Whelehans Health Blog

Flat Feet (Part 3) Treatment (Continued) Children with an abnormal foot that has not developed properly may require an operation to straighten the foot or to separate bones that have fused. Luckily operations are rarely needed as these are rare causes of flat feet in children. Most children with flat feet have a mobile form of flat feet which generally does not need treatment, or if treatment is needed due to pain or excessive wear of shoes, an insole is often sufficient to rectify the problem. Flat feet that develop due to a disorder of the nervous system may require...

Flat Feet (Part 2)   When is treatment needed? Most flat feet do not cause any problem, so no treatment is needed. Reasons to look for treatment include: Pain (not eased by any type of footwear). Flat feet do not usually cause pain but can put strain on muscles and ligaments (connect two bones together at a joint). This can use leg pain when walking. Pain from flat feet can occur in several areas including inside the ankle, at arch of the foot, the outer side of the foot, calf, knee, hip or back. Wearing out shoes quickly Feet appear...

Flat Feet (Part 1)   During childhood, usually between the ages of 3 and 10, we develop a space on the inner side of our feet where the bottom of the foot is off the ground. These are referred to as the "arches" of our foot. The height of this arch varies. People with a low arch or who have no arch are classified as having flat feet.   Causes Flat feet can run in families, and both feet are usually affected. A form of the problem is when the foot tends to roll inwards too much while standing or...

Acne Treatment Part 4   Severe Acne Characterised by the condition being widespread on the face and upper body, especially if nodules and cysts occur and scarring occurs. Can be considered if acne is causing severe psychological stress too. Referral to a dermatologist is advised for severe acne.   Treatment options Oral isotretinoin (Roaccutane®) should be trialed on its own, especially if other treatment options such as systemic antibiotics have failed and especially if scarring is occurring and it is having a major psychological on the patient. Oral isotretinoin works like topical retinoids but has a more potent effect.  ...

Acne Treatment Part 2   Mild Acne   Acne is classified as mild when it is limited to the face and lesions/ spots are not inflamed.   Treatment options   Topical retinoids Topical retinoids are the next option if no response from benzoyl peroxide. Topical retinoids work by reducing production of sebum while also preventing dead skin cells plugging hair follicles. Adapalene (Differin® 0.1% Gel or Cream) is a topical retinoid available in Ireland.   Topical retinoids can cause mild irritation and stinging of the skin. Starting topical retinoids too quickly/regularly increases risk of skin redness, soreness, and peeling. Topical...