Our Treatments

Our Treatments

Our Treatments

Our HCPC Registered Podiatrists are qualified to provide a wide range of treatments. These range from the very specialised, such as biomechanics and sports injuries, to more routine treatments and common ailments. If you require advice on :- Removal of callous and corns, nail management, verrucae, biomechanical assessment, provision of orthotics, sports injuries, joint mobilisation, physical therapies, footwear advice and modifications, advice on prevention of foot problems then contact us and we can assist you in alleviating such problems.

Use the menu below or the Treatments tab above for more information on our treatment options.

Corns and Callus

Corns and Callus

What are Corns and Callus?

When we walk or stand, our body weight is carried first on the heel and then on the ball of the foot, where the skin is thicker to withstand the pressure from the body onto the floor. When this pressure becomes excessive, some areas of skin thicken in the form of corns and callus, as a protective response to the body’s reaction to the friction of skin rubbing against a bone, shoe or the ground.

Callus (or callosity) is an extended area of thickened, hard skin on the soles of the feet. It is usually symptomatic of an underlying problem such as a bony deformity, a particular style of walking or inappropriate footwear. Some people have a natural tendency to form callus because of their skin type. Elderly people have less fatty tissue in their skin and this can lead to callus forming on the ball of the foot.

Corns are caused by pressure or friction over bony areas, such as a joint, and they have a central core which may cause pain if it presses on a nerve. There are five different types of corns, the most common of which are ‘hard’ and ‘soft’ corns:

How do I prevent it?

There are many causes of pressure that ultimately result in corns and callus, footwear being the main one, ill-fitting shoes that are either too narrow, short or have limited depth will exert pressure. Biomechanical issues (abnormal foot function) will also cause hotspots resulting in both corns and callus. Reduced fatty padding over the metatarsal heads (knuckle joints of the feet) will leave the joints exposed to increased pressure.

What are the treatments?

Always consult a HCPC registered Podiatrist who will be able to remove corns painlessly, apply padding or insoles to relieve pressure or fit corrective appliances for long-term relief.  For callus, a Podiatrist will also be able to remove hard skin, relieve pain and redistribute pressure with soft padding, strapping or corrective appliances/insoles which fit easily into your shoes. The skin should then return to its normal state.

Podiatrists do not recommend using corn plasters, as they contain acids than can burn the healthy skin around the corn and this can lead to serious problems such as infection.  Home remedies, like lambswool around toes, are potentially dangerous. Commercially available ‘cures’ should be used only following professional advice.

Emollient creams delay callus building up and help improve the skin’s natural elasticity. A Podiatrist will be able to advise on the most appropriate skin preparations for your needs.

When should I see a Podiatrist about it?

Usually corns and callus present with pain, it is advisable to consult a Podiatrist immediately as corns grow in size and can exert more pressure on the healthy tissue underneath and will ultimately ulcerate the tissues, causing even more pain and possible infection, which is an increased problem for people who are diabetics or have other high risk conditions.

Verrucae

Verrucae

What are Verrucae

Verrucae are plantar warts that commonly occur on the soles of the feet or around the toe area.This causes an excess of a substance called keratin to develop in the top layer of skin, resulting in a hard, rough lump. They are caused by the Human Papilloma Virus (HPV) which is highly contagious through direct person to person contact.

They can be passed on through skin contact or contact with contaminated objects or surfaces, such as:

You're more likely to get infected if your skin is wet or damaged. After becoming infected, it can take weeks or even months for a wart or verruca to appear.

Preventing warts and verrucas

It's difficult to prevent warts and verrucas completely, but the following measures can help stop them spreading:

Treatment of Verrucae

There are many treatments of Verrucae ranging from Acids, Cryosurgery and Occlusive methods. We now have the newest form of treatment which is Swift Microwave, click here for more information on Microwave Therapy

Fungal Nail Infection

Fungal Nail Infection

What is a fungal nail infection?

Nail fungus, or Onychomycosis, is a condition that is caused by the presence of a fungus living in and under the nail bed of a finger or toe. Nail infections are becoming increasingly common affecting up to 10% of the adult population, they can be unsightly and embarrassing.

The fungus (a dermatophyte) houses itself within the nail bed making it difficult to reach and therefore very difficult to treat. The cool and protected area underneath a nail provides perfect growing conditions for dermatophytes, so the fungus starts to attack the nail, causing the nail plate to turn yellow, cloudy or dark coloured as it dies.

