Author - South West Podiatry

What is Advanced Analysis / Gait Analysis ?

Podiatrists identify structural or functional contributions to pain and injury affecting foot, ankle and lower leg. Advanced Analysis / Gait Analysis appointments available at multiple locations.

We analyse you in a number of ways:

  • We will listen to your concern during the consultation
  • Assess the foot, ankle and lower legs
  • Use Infra-Red pressure testing
  • Video analysis
  • Walking or Running analysis
  • 3D scan or mould of your feet if orthotics are required
  • Diagnostic ultrasound examination*

How can an advanced analysis consultation help you?

The advanced analysis consultation aims to review foot and ankle concerns.  We analyse bones, joints, tendons, ligaments, walking and running injuries.  Some of our clients common conditions include:

Clinic locations:

Appointments are available at Earlsfield and Maidenhead clinics.  *On-site diagnostic ultrasound is available at Earlsfield. Schedule an Advanced Analysis / Gait Analysis appointment.

How to book:

Schedule your consultation online click here:  BOOK ONLINE.  Alternatively, speak to our friendly booking team: 02071646607

Insurance and Fee’s:

We accept most major private medical insurance companies including BUPA, Vitality, WPA, Cigna, AVIVA and Simply Health. A full list of our consultation fee’s including self-pay can be found here:  Insurance and Fee’s. Our Podiatry team are health care professional council registered, meaning they are required to maintain professional standards and continued professional development. As an organisation we have invested in the latest diagnostic technology in order to help our podiatry team, help you. We have onsite diagnostic ultrasound available at Maidenhead and Earlsfield clinics. Infra-red pressure analysis available at Maidenhead and Earlsfield clinics with treadmill examinations.

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Pain in the heel | Earlsfield | Wimbledon

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Pain in the heel is a common area of discomfort and at this present moment in time our Podiatrists at South West Podiatry are seeing a rise in patients complaining of heel pain during our video consultations.

What is heel pain?

Heel Pain is an umbrella term which refers to pain under the heel bone. There are approximately 50 different conditions that can affect the heel. Therefore, it should be classed as plantar heel pain until an accurate diagnosis is made by a Podiatrist or health professional. 

Sometimes multiple conditions can co-exist. Plantar Fasciitis is the most common cause of foot pain in adults.  The term Plantar Fasciitis is interchangeable and may also be referred to as “heel spurs” or “plantar fasciopathy” 

Other causes of Plantar Heel Pain  
Heel fat pad inflammation, bursitis  
Bony conditions such as a stress fracture 
Nerve entrapments 
Inflammatory conditions such as Rheumatoid arthritis  
Surrounding tendon or muscle abnormalities 
Referred pain from lumbar spine such as Sciatica  
Neoplastic tumors or abnormal growths 
Peripheral neuropathy and diabetes  

What are the symptoms?

  • A sharp stabbing pain under the heel or arch
  • Pain when rising from bed, or after a prolonged period of sitting. 
  • Pain which is tolerable and warms up with physical activity, but worsens with fatigue and worsens after activity.  

What is the Cause? 

When the cumulative load in the plantar fascia exceeds what the tissue can tolerate. This is often due to a combination of the following risk factors: 

Intrinsic Risk Factors Extrinsic Risk Factors 
Increased foot pronation (flat feet) Training error (too much too soon)  
Increased foot supination (high arched feet) Inadequate footwear 
Reduced ankle dorsiflexion (stiff ankles)  Working on hard surfaces 
Inefficient big toe function Prolonged standing or walking due to occupation 
Reduced hip stability and gluteal strength Obesity or sudden weight gain 
Reduced foot or calf strength  Age (most common between 40-60) and menopause 
Poor running form or other biomechanical factors Jumping sports 

What does treatment involve? 

Once a diagnosis is established, a treatment plan can be made. This will ensure the quickest possible recovery and reduce the risk of future injury. Based off the duration and severity of your symptoms, plus your goals and expectations, this will typically involve a combination of the following: 

Research estimates that 90-95% of patients will recover from Plantar Fasciitis with appropriate conservative treatment.  However, while recovery is generally good, it can sometimes take 6-12 months for complete resolution. Surgery may be considered for patients who do not improve with conservative treatment after 12 months. This generally involves horizontal excision of the plantar fascia, and an immobilisation boot or cast is required for 4-8 weeks followed by further rehabilitation.  

What should I do? 

Podiatrists are the experts at diagnosing and treating Plantar Fasciitis. An accurate diagnosis can be made on the nature of the symptoms and examination findings. At South West Podiatry, we are often able to use diagnostic ultrasound on site to aid in diagnosis.  If you have been suffering with heel pain for multiple weeks, an initial consultation is recommended.   

