Category Archives: Verruca

Are your feet ‘summer ready’?

Summer is here and your feet need to be ready for action.

Now restrictions are lifting we are enjoying more freedom and holidays, even if they are in this country! The weather has generally been warm and sunny, and a walk on the beach in Britain is as good as a walk on a beach abroad.

If you are unsure how your feet can benefit, a great start is to visit to one of our Podiatrists for an assessment, trim and tidy. Get your feet ‘beach ready’!

Whether you need specialist care and advice, or simply removal of corns and callus, come and see us for a consultation. A general consultation can last up to half an hour and can include Doppler, sensation testing and general foot health checks.

We also offer gait analysis, musculo-skeletal assessment and bio-mechanical review as well as everything from verruca treatment to ingrowing toenails..

The blog below gives more information on who we are and what we do.

Have you ever thought about visiting a Podiatrist and wondered what they do?

Ever thought about visiting a Podiatrist and wondered what they do?

As the article suggests, a Podiatrist assesses and treats a wide variety of conditions below the knee. Anyone can benefit, from diabetics to someone who just wants their feet to look good on holiday.

It doesn’t matter if you aren’t going abroad this year, you still want to feel you can step out with confidence.Giveusacall.

Beauty is back

Once you have seen one of our experienced Podiatrists, we have some spectacular treatments to make sure you put your best foot forward for the upcoming season. Our beauty therapist, Carrieann, provides a range of treatments to compliment our Podiatry services.

For more information on the treatments provided by Carrieann, visit. https://skinsensations.co.uk/

Carrieann’s most popular foot treatments are  –

Luxury Pedicure

Treat your feet to some much-needed TLC with our luxury pedicure! Be whisked away from it all with a relaxing foot and leg massage and a deep exfoliation, plus a long soak in one of our massaging foot spas and finishing with a nail paint.

Medical Pedicure/Medi-ped

A medical pedicure – or medi-ped – is starts with a visit to a Podiatrist and ends with a visit to our beauty therapist.

Our medical pedicures are adapted to each client by our Podiatrist so they are tailor-made to suit your needs. You will receive a complete Podiatry treatment followed by all the wonders of our luxury pedicure (above)

Why do it?

Your feet feel good and you feel good. Sore feet can ruin your day, so why wait.

It doesn’t matter if you are walking miles on a costal path or sitting in the sun, relaxing with a good book,you want your feet to be at their best.

We cater for diabetics and a range of foot conditions. We are a Royal College of Podiatry accredited practice and we also offer home visits for those that require it.

Make an appointment

If you would like more information, to speak to one of our Podiatrists, or to make an appointment, call us on 01628 773588 or email info@maidenheadpodiatry.co.uk.

To make an appointment directly with Carrieann, call 01628 779909 and speak to a member of our friendly reception team.

A guide to verruca treatment

 

At Maidenhead Podiatry and Chiropractic Clinic we are asked about verrucas and verruca treatment so frequently that we have put this ‘Guide to Verruca Treatment’ together to help decide on your best treatment option.

Do I have a verruca?

Many of us have experienced a verruca, usually as a child, or know someone who has.

There are so many opportunities to acquire a verruca from a variety of communal floors such as hotels, swimming pools and the gym.

In a similar way to a parasite, the virus that causes a verruca needs a healthy cell to infect that it can modify without killing it. The virus is quite hardy and can not only survive for months on floors without a host but can survive desiccation and freezing.

Verrucas can’t be ‘removed’ (other than surgically). Your body’s immune system is capable of dealing with them – it just hasn’t – and all treatments hope to stimulate an immune response, allowing the correct antibodies to be produced for a successful resolution.

The virus ‘turns off’ the cellular immune cascade that is a normal response to viral infection, and our treatments aim to turn it back on.

Verrucae are warts.

When they occur on the feet we call them a verruca and when on the hands, we call them warts. They are caused by infection with one or more of the 150-strong family of human papillomaviruses.

They vary in size from a pin-head to covering whole areas of the foot.

The virus infects a cell in the top layer of the skin, the epidermis. Usually the fourth layer, the stratum spinosum, the virus often enters through a tiny scratch or abrasion.

This triggers a rapid growth of skin/verruca cells, forming a harmless lump.

