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Check out all the latest news from South West Podiatry

Adult Flat Foot | Tibialis Posterior Tendonopathy ( PTTD ) | Wimbledon

Tibialis Posterior Tendonopathy

Adult Flat Foot | Tibialis Posterior Tendonopathy ( PTTD ) | Wimbledon

PTTD is the most common form of adult acquired flat foot.  Flat feet are common and are usually normal, unless patients develop pain or over use injuries such as sports injuries or plantar fasciitis.  PTTD is a complex multifactorial pathology of the foot and ankle which has 4 clear clinical stages.  The tibialis posterior tendon is a large tendon which arises as a muscle on the inside of the calf and becomes a tendon around the inside of the ankle, which then inserts into the arch. This tendon is responsible for maintaining the arch of your foot and is susceptible to trauma and injury.

 

 

Posterior tibial tendon dysfunction ( PTTD ) is an over use of the posterior tibial tendon, where patients develop ankle pain along the inside of the ankle. The posterior tibial tendon can stretch, elongate and microtrauma within the tendon can occur, which damages the tendon’s structure. The arch can collapse and further extensive musculoskeletal disorders can occur if it is left untreated and unmanaged. PTTD is the main cause of “adult acquired flat foot”.

Signs and symptoms of PTTD

 

  • Ankles rolling in
  • Pain around the inside of the ankle
  • Swelling around the inside of the ankle
  • Weakness in the ankle
  • Unable to complete a single leg tip toe
  • Pain on the outside of the ankle (sinus tarsi)
  • Arthritis of the ankle.

 

Treatment options

During an initial consultation with your podiatrist, they will establish if you have PTTD and discuss the specific treatment programme for your condition. Treatment may consist of:

  • NSAID’s
  • Heat / ice
  • Biomechanical examination
  • Orthotics.
  • Temporary insoles
  • Strapping
  • Rehabilitation
  • Footwear advice
  • Air cast boot
  • Training modification
  • X-ray, MRI or ultrasound can also be useful.

To book now call 020 7164 6607 

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Nail surgery Maidenhead and Wimbledon | South West Podiatry | Foot Specialists

Nail surgery Maidenhead and Wimbledon | South West Podiatry | Foot Specialists

Nail surgery is performed in Maidenhead and Wimbledon.  Nail surgery is a routine minor surgical procedure, completed under local aesthetic.  Our team of foot specialists provide this long term treatment at The Bridge Clinic in Maidenhead and South West Podiatry clinic in Wimbledon. The following blog explains further patient information about the process of nail surgery and the likely aftercare.

Nail Surgery – How will the toe nail be removed?

  1. After an assessment for suitability for this procedure, two local anaesthetic injections will be injected into the toe/toe’s.
  2. After 5 minutes the toe/toe’s will be numb and either a portion of the nail or the whole nail will be removed. This makes the procedure pain free.
  3. A chemical (phenol) will be applied to destroy the exposed nail bed so the part of the removed nail never grows back again (95% success).
  4. The toe is then dressed with a large bandage.
  5. After the procedure you are required to rest and take pain relief (if required).
  6. This procedure takes around one hour, you can walk normally afterwards but are required to bring flip flops and cannot drive for 24 hours. The wound takes between 6-10 weeks to heal.

How painful is it afterwards?

Most patients do not need pain relief medication following this procedure however some patients may experience mild symptoms. If the toe is painful it is advisable to take over the counter pain relief such as Paracetamol and nothing which contains anti-coagulant medication such as Asprin.

Are there any risks involved?

This procedure is considered a safe and effective way to treat in growing toe nails. Like any procedure there are minor risks involved which your podiatrist will discuss with you during the assessment and when gaining formal consent prior to booking this procedure.

