What Is a Routine Foot Treatment?

Routine foot treatments involve the treatment of common foot conditions such as long or hard to cut toenails and the removal of corns and callus. Our dedicated team of clinicians who have a wealth of experience can provide effective treatment for virtually any foot related complaint you may have. Some of the most common reasons patients seek our treatments are listed below:

• Toenail cutting
• Fungal nail
• Callus (hard skin)
• Corns
• Cracked heels
• Verruca’s
• Athlete’s Foot

To see more on our routine foot treatments please click here

If you have joint or muscle pains associated with your feet or gait or feel uncomfortable when you walk or run then a biomechanical assessment is likely to be the most appropriate appointment.

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Nail Surgery – Removal of Ingrown Toenails

Toenail surgery is carried out for two main reasons – pain relief from ingrown toenails and severe fungal nail that is beyond treatment. However, other methods of treatment will be investigated with each patient prior to the decision of nail surgery being made.

What causes an ingrown toe nail?

Ingrown toenails often occur when the nail edge cuts into the skin. As the nail continues growing, infection can then set in so making an extremely painful ingrown toe nail. Some people are more prone to them than others.

What is involved in toenail surgery?

Nail surgery is the removal of all of the toenail or part of the nail. A local anaesthetic is administered at the base of the affected toe or toes to numb them so that you will not feel any pain during the procedure. After the removal of the entire nail or a portion of the nail, a chemical may be applied to the exposed nail bed and matrix to prevent regrowth by destroying the nail cells. The aim of nail surgery is to provide a long term cure for ingrowing toenails and does so in 97% of cases. So why not contact us for advice or to make an appointment for Nail Surgery in Nottingham.

Overview of Nail Surgery and the Benefits post surgery

  • Surgical Treatment of Ingrown toenails
  • Where conservative treatment has been unsuccessful
  • Performed under a Local Anaesthetic
  • Permanent resolution of and ingrown toenail
  • To reduce pain
  • Removal of troublesome nail
  • Minimise risk of infection
  • Return to usual activities

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What Causes Verrucae?

The HPV virus is thought to thrive in moist, damp environments such as swimming pools, changing room floors and communal shower areas. It is possible to contract verrucae simply by walking across the same floor area as someone with a verruca, especially if you have any small or invisible cuts or abrasions that make it easier for the virus to penetrate.

Who Gets Them?

Verrucae are most commonly seen in children, teenagers and young adults, largely those who use communal changing rooms. It is possible to develop an immunity against the virus over time but most people remain susceptible, although some more than others.

How Do I Know I Have Them?

The most common appearance is that of a small cauliflower-type growth on the soles of your feet with tiny black dots. If it is painful when you pinch the area (like when you squeeze a spot), you are likely to have a verruca. They can grow to 1cm in diameter and may spread into a cluster of small warts. If you are unsure you should seek advice.

Are They Serious and Do I Need Verruca Treatment?

Verrucae are harmless but can be uncomfortable and painful if they develop on a weight bearing part of the foot. In addition, hard skin (callus) can form over the top of the verruca, increasing the discomfort in this area. There are also some strains of the virus that spread very quickly and can look unsightly.

Verruca Treatment?

In the first instance, avoid touching or scratching a verruca as it may spread into a cluster of warts. Instead, cover it up with a plaster. In many cases, evidence suggests that verrucae will disappear of their own accord within six months for children but longer for adults (up to two years). This is because 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. If it is painless, no treatment may be required as some treatments can be painful especially for children and can cause side-effects.

For painful and/or unsightly verrucae or ones that are spreading, you can self-treat using ointments and gels from your local pharmacist following the instructions carefully. Sometimes, merely by rubbing away the dry skin over a verruca and applying a plaster helps to stimulate the body’s immune system to fight the infection.