If it is not treated quickly, the fungus will multiply and the condition worsen, causing heavily affected nails either to thicken or to become brittle and crumble apart. Once affected, nails must be treated for a significant period of time before all the fungus can be eliminated.

The suggested treatment time to kill all of the fungus once the nails have been affected is 6-12 months as this is how long a toe nail takes to grow from the nail bed to the end of the nail plate.

How do we treat Fungal Nail Infections?

At first you will have a consultation to assertain where the fungal infection has established itself and for creating a treatment plan that suits you and your medical history. Photographs will be taken for comparisons and monitoring of the results.

The nails are prepared painlessly by reducing their thickness by a podiatry drill, this usually removes the majority of the mycotic infection and is much improved to look at as well as being more comfortable.

Low Level Laser Therapy (LLLT), otherwise known as PhotoBioModulation (PBM) (more information) is one of the treatments we use and is very effective for fungal nail infections. The laser beams are able to target the Fungal cells without harming the normal skin and nail, and is used in conjunction with Yoffee home treatment carried out at home by the patient.

The other treatment we use, is the Dentron Biogun which is also a quick, painless, safe treatment that uses a stream of the superoxide radical anions from the surrounding atmosphere and delivers it to the site of the surface infection, destroying any microbes and leaving the normal tissue unharmed.

Both treatments are drug free and consequently side effects are not a problem. Preventative advice is also given and your footwear will be sanitised using the silver nano-technology of our Klenz machine.

The number of treatments required will vary and depend on the specific condition presented. Contact the surgery to book an appointment to discuss how these treatments can help you.

Biomechanical Assessment

Biomechanical Assessment

Biomechanics / Musculoskeletal Care

This is an aspect of Podiatry that is most related to engineering, the body is a whole not a collection of bits!

Hip, knee or even shoulder pain could be a result of poor foot function, which could be causing pain in the foot directly or presenting in the other joints or soft tissues of the body.

For example, if one leg is shorter than the other to compensate for this action , the pelvis will tilt, the spine may bend, the opposite knee may bend or it may move out to the side putting stress on the hip and the knee or you may go through a combination of these compensating positions.

Over a long period of time things are going to change, muscles are going to fatigue and spasm, bones may change their shape and joints may be thrown out of line resulting in "wear and tear" arthritis. Enjoying sporting activities could accelerate the faults and show up earlier , so a Biomechanical Assessment would be suitable for those who paticipate in sport, to help resolve their injuries.

The problem occurs when the motion becomes excessive, since the muscles that run from the lower part of the spine to the upper part of the thigh become over stretched causing the pelvis and the lower back to tilt forward, the body then wants to "straighten up" by bending our lower spine into a greater curve and hence moving up into the neck and shoulders, usually causing pain and discomfort.

What will Your Treatment Consist Of?

The consultation will take about an hour and half, which will consist of looking closely at the muscle strength, range of motion of the hip, knee and foot and then gait analysis when walking. Analysis is done at rest and in motion as problems may be present in both areas or only one.Lifesyle, sport and footwear will all be taken into account as Biomechanical assessment is about the full picture of the body, not just the bit that hurts.

What next?

Once the Biomechanical faults are established a treatment plan is put in place, this may include footwear advice, exercises and a prescription of orthotics.

What are Orthotics?

These are a Biomechanical orthotic devices that are custom made for the patient ( similar to spectacles for the eyes), part of the assessment the feet will be casted in plaster of paris, the casts are set at an angle to capture the angular relationships between the various segments of the feet and to optimise the position of the foot in walking. The casts are sent to the lab with a prescription and the finished orthotics are returned to the practitioner for fitting to the patient.( Langer Biomechanics group uk is the lab that we use).

These orthotics devices then control the abnormal motion going on in the body and move the body into specific positions at specific times in the gait or walking cycle therefore decreasing/eliminating of foot symptoms and very often leg and back fatigue at the same time. These are NOT arch supports but complex pieces of engineering.

Foot Mobilisation Therapy

Foot Mobilisation Therapy

Foot Mobilisation Therapy

Foot Mobilisation Technique is derived from foot manipulative therapy which is widely used by physiotherapy, chiropractic, and osteopathy practitioners. This is a new treatment within Podiatry and very few clinics are practicing FMT in the UK currently.

