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Check out all the latest news from South West Podiatry

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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High heels and your feet: Our top tips!

High heels are one of the most common types of footwear out there, but wearing high heels the wrong way can result in soreness, pain and even damage to your feet. If you want to make sure that your heels aren’t hurting your feet in the short or long term, make sure you consider these top tips that will help keep your heels from hurting you.

Tip #1: Don’t wear high heels too long

Whenever possible, make sure that you aren’t wearing high heels for more than 3 to 8 hours at a time, with 8 hours being the absolutely maximum consecutive period you should wear them. If you must wear them for longer–such as all day at work–then choose heels with a shorter heel and a wider style, as these will not be as harsh on your feet.

Tip #2: Make sure there is a half inch of space in the toe

Don’t wear high heels that pinch your toes! Your heels should have about half an inch of space in the toe, as this will give your feet enough room in the shoe to avoid unnecessary friction. This may be difficult with high heels that have a thin design, but try your best not to wear narrow high heels for too long.

Tip #3: Avoid heel heights over 5cm whenever possible 

The highest your heel should be is about 5 cm; any higher than this and you increase the chances of falling while wearing the shoe, while also increasing the amount of pressure the shoe has on your feet. Whenever possible, avoid wearing shoes with heels higher than 5 cm; or if you must wear them, keep them on for a limited time and exercise caution while walking.

Tip #4: Take shorter strides when wearing heels

Wearing heels increases your chance for tripping and stumbling, but you can reduce this risk by taking smaller, shorter strides when you walk. A shorter and smaller step will make it easier for you to control your steps and reduce the chances of getting the heel caught on the ground or otherwise causing the shoe to buckle.

Tip #5: Bring flats or slip shoes in case your feet hurt too much

If you plan on wearing new heels for the first time or you think the heels might get uncomfortable, make sure you bring along a pair of flats or slip shoes that you can change into when it gets to be too much. It’s better to deal with the brief awkwardness of stashing your heels in your work desk or tossing them into your backseat in the middle of an event than to have to manage the pain and frustrating that comes with wearing painful shoes for too long.

Remember, wearing high heels is perfectly fine, as long as you practice common sense tips to protect your feet from getting hurt while wearing them. 

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How to care for your feet as a diabetic!

Living with diabetes can be difficult, and as much as you watch your sugar intake, you also must take care of your feet as you continue to live with the disease. Diabetes is known for hurting the blood supply to your feet and can cause pain and slow healing. There are numerous things you can do to protect your feet while factoring in your diabetes and your lifestyle.

The best in foot care for diabetics

The very first thing you should do is find a podiatrist. By seeking a professional opinion about how to best car for your foot from a foot doctor you will begin to gather as much information as possible about how to structure the rest of your life. Then you should work to keep your feet clean and free of infection. If you have any blistering or damage be sure to treat any and all wounds with the utmost care. Bandaids, rubbing alcohol, and protective socks will become major parts of your foot care. If you are someone who wears there shoes a little too tight, you are going to have to go up a pair, as the constant rubbing can be very damaging to your newly sensitive feet. Be sure to swap out any pair of shoes that might be even slightly ill-fitting. Never walk barefoot anywhere. The bottoms of your feet are highly susceptible to infection and cuts.  Finally, be sure to consistently cut and file your toenails as to not let infections or fungi begin to live under your nails.

Butt out! It’s time to ditch the cigarettes

As a diabetic you know not to smoke, and well, ever since you were a child they have been giving you a laundry list of medical reasons not to smoke. Smoking is another habit that will hamper your blood circulation on top of your diabetes. Do not make it harder for your blood to reach your feet. Find a patch or quit cold turkey so that you can give your feet (and lungs) a much needed break. 

You diet helps here too!

Keeping your blood sugar in line and making sure you are consuming a nutritious diet are keys in protecting your feet from some of the worst side effects of having diabetes. You need to constantly monitor yourself so that you are aware as to just why your feet are bothering you so badly. 

When to see your podiatrist or medical professional

Since your healing process will be much slower as a symptom of your illness, any time you receive a blister that is lingering you should see a medical professional immediately. This goes the same for any injury as well. If your feet change color or you have difficulty in feeling them, you should seek out medical assistance. If a wound were to break the skin and any discharge should be seen leaving the wound, that is another instance in which you should seek help.

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How to diagnose and treat Plantar Fasciitis!

Plantar Fasciitis may not be something you have heard much of, yet is a very common issue that is estimated to be affecting over 2 million people in the US alone – the UK isn’t much further behind.

This is a condition that causes the bottom of your heel to hurt, sometimes incredibly painfully. ​Today, we will be going over our methods on how to diagnose, treat, and understand the science behind this.

Fun fact! The name ‘Plantar Fasciitis’ is derived from the word ‘plantar fascia’, which is a broad ligament that basically supports your feet and helps you walk.

WHAT ARE THE TELLTALE SYMPTOMS OF PLANTAR FASCIITIS?

The most obvious symptom would be the actual condition ‒ which is when the bottom of your heel starts to hurt, whether it be from one foot or both.

It should be noted that this pain can affect everyone in different ways, though it is common for the condition to get worse after being sedentary for a while. In addition, it can be sharp, dull, or even spread to other ligaments.

A very notable thing to emphasize is that people usually only feel the pain ​after ​exercise, and not during it; this is a rather difficult symptom to determine, and also makes it easier to ‘overwork or damage’ your feet unknowingly.

If you ever think you may be developing Plantar Fasciitis, don’t hesitate to go to a doctor for a physical checkup ‒ they will most likely just evaluate your coordination or sensitivity, though there are cases where MRIs have been involved.

WHAT CAN CAUSE THIS CONDITION TO OCCUR?

There is a multitude of reasons that Plantar Fasciitis could be happening to you. Arguably the most common one is that you’ve constantly stretched, or torn, your fascia ‒ causing it to become irritated and damaged.

Additionally, obese or overweight people are more likely to start developing this condition; this is because the extra fat can add more pressure to your ligaments, hence meaning your feet have to support that much more weight.

Strangely enough, you can also start suffering from this when you are ​too ​active ‒ mainly if you’re a runner or on your feet 24/7!

HOW CAN YOU TREAT THIS?

We’d strongly advise going to see a qualified podiatrist just like ourselves but a simple home remedy you could try is applying ice to your feet a few times a day (that’s it!). This stops further swelling, and can generally help numb the pain a bit.

Physical therapy plays a major role in any successful recovery; it can help strengthen your muscles and balance. However, there are more drastic measures needed for serious cases ‒ some of which being ​extracorporeal shock therapy​ or ​gastrocnemius recession​.

One major tip would just be to take it easy; doing regular stretching exercises while avoiding putting too much strain on your feet can already help a ton. Additionally, it might be worthwhile to invest in some arch supports or casts.

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