NOTICE : Surgery opened first Saturday of the month in the morning.
01332 349 479
Five Lamps Chiropody clinic, 8 Kedleston Road, Derby, DE22 1GU [See map]
Treatments

Get in Touch

01332 349 479

Opening Times

Monday to Friday: 8:30 - 5:30

Saturday And Sunday: CLOSED

Treatments

Nail Care

Treatment may be simple nail trimming and/or advice on prevention of problems developing.

Patients may have difficulty cutting nails due to poor eyesight , arthritis, back trouble or poor flexibility.

Thickened toenails may blister or ulcerate beneath if not reduced in thickness.

Ingrown toenails if not treated early enough may require nail surgery.

Advice and treatment of fungal nail infection which may spread to the skin if not treated.

Corns beneath the nail can be extremely painful which will only worsen if not treated

Corns and Callus

These are areas of hard skin that are formed as a result of excess pressure, shear or friction on areas of the foot. A corn has a central core where the pressure has been concentrated.

Reasons for removal

  • To alleviate pain
  • To prevent muscle/ligament strains from trying to offload the areas
  • To prevent ulceration of the areas if the corns or callus are left to get too large/deep (particularly important in Diabetic or other high risk patients)
  • To prevent fissures/cracking and blistering beneath
  • Prevention of falls in elderly or disabled patients and increase mobility
  • Cosmetic purposes

Corn/ callus treatment

Hard skin is removed to treat painful feet and prevent ulceration.

Devices can be made to help prevent them from reoccurring

Additional Management (extra charge)

  • Orthotics
  • Moulded silicones for callus or corns on or between toes
  • Polymer gels to absorb shear

Ingrowing toenail

This is a condition where a spike of nail or uneven edge of the nail plate has pieced the skin. It occurs most frequently in the big toenails of adolescent males. This is often due to the skin being softer due to perspiration, poor nail cutting sporting activities and footwear. If left untreated it will cause bacterial infections causing the toe to become red and swollen with a throbbing pain and acute tenderness.

If treated early enough by a podiatrist/chiropodist the spike can be removed and the condition may resolve. If the condition has progressed too far or there have been repeated episodes of the nail Ingrowing then nail surgery would be recommended.

Other nail common nail conditions

  • Involuted or "curved around" nails
  • Corns beneath nail plate
  • Damaged or thickened nails
  • Fungal nail infections

Verrucae

These are a common viral infection affecting the feet, the same virus causes warts on the hands.

Long standing verrucae may have a rough, "cauliflower" surface often with black dots of capillaries within them. Newer verrucae can appear similar to corns. Most verrucae in children disappear/regress within 2 years either with mild treatment from pharmacies or without any treatment at all. It is therefore unnecessary to see a podiatrist unless they have a lot of discomfort. In adults verrucae may regress on their own but the time span for this can vary from months to many years. The verrucae can spread in the meantime and become painful.

Reasons for treatment

  • To stop long term pain and discomfort
  • To prevent spreading/worsening of condition
  • To prevent cross infection to other people
  • Cosmetic purposes

Treatments I provide for verrucae

  • Cryosurgery using Nitrous oxide (cryopen) - The Cryopen is a modern accurate piece of equipment with a freezing power of -89 degrees c. The accurate spray technique avoids destruction of the surrounding healthy tissue.
  • Chemical Cautery - Applied accurately and with many years of experience of treating verrucae. For patients with contra indications to strong caustic treatments - milder caustics / callus removal to alleviate pain.

All treatments are done after taking a detailed and thorough medical history and patients making an informed decision on their choice of treatment plan.

Orthotics

These may be prescribed at an additional charge. They may be 3 quarter or full length device fitted into the shoe.

Advantages

  • To align the foot and body posture to their correct position
  • Increase shock absorption.
  • Support the joint and muscle structure of older feet.
  • Reduce symptoms of back, hip and knee pain
  • Reduce plantar pressures

Plantar fasciitis/heel pain

The most common cause of heel pain is inflammation of the plantar fascia where it joins the heel bone. It is often most painful first thing in the morning. Plantar fasciitis is a common condition that may occur at any age although it predominantly affects the 40-60 year age group. Equally affecting men and women, usually in one foot but occasionally in both.

Heel pain can be considered an overuse syndrome as there is not a clear cause of the condition

Common causes

  • history of increased activity particularly in unsuitable/unsupportive footwear
  • prolonged standing ( in the past it was termed -policeman's heel although now I see the condition more in teachers, hairdressers and shop workers)
  • recent weight gain/ obesity

Treatments

In most cases conservative treatment will resolve this condition fully within 6-9 months

These usually will include:

  • Programme of exercises
  • Orthotic provision
  • Anti-inflammatory medication
  • Night splints

In cases where this is unsuccessful referral to a GP for an injection of hydrocortisone and anaesthetic.

Foot care for diabetic patients

Diabetes accelerates poor circulation, neurological changes and alters the components of the blood. It can also cause impaired vision and renal disease. These can increase the susceptibility to infection and other foot problems.

Good glycaemic control, expert foot care and well-fitting footwear are therefore essential to prevent serious problems with the feet.

Any problems with the feet it is essential to seek help straight away to prevent serious complications.

With regular expert management complications should be avoided but if necessary patients will be referred to GP/hospital multidisciplinary clinic.

Foot care for other high risk conditions

Other high risk conditions include Rheumatoid arthritis, poor circulation, and poor immune system.

Expert regular foot care is also essential for these patients to prevent problems such as infections.

Nail Surgery

In certain circumstances nail surgery is recommended. Usually if the ingrown nail has been left too long before seeking treatment or if persistent episodes of the nail ingrowing has occurred. I have many years of experience of nail surgery both in the NHS and private practice.

The operation is performed after an injection of local anaesthetic is given on either side of the base of the toe which will make your toe numb.

A section of nail on one or both sides ( very occasionally the whole nail)is removed .Then a chemical is applied to the nail bed to ensure it will not grow back.. A large dressing will be applied to the toe and you will be advised to put your feet up for the rest of the day. you should not drive while your toe is numb. Your first redressing appointment is normally in a couple of days then you will be advised on dressing it yourself daily. complete healing normally takes approximately 5 weeks. the operation has a high satisfaction/success rate and patients are surprised at the only pain they experience is slight discomfort of the injections.

Notice

Surgery opened first Saturday of the month in the morning.

For any further information or to book an appointment please call 01332 349 479.

Corns & Callus
Corns & Callus
Areas of hard skin that are formed as a result of excess pressure, shear or friction on areas of the foot.
Ingrowing toenail
Ingrowing toenail
This is a condition where a spike of nail or uneven edge of the nail plate has pieced the skin.
Verrucae
Verrucae
These are a common viral infection affecting the feet, the same virus causes warts on the hands.
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