Dr Riana Malan

19/07/2025

Ons is opgewonde om Charl de K**k by ons te verwelkom!

Exciting news! I’m now seeing patients at two locations:
📍 358 Rossouw St, Murrayfield (near Life Wilgers)
📍 757 Ben Swart St, Rietfontein (near Netcare Moot)

Offering a hands-on, personalised approach to recovery and performance — whether you’re dealing with injury, pain, or just want to move better.

Some of the treatments available:
✔️ Deep Oscillation
✔️ High-Intensity Laser (HILT)
✔️ Shockwave
✔️ Manual Therapy
✔️ EMG Biofeedback
✔️ Injury on Duty care

📞 012 004 0760

Grateful for all the support and word of mouth — it means everything.

17/04/2025

𝗧𝗛𝗘 𝗦𝗧𝗔𝗥𝗧 𝗢𝗙 𝗧𝗛𝗘 𝟮𝟬𝟮𝟱 𝗙𝗟𝗨 𝗦𝗘𝗔𝗦𝗢𝗡 𝗛𝗔𝗦 𝗕𝗘𝗘𝗡 𝗗𝗘𝗖𝗟𝗔𝗥𝗘𝗗 𝗜𝗡 𝗦𝗢𝗨𝗧𝗛 𝗔𝗙𝗥𝗜𝗖𝗔 🤧

The 2025 Influenza season has officially begun as the detection rate of Influenza has breached the low threshold for two consecutive weeks in the Pneumonia Surveillance Programme. More importantly, 𝘁𝗵𝗶𝘀 𝗶𝘀 𝘁𝗵𝗲 𝗲𝗮𝗿𝗹𝗶𝗲𝘀𝘁 𝘁𝗵𝗲 𝗳𝗹𝘂 𝘀𝗲𝗮𝘀𝗼𝗻 𝗵𝗮𝘀 𝘀𝘁𝗮𝗿𝘁𝗲𝗱 𝘀𝗶𝗻𝗰𝗲 𝟮𝟬𝟭𝟬 ⚠️

The 𝗜𝗻𝗳𝗹𝘂𝗲𝗻𝘇𝗮 𝗔(𝗛𝟯𝗡𝟮) subtype is responsible for majority of the cases detected in the NICD's sentinel surveillance programmes and account for 68% of the subtyped cases. This is different from 2024 where 𝗜𝗻𝗳𝗹𝘂𝗲𝗻𝘇𝗮 𝗔(𝗛𝟭𝗡𝟭)𝗽𝗱𝗺𝟬𝟵 predominated infections in the first wave.

The severity of flu is underestimated by people. It is important to remember that Influenza does carry a substantial 𝗯𝘂𝗿𝗱𝗲𝗻 in South Africa, with an estimated 𝟲 𝟬𝟬𝟬 - 𝟭𝟭 𝟱𝟬𝟬 𝗳𝗹𝘂-𝗿𝗲𝗹𝗮𝘁𝗲𝗱 𝗱𝗲𝗮𝘁𝗵𝘀 occurring throughout a typical flu season in the country. Around 50% of these flu-related deaths are reported in the elderly, and about 30% occur among people living with HIV (PLWH).

Moreover, we see an estimated 𝟭𝟮𝟴 𝟬𝟬𝟬 severe, but non-fatal cases of flu in every season in the country, and almost 50% of South Africans who get severely ill from the flu, need to be admitted to hospital. The highest hospitalisation rate are in children under the age of 5 years, PLWH, and the elderly aged 65 years and older.

If you're a high-risk individual, it is important to get your annual vaccine so that you can protect yourself against serious illness from the flu. It's available free in the public sector for those over the age of 65 years, and certain priority groups like immunocompromised individuals.

If you don't fall into those priority groups, then you can get a 3-strain inactivated flu vaccine at any private pharmacies, such as Dischem and Clicks for around R120 to R150. This definitely is a worthwhile investment for those who can afford it, considering that many will spend money on insignificant things and not on safeguarding their health.