They occur most commonly in children and young adults, likely because this age group spend a lot of time padding around with bare feet, although they can occur at any age.

If in doubt, ask your local Podiatrist.

How do they spread?

They are highly contagious and are transferred by skin-to-skin contact or by walking across the previously mentioned communal surfaces.

And as we don’t like imperfection on our bodies, an increasing number of adults are seeking treatment.

It is estimated that the verruca home treatment market is worth over £5 million a year – despite the fact that none of them work consistently.

Is it a verruca?

Warts on the underside of the foot will appear flat as weight bearing pushes them into the skin. On the top of the foot, or hands they will appear raised.

They may contain little black dots (but not always) which are tiny blood vessels and it is normal that when treated they will bleed. Squeezing them will also likely be painful.

Verrucae generally appear in two forms, a small single lesion with black dots within the central core, and the mosaic verruca, which is a more widespread infection, often affecting both feet and is characterised by clusters of verrucae.

Whichever you have, the treatment is the same.

What can I do?

The best treatment for most verrucae if they are not problematic is to leave them alone and given enough time they will go of their own accord.

They don’t often become painful and without treatment, verrucae usually disappear within two to 18 months as the immune system does its job although in rarer cases they can persist for over twenty years.

But if you have already had them for a number of years and you are experiencing pain from your verruca, they are spreading, or you simply want rid of it, read on.

How are they treated?

Treatments are based on either destroying the infected tissue (e.g. Bazuka, DuoFilm), locally acting poison (e.g. Gluterol) or stimulating an immune response (E.g. Swift, freezing, needling) and fall into – over the counter, old wives tales and professional.

Over the counter.

The over the counter, at-home chemical treatments such as DuoFilm or Bazuka contain salicylic acid which works by forcing moisture into the tissue disrupting viral cell function, and lactic acid, which breaks down the hard skin over the infection.

The active ingredient in Gluterol is Glutaraldehyde which is virucidal and so inactivates the wart virus. Once on the skin, it also acts as an anhidrotic, drying the warts and surrounding skin, thus reducing the spread of lesions.

Whichever one you choose, perseverance is the key as it can take months to work, during which time the verruca may go of its own accord anyway.

The strength of acid used in over the counter products is only up to 24%, but in a clinic, strengths of up to 70% can be used.

Before carrying out any treatment, remove the top layer of hard skin using a foot file to expose the verruca. Remember to wash or discard the file after every use.

Even so the success rate is variable.

Old wives tales.

Old wives tales suggest duct tape, banana and others each of which may work for some people but not others.

Some of the less conventional ideas do have science behind them, others not so much. Self resolution can suggest an unlikely remedy has worked.

Professional treatment.

A Podiatrist can use salicylic acid, cryosurgery, Swift and dry needling among others.

Cryosurgery or freezing undoubtedly can work but it needs to be done in a clinical environment by a podiatrist or a dermatologist as it involves temperatures down to -190oC depending on the medium used.

Swift uses microwaves to raise the temperature in the verruca stimulating a powerful immune response though heat stress reaction.

Dry needling pierces the verruca many times under local anaesthetic to stimulate an immune response. This is thought to work by inoculating the underlying tissue with the virus prompting an immune response.

Lasers can also be used to remove the verrucae by cauterising, but there is little evidence to show this works, and it can lead to scarring

Prevention is also a consideration.

Wear flip-flops in the gym, hotel room or swimming pool to reduce the risk of infection. Avoid walking barefoot on communal surfaces.

To prevent infecting other people cover the verruca with nail varnish or a plaster or wear socks.

If you would like more information on looking after your feet or managing verrucae, or an appointment with one of our Podiatrists at Maidenhead Podiatry and Chiropractic Clinic, call us on 01628 773588 or e-mail info@maidenheadpodiatry.co.uk.

Ever thought about visiting a Podiatrist and wondered what they do?

 

Have you ever thought about visiting a Podiatrist and wondered what they do?

And what is the difference between a Chiropodist and a Podiatrist? Read on to have our most commonly asked questions answered.

How many Podiatrists are there at Maidenhead Podiatry?

We currently have eight Podiatrists working at the clinic. Not everyone works at the same time or same number of hours but between us we provide clinic based treatments, home and nursing/care home visits.

Which governing bodies are our Podiatrists a member of and how are we regulated?

