An assessment is carried out to see if the patient has no complications for surgery. The procedure will be discussed and the consent signed. The surgery will then be booked.
A partial or total nail avulsion will be carried out under a local anaesthetic with phenolisation.
After the surgery the patient will be seen within one week for a dressing appointment. In this appointment they will be shown how to redress the toe and the signs and symptoms of infection will be discussed.
A final appointment will be made for approximately 5 months after the surgery to examine for any nail re-growth .
The treatment we provide for verrucae’s is acid therapy either silver nitrate for children and salicylic acid for adults.
We provide ongoing treatments every 1-2 weeks depending on the patient. After four treatments; if the verrucae’s are still present a second referral will be requested via the GP surgery. If after the next 4 treatments the virus is still present then we would request an onward referral to dermatology.
The aim is to assess the feet, put a care plan in place to resolve the problem and then discharge.
Patients can only be seen up to four times in a referral pathway. Unfortunately with longstanding lesions or problematic nails this is not always achievable therefore the patient or podiatrist may request a further referral to continue to treat the problematic area.
An assessment is carried out and simple biomechanical problems are treated. Simple insoles and orthotics are provided with education and an exercise/stretching programme.
For more complex biomechanical issues such as total casted insoles, footwear adaptations or bespoke footwear the podiatrist will request a referral via the GP surgery for specialist biomechanics.