insurance policy and the nature of the treatment. We highly recommend checking in with your insurance provider for specific details regarding your coverage prior to booking your appointment as we don’t have access to any information about your specific policy.

How often should I get a medical pedicure?

The frequency depends on your specific foot health needs. Generally, a medical pedicure every 6 to 8 weeks is sufficient for maintaining healthy feet, but your podiatrist may recommend a different schedule based on your conditions. Some people stretch their appointments out to 16 weeks, and others come in every 4 weeks if their toenails or corns grow quickly and they have a difficult time managing them otherwise.

Can anyone have a medical pedicure?

Yes, medical pedicures are suitable for most people, especially those with specific foot health concerns or conditions like diabetes. They are also greatly beneficial for elderly individuals who might struggle with foot care at home.

What should I bring to my medical pedicure appointment?

You don’t need to bring anything specific to your appointment, though we do ask that you remove your nail polish before coming in.

Narelle Swain-Smith BHSc (Pod)

After graduating in 2020 from Auckland University of Technology (AUT), I’ve gained extensive knowledge of disorders and injuries affecting the toes, foot, ankle, and lower extremities through my studies and experiences in podiatry. My experience encompasses a wide range of podiatric aspects, including wound care, diabetes management, musculoskeletal injuries, and various skin and nail conditions.
My clinical knowledge provides invaluable hands-on experience, allowing me to further enhance my skills and understanding of podiatric care. I’ve had the opportunity to learn from diverse patient cases, contributing to my comprehensive expertise in the field.
Being of Maori descent, I reign from the tribes Te Rarawa, Te Aupouri, and Nga Puhi. I am deeply committed to the prosperity of my community. Having grown up in both Northland (Pawarenga) and West Auckland (Waitakere), I’ve had the privilege of interacting with individuals from diverse cultural and socio-economic backgrounds. This upbringing has instilled in me a strong sense of empathy and understanding for others.
I consider myself confident, kind, and approachable, I prioritize effective communication and patient-centered care in my practice. Organizing and prioritizing my busy schedule has become second nature, reflecting my dedication and efficiency in providing quality care to my patients.
Furthermore, my willingness to learn, resilience, and excellent problem-solving skills equip me to tackle challenges in the field of podiatry effectively. I am passionate about continuing my professional development and making a positive impact on the health and well-being of individuals within my community and beyond.

Meha Singh BHSc(Pod.)

Meha is a motivated, passionate and caring podiatrist, always seeking to grow her knowledge and refine her skills when it comes to taking the best care of her patients. After seeing the impact that podiatry made on the lives of her close family members through both sports medicine and general foot care, her interest in podiatry was sparked and she has never looked back. Meha loves seeing what getting to know her patients and creating a completely tailored and unique evidence-based treatment plan can do for her patients in terms of their movement, pain, function – and importantly – their happiness and well-being. Her greatest reward is seeing patients walk out pain-free and ready to live their best lives. Meha comes from a small family, immigrating to New Zealand from Fiji at a very young age. Her friendly, bubbly and understanding personality means that she finds it very easy to relate to patients and build meaningful connections. Meha loves cooking for her family and friends and staying fit.

Maani Kaur

Sukhmani Kaur (Maani) is a dedicated and friendly professional currently working as a receptionist at Perform Podiatry since late 2023. Born in India, Sukhmani and her family migrated to New Zealand when she was very young, creating a multicultural backdrop that greatly influences her warm and inclusive approach to customer service. With a passion for understanding the complexities of human behaviour, Sukhmani is currently pursuing a degree in Psychology at AUT (Auckland University of Technology). This academic pursuit not only reflects her intellectual curiosity but also demonstrates her commitment to personal and professional growth. Sukhmani’s journey in the field of customer service has been diverse, having worked in various capacities across different industries. Her experience has equipped her with valuable skills in communication, problem-solving, and creating positive interactions with clients. Colleagues and clients alike appreciate Sukhmani’s sweet and approachable nature, which contributes to the welcoming atmosphere at Perform Podiatry.

Buying School Shoes Online? How To Measure Kids Feet Accurately

There’s not much time left before the new school year begins, so for our podiatrists, it’s the time where we find ourselves offering a lot of advice to parents around buying kids school shoes. Now traditionally, advice on buying school shoes focuses on making the purchase at a physical store and includes things like:

  • Ensure you try both shoes on together and check the fit of both, as one foot is often slightly longer than the other
  • Try shoes on in the afternoon rather than in the morning due to the natural swelling that can occur during the day
  • And so on…

But the reality of a post-COVID era is that for time and convenience reasons (as well as health and safety), many more families are choosing to make their school shoe purchases online. So to help, we thought we’d share some tips on how to measure your children’s feet accurately and how to help get the best fit for your online shoe purchases.