Our Podiatrists are all HCPC registered and Insured Members of the College of Podiatry. The HCPC is our government regulating body and the College of Podiatry provides our professional registration and insurance. It is vital to ensure that anyone who provides you with such an essential service is qualified, insured, registered and regulated.

What is a Podiatry?

Podiatrist comes from the Greek ‘pod’ meaning foot and ‘iatreia’ meaning healing, hence one who heals feet. The term originated around 1914 in an attempt to separate an emerging profession from its perceived humble roots. Chiropody developed as a profession in the UK while being called Podiatry in almost every other country. In the mid-1990s, our profession changed it’s name from Chiropody to Podiatry to bring us in-line with the rest of the world, but the skill set remained the same.

In the last thirty years, Podiatry has developed considerably as a profession with today’s Podiatrists capable of providing a wide ranging and comprehensive service in every health care aspect of the lower leg and foot.

Podiatrists are skilled healthcare professionals who have been trained to degree level to prevent, diagnose, treat and rehabilitate abnormal conditions of the feet and lower limbs. We can also prevent and correct deformity helping to keep people mobile, active and relieve pain.

What symptoms can you help treat?

Podiatrists can help a number of common conditions including but not limited to

  • gait analysis
  • bio-mechanical assessment
  • musculo-skeletal assessment
  • corns
  • callus
  • shockwave
  • verrucas
  • fungal nails
  • ingrown  nails
  • cryosurgery – verruca freezing
  • flat foot
  • hammer toes
  • diabetic assessment
  • heel pain
  • foot pain
  • Swift verruca microwave

What could your clients expect on their first visit?

Every patient journey at Maidenhead Podiatry begins with a consultation.

We take a comprehensive history including underlying medical conditions and medication. We then discuss the reason for attending followed by an examination. At this point treatment options are presented and following informed consent, we formulate a treatment plan and proceed with the best solution.

Depending on your reason for attending, your treatment plan could include

  • treatment
  • diabetic assessment
  • modalities such as Shockwave and Swift
  • advice
  • rehabilitation
  • sonography
  • surgery
  • ongoing assessment
  • onward referral

What do you use for assessment?

Most important are visual clues such as hair growth pattern and colour of the skin. Depending on patient requirement, we could use any of the following

  • observation
  • examination
  • palpation
  • 10g monofilament – to test for neuropathy
  • 128Hz tuning fork – for sensation testing
  • reflex hammer
  • Doppler – to help assess blood flow
  • Tip Therm – for assessing temperature perception

Who could benefit from a Podiatry visit?

Anyone who has feet. Our youngest patients are under 1yr old and our oldest is over 100yrs old.

Different age groups tend to present with different issues because of the effects of the ageing on the feet but conditions such as diabetes can affect all ages.

How accessible is the Maidenhead Podiatry?

We have our own private car park immediately next to the clinic, with wide, flat, no threshold doorways for easy wheelchair and disabled access. We have two treatment rooms downstairs. If you have any special access requirements, please let us know and we will make every effort to accommodate them.

What do I do now?

For more information about Podiatry or to make an appointment, please call: 01628 773588 or email  info@maidenheadpodiatry.co.uk. 

Wherever the beach, make sure your feet are ready!

 

British beach or foreign beach, make sure you are ready.

It is a strange time at the moment. After so long being told to stay at home we are finally seeing an easing of the lockdown restrictions and that means there is a strong prospect of us heading to the beach this summer.

Of course, we don’t know if it will be a British beach or a foreign one, but the preparation and the wish to look your best is the same.walking on a beach

The Podiatrists at Maidenhead Podiatry have put together a number of summer foot-care tips, to help get your feet in shape for the beach or just a summer at home.

  1. Trim your toenails for summer 

    – Use proper nail clippers and cut straight across following the contour of the toe, not too short, and not down at the corners as this can lead to ingrown nails. File them, if it’s easier.

  2. Go barefoot

    – Go barefoot or wear open-toed sandals whenever you can in the hot weather (except when you’re in a communal shower or changing area) to help stop your feet getting sweaty and smelly.  Go bare foot as much as possible at home.  If you have diabetes, poor circulation or are taking anti-inflammatory drugs ask advice first from your Podiatrist.

