Chiropody/Podiatry clinic in Reading
Feet are a very important part of the human body. After all, we use them everyday and can walk over 3 million steps every year! It is therefore important to look after them.
When might I need a Podiatrist?
If your foot hurts, or are experiencing any of the conditions or symptoms mentioned below book an appointment to see our Podiatrist. It is recommended that everyone visits a podiatrist once a year for maintenance and general foot care.
Our Podiatrists Ronke Tinker and George Hill are registered by the Health Care Professions Council. They are able to assess, diagnose, treat and advice on foot, ankle and lower limb conditions. This includes treatment of the following, please note, this list is not exhaustive.
|Corns and callus||Fungal, discoloured or thickened nails|
|Verrucae||The Diabetic Foot|
|Dry, itchy or flaky skin||Wound care|
|Cracked heels||The Ageing Foot|
|Blisters||Numb or swollen feet|
|Difficult to cut nails||Chilblains|
|Ingrowing toenails||Poor foot function|
Corns and callus
Corns and callus are a build-up of hard skin which can occur anywhere on the sole of the feet or toes. The podiatrist will gently and painlessly remove this build-up, and are able to give advice on basic foot care and self-management.
If you have problems reaching your feet to care for your nails, or you find your nails difficult to cut, the podiatrist can cut them for you and give you advice on looking after them between visits. Toenails that are left to grow too long or cut in-correctly may lead to problems in the future.
Fungal, thickened or discoloured nails
Often thickened and discoloured nails are a sign of fungal nail infection but this is not always the case. The podiatrist can tell you if you have a fungal nail infection and can discuss possible treatment options. Thickened nails can be painlessly filed down to give a thinner, smoother appearance which can make the nail easier to maintain.
We offer Phototherapy using Low Level Laser Therapy to treat fungal nail infections here at the 21st Century Clinic; laser therapy has been shown to be effective in the treatment of fungal nails.
Ingrowing toe nails
An Ingrowing toenail is caused when the nail grows into the skin usually due to the shape of the nail, injury, ill-fitting footwear or poor nail cutting. It causes pain on walking and when the toe is pressed. If treatment is not sought in a timely manner, ingrowing toenails can become infected.
There are different treatment options your podiatrist can discuss with you. If you think you have an ingrowing toenail, or would like some advice on how to manage your toenails to prevent it ingrowing, book an appointment with the podiatrist.
Blisters are a common complaint on the feet. A blister is a painful, fluid filled sac under the skin often caused by friction and pressure. The most common cause is repeated rubbing from ill-fitting shoes and socks and excessive moisture between the foot and the sock.
Blisters can be treated by a podiatrist who will be able to give advice on how to prevent re-occurrence. If blisters are left, they can lead to more serious problems including infection and sores.
These are red itchy areas usually found on the tips of toes. Affected areas can break open into sores and become infected if left untreated. They are usually caused by the body’s abnormal response to cold and damp conditions. A podiatrist can give advice on how to treat chilblains and how to prevent these from re- occurring.
Numb and swollen feet
If you have any areas of numbness or loss of sensation you should see a podiatrist as soon as possible. If you have any unusual swelling in your feet with or without pain, act immediately, you should see a podiatrist or General Practioner. It may be something simple causing the swelling but it can also be a result of something more serious such as a broken bone, infection or tendon rupture.
The Diabetic foot
Diabetes can affect the blood and nerve supply to the feet. Ronke, our Podiatrist has a special interest in diabetes. She has 15 years’ experience working with the ‘high risk’ diabetic foot in the acute and community settings in the National Health Service. Newly diagnosed individuals with Diabetes and individuals who have had the condition for a period of time are recommended by NICE guidelines to have an annual foot check by a podiatrist or a trained Health Care professional.
We offer Annual diabetic foot checks and treatment with the relevant diabetic foot care advice at 21st Century Clinic.
Bunions are structural and functional bony abnormalities usually affecting the large big toe, however it can also affect the smallest toe joint. The joint can become enlarged, red and swollen which can cause pain making it awkward to find suitable good fitting shoes. Your podiatrist can discuss treatment options available, and give advice on how to make your feet more comfortable.
Verrucae are a type of wart which usually appear on the sole of the foot. Research suggests that most will usually disappear within 1-2 years; however they can be painful, unsightly and contagious.
At 21st Century Clinic we offer many different treatment options to include:
- CryoPen Cryotherapy
- Phototherapy using Low Level Laser therapy
- Falknor’s needling
- Caustics – Acid Application
Cryotherapy for Verrucae
CryoPen Cryotherapy has been established to be safe. CryoPen therapy is a process where pressurised nitrogen gas is applied to the affected area. This reduces the skin temperature and viral cells to approximately minus 89 degrees! Ice shards form on the surface of the skin, when this melts; the virus cell structure is broken down enabling the body to recognise the virus, thereby fighting it off and aiding resolution of the Verruca. The number of treatments will vary depending on the size and duration of the Verruca.
