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10 things you need to know about Arthritis…

Bio-mechanics, Chiropractic, Diabetic, Feet, Foot Care, Gout, , , , , , , , , , , , , ,

Arthritis

Arthritis means inflammation or swelling of one or more joints. It is a ‘blanket term’ and describes more than 100 conditions that affect the joints, tissues around the joint, and other connective tissues. Specific symptoms vary depending on the type of arthritis, but usually include joint pain and stiffness.

There are three main types, but of course, there are many, many more.

Osteoarthritis (OA)

Osteoarthritis (OA) is the most common form of arthritis, affecting nearly nine million people in this country, and is more common over forty years of age, and in women.

Some people call it degenerative joint disease or “wear and tear” arthritis. It occurs most frequently in the hands, hips, and knees, but can manifest in any synovial joint, as they are lined with cartilage.

With OA, the cartilage within a joint begins to break down and the underlying bone begins to change. The These changes usually develop slowly and get worse over time. OA can cause pain, stiffness, and swelling. In some cases it also causes reduced function and disability; some people are no longer able to do daily tasks or work.

As OA advances, the changes in the underlying bone can mean that it breaks through the degenerating cartilage, forming osteophytes, resulting in bone resting on bone, increaing pain and further reducing mobility, as muscles, tendons and ligaments need to work harder to orovide the same movement.

Rheumatoid Arthritis (RA)

Rheumatoid arthritis, or RA, is an autoimmune and inflammatory disease, which means that your immune system attacks healthy cells in your body by mistake, causing inflammation (painful swelling) in the affected parts of the body. RA affects around 400,000 people in the UK, and usually starts between forty and fifty years old.

RA mainly attacks the joints, usually many joints at once. RA commonly affects joints in the hands, wrists, and knees. In a joint with RA, the lining of the joint becomes inflamed, causing damage to joint tissue. This tissue damage can cause long-lasting or chronic pain, unsteadiness (lack of balance), and deformity (misshapenness).

RA can also affect other tissues throughout the body and cause problems in organs such as the lungs, heart, and eyes.

 

Gout

Gout is a common form of inflammatory arthritis that is very painful. It usually affects one joint at a time (often the big toe joint). There are times when symptoms get worse, known as flares, and times when there are no symptoms, known as remission. Repeated bouts of gout can lead to gouty arthritis, a worsening form of arthritis.

Gout is often typified by acute, rapid onset pain, with no apparent cause. ‘Flares’ can  last from a day to several weeks and may respond to over-the-counter, anti-infammatory medication or may require a visit to your GP for something stronger. There is no cure for gout, but you can effectively treat and manage the condition with medication and self-management strategies.

Factors influencing gout are –

  • being male
  • obesity
  • hypertension
  • dieuretics
  • diabetes
  • alcohol
  • sugar
  • red meat, including offal
  • some seafoods including anchovies, sardines, mussels, scalops, trout and tuna

Other forms of arthritis and other related conditions include but are not restricted to –

  • ankylosing spondylisis – affects spine
  • cervical spondylitis – affects neck
  • fibromyalgia – pain in ligaments, tendons and muscles
  • lupus – auto-immune condition
  • psoriatic arthritis – in those with psoriasis
  • enteropathic arthritis – associated with bowel disease
  • reactive arthritis – often follows a UTI
  • secondary arthritis – arthritis following injury
  • polymyalgia rheumatica – auto-immune related

Maidenhead Podiatry can’t treat arthritis but it can help you manage the symptoms, advise on how you can help yourself, and make them easier to live with. So give us a call if you think we can help you.

If you would like more information or to make an appointment with one of our Podiatrists or Chiropractors, email info@maidenheadpodiatry.co.uk call 01628 773588 and speak to one of our friendly reception team.

Maidenhead Podiatry is now selling Dermatonics creams – Eco-friendly and British made

Diabetic, Feet, Foot Care, Podiatry, , , , , , ,

Do you ever wonder which foot care product will suit you best?

There has to be a compelling reason for adding a new product range to the creams and skin care products that we use as podiatrists. Dermatonics provide that compelling reason with a range of products that stand out in a crowded marketplace.

