The best care
Corns & Callus
Padding & strapping
Verruca's (plantar warts)
Neurological and Vascular Assessment
There are many reasons for seeking a podiatrist for nail care and these can include;
Thickened unmanageable nails due to fungal infection or damaged nail beds
Unable to reach due to back injury, hip problems, general stiffness, pregnancy etc
Loss of or impaired eyesight
Arthritis or weakness in the hands
Diabetics with impaired circulation and or loss of sensation
Sufferers of Rheumatoid Arthritis
At SW Podiatry Clinic we are able to manage nail care safely and professionally.
Our equipment and skill enables us to deal with the most awkward and unruly nail conditions with minimum discomfort to our patients.
Corns and Callus
Corns and calluses are areas of hard, thickened skin that develop when the skin is exposed to excessive pressure or friction. They commonly occur on the feet and can cause pain and discomfort when you walk. Although corns and calluses are often talked about together, they are separate conditions.
Corns generally occur on the tops and sides of the toes and on the soles of the feet. A hard corn is a small patch of thickened, dead skin with a small plug of skin in the centre. A soft corn has a much thinner surface, appears whitish and rubbery, and usually occurs between the toes. Seed corns are clusters of tiny corns that can be very tender if they are on a weight-bearing part of the foot. Seed corns tend to occur on the bottom of the feet.
Calluses are hard, rough areas of skin that are often yellowish in colour. They can develop on your foot, most often around the heel area or on the skin under the ball of the foot. Calluses are larger than corns and do not have such a well-defined edge. As callused skin is thick, it is often less sensitive to touch than the surrounding skin. Calluses develop when the skin rubs against something, such as a bone, a shoe or the ground. They often form over the ball of your foot because this area takes most of your weight when you walk. Excessive pressure on bony areas of the foot, badly fitting shoes, dry skin and reduced fatty padding are all possible causes of callus.
At SW Podiatry Clinic we can enucleate corns and reduce callus painlessly.
Padding and Strapping
Padding and strapping are used to relieve pressure, alleviate discomfort and providing protection over vulnerable areas. Padding is primarily used to deflect pressure from the lesion e.g. away from corns and painful callus, while also cushioning the area. Strapping exerts pressure and hold a structure in place, this is used in treatments such as strains and sprains.
Padding and strapping are designed to be only used as a temporary measure to offload pressure or to reduce friction from affected areas.
Verruca’s (Plantar Warts)
Verruca’s are common in both adults and children and can be very painful. Verruca’s can be found anywhere on the foot but commonly occur on the soles of the feet. They can even be found around the edges of nails.
Verruca’s are caused by the Human Papilloma Virus (HPV) which generally invades the skin through small or invisible cuts and abrasions and are passed from person to person by direct contact. The virus is thought to thrive in moist, damp environments such as swimming pools, changing room floors and communal shower areas.
SW Podiatry Clinic have a range of treatments for Verruca’s
Having worked within lower limb amputation clinics, we have witnessed the devastating effects that diabetes can have. We both feel very strongly that the correct assessment, diagnosis and care of the diabetic foot can reduce the chances of developing complications associated with amputations and long term ulcers.
Diabetes can affect your feet in a variety of ways. One of the early changes is a condition known as peripheral neuropathy, this condition develops when high blood glucose levels cause damage to the nervous system which may lead to altered sensations in your feet. Some people will experience pain or burning in their feet, although the most common symptom is a loss of sensation, this can be particularly problematic as injuries can go unnoticed and people may believe a painless injury to be insignificant. Nerve damage can also cause your toes to claw and the bones to become more predisposed to fractures.
Another change in the diabetic foot is a reduced blood flow, this can have a detrimental effect on your ability to heal therefore simple injuries such as scratches and blisters and areas of hard skin (callus) have the potential to become long term wounds (ulcers).
As well as routine nail care and callus/corn care, at SW Podiatry we adhere to National Institute of Clinical Excellence (NICE) guidelines relating to diabetes by ensuring that all our diabetic clients have regular reviews where the nerves and vascular status are assessed, this enables us to identify and address potential risk factors. We also provide information and guidance on simple self-care measures enabling our clients to manage any conditions safely and limit possible complications.
An ingrowing toenail is a fairly common problem. Typically caused by a sharp spike of nail that pierces the adjacent skin, the toe can become inflamed, tender and sometimes infected. There are many reasons as to why this can occur, for example the way that you stand or walk, a foot deformity such as bunion or hammer toes, poorly fitting footwear or nail cutting as well as the general shape of your nail can all result in an ingrowing nail.
At SW Podiatry we will assess the nail and either treat it there and then (with local anaesthetic if needed), provide advice to help you manage this condition conservatively, or if needed we can arrange to carry out, using local anaesthetic, a small surgical procedure to remove the offending part of the nail. Our treatment plan includes a follow up dressing changes and additional dressings to take home.
The majority of people are not symmetrical and some may have an abnormal foot shape, this can affect the way you walk or stand. Whilst most people will adapt and suffer no consequences, occasionally, due to extra stress being placed on the joints, muscles, tendons and ligaments, problems can arise causing pain in the foot, ankle, knees and back. A biomechanical assessment will check for any abnormalities and identify possible causes of pain, treatment could then include exercises to improve flexibility and strength and/or an orthotic devise which will aim to provide cushioning, support and stability, off load injured areas, compensate or correct foot deformities and reduce the risk of additional injuries.
Neurological and Vascular Assessment
At SW Podiatry, all new clients receive a neurological and vascular assessment of the feet as part of their primary treatment, regular reviews will be carried out according to any risk factors identified.
Neurological assessments are carried out using a monofilament and tuning fork, these are pain free evaluations that help identify potential nerve damage. Although diabetes is the most common cause of nerve damage in the feet (peripheral neuropathy), it can occur for a variety of reasons including low levels of vitamins such as B12, physical damage to the nerves through injury or surgery, some medications, and alcohol/drug abuse.
Vascular assessment is carried out by examining the colour, temp and condition of the skin, noting patterns of leg and foot pains and by using doppler ultrasound. This non-invasive method is an invaluable screening tool for the signs and symptoms of peripheral arterial disease (PAD)
Why Private over NHS Podiatry?
NHS Podiatric treatment is available in most parts of the country at present, and whether the service is available or not depends on the PCT (Primary Care Trust), the authority responsible for managing a Trust’s funds and services.
Eligibility for NHS podiatric treatment can vary between trusts. With funds and services being cut and the rise in amputation and long term foot related complications, the NHS are having to prioritise who they can treat. In some areas having diabetes does not automatically qualify you for treatment, and sometimes if you do qualify you are faced with waiting many weeks for appointments. At SW Podiatry we are happy to see everyone and hope to find an appointment that is prompt and convenient to you, but if we feel that you are eligible for NHS care or we feel you would benefit from seeing a specialist, we are happy to refer you on.