 

 

Hello Liam, been meaning to message you to say thank you very much for sorting my ingrowing toe nails out.  They took there time to heal properly, but now they have and my feet are much more comfortable.  Your treatment was highly considerate and professional and I wouldn’t hesitate on recommending you to anyone – Mr Chandler

 

 

To Book Call 020 7164 6607 

Nail surgery

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Maidenhead Podiatry | Foot specialists | The Bridge Clinic

SWP Maidenhead Podiatry | Foot specialist service | New podiatry clinic open in Maidenhead at The Bridge Clinic, Berkshire | On site diagnostic imaging and Podiatric medicine.

The team at SWP Maidenhead Podiatry are excited to announce that from July 2018 we will be offering foot specialist consultations at The Bridge Clinic, Maidenhead. South West Podiatry (SWP) are at the forefront for providing specialist foot and ankle treatment using the most up to date treatment methods to resolve all podiatry related conditions. SWP Maidenhead Podiatry will have access to onsite diagnostic imaging providing our patients with fast and accurate diagnosis of their foot and ankle pain, ensuring the most appropriate management plan is provided.

The Bridge Clinic is a private medical facility located in the heart of Maidenhead serving the needs of patients in the Thames Valley area. The Bridge clinic takes residence in the Old Field Lodge a grade II listed building built by maidenhead’s Count de Crecy, shortly after the Maidenhead bridge was built in 1977 offering beautiful views over the river Thames.

 Our Podiatrist Thomas Walton and Daleen De Ronde will be providing expert consultations and treatment for all foot and ankle related conditions. South West Podiatry will be providing biomechanical assessments with infra red gait analysis, orthotics, along with nail surgery and routine podiatry. 

As with all our sites SWP Maidenhead Podiatry will accept most major health insurance providers. We are happy to help guide you through this process to insure that you get the best treatment, for your plan. You may well be covered for treatments that you did not expect, so please mention your insurer when you call.

To book into see one of our expert foot specialists, call 020 7164 6607

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nail surgery | ingrowing toe nail | maidenhead

An Ingrowing toe nail can be painful.  How can podiatry resolve an in growing toe nail in Maidenhead ?

ingrowing toe nail issues within Maidenhead can be conservatively managed, but when symptoms persist our dedicated team of foot specialists can resolve your symptoms with a minor surgical procedure.  

Nail surgery is a long term solution to a painful condition. During the nail surgery procedure, a portion of the nail or the whole nail can be permanently removed under local anaesthetic using a chemical called phenol.

Signs and Symptoms of in-growing toe nails:

  • Hard skin near the nail.
  • Tenderness in the skin around the nail.
  • Swelling around the skin and nail.
  • The skin may be bleeding.
  • A curved painful toe nail.
  • The toe is painful.
  • Redness in the skin next to the nail.
  • The toe may be hot.
  • Pus or infection may be present near the toe nail.

Causes of ingrowing toe nails:

  • Footwear – ill fitting shoes and footwear which are too tight.
  • Inappropriate cutting – leaving spikes in the nail which pierce the skin.
  • Injury – Dropping an object on the nail or sports such as running causing pressure on the nail.
  • Hereditary nail conditions – Abnormal curves in the nail.
  • Posture or foot abnormality.
  • Infection.

Treatment options:

  • Deep/wide footwear giving you more space around the toes.
  • Soaking the feet in salt water and using antiseptic cream such as savlon.
  • Conservative cutting of the nail completed regularly by podiatrists.
  • Nail surgery – Removal of part of the nail or the whole nail.


ingrowing toe nail

We welcome new clients to book a new patient consultation.  Speak to our experienced reception team now on 020 7164 6607

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orthotic and insoles in maidenhead

orthotic and insoles in Maidenhead

Foot and ankle sports injuries and orthotic intervention are managed by our foot specialist team in maidenhead.   With the recent launch of our new podiatry clinic in maidenhead, we are proud to offer an advanced orthotic and insole service at the bridge clinic in Maidenhead.  Orthotic treatment and insoles are widely used to reduce foot pain and prevent musculoskeletal injuries such as heel pain, plantar fasciitis and Achilles tendon pain.  Before Custom/Bespoke orthotics can be manufactured, a thorough foot posture and gait analysis must to completed. A cast of your feet must be taken for the production of custom manufactured orthotics. This is an extremely skilled process requiring years of experience and expertise to design your orthotic device.

