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General Chiropody Treatment

Chiropody. The diagnosis and treatment of conditions such as Ingrown toe nails, corns, callus, blisters, Athlete's foot, painful cracks in the skin, foot wear and foot care advice for all patients. Reconstruction of toe nails. Surgical procedure for severe ingrown toe nails using Local Anaesthesia 

What to expect from a visit to A & E Chiropody Care.........

A & E special care

We are very easy to find, with ample parking and disabled access. At your first visit we need to get to know you and your feet, so whilst your feet are soaking in a warm foot bath, we will ask for some general details and a brief medical history.

Once your feet are dried, we will carefully cut your nails, file and clear around them and where appropriate, underneath them.

Any corns, and hard skin are then painlessly removed. We will check for any signs of bacterial, fungal or viral infections and treat them where necessary.

If you have thickened nails, these are thinned out painlessly using a special drill

Finally, we will massage your feet with our Ureka Foot Care Cream which our patients tell us is the best foot cream they have used.

At each Chiropody appointment, we can provide help and advice on foot care, foot wear and any other concerns you may have about your feet.

We offer toe nail reconstruction for nails which have been damaged through trauma or fungal infection.  The results give a natural nail which can be painted with nail polish.

In cases of severe ingrown toe nails which do not respond to non surgical intervention, we can offer partial or total nail avulsion ( removal of part or all of the nail)  This is done using local anaesthesia to block the nerves, so that the procedure can be carried out without pain. Follow up appointments and redressing are included and each patient is assessed for their individual needs.

To book a consultation please telephone the Practice on 01962 622632

Once you have made an appointment, we ask that as a courtesy if you need to cancel or amend your appointment, you give 2 full working days notice.

Frequently asked questions:-

What is a corn?

A corn is the point on your foot where you take most pressure from walking or pressure from foot wear. The body builds up hard skin to protect areas of pressure and the corn becomes the nucleus. A corn on the sole of your foot is hard skin which tends to be cone shaped, pressing into your foot. It becomes more painful as it squeezes the nerves in your foot between it and your bone. Corns are normally painless to remove as they are just dead skin. The Chiropodist removes these with a scalpel blade. We strongly advise not to attempt this yourself or to use corn removal pads as they can seriously damage healthy skin.

There are other types of corn, the most common, a soft corn, is found between your toes and again this is due to pressure. Whilst being soft they are incredibly uncomfortable often causing a burning sensation between the toes. These are also easily removed by a qualified Chiropodist.

Why do I get hard skin?

Hard skin is cause by pressure on your foot and this is the body’s way of protecting that area. A Chiropodist will remove the hard skin safely with a scalpel and advise you how to keep your feet in good condition.

How do I stop my heels from cracking?

The heels crack for many reasons. The cracks or fissures can be due to a biomechanical problem where the muscles in the backs of your legs are too tight and this causes your heel to rub in your shoe. Probably the most common is having very dry, thick hard skin. This inflexible skin is then prone to cracking and it then is difficult to heal as there are two hard pieces of skin trying to join together.

Whatever the reason, the Chiropodist cuts away the hard skin on each side of the crack and this allows the skin to heal. We also provide information on how to avoid getting cracks and the use of creams to help promote healthy skin on the heels.

Should I cut my nails straight across?

The simple answer is no. The nails should be cut to follow the general line of the end of the toe. Do not cut down the sides and make sure you cut through the edges of the nail. Don’t pull off the last bit of the nail as this can lead to problems.

I have an infected in-growing toenail. Should I finish my course of antibiotics before I see a Chiropodist?

We prefer to see infected in-growing toenails as soon as possible. The nail is the cause of the infection so removing the offending piece and evacuating the infection will not only make it more comfortable but will allow the antibiotics to do their job more effectively.

How often should I see a Chiropodist?

It all depends on your particular circumstances and foot related problems. Some patients come every four weeks others once a year.

How do I know if a Chiropodist is qualified?

Log on to http://www.hcpc-uk.org/ and go to the online register, select Chiropodist/Podiatrist and type in the Chiropodists name. If they are not on the register they are not legally allowed to practice and are probably not insured.

How can I tell if I have a corn or a verruca?

A verruca is a viral infection, whereas corns and callus are simply layers of dead skin. Verrucae tend to be painful to pinch but not to press whereas a corn tends to hurt when you press but not when you pinch it. A verruca often has black dots in it and can look like a cauliflower.

Will my corns come back?