16/03/2025

A peptic ulcer is a break in the lining of the lower esophagus, stomach, or upper small intestine. This JAMA Patient Page describes peptic ulcers and their causes, signs and symptoms, diagnosis, and treatment options. https://ja.ma/3DMniGz

16/01/2025

We're looking for a friendly and organized Receptionist to join our team!

*Job Title:* Receptionist
*Location:* Dr Riana Malan GP Practice. 374 Rossouw Str, Murrayfield
*Job Type:* Full-time
*Starting Date:* February, 2025

*Responsibilities:*

- Greet and welcome visitors, clients, and staff
- Manage front desk operations, including answering phones and responding to emails
- Handle administrative tasks, such as scheduling appointments and maintaining records
- Provide exceptional customer service and support to our team

*Requirements:*

- 1-2 years of receptionist experience will count in your favour
- Excellent communication and interpersonal skills
- Ability to work in a fast-paced environment and multitask

*What We Offer:*

- Competitive salary
- Opportunity to work with a dynamic and growing team
- Professional development and growth opportunities

*How to Apply:*

If you're a motivated and friendly individual who is looking for a new challenge, please send your CV to: reception@rianamalan.co.za
Or feel free to contact us on 012 803 1093

*Deadline:*
31/01/2025

Share with your friends and family who might be interested!

15/01/2025

Plantar fasciitis is a common cause of heel pain among adults.

The plantar fascia includes 3 bands of tissue that support the arch of the foot and connect the heel bone to the toes. Heel pain due to plantar fasciitis is typically most severe when people take their first steps of the day, and it may worsen with prolonged standing. Although the cause of plantar fasciitis is not completely understood, it may be partly due to small tears in the plantar fascia resulting from repeated stress and strain on the foot.

How Common Is Plantar Fasciitis and Who Is at Risk?

Plantar fasciitis is most common in adults aged 45 to 64 years. People at higher risk of plantar fasciitis include those with overweight or obesity (defined as body mass index greater than 25), those whose work requires prolonged standing, and those with limited ability to move their toes upward toward their knee, known as decreased ankle dorsiflexion.

How Is Plantar Fasciitis Diagnosed?

Plantar fasciitis can be diagnosed in people who have characteristic symptoms of heel pain that can be felt when a clinician applies pressure to a certain area of the heel or gently pushes the toes upward toward the knee. People with an uncertain diagnosis or symptoms that do not improve with treatment may occasionally undergo ultrasound or magnetic resonance imaging of the ankle and foot.

How Is Plantar Fasciitis Treated?

People with plantar fasciitis should avoid activities that worsen their pain. Potential treatment options include

● Stretching calf muscles and stretching and massaging the plantar fascia at home or during a physical therapy visit.

● Using orthotics, which replace the shoe insole to decrease strain on the plantar fascia and reduce force on the foot when walking. Over-the-counter orthotics provide similar pain relief and are less expensive than custom-made orthotics.

● Wearing a night splint to flex the ankle and extend the toes during sleep or at other times if not tolerated during sleep.

● Receiving a corticosteroid injection in the inner area of the heel, which may provide pain relief for several weeks to months.

● Receiving a heel injection of platelet-rich plasma, which is composed of certain components of the patient’s own blood and may provide longer-term pain relief than corticosteroid injections.

● Undergoing surgery on the plantar fascia or calf muscle if heel pain persists after nonsurgical treatments.

How Long Do Symptoms of Plantar Fasciitis Last?

Heel pain due to plantar fasciitis frequently goes away on its own, but it may last for months to years despite treatment. Up to 80% of patients may have persistent symptoms a year after diagnosis. At 15 years, up to 44% may have heel pain, although it is typically less severe than at the time of diagnosis.

15/01/2025

What's the difference between X-Ray, CT scan, and MRI?