What is Foot Mobilisation Therapy?

Joint mobilisation involves passive movement of your foot and ankle joints, along with soft tissue mobilisation, the aim is to achieve a therapeutic effect of movement without pain. There are generally five grades of pressure applied, as deemed appropriate by the practitioner, to achieve optimum mobilisation which can be practiced over a number of treatments or resolved with one treatment only

Symptoms

Pain is the most common and overriding symptom if you are in need of a Foot Mobilisation treatment. Sometimes pain in the foot can occur after a trauma i.e. ankle sprain which should have healed overtime but hasn’t. Pain can vary from sharp acute indescribable for a short period to a dull aching sensation that causes irritation due to its long duration. Muscles and ligaments, after an injury can go into a “guarding” mode, which protects the joint whilst healing but can often forget to “switch off” when no longer needed, resulting in a joint with restricted movement and therefore requesting the surrounding joints to take up the slack and consequently overwork, with pain.

What Type of conditions can it help with?

Treatment and what to expect?

Treatment can often be conducted in the 30 mins appointment time allocated but if it is the first consultation it may take another appointment to complete the treatment plan.

It is a very gentle hands on treatment regime that corrects maligned joints to optimise a functioning foot and ankle.

The treatment involves directed tests that help assess and aim to restore individual joint movement within the foot as well as restoring functional mechanistic relationship between varied joints

Other factors including biomechanical, anatomical faults and general medical complaints will be factored into the treatment plan as it may require a more holistic approach to the problem presenting to the practitioner.

Peripheral Arterial Disease

Peripheral Arterial Disease

Peripheral Arterial Disease

Peripheral arterial disease is a narrowing, hardening or blockage of the main blood vessels in the legs. It reduces the blood and oxygen flow to your leg, which can result in aching or tightness in the calf or thigh muscles during walking; this is called intermittent claudication. With or without symptoms it increases the risk of a heart attack and stroke and in extreme cases leg amputation.

How does it present in the foot?

20% of leg and foot ulcers are due to arterial disease.

What increases the risks of PAD?

Can it be successfully treated?

What does an assessment involve?

How long does the test take?

Approximately an hour as usually done alongside a Diabetic and Neurological assessment. You are required to lie still during the assessment, none of the procedures are painful. Please wear loose clothing to the assessment.

The Diabetic Foot

The Diabetic Foot

The Diabetic Foot

Diabetic foot disease is a major complication of diabetes and is often an overlooked aspect of Diabetic management.

If you have been diagnosed with either Type I or Type II Diabetes then it is especially important that you have your feet checked and treated regularly by a Podiatrist. Raised blood glucose levels over a period of time can contribute to complications to all organs of the body including the feet.

Why podiatry is so essential to people with diabetes

Other complications for people with peripheral neuropathy are a loss of balance and coordination, and muscle weakness in the feet, which can lead to falls.

What does a Diabetic assessment involve?

Vascular assessment
This is to check the circulation in the legs and feet, to visually observe any problems, assess any temperature differences and any changes to the skin and nails which would indicate vascular problems. We also use a Doppler Ultrasound, which involves placing an ultrasound gel over the pulse areas of the feet and ankle to listen to the strength and regularity of the arteries in the legs and feet. Included is the Ankle Brachial Pressure index found from the systolic pressure in the arm and ankle (explained in the Peripheral Arterial Disease assessment).

Neurological Assessment
This assessment is intended to check the correct function of nerves in the feet using a 10g monofilament - a diagnostic tool for observing any loss of nerve sensation or ‘neuropathy’. Tuning fork- to establish vibration. Proprioception- manual movement of the toes to ascertain that the brain can still recognise where the toes are. Gait assessment- whether the way you walk has become unstable and a bit wobbly. After this stage, if we suspect there may be a nerve related issue we will then apply a Neuropad, which is a small pad designed to indicate if neuropathic changes are happening in the feet.

General Care & Footwear Advice
We will provide you with the relevant advice that you need to make sure that your feet are safe and comfortable between appointments. The footwear advice we provide is crucial as appropriately fitting shoes are a key factor in maintaining healthy Diabetic feet.