The short answer is probably. Corns are caused by local pressure, if you can eliminate that pressure you can eliminate the corn. In practice however this is often not possible especially where the corn is caused by a bony prominence
 

Diabetes Mellitus

What is Diabetes?

Diabetes mellitus is a condition in which the amount of glucose (sugar) in the blood is too high because the body cannot use it properly. Glucose comes from the digestion of starchy foods such as bread, rice & potatoes, from sugar and other sweet foods, and from the liver which makes glucose.

Insulin is vital for life. It is a hormone produced by the pancreas, which helps the glucose to enter the cells where it is used as fuel by the body.

Diabetes types

There are two main types of diabetes. These are:

  • Type 1 diabetes
  • Type 2 diabetes
Type 1

Type 1 diabetes develops if the body is unable to produce any insulin. This type of diabetes usually appears before the age of 40. Type 1 diabetes is the least common of the two main types and accounts for between 5 – 15% of all people with diabetes.

Type 2

Often called late onset diabetes, Type 2 diabetes develops when the body can still make some insulin, but not enough, or when the insulin that is produced does not work properly (known as insulin resistance). In most cases this is linked with being overweight. This type of diabetes usually appears in people after the age of 40, though in South Asian and African-Caribbean people it often appears after the age of 25. However, recently, more children are being diagnosed with the condition, some as young as seven. Type 2 diabetes is the more common of the two main types and accounts for between 85 - 95% of all people with diabetes.

There are currently over 2 million people with diagnosed diabetes in the UK and probably another 750,000 people with diabetes who don’t know it.

What are the symptoms?

The signs and symptoms of diabetes are:

•Increased thirst
•Excessive urinating – especially at night
•Extreme tiredness
•Weight loss
•Blurred vision
•Genital itching or regular episodes of thrush
•Slow healing of wounds

In Type 1 diabetes the signs and symptoms will usually be very obvious, developing quickly, usually over a few weeks.

In people with Type 2 diabetes the signs and symptoms will not be so obvious or even non-existent in people with Type 2 diabetes. If you’re older you may put the symptoms down to ‘getting on a bit’. Taking early action is key so if any of the symptoms apply to you, ask your GP for a diabetes test.

In both types of diabetes, the symptoms are quickly relieved once the diabetes is treated. Early treatment will also reduce the chances of developing serious health problems.

What is the treatment for Diabetes?

Despite many claims, diabetes cannot be cured but it can be treated very successfully.

Type 1 diabetes is treated by insulin injections and diet, and regular exercise is recommended. Insulin cannot be taken by mouth because it is destroyed by the digestive juices in the stomach. People with this type of diabetes commonly take either two or four injections of insulin each day. If you have Type 1 diabetes, your insulin injections are vital to keep you alive and you must have them every day.

Type 2 diabetes is treated with lifestyle changes such as a healthier diet, weight loss and increased physical activity. In some cases, tablets and/or insulin may also be required to achieve normal blood glucose levels. There are several types of tablets for people with Type 2 diabetes. Some help your pancreas to produce more insulin. Others help your body to make better use of the insulin that your pancreas does produce. A third type of tablet slows down the speed at which the body absorbs glucose from the intestine. Your GP or diabetic clinic will decide with you which kinds of tablet are going to work best for you and may prescribe more than one kind. Type 2 diabetes is progressive. If your diabetes cannot be controlled through lifestyle changes and tablets your doctor may recommend that you take insulin injections.

The objective of treatment for both types of diabetes is to achieve blood glucose, blood pressure and cholesterol levels as near to normal as possible. Combining this, with a healthy lifestyle, will help to improve wellbeing and protect against long-term damage to the eyes, kidneys, nerves, heart and major arteries.

General foot care.

In order to keep your feet healthy and free of injury, follow these basic rules for foot care:

1. Keep your feet clean, dry and warm

2. Apply a good quality foot cream to dry skin but never between the toes

3. Avoid using hot water and strong soaps

4. Dry your feet carefully, especially between the toes

5. Do not cut corns, calluses or ingrown toenails see a chiropodist

6. Do not use corn plasters or any other over the counter corn or callus remover

7. Check your feet daily for any signs of damage or redness

8. If you cut your own nails follow the line of the end of the toe, not to short and if you have problems cutting your nails try filing them instead

9. Always wear well fitting footwear even around the house to help prevent injury

10. If in doubt seek immediate professional care for any foot problems

For further information visit the Diabetes UK web site at www.diabetes.org.uk/

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