X-rays use electromagnetic radiation to create images of bones and dense structures within the body. It is commonly used to detect fractures, infections, tumors, and other abnormalities.

X-rays are quick, relatively inexpensive, and readily available.

CT scans use X-rays and advanced computer processing to create cross-sectional images of the body. They provide more detailed information than traditional X-rays and can show bones, organs, blood vessels, and soft tissues.

CT scans are useful in diagnosing conditions such as internal injuries, tumors, infections, and blood clots.

MRI uses a strong magnetic field and radio waves to create detailed images of soft tissues, organs, and structures inside the body. It provides excellent contrast between different types of soft tissues and is particularly useful for imaging the brain, spinal cord, joints, and muscles.

MRI does not involve ionizing radiation, making it a safer option for imaging, especially for pregnant women and children.

However, MRI scans take longer to perform, are more expensive, and may not be suitable for individuals with certain medical implants or metal objects in their bodies.

15/01/2025

Medications for obesity can help promote weight loss and improve outcomes for people with type 2 diabetes, hypertension, and elevated lipid levels.

This JAMA Patient Page describes the different types of medications available for treatment of obesity and who should consider taking them.

https://ja.ma/3Pvva1n

14/01/2025

As routines kick back in, there is no better time to get proactive and make 2025 your family's healthiest year yet!

Here at Dr Riana Malan, along with Dr Chris van der Merwe, our dedicated team is determined to be part of this journey.

✅️ Family GP consultations.
✅️ Vitality health checks - earn up to 22,000 Vitality points.
✅️ Women's health - including ultrasound, pap smears, contraception and more.
✅️ Intravenous iron therapy.
✅️ Exercise and Sports injuries.
✅️ Weight loss consultations.

Don't hesitate to make a booking for high quality and affordable healthcare.

📞 012 803 1093
📧 reception@rianamalan.co.za
📍 374 Rossouw street, Murrayfield, Pretoria

03/08/2024

🌸 **Celebrating Women's Month!** 🌸

This August, we honor the incredible strength, resilience, and contributions of women everywhere. From our patients to our staff, we celebrate the unique journeys, challenges, and achievements of every woman.

We are dedicated to providing compassionate care that supports women's health at every stage of life. Whether you're here for a routine check-up, illness or wellness advice, our team is here to support you with warmth and expertise.

Let's take this month to appreciate the women in our lives and promote the importance of women's health. Stay healthy, stay strong, and always feel empowered to take care of your well-being.

Happy Women's Month! 💐

28/07/2024

🌟 Grateful and Honored 🌟

I would like to extend my heartfelt thanks to Aspen for the incredible opportunity to attend their Iron Academy. This experience has been invaluable, providing me with the knowledge and skills to better serve my patients.

With this advanced training, I am more equipped than ever to address iron-related health concerns and improve the overall well-being of those in my care. Thank you, Aspen, for your dedication to healthcare education and for empowering practitioners like myself.

Together, we are making a difference! 💪

24/07/2024

Small acts of kindness can make a big difference! Each good deed, no matter how small, creates a ripple effect that can change the world. Let’s make kindness our habit and inspire others to do the same. Together, we can create a better, brighter future—one good deed at a time.

KYK: Ons herdenk vandag 10 jaar van uitmuntende sorg met waardigheid wat weekliks by Triomf Kliniek aangebied word. Soveel dankbaarheid vir die vrywilligerdokters & mediese sorgverskaffers wat gratis diens lewer.

Vorentoe, die volgende dekade in!

https://youtu.be/nTP1crFCvTk

23/06/2024

"Based on an analysis of the genetic activity in the nasal tissues and blood of people with unsuccessful SARS-CoV-2 infections, a team of researchers led by the Wellcome Sanger Institute and University College London in the UK has discovered a novel immune response that provides a robust front-line defense."

A detailed comparison of COVID-19 cases has finally provided insight into why some individuals have yet to endure so much as a sniffle from a virus that brought much of the world to its knees.