An initial consultation may be conducted in person or even online via video. From there we may suggest a biomechanical examination. This involves comprehensive analysis of how you move, and how this may relate to your injury. This involves an array of assessments such as infra-red pressure analysis, treadmill gait analysis and general physical examination. 

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How to treat ingrown toenails at home.

South West Podiatry

Ingrown toenails are on the rise due to the disruption and lifestyle change caused by the COVID-19 virus. This is because people are unable to access Podiatry services and there is an increase in activity levels due to the desire to get out and walk. Due to the changes this is causing a spike in complaints being recieved at South West Podiatry about ingrown toenails.

If left untreated the skin around the nail can become inflamed, putting individuals at risk of infection locally and sepsis if the toe is left untreated for a long period of time. This article has been designed to identify the clinical features of an ingrown toenail, what an infected toe looks like and how to treat at home before an appointment can be made with a Podiatrist.

Ingrown toenails, how are they caused?

Ingrown toenails are caused by a number of factors;

  • Poor fitting footwear
  • Inappropriate nail cutting technique
  • Increased activity
  • Toe and nail deformity
  • Trauma

What does ingrown toenails look and feel like?

Ingrown toenail
Ingrown toenail
  • Redness appears on the skin around the edges of the nail.
  • The end of the toe can become swollen and hot.
  • There is pain at the sides of the nail which is acute when pressure is put upon it.
  • Fluid/Pus can appear at the sides of the nail.
  • Extra skin is produced at the side of the nail that can bleed when trauma occurs to the area.
  • The toe can start to smell usually when infection is present.

How do I treat an ingrown toenail at home?

  • Keep the toe clean and bathe the toe in a warm salt water foot bath for 5-10 minutes once or twice a day.
  • A clean cotton wool bud can be used to wipe away fluid and or puss before a salt water foot bath.
  • If the skin around the nail is intact then gentle massage pushing the skin down and away from the nail can help reduce pain.
  • Apply an anti septic cream or spray to the toe to try and reduce the risk of infection occurring.
  • Keep the area covered with a sterile and breathable dressing

What happens if the pain does not go away?

If you are experiencing pain due to an ingrown toenail and the tips above have not helped to resolve the ingrown toenail then it is always best to consult with a Podiatrist as soon as possible. Due to the current climate Podiatrist are key workers and are still able to treat patients with acute conditions, ingrown toenails being one of them. At South West Podiatry we offer Virtual Video Consultations for patients who are unsure if their condition is urgent enough to be seen.

All our Podiatrists follow the guidance set out by Health England, College of Podiatry and the HCPC in treating patients that are at risk. All of our staff will be wearing full PPE when treating patients and will reduce patient to patient contact by allowing time in between appointments for patient to enter and leave with out breaking social distancing rules.

Book online today to schedule a consultation:

Alternatively, speak to our friendly booking team by calling: 02071646607

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Podiatry Video Consultation – ONLINE – Book Today

Online Podiatry Video Consultation information:

The use of technology is key for our organisation to provide excellent patient care. South West Podiatry use an innovative video consultation platform that brings a specialist to your hands, in the comfort of your own home.

Our technology:

South West Podiatry use the latest video conferencing technology to ensure that we can help you resolve Foot and Ankle pain, around your schedule.  A simple online booking platform is available 24/7 which enables you to schedule your Online Podiatry Video Consultation. A clinical consultation letter is sent to you via email and post detailing your consultation, assessment and treatment plan.

Our partners:

We bring accessible healthcare to you, offering availability around your schedule. We accept self-paying clients and many Private Medical Insurance companies.

How can an Online Video Consultation help you?

  • Affordable and accessible Foot and Ankle specialist consultation in your hands
  • Online booking service available 24/7
  • Saving you travel time
  • Working around your schedule
  • Provide a diagnosis and treatment plan tailored to your needs
  • Refer and triage you to health professionals such as Physiotherapists / Orthopaedic surgeons / Rheumatologists / Podiatric Surgery
  • Refer you for appropriate investigations such as x-ray, ultrasound and MRI
  • Ingrown toe nail screening; Advice, Treatment and Surgical planning
  • Offer advice and guidance
  • Latest video conferencing technology
  • Review your home exercise program and discuss exercise progression
  • Monitor your progress, symptoms and management plan

Insurance and Consultation fees:

  • Self-Paying clients are invoiced £64 for each video consultation.  Our accounts team will send you an invoice via email and post following your video consultation.  Invoices are to be paid via BACS / online bank transfer using your name as a reference
  • Private medical insurance companies will be invoiced directly.  Please provide your membership number and authorisation code
  • Please click HERE for further information regarding private medial insurance and consultation fees
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Online Podiatry Video Consultation

Online Podiatry Video Consultation information:

The use of technology is key for our organisation to provide excellent patient care. South West Podiatry use an innovative video consultation platform that brings a specialist to your hands, in the comfort of your own home.

