Also known as Onychauxis, is a nail disorder resulting in abnormally thick nails. The most commonly affected is the two big toenails. Trimming the nails can be extremely difficult to treat and may result in pain while walking. Left untreated, the nail plate may separate from the nail bed potentially resulting in an infection.
Ingrown toenails are an extremely common issue which can affect any of the toenails. It occurs when a section of nail pierces the skin on the side of the nail and often results in infection. There are many causes of ingrown toenails including heredity, tight footwear, trauma and even wide shaped nails that don’t grow upwards but inwards.
Corns and Calluses
These are hyperkeratotic lesions caused by excessive pressure, most commonly found on pressure points, on top of toes and in between toes. Removal of these plaque like lesions offers great relief and comfort.
Frequently seen in the summer when flip flops and sandals come out of the bottom of the wardrobe. The shear friction caused from these popular footwear choices results in callus formation. This callus becomes dry and often splits resulting in painful fissures on the heels. A podiatrist can treat and advise on how to maintain soft heels all year round!
A verruca/plantar wart is caused by the Human Papilloma Virus (HPV). The virus is believed to be transported via water molecules and transmitted to the foot through tiny breaks in the skin and so are commonly picked up in communal areas e.g. swimming pools, changing areas, hotels. Most notably distinguished with its cauliflower appearance, raised area with numerous black dots occurring singularly or in clusters. The treatment involves a combination of cryotherapy and salicyclic acid which offers effective treatment outcomes.
Bunions, Hammer and Claw Toes
A bunion is a painful bony bump on the side of the big toe joint. Overtime bunions may extend over the smaller toes. Hammer toes and claw toes are a toe deformity resulting in small toes growing downwards instead of pointing forward, caused by an imbalance in the smaller muscles of the foot.
The Lacuna Method
Fungal infection of the nail – known as Onychomycosis – is the most difficult of the superficial fungal infections to treat. This is because most treatments available are topical agents (nail paints, ointments, and sprays), which are unable to penetrate the nail plate and reach the infected area.
The active infection is usually in the skin beneath the nail (nail bed), rather than the nail itself. Getting anti-fungal treatment to this area in sufficient concentration is very difficult.
The Lacuna Method is only available from suitably qualified individuals. Several rows of tiny holes are drilled through the nail plate to the nail bed – the number of holes depends on the size of the nail being treated and the extent of the infection. Anti-fungal spray (Terbinafine 1% known as Lamisil) is applied over the nail and passes through these holes spreading under the nail to reach the infected area. It can then treat the infection more effectively than simply being applied to the impenetrable surface of the nail. This spray is then applied daily at home, until the infection is clear.
The treatment of fungal nails can take up to 18 months as unfortunately there is no ‘quick fix’ treatment option. The treatment plan will require several follow up sessions depending on severity of infection.
The latest tripolymer gel technology enables the construction of the lightest, natural looking, durable yet flexible reconstruction suitable for a variety of nail pathologies. If you suffer with damaged, thickened or fungal nails this may be the treatment for you!
A full diabetes assessment is offered for all patients. This systemic illness can result in loss in sensation and adverse effects on the cardiovascular system. Foot care and patient centred education is essential for efficient management of the condition.
Biomechanics is the science of movement of a living body, including how muscles, bones, tendons, and ligaments work together to produce movement. It involves various assessments, tests, thorough gait analysis with a treatment plan commonly involving a stretch and conditioning programme and potentially a prescription of orthoses.
Foot Mobilization Therapies
FMT involves gentle, manipulation and mobilisation of specific foot and ankle joints that have become stiff and lack normal movement. The technique helps to break up adhesions that are preventing movement and mobility around joints.