Diabetes sufferers should also take note of the following foot care tips:

How long does the assessment take?

Approximately an hour as done alongside the vascular assessment, please wear lose clothing to the assessment.

The areas covered in the assessment are recommended in the NICE (National Institute of Clinical Excellence) guidelines.

Diabetic app from the Society of Podiatrists and Chiropodist website can be downloaded to a mobile phone for patients to use.

Heel Pain

Heel Pain

What is it?

Heel pain is the most common condition that a Podiatrist will see in practice, it can be the most complex and difficult to treat condition. The heel is specialised part of the body designed to absorb the impact of body weight when walking, running or undertaking any form of exercise. When pain does develop, it can be very disabling, making every step a problem which in turn affects your overall posture. What causes it? Most cases it can be caused by a mechanical injury caused by a small repetitive traumas that occur at a rate faster than the body can heal them. There are various types of heel pain, listed below are the most common.

Plantar faciitis (heel spur or fasciosis)

This is the most common caused by inflammation to the fascia ‘band’ (similar to a ligament) which connects the heel bone to the base of the toes. This condition can be caused in various ways including extensive running/walking/standing for long periods of time, especially when you are not used to it as well as a sedentary lifestyle.  In particular, a change of surface (eg. road to track), poor shoe support, being overweight, overuse or sudden stretching of your sole as well as a tight Achilles tendon can lead to this condition.

Heel bursitis (subcalcaneal bursitis)

This is an inflammation of a bursa (a fluid filled fibrous sac) under the heel bone where the pain is typically more in the centre of the heel than that experienced with plantar fasciitis (heel spur) and significantly worsens during the day. This condition can be caused following a fall from a height on to the heel

Heel bumps

These are firm bumps on the back of the heel.

Tarsal tunnel syndrome

This can feel like a burning or tingling sensation under the heel within the arch of the foot with occasional loss of sensation on the bottom of the foot.  This is caused by compression of the tibial nerve as it passes the inside of the ankle and tapping of the nerve will stimulate the symptoms known as Tinel’s sign.

Chronic inflammation of the heel pad

This is caused by a heavy heel strike or sometimes a reduction in the thickness of the heel pad which can give rise to a dull ache in the heel which increases during the day.

Stress fracture

Often caused following injuries such as falling from a height or landing on an uneven surface.

Severs disease (calcaneal apophysitis, and osteochondrosis)

This condition affects young children, usually between the ages of 8-12 and occurs when part of the heel bone suffers a temporary loss of blood supply.  The bone dies only to reform when the blood supply is later restored and is also known as osteochondrosis where this condition occurs in active growing bones.

Achilles Tendonosis

This condition occurs when the Achilles tendon is placed under more pressure than it can cope with and small tears develop along with inflammation and in some cases can lead to tendon rupture.  These tears become a source of further injury which can lead to swelling within the tendon, hence the name ‘tendonosis’ (sometimes referred to in error as ‘tendonitis’)

Is it serious?

Heel pain is a common condition and in most cases will diminish following some routine self-care measures but if the pain persists longer than three weeks, it is best to seek professional advice from someone who specialises in heel pain, such as a podiatrist or chiropodist.  This is necessary as there are many types of heel pain, each with their own different causes and separate forms of treatment.

Who gets it?

Heel pain can affect everyone, whatever your age, but those more commonly affected include those in middle age (over 40’s age group) as well as athletes.

How do I know I have it?

With heel spurs, there are no visible features on the heel but a deep localised painful spot found in or around the middle of the sole of the heel and is usually worse on standing after long periods of rest, particularly first thing in the morning. Although the name implies a spur of bone sticking out of the heel bone (heel spur syndrome), around 10% of the population have heel spurs without any pain whatsoever.

With bursitis, pain can be felt at the back of the heel when the ankle joint is moved and there may be a swelling on both sides of the Achilles tendon. Or you may feel pain deep inside the heel when it makes contact with the ground.

With heel bumps, these are usually caused by excessive shoe rubbing in the heel area.

How do I prevent it?