Our technology:

South West Podiatry use the latest video conferencing technology to ensure that we can help you resolve Foot and Ankle pain, around your schedule.  A simple online booking platform is available 24/7 which enables you to schedule your Online Podiatry Video Consultation. A clinical consultation letter is sent to you via email and post detailing your consultation, assessment and treatment plan.

Our partners:

We bring accessible healthcare to you, offering availability around your schedule. We accept self-paying clients and many Private Medical Insurance companies.

How can an Online Video Consultation help you?

  • Affordable and accessible Foot and Ankle specialist consultation in your hands
  • Online booking service available 24/7
  • Saving you travel time
  • Working around your schedule
  • Provide a diagnosis and treatment plan tailored to your needs
  • Refer and triage you to health professionals such as Physiotherapists / Orthopaedic surgeons / Rheumatologists / Podiatric Surgery
  • Refer you for appropriate investigations such as x-ray, ultrasound and MRI
  • Ingrown toe nail screening; Advice, Treatment and Surgical planning
  • Offer advice and guidance
  • Latest video conferencing technology
  • Review your home exercise program and discuss exercise progression
  • Monitor your progress, symptoms and management plan

Insurance and Consultation fees:

  • Self-Paying clients are invoiced £64 for each video consultation.  Our accounts team will send you an invoice via email and post following your video consultation.  Invoices are to be paid via BACS / online bank transfer using your name as a reference
  • Private medical insurance companies will be invoiced directly.  Please provide your membership number and authorisation code
  • Please click HERE for further information regarding private medial insurance and consultation fees
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NHS Podiatry Face to Face consultations during Covid-19

NHS Podiatry Patients welcome – Small fee required for consultation see below

Our team of private podiatrists also work within the National Health Service and understand very well about the significant pressures that Covid-19 has placed on local foot services.  The NHS understandably needs to prioritise people who are considered high risk or who have acute foot problems whilst also monitoring staffing levels during this pandemic period. As a result, all non-essential appointments have been cancelled.

South West Podiatry have taken steps to support our local NHS Podiatry service.  From the 25th March 2020 until the 1st of June 2020, we are offering appointments to anybody who has been previously reviewed by the local NHS Podiatry services within the last 3 months, who require an urgent foot service.

Please see the criteria below prior to attending your appointment:

Please note that in order for us to be able to offer this service, there will be a small fee to cover some of costs of the clinic costs including: administrative duties, dressings, medicines and staff costs.  This appointment is available for initial consultations and follow-up consultations during the period of 25th March 2020 to 1st June 2020, at a discounted rate of £32 per appointment. We would also welcome any NHS Key worker staff to support any foot concern at a 50 % discounted rate on fee’s throughout this period.

If you require ingrown toenail surgery or a Remote Podiatry Video Consultation in order to reduce contact, we have also discounted our private fee for NHS Podiatry patients who fall into the criteria below, by 50% during this period. We are happy to discuss the cost of this with you, as costs will vary according to what you may need.

Face to face appointments will be scheduled at our Earlsfield clinic only, SW184HR.  This service aims to reduce strain on the local NHS Podiatry team.

Please note that you do not need to contact your GP or local NHS Podiatry service to access South West Podiatry. Schedule your appointment online by clicking the following link: Book Online

You will need to provide one of the following documents below during your consultation:

  • An appointment letter or correspondence from the local NHS Podiatry service valid within the last 3 months
  • An SMS appointment confirmation from the local NHS Podiatry service, valid within the last 3 months
  • An email from the local NHS Podiatry service confirming that you have received care within the last 3 months

Please see the below criteria to determine if you may qualify for such an appointment:

  • Seen within the NHS Podiatry service within the last 3 months (The patient does not need to contact the local NHS Podiatry service)
  • Ingrown toe nail
  • Infected ingrown toenail requiring antibiotics
  • A previous history of foot ulceration (Diabetic or Rheumatoid Arthritis)
  • Ulceration currently present
  • Suspected infection / foot infection requiring antibiotics
  • Bleeding / pus or foot wound
  • Significant foot pain impacting the ability to walk or exercise to improve mental health throughout this period

Exclusion criteria for this type of consultation:

