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Podiatry Procedures

Ingrown toenails

Ingrown toenails are very common and are caused by either trauma, cutting the nail too short or ill-fitting footwear.  Treatment can be carried out to try and encourage the nail to grow correctly by packing the side of the nail. However, sometimes this can’t be achieved and the nail or a part of the nail has to be removed under a local anesthetic. This is a very simple procedure and a chemical is applied to stop the nail or part of the nail from returning.

An assessment is carried out at your first appointment to make sure you are suitable for surgery and then the surgery will be booked.

After the surgery a dressing appointment will be given to redress the wound and to show how to change the dressing over the next few weeks.

A review appointment will be made for approximately 5 months after surgery to check the area has healed and there has been no regrowth.

Verrucae’s

Verrucae are plantar warts that commonly occur on the soles of the feet or around the toe area.  They are caused by the Human Papilloma Virus (HPV) which is highly contagious through direct person to person contact.

Most commonly the body’s immune system recognises the presence of the virus and fights the infection naturally but it can take many months for this to happen. Therefore if it is painless, no treatment is required. However, if the virus is spreading and painful then acid treatment is applied weekly to destroy the verrucaes. This can be a long process and appointments will be booked in for 1-2 week intervals for repeat of treatment.

Routine foot care treatments

An assessment will be carried out to check the blood and nerve supply to the feet. The problematic area will be identified whether that is a thickened nail, hard skin or a corn etc.  The treatment will be carried out and a plan put in place to prevent the problem from returning.  A review appointment/ appointments may be needed for another course of treatment however the aim is to correct the problem, give advice and discharge when appropriate.

Only four treatments can be carried out per referral. Therefore at the end of these treatments if the podiatrist still feels there is a problem they may request another referral or an onward referral is made to another specialist.

Biomechanics

This is assessing the structure and positioning of the foot and also looking at the gait (the way you walk).  If the feet are not positioned correctly this can result in the misalignment of the skeleton and cause pain in ankles, knees and hips etc.

An assessment is carried and advice may be given on footwear, stretching exercises and on other therapies.  Sometimes insoles/orthotics are given to help stabilise the foot and reduce the pressure. These have to be fitted into the shoes so it is advisable to bring work shoes and leisure shoes to the appointment so the podiatrist can fit the insoles into the correct shoes.  



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