Cut and file all toe nails.
Our list of treatments includes routine nail care, ingrown toenail including nail surgery, callous and corn reduction, verruca treatment and general foot problems.
We treat a wide range of patients varying in age with many different medical conditions which may result in the need of professional help including:
We therefore require notification of all medication which you are currently taking and an accurate medical history.
To read in more detail about our treatments please click on each heading below:
Cut and file all toe nails.
An ingrown toe nail can be a painful and serious complaint which can happen to any toe nail. It occurs when part of the nail grows into the surrounding skin which can become infected if not treated quickly and correctly.
Ingrown nails can be treated with ease and can heal quickly with a combination of proper nail cutting, nail cutting advise, appropriate dressings and footwear advice.
This is when the nail often becomes discoloured and thickens as the fungus penetrates the nail often becoming painful.
The main treatment options are topical anti-fungal nail lacquer or oral tablets prescribed from your G.P. if the condition is severe. Reducing the thickness of the nail in clinic will relieve the pressure and improve the efficiency of nail lacquers.
Removal of the nail by nail surgery may also be considered.
Nail surgery is the removal of all of the toenail or part of the nail under local anaesthetic. After the removal of the nail, a chemical called phenol may be applied to the exposed nail bed to prevent regrowth by destroying the nail cells.
However there is a small chance that the nail may grow back.
We follow up intensely after surgery twice weekly with dressing changes and do not discharge the patient until the wound is completely healed approximately 8 to 12 weeks later.
Callous is an area of thickened skin that occurs when the feet respond to pressure or friction.
Symptoms such as a burning pain when walking or stinging may be experienced. This can be caused by unsuitable footwear, prominent or bony areas of the feet or simply the way in which you walk.
This is easily removed and is pain free.
Hard corns are small, cone shaped, concentrated areas of thickened skin which occur in response to pressure or friction. Symptoms are often described and compared to ‘walking on a stone’ and can be extremely painful. Corns occur over bony areas such as prominent lesser joints where rubbing occurs in shoes and also on the balls of feet.
Soft corns are soft and rubbery in texture and occur between the toes where the skin is moist. The most effective treatment option to alleviate pain and the recurrence of the corn involves the painlessly enucleation or removal of the thickened skin combined with pressure relief with padding, toe protectors or insoles.
The skin around the heel can crack, split or fissure if the skin is very dry and or hard. Apart from the appearance, deeper fissuring can be very painful and may even weep and become infected. Reducing the fissures in clinic whilst applying suitable wound dressing (if required) and intensive foot cream make your heels feel instantly more comfortable.
A verrucae is caused by the Human Papilloma Virus (HPV) and is transmitted by contact, most commonly from a swimming pool or changing room floor. Infection only occurs when the skin is broken and the virus takes control of the skin cells developing usually for many weeks or months.
Although they are contagious they they will often disappear on their own with no treatment, particularly in children.
Treatments provided include:
Unfortunately, no verrucae treatment is 100% effective and multiple treatments are often required.
Biomechanics is the study of the moving body including posture, joint movement and muscle activity. This is a very common treatment which involves a top-to-toe examination with consideration of your medical history and lifestyle. Observing your stance, movement and hands on assessment will help in the diagnosis of your symptoms.
Complaints such as back and knee pain, flat feet, heel pain and forefoot pain can be determined. A treatment plan will be discussed with you and treatment options can include footwear and lifestyle advice, stretching and strengthening exercises, strapping or prescribing insoles/orthoses to correct imbalances.
Insoles or orthoses are moulded shoe inserts which fits inside most shoes and boots to control or change the posture in our feet.
In turn this improves posture and foot function helping ease complaints such as knee and lower back pain.
These off the shelf insoles/ orthotics can be modified and vary in design depending on the patients needs, therefore vary in price.