We use Silver Nitrate which is an Acid-based treatments, which is stronger than regular ‘over the counter’  treatments from your local pharmacy. Silver Nitrate is applied to the verruca after any overlying hard skin has been debrided by your clinician. Treatment with Silver Nitrate is not guaranteed to work and if it is to work usually requires a course of treatments. Your clinician will explain what is likely to be required to treat your verruca before treatment commences.

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What is a Biomechanical Assessment?

A Biomechanical assessment involves an examination of the lower limbs, looking at their structure, alignment, strengths and weaknesses. The foot is a complex structure of 28 different bones, 214 ligaments and 38 muscles, bearing our body weight as we walk every day.

The examination is not focused simply upon the foot but includes the pelvis, legs and knees, assessing the relationship between them. It is important to examine the lower limbs as a whole because they are closely connected and pain in one area can be due to a weakness or structural problem in another area.

What happens during a Biomechanical assessment?

Your Podiatrist will want to know all about your pain and injury, for example how long its been there, what makes the pain worse, have you had any other treatment. Understanding the history of an injury is a very important part of the consultation.

Once a history of your pain or injury has been recorded your podiatrist will then carry out a series of joint and muscle tests to determine the quality and range of movement that you have. We use  blend of high specification diagnostic equipment such as a pressure plate alongside experience and know how (manual tests) to really get to understand the way your body moves and how that might be causing pain.

How long does a Biomechanical assessment take?

It takes an hour to complete all the tests necessary, discuss the results and advise on the recommended treatment.

What sort of treatment will I need after a Biomechanical assessment?

There are many different types of recommended treatments following a biomechanical assessment, depending upon your results. For people who have good structural foot mechanics, the podiatrist will advise on the best footwear in order to reduce the risk of foot problems. Simple changes such as wearing trainers designed for your gait or wearing insoles can be very effective.

If the podiatrist believes that your mechanics could be contributing to your injury or pain, insoles or custom made orthotics will be prescribed.

Patients are referred to a physiotherapist if they will benefit from exercises to improve muscle strength or flexibility. Referrals may also be made to other health care professionals or your GP.

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Why West Bridgford Podiatry?

We are experts in orthotics prescribing and orthotics fitting. From assessment to fitting our orthotics services ensure we will prescribe the right pair for you.

What are Orthotics?

Orthotics are custom made, bespoke insoles, or off the shelf insoles, that provide support and stability. In turn they can help relieve pain and prevent injuries. Our podiatrist can advise on the most suitable type for your problem, after a biomechanical assessment. With a large range of options alone for orthotics it is essential that the right ones are chosen for your particular condition and lifestyle. For example orthotics for running will be different to someone who stands for 8 hours a day. It is therefore essential that a comprehensive assessment takes place.

In many cases orthotics are used to aid a wider treatment plan for heel and foot pain.

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Biomechanical Assessment

Treatments are available for a range of foot related biomechanical conditons

 Biomechanical Assessments

Many of us put up with pain in our daily lives relying on pain relief to bring some comfort. Joint pain can often be reduced by strengthening the muscles around the joint or by strengthening another part of your body which appears unrelated to the site of pain. A biomechanical assessment is an investigation into movement where the Podiatrist will examine your gait and identify dysfunction or compensatory movements which cause pain and injury.

In some cases knee pain and back pain for example can be attributed to dysfunctional foot mechanics and therefore by improving foot function it can be possible to relieve pain elsewhere in the body.

The musculoskeletal system allows human locomotion with a series of communicating structures working to produce efficient movement. The feet are an important part of the musculoskeletal system as the feet are the contact point with the ground. The foot has to shock absorb, support and propel the body above it and its unique structure and joint movements  allows this to happen automatically. However if the architecture of the foot is compromised naturally the foots ability to perform these tasks is hindered and the body has to start compensation. Over time this can lead to pain and injury.  Here at West Bridgford Podiatry we have the knowledge and experience of effectively treating pain and injury related to the foot and lower limb.

Biomechanical assessment in Nottingham

Would you like to book an appointment or speak with us about how me might be able to help you ?

Call us at 0115 982 0800