  3. Forget flip-flops

    – Don’t be tempted to wear flip-flops all through the summer. They don’t provide support for your feet and can give you arch and heel pain if you wear them for too long. (Fit Flops, however do offer some degree of support).

  4. Change socks daily

    – If you have to wear socks in hot weather, change them once a day and choose ones that contain at least 70% cotton or wool to keep your feet dry and stop them smelling.

  5. Remove hard skin

    – Hard, cracked skin around the heels is very common in summer, often caused by open-backed sandals and flip-flops rubbing around the edge of the heel. Use a foot file or emery board (pumice stone is horribly unhygienic) to gently rub away the hard skin, then apply a rich moisturiser such as aqueous cream or E45 to soften the skin.

  6. Banish blisters –

    Blisters strike more often in hot weather and are caused by rubbing, especially between the toes if you’re wearing flip-flops with “thongs”. If you do get a blister, don’t put a plaster over it.  Leave it to dry out on its own.

  7. Buy shoes carefully

    – Always buy work shoes late in the afternoon. Shoes bought in the morning are often too small by the end of the day as your feet swell as the day passes.

  8. Ring the changes –

    Wear a variety of different sandals and shoes during summer to help prevent cracked heels, hard skin and blisters. Wear shoes with leather or Gortex uppers. Hard leather shoes retain more moisture than more porous softer leather shoes. In general natural materials such as cotton and wool are far better for your feet because natural fibres provide a “wicking” effect which absorbs moisture and keeps the feet cool as your perspiration rapidly evaporates. Better still, some man-made socks wick sweat away from the skin providing a constant dry layer next to the skin. Change your socks or hosiery at least every day and take spare socks in case it needs to be more often.

  9. Watch out for foot infections – 

    The floors of communal showers and changing rooms at open-air and hotel swimming pools are hot spots for infections such as athlete’s foot and verrucas. Don’t wander around public pools barefoot. Protect your feet by wearing flip-flops in the changing room and at the pool edge.

  10. Get help if you need it – 

    Basic hygiene and nail cutting should be all you need to keep your feet healthy. Wash feet every day and dry properly between the toes, especially after swimming or using the gym.

feet in the water on a beachThe best start is to to visit a professional. If you would like your feet examined, assessed and treated by one of our Podiatrists, call us for an appointment on – 01628 773588 or email – info@maidenheadpodiatry.co.uk

If you would like more information about Poidiatry then visit – http://maidenheadpodiatry.co.uk/treatments/podiatry/

 

Need help with your feet or back – use our search bar.

Use our search bar the find what you are looking for

Many people visit our website for help or information on Podiatry or Chiropractic.

Both Podiatrists and Chiropractors offer a range of treatments and skills to benefit their patients but sometimes all you need is to be informed.

Below we describe what Podiatry and Chiropractic are and explain many of the treatments and services we offer but if you know what you are looking for then use the search bar in the top right hand corner of the screen.

A large part of what we provide for patients is help, advice and education and this website contains information on definition, diagnosis and treatment of a wide range of conditions and all can be accessed through the search bar.

It doesn’t matter if you are looking for something specific or just curious. Give it a go. Find what you are looking for in our education pages and previous blogs. Click on the search bar.

Podiatry

Podiatry is defined as the diagnosis and treatment of foot disorders; however, we assess, diagnose and treat from the knee down. We also treat warts on hands.

Chiropractic

Chiropractic is the management consists of a wide range of manipulative techniques designed to improve the function of joints, relieve pain and ease muscle spasm.

Chiropractors don’t only treat backs and can help with any soft-tissue or structural issues.

What is Podiatry?

Podiatry like many health care professions has general practitioners and specialists.

A general practitioner will treat anything from corns to verrucas and from plantar fasciitis or heel pain to ingrown toenails. We are all licenced to use local anaesthetic, perform minor surgeries such as ingrown nail removal and dispense antibiotics, if and where appropriate.

We provide vascular assessment and diabetic screening as a matter of course when requested or required. We have Podiatrists with special interests in areas such as diabetic care and biomechanical assessment and gait analysisGait analysis includes being filmed on a treadmill followed where appropriate by prescription of custom moulded orthotics together with an integrated exercise and rehabilitation program.

Seven Podiatrists and two Chiropractors trained in using the latest treatment and cutting-edge technology for a range of common conditions.

