Routine Chiropody/Corns and Calluses
Corns and calluses occur as a reaction of the skin to the pressures on
it. Sometimes this is pressure from shoes, sometimes there is a structural
or functional cause. Corns and calluses can be painlessly removed. More
importantly, the Podiatrist can give advice or provide treatment to target
the cause and aim to prevent further recurrence.
Nail Surgery
Ingrowing toenails can occur when a nail has been damaged or is deformed.
The nail grows into the skin causing pain and sometimes leading to
infection. This condition can be treated conservatively, but surgery may be
necessary to prevent recurrence. Surgery is performed under local
anaesthesia. Usually only part of the offending nail is removed, although it
is possible to remove the whole nail if it is very deformed.
Prosthetic Toenails
Fungal, broken or damaged nails can be rebuilt using an acrylester resin
from Wilde-Pedique. The prosthetic nail is attached to any remaining nail
and has the look of a healthy nail which then grows with the natural nail.
Total nail prosthetics are also possible, although these may need replacing
every four to six weeks.
Verrucae Removal
Verrucae are caused by a viral infection. In most cases the verruca is
painless and, given time, will resolve without treatment. Painful or
spreading verrucae can however cause distress. A wide range of verrucae
treatments are available including Cryosurgery (freezing), traditional acid
treatments, herbal remedies, low level laser therapy and surgical removal.
The treatment of choice will depend on a variety of factors and the options
are discussed in detail to enable an informed choice.
Soft Tissue and Sports Injuries
There are numerous injuries that occur as a result of keeping fit. These
can include muscle sprains, tendon and ligament problems and in rare cases,
fractures. It is best to get the problem assessed in its early stages rather
than trying to ignore it and carry on. This will generally allow for a
speedier recovery and resumption of activity.
Particular foot types may be more prone to injury and may benefit from the
prescription of orthoses (see below).
Biomechanics and Orthoses
A biomechanical examination is used to assess foot and lower limb
function. Foot pain can be caused by poor foot posture or other structural
problems. Common problems include heel pain, pain in the ball of the foot (metatarsalgia)
and flat feet. If the foot is hypermobile or out of alignment it can result
in pain or injury in the foot/knee/hip/lower back.
Orthoses are 3-Dimensional insoles that control the way the foot functions
therefore keeping it in better alignment. These may be issued “off the
shelf” with a generic prescription or custom made to fit and correct the
foot more accurately.
Diabetic Footcare
People diagnosed with diabetes can develop foot complication including
loss of sensation in the feet. This can result in damage that you may be
unaware of eg. standing on a sharp object or a toenail digging in. People
with diabetes should have annual foot assessments to monitor any loss of
sensation. Numb feet should be always protected and checked regularly for
damage.
Diabetes can also affect the blood supply to the feet, causing a delay in
the healing of any wound and increasing the risk of infection. The
circulation to the feet is also checked during a diabetic foot assessment.
Foot Health Checks
Healthy feet are essential to keep you mobile and it is a good idea to
have an annual foot check, just as you would regularly have your teeth
checked, to ensure they are in good shape. People with diabetes in
particular should ensure their feet are checked annually as problems may
occur undetected.
Athletes’ Foot
Athletes’ foot is caused by a fungal infection and is characterized by
itching, cracked or peeling skin. Although it is frequently found between
the toes it can also occur on dry skin elsewhere on the foot.
Athlete’s foot is usually treated with antifungal creams or sprays. If left
untreated the fungus can spread to the toenails. The nails become thickened
and yellow and this infection may be more difficult to treat.
Nail cutting service
Our Podiatry Assistant provides an economy toenail cutting service for
those with normal toenails but who cannot reach their feet.
This service is subject to assessment by the Podiatrist and there are
exceptions for some with medical conditions.