Casting or moulding your feet involves the Podiatrist holding the foot in a specific position, relative to your leg. A 3D scan, plaster mould or foam box impression can be taken to complete this process. Your foot impressions are 3D digitally analysed to help, reduce tissue stress, re-distribute plantar foot pressures correct any functional abnormalities found during the biomechanical examination. An infra red pressure analysis is also taken during your assessment and your analysis will be discussed.

What are orthotics and how can they help you?  The college of Podiatry have launched this interactive orthotic educational video.

 

The most common problem that our Podiatrists hear in our clinic is “my orthotics cannot fit into my shoes !

We work with you to find solutions to orthotic therapy, working with your footwear and providing you evidenced based medical treatments to suit your requirements.

We welcome new clients to book a new patient consultation at one of our locations.  

orthotic maidenhead

 

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verrucae south west podiatry

Warts and Verrucae in Wimbledon

Warts and Verrucae

Verrucae are small viruses which are similar to warts but occur on the feet. They are the same as warts on any other part of the body but on the feet they are called Verrucae Pedis. Verrucae are very common which occur frequently in children and people with a lowered immune system.
They are usually pain free and in general podiatrists only recommend treatments when they become painful or an issue. They often look like small cauliflower lumps on the feet and can also contain small black dots in the middle which are capillaries. Verrucae’s can appear as single verrucae or can be multiple viruses covering large surface areas. Verrucae are caused by different strains of the human papilloma virus (HPV) and like any virus, it needs your immune system to see it and then respond to it, in order to resolve the verrucae.

What should I do if I think I have Verrucae?

If you have explored home treatments and read a little on the internet about Duct tape, Banana skins and Cider Vinegar and found that none of it worked but you are still concerned or the verrucae is still painful then you should contact south west podiatry.

How can our team help you?

It is important to diagnose your problem and be reviewed by a HcPC registered Podiatrist or Chiropodist. During your initial consultation your podiatrist will assess your feet and discuss your treatment options.

Treatment may consist of:

 

Call Now to book 020 7164 6607 

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Shockwave Therapy | ESWT | Wimbledon

Here we discuss indications for shockwave therapy or ESWT.

In this blog we cover the main indications for shockwave therpay which our podiatry team in Wimbledon use to promote healing and reduce pain in injured tissue. 

This blog explains how shockwave therapy works so if you are unfamiliar with shockwave in medicine, click here : What is ESWT or Shockwave therapy?

What can shockwave therapy be used to treat?

ESWT – Shockwave therapy

Click on the video below to see how ESWT / shockwave therapy is used for heel pain:

How many sessions do I need?

At an initial consultation your podiatrist will discuss if ESWT is recommended and the frequency of visits.  Generally, patients attend clinic at 1-2 week intervals for up to 6 sessions with a view to reviewing the outcome a few weeks after your final session.

Call Now to book 020 7164 6607

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Shockwave therapy for heel pain | Wimbledon

What is ESWT or Shockwave Therapy?

Extracorporeal Shockwave Therapy (ESWT) is the application of Shock Waves in medicine.

Shock Waves are movements of extremely high pressure caused by, for example, an explosion, an earthquake or a plane breaking the sound barrier.

It is clinically proven that pressure waves, when applied to injured tissues, stimulate metabolic reactions and promote the initial phases of healing.  Podiatrists use a large machine and a probe to administer shockwaves into injured tissue to promote healing.

Let me explain how shockwave therapy works.

When the clinician applies shockwave therapy or ESWT to injured tissue. Injuries are affected in three ways:

ESWT – Shockwave therpay

 

  • Reduction of pain by reducing nerve impulses.
  • Increase of blood circulation in surrounding tissue.
  • Beginning of the healing process through stem cells activation.