Cutting edge technology

Shockwave, which is a percussive mechanical treatment for chronic, or long-term, soft tissue pain such as heel pain, Achilles pain, hip pain and of course plantar fasciitis although it can be used anywhere in the body. It is used by both Podiatrists and Chiropractors

We were one of the first clinics in the country to use Swift, a microwave generator for the treatment of verrucas. We also offer salicylic acid, freezing and needling.

We offer all general foot care too including fungal nails, athlete’s foot, splits, fissures and infections. We also provide foot care in nursing and care homes as well as a domiciliary/home visiting service.

Contact us

Hopefully you have found what you are looking for but just in case you haven’t, give us a call on 01628 773588 and let us educate you. To find us follow the map and directions or put SL6 5FH into your sat nav.

We have our own free car park directly outside the clinic. Our premises are disabled friendly with no door thresholds and easy access throughout the ground floor. Let us know if you have any special requirements.

If you would like more information or to make an appointment give us a call on 01628 773588, and speak to one of our friendly receptionists or arrange a call back from one of our Podiatrists or Chiropractors.

And, we will of course cut your toenails too.

Swift - Effective micro-wave verruca and wart treatment

Ten things you need to know about Swift verruca treatment

Ten things you need to know about Swift verruca treatment.

  1. Swift verruca treatment is a new technology, developed in the UK, which has been licenced for the general treatment of verrucas and warts in Podiatry.

swift

Verruca is the Latin word for wart. There is no difference between a verruca and a wart and the terms are interchangeable usually depending on location.

There are approximately 150 different human papilloma viruses (HPV) some rare, others more common, causing warts on different parts of the body.

HPV have been with us for thousands of years and are highly adapted to human skin and mucosa.

Warts/verrucas may have many presentations and can appear on any epidermal surface.

They are generally transmitted via direct contact, but may also transmit indirectly, however, the virus will not affect tissues deeper than the basal (bottom) layer of the epidermis.

At Maidenhead Podiatry, our Podiatrists may treat warts/verrucas on the hands and feet.

  1. Swift verruca treatment uses microwave energy delivered through a special probe applied to the skin to treat the affected tissue.

2

Microwaves work by generating heat in the wart/verruca, focused under the probe, to a maximum depth of 5mm.

Microwaves love water and when the electric field is applied, local water dipoles (H2O) try to align with field but lag slightly behind causing collision between molecules and therefore generating heat.

  1. Who can benefit from Swift verruca treatment?

Swift_Slider_web2

Almost anyone who has stubborn warts and verrucas can benefit from Swift.

There are contra-indications to Swift but outside these anyone who has warts/verrucas on their hands or feet can benefit.

Precautions

If any of the following apply to you, speak to your Podiatrist before treatment –

  • Metal pins, plates or replacement joints in the foot or ankle
  • Pacemaker
  • Neuropathy or poor peripheral circulation
  • Poor or limited healing capacity
  • Immune suppression
  • Pregnancy or breast feeding. It is known that verrucas and warts can increase in size during this period
  • Low pain threshold
  • Young children – treatment on children under ten years old may not be appropriate for a number of reasons which one of our Podiatrists will discuss with you during your consultation.
  1. Can anyone have Swift verruca treatment?

1.1

With a few exceptions, (see above) most people with verrucas and warts should be able to have this treatment.

Your Podiatrist will carry out assessment prior to treatment and advise you accordingly.

Swift is suitable for most people with few exceptions, although the purpose and reason for a consultation prior to treatment is to identify anyone for who it may not be appropriate. One of our Podiatrists will discuss any concerns with you.

  1. What will the wart/verruca look like after it has been treated and how quickly will it work?

3

Immediately after the treatment there will be no change to the appearance of the wart/verruca.

A change should start to show after a few days.

Swift works by prompting an immune response and time is needed for the process to gather pace.

That is why there is a gap of at least two weeks between treatments.

As regression is established the verruca will shrink in from the edges at the same time as reducing in thickness – or ‘debulking’.

The dermal ridges or ‘fingerprint’ of the underlying tissue will gradually re-establish itself as the verruca resolves.

A follow up visit will allow one of our Podiatrists to evaluate any changes and make a decision on whether or not you require another Swift application. 