  • Firstly, please consider if your condition is Urgent or whether your condition could be delayed without causing a complication.  To reduce Face to Face contact please also consider a Remote Podiatry Video Consultation
  • Non-Essential foot problem
  • Routine foot care including low risk nail cutting, hard skin, verrucae or callus
  • Low risk diabetic foot care (Please consider if you have any of the above inclusion criteria)
  • Sports injury excluding suspected fracture
  • Musculoskeletal conditions (Excluding suspected fracture)
  •  Nail care (Excluding high risk diabetic nail care)
  • Hard skin removal (Excluding high risk diabetic patients who have had a history of ulceration / wound or infection)
  • We encourage you to seek a local private podiatrist near you by searching the NHS database of podiatrists.  Click HERE to search the database
  • Patients who schedule appointments who cannot prove they have been managed within the local NHS Podiatry service will be charged at our usual private self-pay fees

Click HERE to schedule your NHS Urgent Face to Face Podiatry consultation today at our Earlsfield Clinic.

NHS Covid-19
NHS Covid-19
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Covid-19 – UPDATE – We are OPEN

UPDATED: 21/03/2020 “OPEN – Operating a reduced clinical service and Remote Podiatry Consultations”

NEWS: To minimise contact with new clients and to help our existing clients continue to manage foot pain including ingrown toe nails, we have a Remote Video Consultation platform.  To schedule a Video Consultation with your Foot and Ankle specialist, book online here: www.swpodiatry.co.uk/book-appointment

At South West Podiatry we are very much aware and understand concern about Covid-19. Whilst the situation is ever-changing, South West Podiatry are monitoring the development daily and are actively taking guidance from the NHS, government business guidance and expert advice by the Chief Medical Officer, Public Health England.

Covid-19 – We wanted to let you know that as a business we are open and operating a reduced service with clients also able to access South West Podiatry via Remote Video Consultation. As Key workers we want to make sure we can fulfil the needs of our clients during these times 

As a medical practice generally managing bacterial and viral infections on a daily basis, our cleaning and hygiene standards are in line with current College of Podiatry, Health Care Profession Council and NHS guidelines. We want to tell you about some of the steps we take on a daily basis at each of our clinical sites:

  • In each of our locations we pay particular attention to the surfaces that customers and colleagues touch most regularly.
  • We use Chlorhexidine (Hibi Scrub) hand wash before and after each clients consultation.
  • We encourage clients to use Chlorhexadine Hibi Scrub handwashing or alcohol gel which is available at each clinical site.
  • Clinell Antibacterial wipes are used before and after each consultation to wipe the patient couch, chairs and any equipment used.
  • We are also being extra cautious in terms of any colleague signs of illness, isolating where necessary and going over and above the advice from government and the WHO. We are checking the following NHS 111 Covid-19 online information page daily: https://111.nhs.uk/covid-19
  • Finally, we’re in constant contact with all relevant authorities to make sure that we continue to do everything we can.

In return, we ask that you please do not attend your appointment if you feel unwell. As well as:

  • Keep your hands clean, wash regularly and thoroughly, for at least 20 seconds with soap and water.
  • Always carry tissues with you and use them to catch all coughs and sneezes and then bin the tissue – then wash your hands with soap and water or use a sanitiser.

If you experience a new persistent cough, have a high temperature OR have come into contact with a confirmed case of Coronavirus, please do not attend your appointment, self-isolate for 7 days and call 111. Families will need to self isolate for 14 days.  Please check the following NHS 111 link to review if you need to self isolate and cancel your appointment: https://111.nhs.uk/covid-19

If you need to cancel your appointment, please call 02071646607. During this period we will apply a reasonable cancellation policy. Please try and give our organisation as much notice as possible if you wish to cancel your appointment.

Covid-19 - We are open for online bookings
Podiatry clinic online booking
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Podiatry Video Consultation – Helping you manage Foot or Ankle pain

The use of technology is key for our organisation to provide excellent patient care. South West Podiatry have launched an innovative Video Consultation platform which aims to bring a specialist to the your hands in the comfort of your own home.

Our technology:

South West Podiatry are using the latest video conferencing technology to ensure that we can help you treat Foot and Ankle pain. A simple online booking platform available 24/7 enables you to schedule your Remote Podiatry Video Consultation. A clinical consultation letter is sent to you via email detailing your consultation, assessment and treatment plan.

Our partners:

We bring accessible healthcare to you, scheduling consultations around your schedule. We accept many Private Medical Insurance companies and self-paying clients.

How can a Remote Video Consultation help you?