Follow the self-care measures below in the first instance. What are the treatments? If you experience heel pain, some simple self-care measures include:

More specialist treatments include

Plantar fasciitis (heel spur or fasciosis)

Treatment can take many forms from resting your foot as much as possible, ice, laser, soft tissue mobilisation, stretching exercises for tight calf and hamstrings, to steroid injections and even medication or surgery to release the tight tissue ‘band’. In some cases, padding and strapping is applied to alter the direction of stretch of the ligament to alleviate symptoms in the short-term.  However, for the long-term, special insoles (orthoses) are prescribed to help the feet to function more effectively and help to make any possible recurrence less likely.

Heel bursitis (calcaneal bursitis)

Medication and ultrasound can give relief but for the long-term, a shoe insert may be necessary. In addition, attention to the cause of any rubbing and appropriate padding and strapping will allow inflammation to settle.

Heel bumps

Adjustments to footwear is usually enough to make them comfortable, although a leather heel counter and wearing boots may help.  In more serious, recurring cases, surgery may be necessary.

Tarsal tunnel syndrome

Special shoe inserts can reduce the pressures on the nerve and may be appropriate for certain foot types whereas, on other occasions, local injections of medication to the area where the tibial nerve is inflamed may be necessary.

Chronic inflammation of the heel pad

A soft heel cushion can help this condition.

Stress fracture

If this is suspected, an X-ray is required to confirm final diagnosis and to determine the extent of the injury and a follow-on treatment plan.

Severs disease (calcaneal apophyitis and osteochrondrosis)

This condition is temporary and self-limiting but can be painful at the time.

Achilles Tendonosis

Treatment involves special exercises that strengthen the tendon and increasing the height of the heel with an insole on a temporary basis.

When should I see a podiatrist about it?

If you experience any foot care issues which do not resolve themselves naturally within three weeks, then consult a podiatrist.

Chilblains

Chilblains

What are they?

Chilblains (also called pernio) are small itchy, red (purple sometimes) swellings on the skin, which if not addressed become very painful and can sometimes ulcerate, exposing the foot to the risk of infection. They occur on the toes, fingers, the face (especially the nose) and the lobes of the ears. Sometimes they occur on exposed areas of the legs and arms.

What causes them?

Chilblains develop when the body is exposed to colder conditions, which the tiny blood vessels under the skins in the peripheral areas constrict and shut the blood flow to these areas conserving the blood supply to the main organs in the body.

However, when the body returns into a warmer environment then the small blood vessels should open up again and allow the blood back into the extremities (toes, fingers, ears. People who are prone to chilblains, have a time delay in the blood returning to the smaller vessels, causing damage to the tissues, which then presents as pain and discomfort.

Who gets them?

Although chilblains are common, the condition mainly affects young adults working outdoors with inadequate clothing, the elderly whose circulation is less efficient than it used to be, people who are anaemic and some medications can cause them as a side effect and those who have Raynaud’s syndrome have a predisposition to present with chilblains.

How do I know I have them?

They are present from the onset of winter, the areas of the skin affected can feel like they are burning and or itching, which can intensify upon entering a warm room. There may be some swelling or redness and in some cases the skin breaks and ulcers may be present.

How are they treated?

The best form of treatment is to prevent them in the first place, keeping the whole of the body warm not just the extremities. Wear layers rather than one thick layer of clothes, use natural fibres like silk. Footwear plays a vital part in prevention with insulating insoles.

If the chilblains are not broken then they will benefit from some creams and lotions. If they are ulcerated they will need immediate attention from the Gp or a Podiatrist.

There is a prescription medication for people who struggle yearly with chilblains.

Forefoot Pain

Forefoot Pain

Forefoot pain (Metatarsalgia) is often used to describe pain in the front of the foot but it can be generalised and misunderstood.

These are the most common conditions that affect the forefoot.

Metatarsalgia - Central Area

Plantar plate injuries/tear

A plantar plate is a thick fibrocartilaginous or ligamentous structure. In the foot, plantar plates connect each of the metatarsals to the corresponding proximal phalange of each toe. People with plantar plate dysfunction will typically feel pain in the ball of the foot, under the affected joint, usually the second joint, there may also be swelling. The joint may be dorsiflexed (displaced upwards) in relaxed standing, and additional dorsiflexion may exacerbate pain further. Treatment depends on the severity of the condition from simple rest and ice to surgical intervention.