  1. How many Swift verruca treatments will I need?

Case-Study-2.3

This depends on how you respond to treatment.

Some resolve within three treatments but more may be needed particularly with large or multiple lesions.

These can be from 14 days to over a month apart depending on progress. Your Podiatrist will discuss this with you.

When the virus enters the skin, some people’s immune systems immediately respond by producing antibodies and killing it dead. Others don’t and a verruca forms.

However, the necessary immune response can still happen at any time, and, days, weeks, months or years later, the verruca can suddenly disappear.

This is why your GP will tell you to leave it alone and it will go away in time.

Having a verruca does not mean there is anything wrong with your immune system.

Swift is designed to prompt that local immune response for the body to heal itself.

Swift treatment results in a degree of localised tissue damage prompting a healing response part of which is antibody recruitment.

It is also thought to stimulate heat stress protein production which is known to prompt a strong healing response.

Patients who are immune-suppressed are at risk of developing multiple, resistant lesions, which are difficult to treat. 

  1. How does Swift verruca treatment work?

Case-Study-1.3

Swift treatment consists of timed bursts of microwaves, usually up to five seconds.

Large and multiple sites can be treated during each appointment.

The microwaves are applied through a specialised applicator direct to the wart/verruca. Your Podiatrist may prepare the site by gently shaving off overlying dead skin with a scalpel.

Treatment is applied in timied bursts and can be applied to one or multiple sites with a short pause between each application. The number of sites to be treated can be discussed with one of our Podiatrists. 

  1. Does Swift verruca treatment hurt?

As with many treatments for skin lesions, some discomfort, even pain may be experienced during treatment.

Sensation varies from person to person but most people undergoing Swift describe it as similar to a prick with a needle although some may find it more painful.

Swift is applied for up to 5 seconds at a time and any discomfort usually lasts 1-2 seconds then quickly subside and disappear. 

In rare cases some minor discomfort or tingling may be experienced for 24hrs before dissipating completely.

  1. What can I do after Swift verruca treatment?

Normally any pain or discomfort ends as soon as the treatment is finished but it is possible there may be some minor discomfort.

However one of the great things about Swift is there is no broken skin, also no dressings and no need to keep it dry.

Therefore you can do anything you wish. Swim, shower, run, jump and play.

  1. Does using swift verruca treatment mean that the verruca won’t come back?

iStock_000003869273XSmall (2)

Once the wart/verruca has gone, it is usually gone for good.

However, even though Swift works by prompting an immune response and production of the appropriate antibodies communicating a degree of immunity, there can never be a guarantee that you won’t catch another at some point in the future.

Swift is now in use at Maidenhead Podiatry.

For more detailed information on verrucas and other verruca treatment options in general click here and for (dry) needling click here.

If you would like more information on Swift in particular or verruca treatment options in general, to speak to one of our Podiatrists or to make an appointment please call 01628 773588 or e-mail Maidenhead Podiatry on info@maidenheadpodiatry.co.uk

What is a Podiatrist?

What is a Podiatrist and what can they do for me?

This article will guide you through the many and varied aspects of Podiatry and help you find the foot care that suits you best. To assist in stopping the development of preventable foot problems and advise you in self care.

To offer a better understanding of the foot care options available to an individual we have split this blog into sections starting with the simplest or self care and escalating to the most complex or podiatric surgery as an end point.

  • Self care and footwear

 

Not everyone needs to become a patient. Many foot conditions can be safely and appropriately managed with the right equipment, skills and confidence.

Many foot health advice leaflets are available through the NHS and the Society of Chiropodists and Podiatrists and your Podiatrist will be happy to give you advice and guidance.

Poor choices in footwear can cause significant foot problems and seeking and following advice to make good choices of appropriate footwear can prevent development of new conditions, aggravation of existing ones and prevention of falls. Again, your Podiatrist will be happy to give you advice and guidance.

  • Footcare

Simple footcare is defined as nail cutting and skin care including the tasks that healthy adults would normally carry out as part of their daily personal hygiene routine.

Of course this doesn’t apply to everyone but it is an important aspect of footcare that ensures many individuals check their feet regularly while still mobile and pain free.

For those who do attend clinic regularly for simple footcare, examination of the feet during a routine appointment acts as an early detection system ensuring prompt intervention and prevention of developing more serious foot health problems.

