As a new patient it is important we have a clear indication of your medical status. Therefore we are requested to carry out an initial assessment of your health. To do this we need to know about any medical conditions you may have and any medications you are taking (It's a good idea to bring a prescription or list of medications with you on your 1st visit). As part of the appointment we will carry out a vascular assessment to ascertain the blood supply to your lower limb and feet. This is important as healthly limbs and feet require a good blood supply to keep them healthy.
If any concerns are found as part of this assessment we can advice you and if necessary write to your GP for a referral to the vascular team. As well as a good blood supply a good nerve supply is also really important, we will assess your nerves to your feet by conducting a neurological assessment. Again if any concerns are found we can advise you or refer accordingly.
Some people with nerve damage to their feet may find that they are at risk. They may injure their feet which can result in a wound which may not be felt as the nerves are not working properly. This can be detrimental to patients who may have medical conditions such as diabetes.
This treatment involves the removal of any hard skin (Callus), corns and nail cutting. You can also discuss any other foothealth concerns at this appointment (however a further appointment may be required as part of a treatment plan). Please note prior to this a new patient assessment is necessary if you haven't visited us before or haven't been treated at the clinic for 12 months.
You may wish to register for our economy nail cutting service (subject to an initial new patient assessment appointment). Only simple nail care is provided during this appointment no other treatments will be carried out. If you require an additional treatment we recommend you book a routine podiatry treatment.
if you are have pathological nails. For example thickend, fungal, ingrowing, involuted (excessivly curved) a longer appointent is necessary for us to treat your nails. Therefore it would not be a simple nail trim and we could not complete your treatment in the allocated 15 minute appointment slot. You would need to book a routine podiatry appointment.
Diabetic patients should be aware that they can be at risk of problems with their feet. As a diabetic the blood supply to the lower limb can be reduced due to nature of the condition as well as the nerves to the feet which can become damaged (known as diabetic neuropathy). Both of these deficits to the blood supply and the nerves can result in poor healing and diabetic foot ulcerations. Due to these risks being associated with diabetes it is important that a thorough foot assessment is carried out at least every 12 months. This should be done by your GP or diabetic nurse however if you would like a podiatrist to carry out this for you we can do a comprehensive assessment and write to your GP with the results. We will look at your vascular status with a dopplar (an electronic instrument used to hear the pulses in your feet). We are looking at the rate, rhythm and quality of the pulses. We will test your nerves using a 10g monofiloment (a special pen with a filament that exerts 10g of preasure to your foot). This tells us if you can feel light preasure to your feet. We will also test with a neurotip (a device which gives a sharp or blunt sensation to the feet) to see if you can feel sharp and deeper pressures. We will also look at your skin to your legs and assess your nails.
We can give you advice regarding your foothealth and risk category (low/medium/high) risk according to the results of your assessment. If necessary we can refer you to your GP or local diabetic high risk NHS service.
We can trim your fingernails (Can only be booked along with a podiatry or just nails appointment)
Verrucas are a virus from the family known as (HPV) Human Pappillana Virus. They can come in different forms single, mosaic, satellite and are all very stubborn to get rid of! This is because they hide away in a layer of the skin (epidermis) where the bodies immune system doesn't pick them up. They can hide away, duplicate and grow under the bodies natural defence system. They can be on the bottom of the feet inbetween the toes on the tops of the toes and can spread.
The answer to this is yes! If you have a small break in the skin (this can be microscopic!) The virus can enter and start to replicate.
Anybody can get a verruccae however they are often seen in children and people who use communial changing areas (sports centres, swimming baths etc!)
There are many treatment modalities for Verrucas however what works for one person may not specifically work for another.
Tincture of time: Do nothing just cover with a sports tape (kinesiology tape) to stop spreading it. Verrucas can generally self resolve within 2 years. However this is not always the case and further treatments may be necessary.
Debridement: The verruca virus often does not hurt, it is the hard skin that builds up on top of it that can become painful. Regular debridement of this hard skin can help by causing the verrucca to bleed. It is believed that it alerts your immune system that something is wrong.
Acids and Freezing: Acid and cryotherapy (freezing the tissue) both work by causing destruction to the verruca and surrounding skin and tissue again initating the immune response that something is wrong (regular debridement is required with this method).
Silver nitrate: This is a very mild form of acid however can also be used for verruca treatment along with regular debridement.
Dry Needling: This is a more intensive treatment as a local anaesthetic is required. Multiple punctures with a special needle are made into the verruca itself. This is thought to introduce the virus into the layers of the skin where the immune system can recognise it and begin to fight it.
Curettage: This also is a surgical procedure which requires a local anaesthetic. The veuruca is scooped out with a special surgical instrument and allowed to heal.
Ingrowing nails can become problematic and can cause infection which can be painful. They can be caused by ill fitting footwear, trauma, poor nail cutting or nail picking or it could just be the natural shape of your nails which causes discomfort.
Conservative Treatment: Some ingrowing nails can be treated conservatively this involves cutting the offending nail back and encouraging normal nail growth. If treated conservatively regular appointments may be required.
Nail surgery: A surgical procedure can be carried out using a local anaesthetic. This will involve complete removal of the nail or partial removal to the sides of the nail. A chemical called phenol is then applied to the area to stop the nail cells regrowing. This procedure is permanent.
If you have had trauma or a fungal infection to your nail it may grow back thickened, uneven or not at all. We can offer a cosmetic procedure which involves creating a temporary toe nail which can last for 4-6 weeks. This is ideal if you are concerned about the aesthetic appearance of your nail.
If you have difficulty getting to our clinic one of our podiatrists can visit you in the comfort of your own home to carry out a professional footcare service. We offer the same level of treatment as you would expect here in the clinic. We can also visit nursing homes, residential homes or hospitals. Please note that we confine our visits to a 5 mile radius within the clinic. (additional costs may be incurred if out of area).
At Collingwood Chiropody we have a visiting sports massage therapist.
Sports massage therapy is ideal for anyone who requires soft tissue massage...not just sportspeople! The massage helps individuals to regain muscle flexability, prevent injuries and reduces anxiety and depression. It can also be beneficial to anyone living with certain conditions such as fibromyalgia, multiple sclerosis or any similar muscle related conditions by improving daily mobility.
For sports people it helps prevent injuries, can increase sports performance and helps with training maintenance.