1. Print The Brand’s Sizing Chart, If Available

Most brands will have a printable sizing chart available – just like this one from Bobux. If you can locate it online (it may be on the brand’s page as opposed to a particular store’s page) then print it out and make sure that ‘Page Scaling’ on your printer is set to ‘None’ and not ‘Fit to Printable Area’. Once printed, use a ruler to make sure it’s correct. Then place the chart on a flat, hard floor and place your child’s heel level with the baseline.

Make sure your child is standing with both feet taking even weight and always measure both feet. You want to record the size of the biggest foot and the tip of the largest toe – this isn’t always the big toe, it may be the second toe. For school-aged kids, you want to allow approximately 2cm for growth.

The reason we love a sizing chart is that we’ve found that some brands have a notable sizing difference and given how quickly children’s feet can grow, you really want to get the right size. And save yourself the hassle of a return or exhange.

2. Ruler Or Tape Measure

If no printable sizing chart is available and the site only offers measurements in centimetres, place one side of your ruler or measuring tape against a wall that is connected to a hard, flat surface (not carpet). Place your child’s heel against the wall so that it is gently touching. You can then level another flat object – like a piece of paper, a book, another ruler or something similar against the end of the longest toe, whichever that is, and read where it intersects with the ruler. 

If the above doesn’t work, you can always make a mark on the floor (even with something easily erasable like a highlighter) and then take the measurement from that point. Again, allow a further 2cm for future growth, and select the appropriate size.

3. Assess The Shoe Type

Next, when coming to make that online purchase, look out for school shoes that are:

  • Leather – we prefer leather for its many benefits, which include stretching to grow with your child’s feet for that little bit longer
  • Have laces or velcro – having good fastening mechanisms means you get the longest lifespan out of your shoes by adjusting the fastening mechanism as they grow. It also means that the shoe is secured to the foot properly so the foot doesn’t have to forcefully grip at the base of the shoe for support and control, but can just relax. Buckles come after laces and velcro but are still superior to slip-ons.
  • Aren’t too heavy – children take thousands of steps in their school shoes every day, day after day. This means that the weight can definitely add up and either help them stay healthy, happy and pain-free on their feet – or it can lead to those frustrating aches and pains at the end of the day. Opt for lightweight shoes, especially when muscles and muscle strength are still developing.
  • Choose watertight materials where possible – good materials to help keep feet dry include synthetic leather, neoprene, rubber, and gore-tex, to name a few. For natural leather, you can use products like waterproofing oils, sprays and creams and wax products, as directed on the label.

4. Read The Reviews

Traditionally, when offering shoe fitting and purchasing advice, we’d promote checking the level of the support that the shoe can offer – in the arch, the heel counter and more. As you’re not able to do this online, we recommend reading the reviews, which can be found across a range of websites that stock the particular shoe style you’re looking at purchasing. Check what other parents have said and whether they recommend this shoe style. One of the things we do is to filter the reviews and remove the 4-star and 5-star reviews, so you’re just left with the lower-star rankings. If multiple people have complained about the shoes’ tendency to break apart or lead to aches and pains, take this into consideration when making your decision.

5. Arrival Check

Once your shoes have arrived, it’s time to check if they’re the right fit. We recommend our usual in-person set of tips, which include:

  • Trying them on in the afternoon to account for natural foot swelling
  • Wearing them with the winter socks your child will wear to school that year, to see if they will still fit well with thicker socks
  • Check both the width and length
  • Check there is still approximately a thumbs width for growth – always evaluate all aspects in both shoes equally
  • Ensure it feels comfy and your child is happy

If your child has any foot pain or problems that are preventing them from running, walking or wearing their shoes comfortably, we’re here to help. Book an appointment with our trusted podiatrists by calling 09 523 2333 or book online here.

Choosing The Right Expert: Why A Podiatrist Is Your Best Bet For Foot And Ankle Pain

Foot and ankle pain can not only be debilitating, but also affects both our mobility and our overall quality of life. When faced with these issues, seeking the right professional expertise is crucial for accurate diagnosis, effective treatment – and getting back to feeling and moving well, as quickly as possible. In the realm of foot and ankle health, your podiatrist is your go-to foot and ankle expert. Here’s why.

