Patient information

Please follow the guidelines below to improve your ability to maximise your time and the efficiency of your visit.

  • Foot or ankle pain: what to expect
    • Attend your local GP for an initial assessment
    • You will need weight bearing X-rays of your foot and/or ankle
    • You may require more advanced imaging e.g. CT or MRI scans
    • Obtain a referral from your local GP for your appointment with Dr Wadley
    • You may make your appointment:
    • Online here
    • Or by phone – 1300 10 54 64
    • Please bring your referral and all imaging at the time of your appointment even though Dr Wadley may be able to access some of these online
    • Your medicare card and Private health insurance card or details
    • Please wear comfortable, loose clothing and remove both shoes and socks to allow the lower
      limbs to be adequately exposed during your appointment.

    Dr Wadley will discuss your history to learn and understand more about you, perform an examination of your lower limbs and feet and then have a discussion about your foot/ankle problem. This will enable her to form a plan to help you manage your problem.
    You will have the opportunity to ask questions.

  • Non surgical Management
    In many cases, the initial treatment may be a trial of non surgical measures.
    These may include:

    • Pain medications: topical e.g. NSAID creams or oral tablets eg panadol osteo, anti inflammatories eg nurofen, mobic
    • Shoe wear modifications e.g. shoe inserts, orthotics, padding or offloading devices
    • Change of foot wear e.g. medial arch support footwear, rocker bottom shoes
    • Exercises and/or physiotherapy
    • Splints or braces
    • Swelling management eg ice, elevation, compression stockings, exercises
    • Activity modification e.g. low impact exercises, avoid exacerbating activities
    • Hydrotherapy
  • Prior to Surgery
    • Surgery may be recommended if you have undergone non surgical treatment first and this is no longer effective or your problem is progressing
    • If you have had an acute injury, non surgical treatment may not be recommended
    • The surgery will be discussed with you in detail at the time of your consultation
    • This includes risks and benefits
    • Additional information and resources are provided for you through this website
    • The hospital day surgery unit will contact you the day before to advise on your admission time, where to go and fasting time (when to stop eating and drinking before surgery)
  • Surgery
    • If you require surgery the fee estimate will be provided at the time of your consultation, there may be additional costs involved related to the anaesthetist and a surgical assistant is required.
    • Or if you require further imaging, physiotherapy or equipment such as a boot
    • Private health funds provide different levels of cover and rebates. You can check with your
      provider to determine the extent of your cover.
  • Timing of appointments
    • Please advise the rooms if you are running late or need to reschedule your appointment for your own and other patients convenience
    • Occasionally Dr Wadley may be running late due to an unforeseen surgical emergency, an operation running late or a complex patient. We would appreciate your patience in this circumstance and apologise for any inconvenience caused.
    • Dr Wadley endeavours to provide each patient with the individual care and attention that is required.
  • Costs
    • There is an initial consultation fee. Payment is required at the time of your appointment
    • For surgical patients, there may be an additional assistant fee, anaesthetic fee and hospital charges
    • Subsequent consultations have a decreased fee
    • You can claim a portion of this through Medicare and we can assist you with this at the rooms -unfortunately the private health funds do not rebate specialist appointments
  • Smoking
    • Smoking increases your risk of surgery in general e.g. heart attack, stroke, lung problems
    • Smoking also increases your risk of surgery to the foot and ankle
    • This includes but is not limited to: superficial and deep wound infections, wound breakdown, hardware (plates and screws) or prosthetic infections (such as total ankle replacement), delayed healing of the bone or even non healing of soft tissues and/or bone
    • It is imperative that you discuss this with Dr Wadley at the time of your appointment
    • She will strongly recommend cessation of smoking to reduce your risks of surgery
    • She may even recommend delaying surgery until you have stopped smoking for a period of time
    • Your GP can assist with smoking cessation strategies
  • Infection
    Dr Wadley’s team takes every effort to reduce the risks of infection related to a surgical procedure, before, during and after your hospital visit.

    Things you can do to reduce this risk:

    • Cease smoking
    • Good skin care
    • Change shoes regularly
    • Good quality footwear
    • Attending to a daily hygiene routine
    • If diabetic: careful skin care, tight control of your blood sugars, well fitting padded shoes, daily skin cream on your feet, professional nail care, avoid skin lesions or ulcers, avoid walking barefoot
    • Avoid activities that may cause wounds to your feet or legs prior to surgery e.g. gardening, walking barefoot, blisters
    • After joint replacement surgery, it is critical you take every care to avoid infections, even many years after your surgery.
    • This includes good oral hygiene to avoid tooth decay or dental abscesses.
    • Ongoing skin, nail and general care to avoid leg or foot ulcers or wounds
    • Infections may travel in your bloodstream to the foot and ankle joint replacement. This may require admission to hospital, strong intravenous antibiotics and even further surgery.