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Common Foot Problems

Common Foot Problems

Excessive Pronation [flat foot] or Supination [high arch]

Usually congenital but may be due to an injury such as a leg fracture which may cause a differing of leg length. Feet will either pronate or indeed supinate in an effort to correct this disparity and provide an easier gait.

Pronation and supination must be present in 'normal' gait to facilitate walking but an excess of either movement can lead to problems such as corns, callus, bunions [hallux valgus], arch pain, plantar fasciitis, foot fatigue, Tendo achilles pain, knee, hip and back problems.

It not uncommon for people to suffer lower limb and back problems due to the abnormal action of the foot during standing, walking or running.

The treatment for these conditions can vary but is usually in the form of advice regarding footwear through to the prescription of an orthotic to control the excess pronation or supination by holding the foot in as near to its ideal position whilst standing, walking or running.

Ingrowing toenails

The nail, often the bialtg toe nail, grows into the skin down the side of the toe, becoming embedded as the nail grows, this can cause it to weep or bleed and become infected. If it has a sharp edge (usually at the side) this digs into the flesh causing pain, irritation and possible infection. The nail is tender under pressure.Treatment varies depending on how severe the problem is.

Permanent relief from this debilitating and painful condition can be achieved under local anaesthetic.

We are able to offer, uniquely, oral sedation for the needle phobic patient! Phone for details 01932 227233

Verrucae

Verrucae are warts found on the feet. They are caused by viruses and show as small growths within the skin. They often present as a single lesion and can be painful when over an area of high pressure. They can spread and become harder to treat if left for a long time so having them treated early is recommended. There are a variety of treatment options which will be discussed at your first appointment

 Electrocautery under local anaesthetic is also available at this practice.  

Corns

When we walk or stand our body weight is first carried on the heel and then subsequently transferred to the ball of the foot where the skin is thicker to withstand pressure. When this pressure becomes intense due to imbalance growths may occur in the form of corns and callus. These usually occur over a bony prominence, such as a joint.

Do not cut corns yourself , especially if you are elderly, diabetic, vascularly compromised or taking anticoagulants. Do not use medicated corn plasters or paints that burn the healthy tissue around the corn. They contain Salicylic Acid. Home remedies like lambswool around  toes shrink and can be potentially dangerous. A podiatrist or chiropodist will be able to remove the corn painlessly.

Bunions [Hallux Valgus]

Normally, the big toe points straight ahead, but in this condition, it curves towards the other toes and the joint can become swollen and tender, making walking difficult. The other toes become deformed and develop corns.

Some people are more likely to form bunions than others either due to genetic predisposition and/or as the result of their gait. Wearing inappropriate footwear may exascerbate the condition.Once a bunion has developed, further damage may be limited by wearing orthotics and more accomodative footwear, which will prevent excessive pressure on the joint.

A podiatrist may suggest protective pads to ease pressure on the joint, shoe alterations, or orthotics ( special insoles) to help the foot function more efficiently, or an appliance which fits over over the joint for protection.

Custom made, casted or semi bespoke orthotics are available at this alt practice and may alleviate seemingly unrelated symptoms such as ankle, knee, hip, and lower back pain.

In some cases, the podiatrist may advise surgery to realign the big toe, fixing it in a corrected position.

Gout

Gout can be a very painful condition and is the result of the bodies inability to metabolise naturally forming uric acid.This results in acid crystals [tophi] forming in the joint capsule.

Differential diagnosis between septic/traumatised joint and gout is often confused but can be confirmed by a blood analysis test.

Medication may be prescribed by your GP to alleviate the symptoms.

Diabetes

Diabetes may reduce the blood circulation and therefore sensation in your feet. 

Appreciation of temperature and pain levels may diminish resulting in damage to the foot that the diabetic sufferer may not be aware of.

Diabetics should consult a HPC registered Podiatrist on a regular basis to  monitor their condition as it pertains to their feet and ensure their continued foot health.

Sterilisation

We follow a strict hygiene code where all instruments are sterilized, and placed in individual bags for all patient procedures.

Not all practices do this!

SOCAP Accreditation

We are proud to inform you that we are currently one of only 29  private practices in the whole of the U.K. to be awarded accreditation to The Society of Chiropodists and Podiatrists practice accreditation scheme, the NHS clinical practice benchmark scheme. Only 7 Area Health Authorities have thus far been awarded this accreditation.

This ia a voluntary scheme subject to 'spot checks' which monitors conditions and practices within individual surgeries.

Its award is extremely prestigious and difficult to achieve.

Has your local practice been awarded this honour? We have!

 



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