Understanding The Role Of A Podiatrist

A podiatrist is a medical professional who specialises in the diagnosis, treatment, and prevention of conditions related to the feet, ankles and also the lower limbs. Their extensive training equips them to handle a broad spectrum of issues, ranging from common concerns like ingrown toenails to complex biomechanical problems influencing gait and posture including Achilles tendon pain, heel pain, shin splints, leg length differences and much more.

Why Choose A Podiatrist For Foot And Ankle Pain?

There’s a wide range of reasons that a podiatrist is the right health professional to see for your lower limb pain. These include:

They’re Experts In Foot Anatomy and Function

Podiatrists undergo extensive training focused specifically on the anatomy and function of the feet and ankles, as well as the lower limbs. Their in-depth knowledge allows for accurate diagnosis and targeted treatment plans tailored to address the unique challenges posed by this intricate area of the body.

Specialised Diagnostic Skills

Podiatrists possess specialised diagnostic skills honed through years of training and clinical experience. From identifying structural abnormalities to pinpointing the source of pain, their expertise ensures a thorough assessment of foot and ankle issues.

Comprehensive Treatment Options

Podiatrists offer a wide range of treatment options, including conservative measures, devices like braces, physical therapy, and minor surgical interventions when necessary. This comprehensive approach allows for the right, personalised care based on the nature and severity of a specific condition.

Management Of Chronic Conditions As Well As Acute Injuries

Chronic conditions such as arthritis, diabetes-related foot complications, and neuropathy require ongoing management. Podiatrists are well-equipped to provide continuous care, helping patients navigate the challenges associated with these persistent issues.

Biomechanical Expertise

Many cases of foot and ankle pain stem from biomechanical issues affecting gait and posture. Podiatrists specialise in assessing and addressing these concerns, utilising orthotics, exercises, and other interventions to restore proper biomechanical function.

Preventative Care

Beyond treating existing issues, podiatrists emphasise preventive care. Regular check-ups with a podiatrist can identify potential problems early on, allowing for proactive measures to prevent the development or progression of foot and ankle conditions.

Evidence-Based Practice

Podiatric medicine is grounded in evidence-based practice, with treatment approaches informed by the latest research and clinical guidelines. This commitment to evidence ensures that patients receive care based on proven methods and advancements in the field.

Podiatrists vs Physiotherapists

While physiotherapists play a crucial role in rehabilitation and overall musculoskeletal health, the specialised focus of podiatrists on the feet and ankles sets them apart in the context of foot and ankle pain.

Specifically, physiotherapists tend to have a broader focus on the entire musculoskeletal system, addressing issues related to muscles, joints, and movement patterns. Podiatrists, on the other hand, concentrate specifically on the lower extremities, making them more specialised in the intricacies of foot and ankle conditions. This enables podiatrists to provide more targeted interventions for foot and ankle pain, leveraging their focused skillset to address conditions ranging from toenail problems to complex biomechanical issues. 

Podiatrists are also trained in both conservative and surgical interventions for foot and ankle conditions, where physiotherapists are not, being unable to perform procedures like permanent ingrown toenail correction surgery. This means that in cases where surgery is required, podiatrists can seamlessly transition from diagnosis to treatment. 

Caring for Ageing Feet: How Your Podiatrist Helps

As we get older, certain tasks get that little bit harder – whether it’s getting your shoes on, opening a jar, or reaching your feet to trim your toenails. This is why skin and nail care is a very important part of what we do here as podiatrists. Taking care of ageing feet goes beyond maintaining comfort; it contributes to mobility, balance, and the enjoyment of an active lifestyle. Whether we’re reducing the thickness of your nails, removing corns, or managing cracked heels, we know that by relieving your pain and improving your comfort, we’re directly helping you to keep moving on your feet, so you can optimise your health.

Here’s a look at the ways that our team here at Perform Podiatry helps to manage and maintain the foot health of older adults.

Footwear Assessment, Advice and Modifications

Your shoes become the ground you walk on, being responsible for supporting your comfort, stability and mobility. We work closely with older adults to ensure that their shoes are helping them through every step and not hindering them, and give personalised advice based on any foot conditions or ailments you have – from foot pain to bunions and more.

Generally speaking, you want to opt for shoes that provide ample support, cushioning, and a proper fit. Ill-fitting shoes can lead to discomfort, blisters, and even foot deformities. Look for shoes with a wide toe box and adjustable fasteners to accommodate potential foot swelling.

Keeping Toenails Trimmed

When your toenails are properly trimmed and maintained, it reduces your risk of ingrown toenails and related infections. Podiatrists can also reduce the thickness of your toenails, improving both your comfort and their appearance. If managing toenails at home, you want to trim them straight across and avoid cutting them too short to prevent discomfort.