  • Affordable and accessible Foot and Ankle specialist consultation in your hands
  • Online booking service 24/7
  • Saving you travel time and working around your schedule
  • Provide a diagnosis and treatment plan tailored to your needs
  • Refer and triage you to health professionals such as Physiotherapists / Orthopaedic surgeons / Rheumatologists / Podiatric Surgery
  • Refer you for appropriate investigations such as x-ray, ultrasound and MRI
  • Ingrown toe nail screening ; Advice, Treatment and Surgical planning
  • Review your home exercise plan and discuss exercise progression
  • Monitor your progress, treatment and management plan
Read more...

Covid-19 South West Podiatry

At South West Podiatry we are very much aware and understand concern about Covid-19. Whilst the situation is ever-changing, South West Podiatry are monitoring the development daily and are actively taking guidance from the NHS, government business guidance and expert advice by the Chief Medical Officer, Public Health England.

Covid-19 – We wanted to let you know that as a business we are open and operating a ‘business as usual’ approach. We want to make sure we can fulfil the needs of our clients during these times.

As a medical practice generally managing bacterial and viral infections on a daily basis, our cleaning and hygiene standards are in line with current College of Podiatry, Health Care Profession Council and NHS guidelines. We want to tell you about some of the steps we take on a daily basis at each of our clinical sites:

In each of our locations we pay particular attention to the surfaces that customers and colleagues touch most regularly.

We use Chlorhexidine (Hibi Scrub) hand wash before and after each clients consultation.

We encourage clients to use Chlorhexadine Hibi Scrub handwashing or alcohol gel which is available at each clinical site.

Clinell Antibacterial wipes are used before and after each consultation to wipe the patient couch, chairs and any equipment used.

We are also being extra cautious in terms of any colleague signs of illness, isolating where necessary and going over and above the advice from government and the WHO. We are checking the following NHS 111 Covid-19 online information page daily: https://111.nhs.uk/covid-19

Finally, we’re in constant contact with all relevant authorities to make sure that we continue to do everything we can. Keep updated through or home page

In return, we ask that you please do not attend your appointment if you feel unwell. As well as:

  • Keep your hands clean, wash regularly and thoroughly, for at least 20 seconds with soap and water.
  • Always carry tissues with you and use them to catch all coughs and sneezes and then bin the tissue – then wash your hands with soap and water or use a sanitiser.

If you experience a new persistent cough, have a high temperature OR have come into contact with a confirmed case of Coronavirus, please do not attend your appointment, self-isolate for 7 days and call 111. Please check the following NHS 111 link to review if you need to self isolate and cancel your appointment: https://111.nhs.uk/covid-19

If you need to cancel your appointment, please call 02071646607. During this period we will apply a reasonable cancellation policy. Please try and give our organisation as much notice as possible if you wish to cancel your appointment.

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Why is heel pain so painful,#PodsHealHeels

Why is heel pain so painful? This is a common question we are asked on a daily basis at South West Podiatry. Heel pain is a common musculoskeletal condition presented to our Podiatry team on a daily basis and our patients can not believe how debilitating heel pain can be. In order to undertake even the most simplest of daily activities we need walk and stand for large periods of the day. Why is heel pain so painful? The reasons why is largely due to the amount of stress that is put through the heel during walking and standing.

The heel plays an important role during the gait (walking) cycle its function is to act as a shock absorber, support the individuals body weight and propel the individual forward. Due to the high compressive force that is put through the heel and its associated structures there is a lot force that acts on the bones and soft tissues.

Why does an individual develop heel pain?

There are a number reasons why someone may develop heel pain and some of these are listed below.

  • Obesity greater weight being put upon the foot
  • Overuse of the foot from sports such as running
  • Age,
    • Young children can develop heel pain as the calcaneus the bone in the heel is still developing.
    • The elderly when the fat pad which absorbs a lot of the force starts to diminish.
  • Disease such as some inflammatory arthropathies
  • Poorly fitting and or in appropriate footwear

How can our team help if you have heel pain?

During an initial consultation with our experienced podiatry team, we will fully assess your feet and take a full history of your symptoms. Your podiatrist will discuss a specific treatment plan for your condition and organise a unique management plan to reduce your symptoms and improve your condition. We also have a video library of rehabilitation exercises in our patient resource which your podiatrist can discuss with you.

A Gait analysis / Biomechanical examination may be booked following an initial consultation to identify the cause of mechanical stress on the plantar fascia or foot structure, caused by walking or running. An infra-red pressure assessment may also be used to provide data to analyse increased forces through your feet. Orthotics are useful for certain symptoms of plantar heel pain which are prescribed to you to improve symptoms and offload areas of the feet caused by mechanical inefficiencies.

Speak to our experienced reception team to book an initial consultation today on 020 7164 6607 or book online at https://www.swpodiatry.co.uk/

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