Blog

Check out all the latest news from South West Podiatry

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
Read more...

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
Read more...

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.

Read more...

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/

Read more...

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

Read more...

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.

Read more...

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

Read more...

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

Read more...

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

Read more...