A British company, producing vegan and vegetarian friendly skincare for feet hands and body, Dermatonics is also committed to supporting the phasing out the use of coal for electricity generation worldwide due to it’s contribution to global warming.

All packaging is Eco-friendly cardboard and only green electricity is used by the company. All company vehicles are electric and Dermatonics makes investment in wind farms. In 2022, all cream tubes will be made of recycled PCR and many of the products are manufactured in Britain.

A British brand, proud of it’s green credentials.

Dermatonics

Dermatonics has a wide range of products that are largely used on the hands and feet. Creams used on the hands and feet have to be richer than body lotions to be effective. The skin on the palms of the hand and the soles of the feet is thicker than the rest of the body because of the extra work they do grasping, manipulating, walking and weight bearing.

Diabetics

Diabetics are catered for as every product in the range caters for their needs with many of their products backed by Clinical reviews carried out in the NHS with one of the products producing a 96% success rate – an unparalleled result in an NHS setting.

Dermatonics creams are more than just a nice smelling, well packaged product. They do what they say on the pack. The company has taken the time to clinically trial their products. The claims made are backed by proven, peer reviewed and accepted scientific evidence.

‘Dermatonics was established in 2008 and is based in Cambridgeshire, UK. Our vision is to produce innovative topical and dermatological products which have greater efficiency and demonstrable product benefits when compared to other currently available products. And always using natural ingredients wherever possible’.

Hard Skin Removal Balm

Most effective ingredients include Manuka Honey, colloidal oatmeal and urea, all highly effective for hydrating and moisturising the skin of the hands and feet.

The Hard skin removing heel balm is a revelation. Sweet smelling with a sweet blossom scent, moisturizing Shea butter and hydrating Swedish oat lipids, working together, remove unsightly hard skin leaving feet smooth and beautiful. You will notice a difference almost as soon as you start using it.

The Deodorizing Fizzy Foot Foam has to be tried to be believed, revitalizing hot tired feet with a unique fizzing sensation, containing menthol and New Zealand Manuka honey.

Dermatonics – Ultraveen Itch Relief Cream hydrates, relieves and protects, stopping itching quickly. We recently wrote about – The Winter’s Itch – this product is the ideal solution. Use it and prove it!

Skin needs maintenance

Our skin really is such an amazing organ with too many important functions to list here, but drying out compromises it’s integrity. Hardening, cracking and itching skin can be the ‘giveaway’ that more care needs to be taken. A condition appropriate cream can bring swift improvement, promoting good foot health.

There are many more products and treatments, for lovely and effective for foot care, stocked and offered at Maidenhead Podiatry. Our podiatrists treat a comprehensive range of foot conditions, from plantar fasciitis to ingrown nails, from corns and callus to custom insole prescription. Our Chiropractors treat a range of joint and musculo-skeletal conditions.

For Podiatry treatments – click here.

For Chiropractic treatments – click here.

We also offer gift vouchers for redeeming against treatments. All our vouchers must be redeemed within six months, no cash alternative is available.

If you would like more information about any of the Dermatonics range, or you would like to make an appointment with one of our Podiatrists or Chiropractors – give us a call on 01628 773588. Our lovely reception team will be pleased to help you.

What is Diabetes?

Diabetic, Foot Care, Podiatry, Uncategorized, , , , ,

At Maidenhead Podiatry we are frequently asked – what is diabetes?

Diabetes is a chronic, potentially debilitating disease.

It occurs as a result of problems with the production and supply of a hormone called insulin.

Insulin is a hormone produced in the pancreas by the islets of Langerhans which regulates the amount of glucose in the blood.

In type 1 diabetes the body either produces no or insufficient insulin and in type 2, or late onset diabetes, the body can’t use the insulin it produces effectively.

Type 1 diabetes is sometimes called insulin-dependant, immune-mediated or juvenile onset diabetes.

It is caused by an auto-immune reaction where the body’s defence system attacks the insulin producing cells.

The reason this happens isn’t understood but explains why the onset of diabetes often follows illness.

It can affect people of any age but usually occurs in children or young adults.

Type 1 diabetics need regular injections of insulin to control the level of glucose in their blood.