Low Level Laser Therapy for Verrucae
Verrucae can respond very well to laser therapy. It can also be beneficially used in conjunction with cryotherapy. It is not only pain-free but it actually delivers pain relief, is non-invasive and is without unpleasant side effects, making it particularly well received by patients. There is no tissue damage or scarring. In fact, it can help reduce scarring from previous treatments.
Falknor’s Verrucae needling
This procedure has been around for nearly 50 years. Research in recent years has proven how and why it works, it demonstrates approximately 70% success rate. The procedure usually takes one appointment compared with other treatments which require multiple appointments, making this an ideal treatment for busy people.
The appointment takes approximately an hour. The procedure is carried out under local anaesthetic. A small needle is inserted into the verruca multiple times, this breaks down the structure of the Verruca and creates a controlled inflammatory response. This in turn, stimulates the body’s immune system to recognise the virus and destroy it. As the immune response is systemic, treatment of only one Verruca is required even where there are many. Spontaneous remission occurs in all, or most, Verrucae at the same time. A small dressing is applied to the area for 24 hours. Resolution can be expected between 8-22 weeks. Rarely is a second procedure required, however if this is the case the procedure can be repeated. Three follow up appointments will be given at 1, 8 and 16 weeks in order to monitor the healing process.
Due to the nature of the procedure it is not recommended for children under 12 years of age, this age group are most likely to have natural regression of Verrucae.
If you would like more information on the treatment options available please call the clinic on 0118 9311 444.
Nail surgery at 21st Century Clinic
What is nail surgery?
Nail surgery is a minor procedure performed under a local anaesthetic to remove part or all of a problematic toenail.
When might nail surgery be indicated?
Nail surgery is indicated for painful toe nail conditions, for example where the nail is ingrowing, curved, has a pincer shape (excessively curved) or is thickened causing pain and discomfort.
If treated promptly, a number of toenail conditions can be treated conservatively. This can be carried out at routine nail care appointment with the podiatrist, combined with self-care at home. In most cases, conservative nail care is the first treatment option, however, in chronic toenail conditions such as re-current infection or where conservative treatment has been unsuccessful, nail surgery may be indicated.
A full assessment is completed to check the patient’s suitability for the procedure before a surgical appointment is booked. The podiatrist will assess the problem at an initial consultation and offer a short term treatment to aid comfort and discuss all possible treatment options available to you.
Once the podiatrist and the patient are in agreement on a treatment plan, and a decision has been made that nail surgery is the best course of action a nail surgery appointment will be booked at a mutually convenient time.
What happens during nail surgery?
The appointment takes approximately one hour. Nail surgery is carried out in a sterile clinical environment by the Podiatrist. An injection of anaesthetic is administered to the relevant toe, and a tourniquet is applied to the toe. The offending piece of nail is painlessly removed. A chemical called phenol is applied to the area to kill off the nail bed, and a large post-operative dressing is applied.
The patient is advised to go home and rest and elevate their foot for the rest of the day. A return appointment is scheduled within the next 24 – 72 hours, usually within 24 hours. At this appointment, a smaller dressing is applied and the podiatrist will advise on post-operative care. A redressing pack which will last for a period of two weeks will be issued.
The cost of the nail surgery depends on how many toes are being operated on and includes the surgical appointment, a redressing pack and two redressing appointments.
How long will I be off work/school?
You are advised to rest for 12-24 hours with your foot elevated to aid healing. The wound can take 6-8 weeks to totally heal. During that time you will be required to soak and redress the toe with a clean dry dressing on a daily basis. This should not impact your ability to go to work or school and you can wear normal shoes within the first couple of days.
Low Level Laser Therapy is available at 21st Century clinic
What is Low level Laser Therapy?
This is a form of Phototherapy using light energy amplification, by stimulated emission of laser radiation which is easily absorbed by cells.
In 1916, Einstein first proposed the phenomenon of light amplification. Laser therapy has been around since the early 60s, it is known to be a safe form of treatment, and has a number of clinical applications.
How does it work?
Low Level Laser Therapy works to repair tissues facilitating healing and better cell function, thereby optimising cellular response. It aims to ‘bio modulate’. Due to its low power nature, the effects are biochemical and not thermal, it therefore does not heat up and does not cause damage to living tissue.
Where might Low level Laser Therapy be used?
There has been rapid growth in the use of low level lasers in the field of Podiatry. It can be used to treat a number of foot conditions including fungal nails, Verrucae, Plantar Fasciitis, Achilles tendonitis, post nail avulsion, and leg ulcers.
How long will the treatment last?
The treatment varies for each condition so please call the clinic to discuss treatment options with our podiatrist. We are happy to answer any question about the low level laser therapy available at the 21st Century Clinic.