Managing Corns And Calluses

Like with toenails, regular podiatry appointments help you stay on top of any corns and calluses that arise, meaning you get to walk comfortably and without pain. It is not recommended to attempt to manage these at home due to the risks in older feet.

Providing A ‘Second Eye’

While it’s one thing to advise older adults to regularly check their feet for signs of deterioration, redness, sores, blisters, cuts or anything else that’s sinister, it’s very different to be able to do it, especially with vision changes and greater difficulty reaching the feet. Your podiatrist acts as a ‘second eye’ at every skin and nail care appointment, catching potential issues early that may have been missed which can prevent them from escalating into more serious complications.

Addressing Dry Skin

Ageing skin tends to become drier, and this applies to the feet as well. Your podiatrist can help with dry skin as well as complications such as cracks in the heels, helping promote your comfort and reducing the risk of infection. If managing dry skin at home, applying a moisturiser, especially to the heels, can prevent cracking and discomfort. Avoid applying lotion between the toes, as it can create a moist environment conducive to fungal growth.

Monitoring Foot Sensation

Loss of sensation in the feet is another common issue among older adults, which can lead to unnoticed injuries. This is something that you can discuss with your podiatrist at your appointment, and something they can help you monitor and manage. At home, regularly check for numbness, tingling, or changes in sensation and consult a healthcare provider if such issues arise.

Preventing Falls

A person’s fall risk can be reduced by 36% when working with a podiatrist. With approximately one third of all falls being preventable in nature, many people are choosing to work proactively with their podiatrist in areas such as falls risk assessments, footwear checks, custom foot orthotics, balance assessments and more to help reduce their falls risk and improve their long-term health and comfort.

If your feet or legs are causing you pain or discomfort, or you’ve found that over the years you are no longer able to care for them in the best way, then our Perform Podiatry team here in Remuera, Auckland, are here to help. We’re proud to help thousands of people every year look after their foot health. We’d love for you to join us.

Book your appointment by calling us on 09 523 2333 or book online here.

Does Your Leg And Foot Posture At Your Desk Really Matter?

Whether you’re in the office or working remotely, a lot of our workforce spends a significant portion of their day sitting at a desk, often in front of a computer. While sitting may seem natural and harmless, poor posture has the potential to lead to various health issues, including discomfort, pain, and musculoskeletal problems that require professional care. Yes, the way you position your hips, legs, and feet when sitting on a chair can significantly impact your overall well-being. Here’s How.

The Consequences of Poor Posture

Your Hips

There are two main elements of poor posture when it comes to the hips. Sitting with a slouched hip posture, where the hips are rolled backwards, can lead to excessive pressure on the lumbar spine. This position places extra strain on the lower back muscles, potentially causing lower back pain and discomfort. Sitting with elevated hips, where your hips are higher than the knees due to an inadequate chair height can result in pressure on your hip flexors. Over time, this can lead to tightness and discomfort in these muscles.

Your Legs

Sitting with your legs crossed can restrict blood flow and lead to numbness and tingling in the legs. It may also place uneven pressure on the knees, potentially contributing to knee pain and long-term joint issues. Similarly, keeping your legs extended straight under the desk can hinder blood circulation, causing discomfort and potentially contributing to varicose veins over time.

Your Feet

Allowing your feet to dangle without proper support can result in lower back pain and poor circulation in the legs. This posture may also lead to the development of varicose veins. Tucking your feet under the chair can also create unnecessary pressure on the knees and lead to discomfort over time.

So How Should You Be Sitting?

Aim to: 

  • Sit with your hips in a neutral position, where the natural curve of the lower spine is maintained. This minimises the stress on the lower back and helps prevent pain and discomfort.
  • Use a chair with lumbar support, as it can help maintain the natural curve of your lower back and provide additional comfort.
  • Ideally, keep your hips and knees at a 90-degree angle to one another when sitting. Adjust the chair height so that your feet are flat on the floor, promoting proper circulation and reducing stress on the knees.
  • Avoid crossing your legs, instead keep both feet flat on the ground or on a footrest to prevent pressure on the knees and ensure optimal blood flow.
  • Use a footrest, as it can help support your feet and maintain proper posture while reducing the risk of lower back pain.
  • Ensure that your feet are not tucked under the chair. Instead, keep them flat on the ground or on a footrest.

Experiencing Pain In Your Feet Or Legs?

If you’re experiencing pain in your feet or legs, whether that’s related to your lower limb posture or from something else – we’d love to help. Give our podiatry team a call. We’re based in Remuera, in the One Health medical building, close to Newmarket. Call us on 09 523 2333 or book online here.