Stress fractures

A stress fracture is a small crack in a bone, or severe bruising within a bone. Most stress fractures are caused by overuse and repetitive activity, and are common in runners and athletes who participate in running sports, such as football and basketball. Stress fractures usually occur when people change their activities — such as by trying a new exercise, suddenly increasing the intensity of their workouts, or changing the workout surface (jogging on a treadmill vs. jogging outdoors). In addition, if osteoporosis or other disease has weakened the bones, just doing everyday activities may result in a stress fracture. The weight-bearing bones of the foot and lower leg are especially vulnerable to stress fractures because of the repetitive forces they must absorb during activities like walking, running, and jumping. Diagnosis is by x-ray and treatment can vary from RICE (Rest, Ice, Compression and Elevation) to walking casts.

Morton’s neuroma (plantar digital neuritis)

Morton's neuroma is a condition that affects the nerves that run between the long bones (metatarsals) in the foot, the nerve becomes impinged and thickened. Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. About a third of people just need simple treatments including modification of their footwear. Sometimes surgery is needed for long-standing (chronic) symptoms. About three people out of four who have Morton's neuroma are women. It commonly affects people between the ages of 40 and 50 but can occur at any age.

Poorly fitting or constricting shoes can contribute to Morton's neuroma. It is more common in women who habitually wear high-heeled shoes or in men who are required to wear tight (constrictive) footwear. It may also be more common in ballet dancers and runners. In some people there is no obvious cause. . About a third of people just need simple treatments including modification of their footwear. Sometimes surgery is needed for long-standing (chronic) symptoms.

Capsulitis/ Synovitis/ Bursitis

Synovitis is inflammation of the tissues that line a joint causing increased fluid in the joint and even joint instability. In general Synovitis is commonly associated with specific diseases such as arthritis or gout, but may also be the result of overuse or trauma. Symptoms of synovitis may include redness, swelling, warmth, and pain with joint motion.

Bursitis is inflammation and a painful swelling of a small sac of fluid called a bursa. Bursae (plural of bursa) are fluid filled cushions that help absorb shock and lubricate areas where tendons, ligaments, skin, muscles, or bones rub against each other.  People who repeat the same movement over and over or who put continued pressure on a joint in their jobs, sports, or daily activities have a greater chance of getting bursitis.

Ligaments surrounding the joint at the base of the toe form a “capsule,” which helps the joint to function properly. Capsulitis is a condition in which these ligaments have become inflamed. Although capsulitis can also occur in the joints of the third or fourth toes, it most commonly affects the second toe. This inflammation causes considerable discomfort and, if left untreated, can eventually lead to a weakening of surrounding ligaments that can cause dislocation of the toe. Capsulitis is due to abnormal foot mechanics combined with repetitive foot motion that exerts pressure on the ball of foot to cause connective tissue degeneration. Poor foot dynamics or chronic stress can cause MPJ( metatarsal phalangeal joints) capsulitis.

Inflammatory lesions of MPJ joint (synovitis, capsulitis, bursitis) usually responds to conservative therapies and surgery is not usually required in most cases.

Toe Deformaties

Bunions of the big toe (Hallux Valgus) and the little toe (Tailor’s Bunion)

Hallux valgus, often referred to as "a bunion," is a deformity of the big toe. The toe tilts over towards the smaller toes and a bony lump appears on the inside of the foot. Sometimes a soft fluid swelling develops over the area. The bony lump is the end of the big toe (the first metatarsal bone) which becomes exposed as the toe tilts out of place. A tailor's bunion deformity is similar to a normal bunion of the big toe but is located at the base of the little toe. It is named so because in the past tailors used to sit cross legged for prolonged periods, pushing their little toes inwards.

Bunions tend to run in families, but that does not mean that if you have a bunion, your children will inevitably have one too. The connection may be that bunions are a bit commoner in people with unusually flexible joints, and this can be hereditary. They are more common in women than in men.

Many people with bunions are quite comfortable if they wear wide, well-fitting shoes and give them time to adapt to the shape of their feet, surgery can be an option but bunions are not usually painful and function very well.

Hallux Rigidus/ Limitus

Hallux limitus is the term podiatrists and other healthcare professionals use to describe loss of motion in your big toe joint. ... Hallux rigidus is considered by many podiatrists to be the end stage of hallux limitus, or a state in which your ability to create motion in your big toe is lost or severely restricted. A large boney lump can develop on top of the joint instead of the inside of the joint with Hallux Valgus.

