Lindsey Ebbs Podiatry

Criteria for Podiatry Treatment during the COVID-19 pandemic

Category 1: Acute Conditions/limb threatening

  • Ulceration/ non-healing foot wounds of any type
  • Previous amputations (non-traumatic)
  • Epidermolysis bullosa
  • Critical limb ischaemia
  • History of or an active Charcot foot
  • People with diabetes or conditions that reduce tissue viability in addition to redness, heat or swelling in the foot or leg
  • Severe acute MSK problems suffered by key workers and affecting their ability to work who cannot be treated by remote consultation
  • Foot infection which requires or has required antibiotic treatment (excluding fungal nails)

Category 2: Debilitating or life affecting Conditions

  • People with CKD 3 or above and foot pathology
  • Key/Essential workers with foot/ankle pain that prevents them from working
  • In-growing toenail with infection / inflammation
  • People with neuropathy and significant foot deformity
  • People with peripheral arterial disease and foot pathology
  • People with inflammatory/rheumatic diseases, or connective tissue disorders and associated foot pathology
  • People with diabetes (moderate/high risk foot) with foot pathology
  • Severe foot deformities with a long-term condition and or pain that may require surgery
  • People with poor tissue viability related to immunosuppressant/chemotherapy and associated foot pathology
  • Neurological conditions with related foot pathology
  • Vulnerable groups where mental health /congenital conditions require professional input as limited care is available from carers or family. If the feet are not cared for, this may lead to distress and or self-harm
  • Painful corns and/or large area of painful callus
  • Adult and or paediatric MSK conditions with acute pain, where delay of treatment may lead to worse outcomes e.g. bilateral foot/limb pains, severe foot/ankle sprains, tendon pathology, worsening foot/ankle or lower leg pain despite optimal self-management and or rest
  • Palliative care / end of life care where foot care is needed
  • Dermatological conditions other than verrucae which are infected, inflamed or has the risk of breakdown or cancer
  • Podiatric conditions exacerbating/causing falls

Category 3: Mild Conditions

  • MSK pain with mild impairment
  • Low foot risk people with diabetes or higher risk people with diabetes who have no foot pathology (NG19)
  • Foot Deformities with no pain or and minimal risk of wounds or infection
  • General nail care where patient has no risk factors associated with ulceration, infection and amputation
  • Minimal or non-painful callus or corns
  • Verrucae
  • Paediatrics MSK without acute pain
  • Adult MSK conditions that cause mild pain but where it’s not affecting ability to work, care for others or complete activities of daily living
  • Sports or endurance related pain that is not part of necessary daily function (leisure or hobby)

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