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Common Podiatry Conditions
Thick (or difficult to cut) nails are very common in podiatry patients. They are commonly caused by trauma or by the ageing process.
Thick nails are caused by the ageing process, trauma either via a single traumatic event such as “stubbing of the toe” or if a heavy object has dropped on your toe.
Thickening of the toenails can be caused by repetitive trauma from not wearing the right footwear, neglect can cause the nails to grow thicker. Poor circulation can result in thick nails.
Thickened toenails are generally not harmful, but they can be uncomfortable and it makes wearing certain shoes problematic. The toenails will appear thick and may be discoloured in some cases. It may be a bit tender when you touch the nails.
Our highly skilled Podiatrist will take a full medical history, followed with an examination of your feet and nails which will lead to a diagnosis. Treatment will consist of using a Podiatry drill to thin down the nails followed with cutting and filing the nails. Advice will be given to the patient for aftercare.
Corns are painful lesions/spots of thickened skin on the foot caused by friction in high-pressure areas of the foot.
By wearing the wrong footwear can cause too much pressure on the foot which will result in corns developing.
If corns are left untreated, they can be very problematic and can cause the patient a lot of pain. Often an ulcer will develop as the corn causes a disruption in the blood flow to the area.
It is highly recommended that diabetics should be screened and treated regularly to prevent the development of corns which could lead to an ulcer.
Typically, a patient will feel as if they are walking on something sharp like a piece of glass, pain is often felt by the patient and the area will look like a bump or a raised lump.
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will take a full detailed medical history, and the corn will be removed by a scalpel.
The podiatrist will provide you with footwear advice and if necessary, a full biomechanics assessment will be offered to the patient to assist with the corn.
Calluses are a build-up of thick hard skin on the foot caused by high friction and pressure in the foot.
Calluses often appear at the bottom of the foot and can be very painful when weight is applied to the area. It is the body’s way of protecting the underlying structures from repeated compressive forces or friction.
Calluses can be caused by wearing the wrong footwear, high heeled shoes, poor foot and lower limb mechanics, a high amount of activity on your feet and the loss of the fatty pad on the bottom of your feet.
Patients will often present with a yellow patch on their feet, the area will feel quite rough to touch and pain will be felt when they walk.
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will take a full detailed medical history and the removal of the callus will be done using a scalpel.
Our Podiatrist will provide advice on footwear, emollient therapy and ways of avoiding pressure on your feet.
A full biomechanics assessment will be offered to you which may result in the patient being prescribed orthotics to help deflect the pressure away from unwanted areas of the foot.
Dry Cracked Heels
Deep cracks, bleeding and pain around the heel area are signs of heel fissures, caused by thick and dry skin that has formed around the heel.
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will take a detailed medical history and perform scalpel work on your heels to remove any dead or hard skin around the heel area.
Emollient therapy will be provided to the patient and advice will be given in treating their dry cracked heels.
Athletes foot is a common infection of the skin caused by tinea pedis microbe (fungal infection).
The signs of this complaint is typically itchiness, redness and peeling of the skin between the toes and the borders of the foot.
Patients of all ages can get athletes foot and is typically linked to not wearing the right footwear, if a patient has excessively sweaty feet, patients who wear the same socks or shoes for a long period of time and sometimes if a patient’s immune system is weak they are more susceptible to developing athletes foot.
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will take a full detailed medical history, and advice will be given typically involving emollient therapy, dry skin treatment, hyperhidrosis treatment, advice and education and footwear advice.
Bunions usually appear as a bony lump at the side of the big toe joint. The medical term for Bunion is Hallux abducto valgus (HAV).
Bunions (HAV) is a deformity of the big toe joint. A bunion is caused when the big toe deviates towards the second toe which results in your foot broader, and patients often find it difficult to walk and fit into their shoes.
Unfortunately, your toe with the bunion will no longer function normally, and as you take each step, you put more pressure on your big toe which can cause more pain.
Our highly skilled Podiatrist, will take a full detailed medical history, and your toe joint will be assessed, advice will be given to the patient with their footwear.
