Routine care (includes basic nail trimming) and will begin with a foot bath and after treatment conclude with a gentle and rejuvenating foot massage.
Reduction of nails that have become thickened through trauma (onychogryphosis) or fungal infection (onychomycosis). There are treatments for both conditions whether recent or longstanding. Nails can regain their former health and lustre with guided and careful management.
Burring and shaping with topical application of oils and footwear advice can restore thickened nails produced by trauma.
Topical medicaments or oral prescription with mechanical reduction can restore infected nails.
Psoriatic nails exhibit pitting, discolouration, thickening and friability and are commonly confused with fungal nails. These will not respond to topical medicaments but will improve with mechanical reduction and oral medication for the systemic condition. An experienced physician can differentiate alongside pertinent case history.
Callus is produced by pressure. It is uncomfortable and attracts fungal spores. Debridement and cushioning will produce immediate relief.
Corns (heloma durum) are an inward facing cone of hard skin that appear on pressure points with a small surface area. These may be produced on a joint or osseous spur or from an external source such as a footwear or hosiery seam. Enucleation (excision of the core), pressure deflection and footwear advice ameliorate the problem.
Soft corns (heloma molle) commonly occur inter digitally and are produced in the same way. However, the perspiration that occurs naturally between the toes makes them more diffuse, more nerve inclusive and painful. Excision and astringents provide immediate relief.
Seed corns (heloma mille) are produced quite randomly over the plantar surface of the foot and are thought to be produced by the lateral movement of the outer layers of the skin. Their removal is aided by hydration and improved tissue flexibility.
A wide range of topical medicaments, oils and creams are available in the clinic and on order and I will be pleased to advise you.
Verrucae are an infection caused by the (water borne) human papilloma virus (HPV) and are eminently treatable. Clinic options include cryotherapy (freezing) and acid treatment (Salicylic). The majority of verrucae resolve in 1 - 4 treatments.
Ingrowing toenails (onychocryptosis) are caused by constrictive footwear or a genetic tendency to involuted nails. This painful condition may be alleviated with reshaping, and footwear accommodation or surgically. I will be pleased to advise the best course of treatment and offer the appropriate service. Please note the surgical option (nail avulsion with phenolisation) requires a five week healing period thereafter without pressure on the surgical site.
Biomechanical assessments are in depth and require a double appointment and deal with musculoskeletal conditions. I will look at your gait, posture, alignment and movement in your joints with a refinement of neurological and orthopaedic testing as is necessary. Treatment may include cast orthoses to realign feet (and posture) or referral to physiotherapy/surgery if required.
‘Management of foot pain’ including common conditions such as bursitis, plantar fasciitis, Achilles enthesitis, bursitis from calcaneal spurs, tendinitis, blistering, lesions, degeneration and trauma.
Bunions (hallux abducto valgus) are a genetic condition that may respond to cast orthoses to limit progression or a prescriptive release and strengthening programme which I will be happy to provide.
Diabetic assessments (vascular, musculoskeletal, neurological) are available as hard copy on request.
Home visits are available on request within the local area for those unable to access the clinic
Routine podiatry - £33
Home visits - £43
Verrucae - £33 then £15 per subsequent session
Biomechanical assessment - £66
Cast orthoses - £235
Nail surgery - £300 (includes follow up appts and dressings)