Type 2 diabetes is also known as non-insulin dependant or late onset diabetes.

Generally speaking type 2 diabetics do not usually require insulin injections but instead control their blood glucose through diet, medication and exercise.

Type 2 diabetes is most common in people over 45 years old who are also overweight however the prevalence of type 2 diabetes in adolescents and young adults is dramatically increasing.

Similar to older-onset type 2 diabetes, the major predisposing risk factors are obesity, family history, and sedentary lifestyle.

Onset of diabetes at a younger age (defined here as up to age 40 years) is associated with longer disease exposure and increased risk for chronic complications.

Young-onset type 2 diabetes also. affects more individuals of working age, accentuating the adverse societal effects of the disease

Furthermore, evidence is accumulating that young-onset type 2 diabetes has a more aggressive disease phenotype.

This can lead to premature development of complications, with adverse effects on quality of life and unfavourable effects on long-term outcomes, raising the possibility of a future public health catastrophe.

Some pregnant women develop a third type called gestational diabetes.

It develops in 2-5% of pregnancies but usually disappears post-partum.

Having gestational diabetes means an increased risk of type 2 diabetes in later life.

Impaired glucose tolerance means blood glucose levels above what is considered normal but not high enough to be diagnosed with diabetes.

Although there is a high risk of developing type 2 diabetes and so significant changes to lifestyle including diet and exercise are strongly encouraged.

Type 1 diabetes

Recognising type 1 diabetes is important and the onset of symptoms can often be rapid and include

  • abnormal thirst and dry mouth
  • frequent urination
  • extreme tiredness and lack of energy
  • constant hunger
  • sudden weight loss
  • slow healing wounds
  • recurrent infections
  • blurred vision

Type 2 diabetes

These symptoms can also occur in type 2 diabetes but are often less obvious as the onset is usually more gradual and therefore harder to detect.

When it is finally  diagnosed it may have developed several years earlier with complications already present.

With impaired insulin production and action, sugar remains in the blood causing hyperglycaemia or raised blood sugar and it is this that can cause short and long term issues which can compromise health and lifestyle.

In the longer term, living with diabetes can lead to complications and a diabetic should always be mindful and aware of changes in their health.

Changes to the feet can take place with loss of sensation called neuropathy and reduction in peripheral circulation which in turn can lead to compromised healing.

The Podiatrists at Maidenhead Podiatry regularly perform diabetic foot checks for patients including

  • Visual health check
  • Skin colour and condition
  • Nail health
  • Pulse testing using Doppler
  • Sensation testing using 10g filament
  • Fine sensation testing using 128Hz tuning fork
  • Hot/cold temperature distinction

Early diagnosis and changes made to lifestyle and environment can significantly lessen the impact type 1 diabetes and those same changes in an adult can dramatically reduce the risk of developing type 2 diabetes.

There are many misconceptions about diabetes.

  • Anyone and everyone is at risk
  • Diabetes hits all populations regardless of income or social status
  • Diabetes is becoming increasingly common
  • More than 240 million people have diabetes worldwide
  • 380 million will have developed it by 2025
  • In Asia, Middle East, Oceania and Caribbean up to 20% of people are diabetic
  • Diabetes affects all age groups
  • Diabetes affects women proportionately slightly more than men
  • Up to 80% of type 2 diabetes is preventable

Ask us for a free copy of Diabetes : understanding your test results.

If you would like more information about foot care at Maidenhead Podiatry or to make an appointment to see one of our podiatrists please call 01628 773588 and speak to one of our reception team.

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

Bio-mechanics, Chiropractic, Chiropractic for Children, Diabetic, Feet, Foot Care, Fungal nail, Gout, ingrowing nail, ingrown nail, plantar faciitis, Podiatry, Shockwave, Swift verruca treatment, Verruca, , , , , , , , , , , , , , , , , , , , , , , , ,

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 analysis. Gait 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.

What is a Podiatrist?

Bio-mechanics, Diabetic, Feet, Foot Care, Fungal nail, ingrowing nail, ingrown nail, plantar faciitis, Podiatry, Shockwave, Swift verruca treatment, Verruca, , , , , , , , , , ,

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.