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Check out all the latest news from South West Podiatry

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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Heel Pain #PodsHealHeels

The first day of the National #PodsHealHeels event has taken place and here we catch up with one of our Podiatrist’s Mr Liam McManus, to talk about 3 new clients who he reviewed today within our Podiatry practice. They each presented with heel pain and thought they had typical plantar fasciitis. Lets see what happened in clinic today…….

Well now we know that not all heel pain is plantar fasciitis ! With over 40 differential diagnosis around the bottom of your heel, it’s important to see a Podiatrist to help you understand your condition, help you manage your pain and help you resolve symptoms.

When a client has plantar fasciitis, there are many evidence based medicine treatment options available within South West Podiatry to resolve symptoms, such as ShockWave Therapy or Cortico-Steroid injection therapy, rehabilitation and Orthotic therapy

Speak to our booking team today to find out more about your treatment options by emailing info@swpodiatry.co.uk

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Painful heels, #PodsHealHeels,

plantar fasciitis south west podiatry

Painful Heels is this common?

Painful heels are a common complaint presented to our Podiatry team at South West Podiatry. In the month of February Podiatrist will promote the campaign #PodsHealHeels to help the fight against Painful heels whilst educating people on heel pain and the specialist role in which Podiatrists have in managing this debilitating condition.

#podshealheels campaign poster

#PodsHealHeels campaign is designed to provide more awareness of Painful heels, the complexity of the condition and the difficulties in identifying the various causes of heel pain. In the next series of articles we will discuss why heel pain is so painful, the various clinical and imaging methods we use to help diagnose the cause of heel pain and the various specialist treatments Podiatrist use to resolve heel pain.

Causes of heel pain

There are many conditions that effect the heel therefore heel pain should be classed as plantar heel pain until a firm diagnosis is made. Plantar fasciitis, bursitis, stress fractures, S1 radiculopathy, nerve entrapments and cysts are conditions around the bottom of your heel which our team of podiatrists assess and manage.

If you have been suffering with heel pain for more than six weeks then an initial consultation with our experienced podiatry team would be highly recommended. In that consultation 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.

Over the next month we will provide more information on heel pain and help you fight the war against heel pain #PodsHealHeels.

New Patients need to book an initial consultation with our Podiatry team, at one of our locations.

Speak to our experienced reception team to book an initial consultation today on 020 7164 6607 or you can book online.

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Verrucaes in Maidenhead with South West Podiatry

Verrucae on the sole of the foot.

Verrucaes are all around us, so you might think, especially this time of year with everyone rushing back to the gym and swimming pools to get back on track with their new year resolutions.

Verrucae is the term used for a virus that infects the cells of the skin and in Latin the term verrucae means wart. They are similar to warts which can be found on any other part of the body. When found on the feet, they are called Verrucae Pedis.

At South West Podiatry our Podiatrists only recommend treatments when Verrucaes become painful or pose an issue. They often look like small cauliflower lumps and can also contain small black dots these are capillaries which are small blood vessels . They can appear as single lesions or can be multiple viruses covering large surface areas. They 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 viral infection.

What should I do if I have one?

There are many products on the market that make wonderful claims regarding treatment for verrucaes such as acid based creams, home freezing sprays and the strange and wonderful treatments such as Duct tape, Banana skin and Cider Vinegar. Most of these treatments are old wives tales and little have any body of evidence to back up there claims, therefore if none of these treatments have worked and you are still concerned or the verrucae is still painful then you should contact South West Podiatry.

How can our team help you with those pesky verrucaes?

It is important to diagnose your problem and be reviewed by a HCPC registered Podiatrist or Chiropodist as you could waste a lot of time, energy and money on treatments that do not work. During your initial consultation your Podiatrist will assess your feet and discuss your treatment options.

Treatment may consist of:

Call Now on 020 7164 6607 or book online for a consultation with one of our Podiatrists

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Ingrowing toe nails | Maidenhead

image of an ingrown toenail
Courtesy of the College of Podiatry

Ingrowing toe nails are a common occurrence this time of year and they can presents as a painful or infected toe nail.  Big toe nails are commonly affected with the smaller nails infrequently affected. The nail can become painful and the skin around the nail can appear red, hot, swollen or painful to the touch.

Treatment for ingrowing.

At our Maidenhead clinic, Ingrowing toe nails can be treated conservatively through appropriate nail cutting by our specialist Podiatrists or via surgical management, when ingrowing toe nails are chronic and recurrent.

Surgical management for Ingrowing toe nails.

Nail surgery is a minor surgical procedure which is completed by our podiatry team in Maidenhead.  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.

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.

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 an appointment, call now 020 7164 6607

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Heal Heel pain with ShockWave Therapy

Podiatrists Heal Heels ! ShockWave therapy is a new, effective treatment used to heal plantar fasciitis and achilles tendon issues, instead of injection therpay ! See how is works below:

ShockWave Therapy

How does ShockWave Therapy work?

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

  • 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.

What can ESWT be used to treat?