PODIATRY

  • Core Podiatry
  • Nail surgery
  • Warts and verrucas
  • Fungal nails
  • Long term and neurological conditions

 

Core Podiatry is defined as ‘the assessment, diagnosis and treatment of common and more complex lower limb pathologies associated with toe nails, soft tissues and the musculo-skeletal system with the purpose of sustaining and improving foot health. (Farndon 2006).

The main foot conditions affecting older people (as opposed to children) requiring core podiatry are -nail problems, corns, callus, toe deformities, and falls prevention.

These conditions can be managed successfully by Podiatrists in the NHS and Private practice using a range of treatments including sharp debridement (scalpel), pharmacology (creams, tablets, steroid injection) and therapies (often in conjunction with footwear advice and and prescription of orthoses where appropriate0.

Although the call for Nail surgery is small – approximately 8 per 1000 GP patients – there is certainly a need for an effective, non-recurring treatment.

Since the 1970s partial or total nail avulsion has become a standard Podiatry procedure where part (the sides) or all of the nail are removed painlessly to the nail bed under local anaesthetic to resolve recurring problems with ingrown nails.

The likelihood of regrowth is reduced to almost zero (0.5%) with the application of  phenol to the nail bed.

Warts and verrucas are small skin growths caused by the human papilloma virus. Verrucas are warts on the feet, common in children and although harmless they can be painful.

Most verrucas will clear up without treatment within two years but there are numerous treatments available through your Podiatrist including

Fungal nails are very difficult to treat successfully. There are numerous topical applications available as well as GP only prescribed oral medication. Your Podiatrist will discuss your best options and agree a treatment plan.

Long term and neurological conditions include conditions such as Diabetes, rheumatoid arthritis, stroke and Parkinson’s and a Podiatrist’s management often involves management and prevention of potential escalation of foot problems.

Core podiatry is essential in maintaining the integrity of the feet of people whose medical condition places them at risk of developing complex problems.

Falls prevention. Foot problems in older people are often associated with impaired balance and mobility and where there is a history of multiple falls there are usually more foot issues.

The existence of a corn, bunion or poor footwear choices are often at play and podiatry intervention can moderate the risks.

ORTHOTICS

  • Orthotics, footwear and Musculo-skeletal provision
  • Podopaediatrics
  • Sports injuries
  • Footwear

Orthotics, footwear and Musculo-skeletal provision. Bio-mechanics and bio-mechanical assessment are an essential part of podiatry provision and the discussion of findings and correction of underlying issues with orthoses can have positive implications across the breath of podiatry services.

Many patients present with musculo-skeletal pain caused by bio-mechanical problems which can involve foot, knee, hip and lower back affecting gait (the way they walk).

Often the most cost effective and appropriate treatment is the provision of orthoses (specialist insoles) which modify and correct the bio-mechanical problem.

There are a number of different orthoses that can be prescribed by your Podiatrist depending on presenting condition and patient need. Orthoses range from a simple heel raise or cushioned insole to specific complex custom devices.

Podopaediatrics focuses on provision of Podiatry for children. This ranges from treatment of warts and verrucas to early identification of foot deformities. From gait assessment to prescription of orthoses.

Sports injuries often occur due to abnormal rotation and deformation of joints and/or muscles. Podiatrists target improvement and resolution through bio-mechanical assessment and prescription of orthoses combined with strengthening exercises and footwear.

Footwear choices can directly affect foot conditions. Podiatrists offer advice from correct choices when buying shoes to measuring for custom made footwear depending on requirement.

SPECIALIST PODIATRY

– relates mainly to long term conditions and may or may not be provided within a general podiatry clinic.

  • Diabetes
  • Systemic musculo-skeletal disorders
  • Dermatology
  • Advanced technology

Diabetes care is one of the basic provisions of any Podiatry practice and your podiatrist can offer regular foot health assessment as part of good diabetic control and patient education.

Early detection of foot problems can ensure correct management and reduce the likelihood of critical long term changes.

Systemic musculo-skeletal disorders such as rheumatoid arthritis (RA) increase the need for a range of basic foot care services. Up to 90% of people with RA have some kind of foot involvement sometimes leading to the formation of callus corns and occasionally ulceration.

Early Podiatric intervention can improve long term outcomes.

