Dr Maree Marks
About Dr Maree Marks Podiatric Surgeon
Australian born Dr Maree began her surgical career in Australia 2003, moving to the Untied Kingdom to further her qualifications and training at Charing Cross Hospital London in 2007. In 2011 she attained her fellowship and became a Fellow of the College of Podiatric surgeons UK. Dr Maree continued her surgical work while also lecturing and training surgical trainees in the UK, and reached the level of Consultant Surgeon. Today, Maree is a university lecturer at Western Sydney University, a Fellow of the College of Podiatry (UK), a Fellow of the Australian Association of Podiatric Surgeons, and continues to perform surgery from her private practice in Sydney.
Dr Maree attends conferences both here in Australia and internationally. She has a personal interest in the latest regenerative injection therapy and performs this with both ultrasound and x-ray guidance for cosmetic and therapeutic purposes. Regenerative medicine has proven to be effective in both the cosmetic and medical fields.
Dr Maree Marks
Podiatric Surgeon Services
Dr Maree Marks is a highly qualified Podiatric Foot and Ankle Surgeon with extensive training in both Australia and the UK.
She has completed undergraduate and post-graduate degrees in Podiatry and Podiatric Surgery and Medicine in Australia and the UK, and a post-graduate Diploma in International Healthcare Management in the UK. She is a Fellow of both the Faculty of Surgery College of Podiatrists (UK) and the Australian Association of Podiatric Surgeons.
What is a Podiatric Surgeon?...
Podiatric surgery is a specialist field of practice within the podiatry profession. Podiatric Surgeons are podiatrists who have had extensive postgraduate training in the surgical management of foot and ankle problems. Despite practising surgery, I will advise you about any non-surgical treatment options available for your foot problem. This will help you make an informed choice regarding your treatment so we can comprise a care plan together.
...an Expert in their Field
Podiatric Surgeons have a formal education in foot health and medical sciences and are trained to recognise the signs and symptoms of general medical conditions within the lower limb e.g. diabetes. I will assess and treat your foot and ankle symptoms of these conditions, but will also liaise with your GP or Specialist for a formal medical opinion or assistance if required.
Podiatric Surgeons are independent clinicians in the field of foot surgery and not medical doctors. They are to feet very much like dentists are to teeth.
What does a Podiatric Surgeon treat?
Structural deformities of the foot including bunions, hammertoes and flat feet,
Tendon and soft tissue problems;
Degeneration and arthritis of the joints of the foot and ankle;
Skin and nail conditions;
Trauma-related injuries, including fractures and dislocations and post-traumatic arthritis.
Hallux valgus (Bunion) A painful enlargement of the joint situated at the base of the big toe. A bunion actually refers to the bony prominence or exostosis on the side of the big toe. A large sac of fluid, known as a bursa, can form over the enlarged joint which can then become inflamed and painful.
Surgery to remove the bony prominence is called a bunionectomy. There are over 130 different procedures recorded for treating this condition. We will choose the right procedure for your individual needs. Smaller bunions can also develop on the outside of the little toe joint, these are known as Tailors bunions and are also treated surgically using similar techniques.
Hammer, Mallet and Claw toes. These are deformities in the lesser toes usually caused by tendon or joint imbalance. Hammer toes can be painful and unsightly. The hammertoe is able to be corrected under local or general anaesthetic as a day case procedure. Surgery to correct the hammer, mallet or claw toe deformity will usually permanently cure the formation of painful corns on skin overlying these joints.
An ingrowing toenail is when part of the nail plate pierces the flesh of the toe. It can be extremely painful and can become inflamed or infected. In more severe cases, it can cause pus and bleeding. Ingrowing toenails most commonly affect the big toenail, but can affect the other toes too. There are a variety of treatment options available for ingrowing toenails, one of the most successful being minor nail surgery to remove only the part of nail that's growing in and causing the pathology.
Injection Therapy- SVF & PRP
What is SVF/PRP?
SVF: The stromal vascular fraction (SVF) can be obtained from fat tissue and contains a variety of different types of cells, including precursor cells. Precursor cells are multi-potential in that they have the ability to differentiate into a variety of different types of tissue including but not limited to bone, cartilage, muscle, ligament, tendon and fat. These cells have also been shown to express a variety of different growth factors and signalling molecules (cytokines), which recruit other stem cells to facilitate repair and healing of the affected tissue.
PRP: Platelets are a part of our blood which aid in clotting and tissue healing. They contain and can release a number of growth factors, special biologically active proteins that play an important role in tissue healing and regeneration. Platelet rich plasma or PRP is designed to accelerate your body’s healing of musculoskeletal injuries naturally, without subjecting you to significant risk or adverse effects.
Adipose derived SVF: Before the procedure, the areas from where the fat is being removed may be injected with fluid / local anaesthetic to minimise bruising and discomfort. The adipose tissue (fat) will be removed from the body by a narrow surgical instrument (cannula) through a small incision. Once approximately 60 mls (around 4 table spoons) of fat has been obtained, the fat undergoes a process to isolate the precursor cells. This process includes mechanical manipulation and centrifugation (spinning) of the fat. After the adipose tissue has been processed, it will yield the Stromal Vascular Fraction (SVF). At this point, the Adipose Derived SVF will be injected directly into the affected area. The entire process takes around 2-4 hours.
Platelet Rich Plasma (PRP): Blood is removed like when you have a blood test via a cannula into your vein. The blood undergoes centrifugation to isolate the PRP.
Analgesics: Paracetamol; Nonsteroidal anti-inflammatory drugs (NSAIDS);Narcotics
Physical Therapy ;Acupuncture
Braces or shoe inserts
Cortisone (steroid) Injections; Hyaluronic acid (lubrication) Injections
Surgery: Realigning bones; Joint replacements
Other pathologies treated include but are not limited to:
Hallux Valgus- Bunions
Any arthritic joint- rearfoot, midfoot or forefoot
Hammer toes or any digital deformity
Plantar plate repair- MTPJ derangement
Flat foot repair
Any tendinopathy- achilles tendonitis, tibilais posterior; tendonitis
Plantar fasciitis- heel spur syndrome
Any nail pathology via chemical or sharp matrixectomy
Curettage of skin lesions- verruca, intractable plantar keratoses
Excision and biopsy of soft tissue and bony lesions- ganglions, cysts, fibrpmas
X-ray and Ultrasound guided injection therapy
Please note that I do not carry out any general podiatric services, my practice is entirely surgical.
Additional information courtesy of The College of Podiatry (CoP) UK
More information to come...
Narellan Tues; Thurs: 10am - 5pm
Randwick Wed; Fri : 10am - 5pm
Later appointment times available on request.
Medical Suite, Phar-Lap Gardens,
34-52 Alison Rd, Randwick 2031
16 Somerset Ave, Narellan 2567