Corns & Calluses:Corns and calluses are those thick hard masses of skin that can form on the bottom of the feet and toes due to excessive pressure or friction. Patients often feel as if they are “walking on a stone” because of the hard nature of the skin. Furthermore to being painful at times, these areas are often signs of more complex foot disorders related to the biomechanical function of the feet (flat feet), structural deformity (bunions, arthritis) or skin conditions (such as psoriasis).Corns & calluses are treated by painless debridement of the symptomatic tissue & advice is given to the patient to best maintain their feet between visits. Further evaluation is also available to address the biomechanical issues which may be the causing factor.
ulceration (sores that don’t heal) thatcan ultimately lead to amputation. It has been shown that good control of a patient’s blood sugars through correct diet and exercise along with proactive Podiatric care greatly reduces the risk of diabetic complication. Diabetics undergo comprehensive screening to assess “risk” levels and are closely monitored thereafter. Reporting of findings is communication with the patient’s GP and other relevant health practitioners.
Plantar Warts: Warts are the result of infection caused by the Human Papilloma Virus that can be unsightly and painful to walk on. The warts are contagious and are often transmitted from indirect contact with virally infected tissue (communal showers or swimming pools are common areas). A regime of non evasive treatments using silver nitrate as well as self treatment by the patient in between visits yields good results in
eliminating the infection.
Toenail Pathology: Toenails can be affected by a variety of Fungal (Tinea),
Bacterial (Staph, Pseudomonas infection etc), Circulatory (poor blood flow), Systemic disease (such as anaemia) and trauma related pathology. All of these conditions present differently and can be not only unsightly, but painful too.All treatments are provided with extensive advice and treatment regimes for the patient to follow in between visits.
Children’s Feet: Children’s feet are forever changing as they grow. The skeletal system can quite literally grow overnight. Although it is not uncommon for children to have foot or limb pain as they grow (growing pains), a wide variety of growth plate and developmental disorders can occur in children’s feet in addition to conditions common to adults.
Orthotic Therapy: Orthotic devices are used to treat the biomechanical causes of pain within the lower limbs. Symptomatic relief is generally achieved by a combination of treatments addressing the symptoms (physical therapy, mobilization) and the cause of the pathology (biomechanics).
Orthotics can be used to provide relief from the following:
- Heel pain (Heel spurs, Plantar Fasciitis, Nerve entrapment)
- Arch pain (Post tibial dysfunction)
- Forefoot pain/sore toes (joint tenosynovitis, plantar plate tears, Sesamoiditis, Morton’s neuroma, bursitis, corns & calluses)
- Bunions (Hallux Abducto-Valgus deformity)
- Ankle sprains and fractures
- Achilles tendon pain
- Shin Splints
- Knee pain (Patello Femoral pain, Medial Knee Compartment pain, Patella Bursitis, Arthritis)
- Hip pain (Trochanteric Bursitis, Arthritis)
- Lower Back Pain
- Post surgery (hip and knee replacements)
- Leg length discrepancy
- Rheumatoid arthritis
- Pressure offloading for “at risk” diabetics.
Orthotic therapy is generally only part of an entire approach to eliminating pain. Footwear is a vital factor in successful orthotic therapy with advice for appropriate footwear discussed. Inflammatory symptoms can be treated via physical therapies. Advice on a regime of anti-inflammatories, icing and stretching is given. Joint
flexibility is addressed via mobilization/manipulation and strapping.