Dermatology can be considered part of core Podiatry as many of the common skin problems seen on the feet are amenable to Podiatric treatment. From tinea pedis (athlete’s foot) to melanoma.

From verrucas to cellulitis you can ask your Podiatrist for advice.

Advanced technology is becoming more a part of day to day Podiatry provision. At Maidenhead Podiatry we use Swift – a microwave treatment – for verrucas, Shockwave for chronic soft tissue pain and Cryopen for freezing warts and verrucas.

EXTENDED SCOPE PRACTICE

Podiatrists who work in extended scope practice usually work in the NHS although they can be available in larger private practices and have undertaken additional training in their clinical areas  and may actively engage in the following –

  • non-medical prescribing
  • requesting blood tests
  • requesting scans
  • interpretations of test results
  • injection therapy
  • advanced vascular investigations

PODIATRIC SURGERY

Podiatric surgery is surgical treatment of the foot and associated structures carried out by a Podiatric Surgeon often as a day case and under a local anaesthetic.

In Conclusion good foot health has a fundamental link to health and well being. Poor foot health can have a significant impact on mobility, independence, and quality of life.

If you would like more information or to make an appointment with one of our experienced Podiatrists then give us a call today and make an appointment on 01628 773588 or email info@maidenheadpodiatry.co.uk and help lay the foundations of a healthy lifestyle.

 

 

 

Swift - Effective micro-wave verruca and wart treatment

What can I expect from Swift verruca treatment at Maidenhead Podiatry?

 

Swift verruca treatment

This treatment is an innovative new technology, developed in the UK, which has been licenced for the general treatment of verrucas and warts in Podiatry.

Swift uses microwave energy delivered through a special probe applied to the skin through a disposable head to treat the affected tissue with a thermal reaction. For more information read our blog

How does it work

The usual way verrucas and warts are tackled by the body is as a result of keratinocytes in the skin activating dendritic cells so that T cells clear the infection. In stubborn verrucas and warts, this healing process is interrupted so that the immune system is not alerted to their presence. Swift microwave facilitates signalling between the skin and the immune system by stimulating the keratinocytes to activate dendritic cells.

Also, it is thought the thermal reaction causes heat stress protein production stimulating a strong immune response. The combined response provokes and promotes an immune response that leads to the shrinking and eventual disappearance of the verruca or wart.

What should I expect?

 

The disposable head attached to the Swift machine has a life of 15 minutes and so multiple sites can be treated during the same visit. Most treatments are between 2 and 5 seconds in length depending on the power setting of the Swift machine. Some, following discussion with your Podiatrist, could be up to 10 seconds. Discomfort, or even pain, will be experienced during the fourth and fifth-second ending as soon as the application finishes. Sensation will vary between individuals and there is rarely any lasting discomfort although there may be tingling feeling at the site for 24hrs.

The Swift head is 7mm wide and larger verrucas will be treated in a series of overlapping applications. The skin remains unbroken, there is no bleeding, therefore no dressings are required and it is not necessary to keep the area dry. There is no requirement to modify physical activity following Swift treatment. There should be no scarring or other long term marking of the skin. In the days following treatment, the verrucas may change colour, go dark and can look like a bruise.

Large verrucas may not disappear straight away but will reduce in thickness, or ‘debulk’ before resolving. Some verrucas simply peel off the foot. Many resolve after three treatments although some may require more applications. It can take up to three months after the last Swift treatment for the verrucas or warts to vanish as the immune response gathers pace.

How often do I need the treatment?

Your treatments will normally be spaced over two to six weeks. This is to allow your immune system to work and the skin to regenerate. It has been found that treatments closer together can bring benefit to the effectiveness of Swift but suitability can be discussed with your Podiatrist.

Precautions

 

If any of the following apply to you, speak to your Podiatrist before treatment:

  • Metal pins, plates or replacement joints in the foot or ankle
  • Pacemaker
  • Neuropathy or poor peripheral circulation
  • Poor or limited healing capacity
  • Immune suppression
  • Pregnancy or breastfeeding. Verrucas and warts can increase in size during this period
  • Low pain threshold
  • Young children

If you would like further information about verrucas, our verruca treatment in general, or to make an appointment with one of our Podiatrists call us on 01628 773588 and speak to one of our receptionists.