We professionally and carefully treat
all types of painful foot conditions.
These include the following:
Plantar fasciitis (heel pain)
We also provide:
• Biomechanics assessment
• Orthotics and insoles
• Nail Surgery
Note: All photos used with permission from patients.
Corns & Calluses
Calluses are layers of thickened skin, usually occurring as a response to abnormal pressures on the soles of the feet and on the knuckles of toes.
Where the pressure is greatest, often over a joint on the toe or under the foot, the thickened skin becomes incredibly hard. This hard skin then feels painful to walk on. Many patients report they feel as though they are walking on pebbles. Corns are an area of dense callus which often feels like a sharp pin or stone sticking into the foot.
To someone who has not suffered from a corn or calluses they may sound like a minor problem, but here at George Street, we understand that they are incredibly painful and disabling and we recognize that to those suffering from them they are not a minor problem but have a major impact on every step they take.
When calluses and corns are carefully and thoroughly removed with a scalpel, the patient will find immediate relief, no longer avoiding standing and walking but able to enjoy life, be fully mobile and out in the world.
Although verruccae are harmless when they form on a weight bearing area of the foot they are likely to be painful. Verruccae are caused by a virus. Their classic appearance is cauliflower like, often containing small black dots which are small blood vessels leaking blood into the verrucca.
They vary in size and number. Sometimes a verruca can spread quickly into a cluster of many tiny verrucae. Evidence has shown that, in many cases, verruccae will disappear of their own accord within two years. Therefore, if it is painless, often no treatment is required.
For painful, unsightly verruccae, or ones which are spreading, you may wish to seek treatment.
From experience we have found that each patient and each verrucca requires a different approach. Our podiatrists will discuss the various options availab
NEW for 2019
Swift Microwave Therapy
WHAT IS SWIFT?
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.
DOES IT HURT?
Like many treatments for skin lesions, some minor discomfort may be experiences. pain levels vary from person to person but most people undergoing swift liken it similar to an injection or a scratch, lasting 2-3 seconds then quickly subsiding.
WHAT CAN I DO AFTER TREATMENT?
In some cases the treated area may feel sore but will not prevent you taking normal daily activities.
HOW MANY TREATMENTS WILL I NEED?
This is dependent on how you respond to treatment. In some cases, you may need more than one treatment. Your podiatrist will be able to discuss this with you.
In Growing Toenails
An ingrowing toenail is one that pierces the flesh of the toe which is often very painful. Once the skin is pierced it is vulnerable to infection and ingrowing toenails often become infected requiring antibiotic treatment if not addressed early on. Signs of infection include: redness, swelling of the area around the nail, pus, heat and throbbing of the toe. Most commonly ingrowing toenails are caused by bad nail cutting or poor footwear. Ingrowing toenails have only been found in shoe-wearing cultures and do not occur in barefoot populations which demonstrates the importance of having appropriate footwear.
Nails should, in the main, be cut straight across but not so that they leave square sharp corners. These can be uncomfortable and problematic. Filing the corner of the nail is therefore good practice. Proper cutting leaves the leading edge of the nail free of the flesh, which prevents it from growing into the toe. Some nails do require
their corners to be cut far back in order to remove edges that dig in. This needs to be done by a qualified Podiatrist.
Some people have nails that are involuted (curved at the edges) which press against the skin, causing hard skin to build up under the nail edge and become painful. Sometimes nails become thickened or deformed as a result of trauma to the nail. Small corns, callus or debris down the side of the nail or under the nail plate can also cause painful symptoms.
All of these nail problems can be resolved with nail surgery by removing part, or all, of the nail should they fail to improve through conservative treatment.
A painful example of an In Growing toenail.
Nail surgery may be necessary if an ingrowing toenail keeps reoccurring and is failing to resolve through conservative management methods. Nail surgery is done under a local anaesthetic where a small part of the nail edge is removed right down to the base of the nail where it grows from. This leaves a slightly narrower nail afterwards. A chemical is used to prevent the part of nail removed from re-growing. This provides a permanent solution to the problem.
In Podiatry biomechanics and gait analysis examine structure, alignment and movement of feet and lower limbs in order to try and improve these through orthotic (insoles) intervention and resolve foot pain. Orthotics may be ‘ready made’ or bespoke. If bespoke devices are required an impression is taken of the feet in order to have them made.
An example of an Orthotic shoe support
Orthotics can treat the following:
Posterior tibial tendon dysfunction
and.. many more.