They are usually very painful and can result from an injury, such as stubbing your toe, or may be caused by inflammatory diseases, such as rheumatoid arthritis or simply a biomechanical fault. Both conditions can be treated conservatively before surgery is considered as an option.

Types of Lesser Toe Deformities

Although these deformities are all very similar to each other, a few minor differences exist

Mallet

This deformity is very similar to a hammer toe except the joint involved is the upper joint instead of the middle joint, giving the toe a mallet-like appearance at the end of the toe.

Hammer

The toe is bent at the middle joint causing a curling of the toe. It is most common in the second toe, but can occur in any toe. Hammer toes are often present along with a bunion.

Claw

This type of deformity involves an upward bending of the toe joint at the ball of the foot. At the middle joint and sometimes the end joint as well, the toes bend downward in a claw-like fashion, often digging into the sole of the foot. This can occur in any toe except the big toe.

What is Microwave Therapy?

What is Microwave Therapy?

Swift Microwave Therapy

Swift is a new technology, developed in the UK, which has been licenced for the general treatment of skin lesions in Podiatry and Dermatology. Swift uses microwave energy which is delivered through a special probe applied to the skin to treat the affected tissue.

How does it work?

Microwave energy rapidly elevates tissue temperature and creates precise, localised cell destruction.-

1.
Infected tissue can exist several millimetres below the surface and can often be difficult to treat using traditional methods, resulting in either untreated tissue or significant damage.

2.
Swift delivers a precise, highly controlled energy dose. As microwaves travel into the tissue, water molecules begin colliding and creating localised heat energy - quickly destroying all infected tissue within a predetermined depth.

3.
In just seconds the treatment is complete and the healing cascade begins immediately. Treated tissue is quickly replaced, repaired and regenerated.

Book your treatment

With a few exceptions, most people with skin lesions would be able to have this treatment. Lindsey Ebbs will carry out an assessment prior to treatment and will be able to advise you on this.

The first step to booking your microwave therapy treatment is to contact us to discuss your condition and to book a consultation. You can do this by telephone on 01947 820319 or by Email: .

Lindsey Ebbs is fully trained and qualified to use Microwave Therapy equipment from Swift Microwave Therapy.

What is Laser Therapy?

What is Laser Therapy?

Omega Laser Therapy

Laser therapy employs low power or ‘soft’ laser light to aid the natural healing process of the body safely and effectively. It has been used for over 30 years and is widely available in medical field for treatment of pain, wound healing and musculoskeletal conditions.

Laser therapy achieves improved outcomes in the treatment of plantar fasciltis, tendonitis, post nail avulsion, neuropathic and phantom pain, diabetic ulcerstion, rheumatoid and osteo-arthritis, joints, chronic oedema, warts and verrucae.

Low level lasers should not be confused with surgical lasers which are a different classification of laser. Low level leaser therapy cannot burn or harm the skin. It’s effects are photo-biochemical, not thermal. In addition to their direct healing applications, low level lasers also provide an alternative needle-free acupuncture medium.

How does it work?

The physiological effects of laser therapy have been extensively researched and the details of the mechanisms are increasingly becoming understood. Particular wavelengths of light stimulate the body’s healing cells. Initial absorption by the mitochondria leads to increased fibroblast cell proliferation and migration, with modulation of cyrokine levels, growth factors, inflammatory mediators and increased tissue oxygenation - all part of the natural healing process.

Verrucae resolution before and after 3 and 4 weeks using laser therapy.

In addition to the local cellular effects, research on low level laser therapy has demonstrated both enhanced levels of endorphin release, and the suppression of pain messages previously sent to the brain.

Combining these effects with those from its use in stimulating acupuncture and ‘trigger’ points, low level laser is an excellent therapy for treating pain.

Book your treatment

Treatment is quick, pain-free, easy to apply and effective. Appropriate probes are placed on the skin at particular points on or relating to the damaged area and light, which is controlled for wavelength, power, pulsing rate and duration passes into the tissue.

Depending upon the condition to be treated, each clinic appointment will take between 5 and 15 minutes, once or twice per week. The patient will feel nothing at the point of application, but many report a wonderful relaxed feeling.

The first step to booking your laser therapy treatment is to contact us to discuss your condition and to book a consultation. You can do this by telephone on 01947 820319 or by Email: .