Appropriate pads and strapping techniques will be offered to the patients for short term relief. Depending on your situation, the Podiatrist may prescribe custom fitting orthotics to help with your arches and overall foot mechanics.
An ingrown toenail will occur when the nail forms a jagged edge & begins to protrude into the surrounding tissue as the nail grows.
The area will look swollen, bleeding may follow and the tissues surrounding the toenail will be inflamed and the skin will look very red.
Pain will often be felt by the patients as they will find it difficult to walk. Ingrowing toenails can be caused by trauma, poor nail cutting or wearing the wrong footwear.
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will take a detailed medical history and will remove the spike that is growing into your tissue/skin.
If the ingrowing toenail continues to persist, a nail avulsion (minor surgical procedure where local anaesthetic is used) will be offered to the patient to permanently remove the nail.
Fungal Nail Infection
Fungal nails is an infection of the nail plate. It is not life-threatening nor is it harmful but aesthetically it will look unsightly if left untreated.
Once the infection has penetrated through the nail plate, the effect can be permanent. Anyone can develop fungal nails, but often the over 55’s, people with diabetes, people suffering with sweaty feet, people who walk barefoot around public areas and people with a lowered immune system will develop this condition.
It generally presents as thickened nails, the nails will look discoloured, an increase amount of debris will be behind the nail plate and there will be cracks on the nails.
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will take a detailed medical history, an assessment of the affected nails will be done, and a variety of options will be offered to the patients; as the nails will present as a thick nail, the podiatry drill will be used to thin down the nail, which will allow the Podiatrist to clean out the debris and cut away the dead nail.
Nail reconstruction or nail surgery will be offered if the problem does not go away. Other treatments such as Laser treatment on the nails will be provided as well. Footwear advice will be offered at the end of the treatment as well.
Diabetic Management & Advice
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will provide patients with diabetes with a thorough medical examination of their feet.
This will include full vascular and neurological assessments. The vascular assessments will consist of checking the 2 pulses in the foot to make sure that there is a good supply of blood to the toes, the overall skin appearance both on the top and at the bottom of the foot and the skin’s temperature will also be noted.
The neurological assessment is important for any diabetics as this test for a condition called Neuropathy (where the nerves do not function and a lack of sensation will be as result).
The main nerves in the foot will be assessed. This is important as this can prevent any ulcers or breakdown in skin for the patient.
Our highly skilled Podiatrist will perform a thorough examination of your feet both sitting and standing.
Here at Dovehouse Foot Clinic, we want to put your feet first. In doing so, our highly skilled Podiatrist will perform a thorough examination of your feet both sitting and standing.
All the main joints in the feet will be tested and put through its ranges of motions to make sure the joints are all functioning normally.
Our Podiatrist will then proceed to do a gait assessment where you will have to walk up and down the clinic just so the Podiatrist can ascertain how you walk.
Advice will be given and prescriptive orthotics will be prescribed as a result to your presenting issue. Strapping and taping of the foot will be offered if the Podiatrist feels is necessary.
Flatfeet & Orthotics
All of us suffer will suffer with some form of foot deformity, be it flat feet, if you have a high arch or if your joints are too flexible.
Orthotics are medically prescribed devices to correct such issues. They fit nicely into your shoes/boots and should be worn at all times if instructed by the Podiatrist.
Orthotics serve 3 main purposes; deflect pressure from unwanted areas of the foot, provide comfort and to keep you on your feet for longer.
Flatfeet tends to be a problem that most patients suffer with; some complaint of pain, some are asymptomatic.
Patients presenting with pain can originate from the foot itself, the ankle, the knee, hip and spine. This is due to the foot being a kinetic chain i.e. if one part of the body is out of place, the other areas of the body will consequently be affected.
The causes of flat feet are over-pronation (this is when your foot rolls in towards the centre of your body and flattens out), genetics could be cause as well, injury and arthritis.
Here at Dovehouse Foot Clinic, our highly skilled Podiatrist will take a detailed medical history and assess all your foot joints both sitting and standing. Prescriptive orthotics will be offered to the patients to prevent the condition from getting worse. Stretching programs will be offered to the patients as well.
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