Evidence Based Medicine, Review the research below:

Podiatrists are evidence based medical practitioners who use the latest technologies and evidence to influence our approach to the treatment of heel pain. Plantar and posterior heel pain can be resolved with the use of ShockWave Therapy in combination with orthotics, stretches and loading ! Speak to your local Podiatrist for further details about early treatment and interventions.

https://www.cochranelibrary.com/central/doi/10.1002/central/CN-01603524/full?highlightAbstract=plantar%7Cshockwav%7Cfasci%7Ctherapi%7Ctherapy%7Cwithdrawn%7Cfascia%7Cshockwave

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Nathan Fittock |Podiatrist|South West Podiatry

Meet Nathan Fittock, our new team member at South West Podiatry, Nathan completed his Podiatry degree in 2016 at Queensland University of Technology in Brisbane, Australia. His passion for helping people in addition to suffering a range of lower limb injuries himself inspired him to become a Podiatrist. Since then, he has spent most of his time in private practice, gaining experience in all aspects of Podiatry. He has also gained experience spending time within the NHS across London.

Nathan Fittock has a keen interest in musculoskeletal injuries and rehabilitation. This stems from his background in playing numerous sports, but most significantly middle distance running and playing representative Rugby League.

Through attending numerous conferences and training courses, he enjoys challenging his knowledge and keeping up to date with the latest research, and various treatment techniques involved with Podiatry. Nathan strives to create an individualised and holistic approach to each patient in a friendly and relaxed environment. As pain and injury can be multifactorial, he often combines numerous treatment methods for optimal patient care whether it may be footwear and orthotics, running form work, soft tissue therapy and shockwave or strength training.

Outside of the clinic you will most likely find him with a coffee in his hand or doing his own strength and conditioning training. Nathan enjoys the outdoors and travelling to explore different parts of the world.

Nathan looks forward to welcoming you to our clinic.

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3D Printed Custom Made Orthotics – Available NOW !

3D printed Custom Made Orthotics are now available at our Gait Analysis Lab in Earlsfield, London, SW184HR. Lightweight orthotics that fit your work shoes ! Bringing innovation to South West London.

Podiatrist, Nathan Fittock had a foot scan at our Gait Lab in Earlsfield and we requested custom made orthotics for him to trial. They arrived today and he’s EXCITED ! Click the video below to hear Nathan’s take on his new lightweight custom made 3D printed orthotics for his work shoes. Orthotics are medical devices which you place in shoes to reduce foot pain and help common foot/ankle conditions such as plantar fasciitis ( heel pain ) and achilles tendinopathy.

Grab yourself a pair of state of the art, lightweight custom made medical orthotic devices for running or walking!

Book a Gait Analysis / Biomechanical Examination appointment with Nathan or our Podiatry team at the Earlsfield Gait Lab by clicking here: https://www.swpodiatry.co.uk/common-conditions/gait-analysis-biomechanical-examination/

nathan fittock
Nathan Fittock

Run – Walk – Dance – Live : Take a look at our NEW 3D printed medical devices which are fully custom made from your foot scan click on the following link: NEW MEDICAL TECH !

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Painful Ingrown Toenail ? Foot and Ankle Specialists

Why wait until an ingrown toenail hurts? Or worse, why wait until an ingrown toenail develops into an infection?

Hello Liam, been meaning to message you to say thankyou for sorting my ingrown toe nails out. They took there time to heal properly and now they have, my feet are so much more comfortable. Your treatment was highly considerate and professional and I wouldn’t hesitate in recommending you to anyone ! Patient testimonial – Mr Chandler

Would you like a long term, evidence based solution to resolve a painful ingrown toe nail ?

Click the link for further information about your long term surgical solutions for painful or infected toe nails: WHY WAIT TILL IT HURTS

https://youtu.be/r7aNl2C6rv8

ingrown nail

To schedule an appointment with your local foot and ankle specialist click the following link: BOOK NOW

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The London Marathon |South West Podiatry

It has been nearly a month since the lucky few found out they have a place in the ballot for the London Marathon, and the daunting task ahead is starting to sink in. The team at South West Podiatry know this feeling all to well, and from our experience in marathon running preparation is key.

High on your London Marathon preparation list should be an assessment with one of our Specialist MSK Podiatrists. They will provide you with a thorough running assessment at our gait lab in Earlsfield.

Anyone can have an assessment and it is commonly used to help athletes run more efficiently and to identify movement-related problems for people who have injuries in the foot, ankle, knees, hips or lower back.

The South West Podiatry team specialise in improving how people walk and run to prevent injury and improve lower limb pain. We use the latest technology to identify areas of increased foot pressure and inefficiencies in your foot pattern.  South West Podiatry will analyse your running gait on a treadmill we will also use pressure analysis to identify in-efficient foot patterns or increased stress in the lower legs and feet.

The results of the Biomechanical assessment will enable the team to provide you with a targeted strength program to help improve any areas of weakness in the lower limb as well as providing you with running gait re-training if we feel this is needed. The most important part of the assessment is advice on the most appropriate trainers for your foot type and running style.

So in order to be London marathon ready contact the clinic today to book an appointment with one of the South West Podiatry team.

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