 

 

Everyone has C nerve fibres in their body and when C nerve fibres are activated, the fibres release a substance called substance P.  Substance P is responsible for causing pain and discomfort.  ESWT activates C nerve fibres, initially causing a widespread release of substance P which causes discomfort during application.  After a prolonged period of applying ESWT, C nerve fibres are disarmed and incapable of producing substance P.

A reduction in the production of substance P in tissue, leads to a reduction in pain.

This reduction of nerve fibre stimulation, together with increasing blood circulation and the activation of stem cells in the treated tissue, promotes recovery and can significantly reduce musculoskeletal pain.  ESWT can be used for heel pain on the bottom or back of the heel.  There is an abundance of high level evidence to support the use of shockwave therapy in combination with other management strategies such as orthotics and manual therapy.  Our premium ESWT machine is used in the vast majority of high level evidence and is widely recognised as the most effective device :  EMS 

Call Now 020 7164 6607

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Nail surgery and ingrowing toe nails | Wimbledon | London

What are ingrowing toe nails?

There are many types of ingrowing toe nails which can appear as painful or infected nails.  Big toe nails are commonly affected with the smaller nails infrequently affected.  We know ingrowing toe nails are painful which may require courses of antibiotic therapy.  The nail can appear red, hot swollen or painful to the touch.

How can ingrowing toe nails be treated?

Treatment would depend upon the cause of your ingrowing toe nail.  Treatment can range from conservative, appropriate nail cutting to surgical management.

When ingrowing toe nails are chronic and recurrent, nail surgery may be suggested for a long term solution to your problem.

If surgery is required, how will the toe nail be removed?

Nail surgery is a minor surgical procedure which is completed by our podiatry team in wimbledon, london.  The surgical procedure is completed under local anaesthesia and we can plan your procedure around work commitments, holidays and social engagements.

  1. After an assessment for suitability for this procedure, two local anaesthetic injections will be injected into the toe/toe’s.
  2. After 5 minutes the toe/toe’s will be numb and either a portion of the nail or the whole nail will be removed. This makes the procedure pain free.
  3. A chemical (phenol) will be applied to destroy the exposed nail bed so the part of the removed nail never grows back again (95% success).
  4. The toe is then dressed with a large bandage.
  5. After the procedure you are required to rest and take pain relief (if required).
  6. This procedure takes around one hour, you can walk normally afterwards but are required to bring flip flops and cannot drive for 24 hours. The wound takes between 6-10 weeks to heal.

How painful is it afterwards?

Most patients do not need pain relief medication following this procedure however some patients may experience mild symptoms. If the toe is painful it is advisable to take over the counter pain relief such as Paracetamol and nothing which contains anti-coagulant medication such as Asprin.

What are the risks ?

This procedure is considered a safe and effective way to treat in growing toe nails.  Like any surgical procedure there are minor risks involved which your podiatrist will discuss with you during the assessment and when gaining formal consent prior to booking this procedure.

To book, call now 020 7164 6607

Email info@swpodiatry.co.uk

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Infected ingrowing toe nail | Antibiotic resistance | Wimbledon

How can a Podiatrist help to reduce antibiotic resistance?

Ingrowing toe nails can become red, hot and swollen.  They are very tender to touch and commonly become infected by bacteria.  The toe may bleed, be malodorous and discharge yellow pus from the toe nail.  Inappropriate management of ingrowing toe nails may require a series of antibiotic prescriptions.  Having multiple antibiotic treatments increases the risk of bacterial resistance or antibiotic resistance.

Ingrowing toe nails are easily managed by foot specialists, conservatively and surgically without the need for multiple prescriptions of antibiotic therapy.   Early intervention and treatment is key to reducing antibiotic resistance in the treatment of ingrowing toe nails.

Public Heath England have published the following video regarding antibiotic resistance:

To slow resistance we need to cut the unnecessary use of antibiotics. Public Health England.

To reduce antibiotic resistance and review your conservative and surgical treatment options of ingrowing toe nails, click on the link below:

 www.swpodiatry.co.uk/common-conditions/ingrown-toenails/

 

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