Fallen Arch; Posterior tibial tendon dysfunction

This client has a fallen arch which is caused by failure of the tendon.

Surgery is required when all other methods to stop the progress of the arch falling have failed.

In this case, there was a lot of pressure on the ball of the foot under the big toe which makes the skin vulnerable to break down and wounds. In order to avoid any further issues, an off-load can be made to protect the skin and deflect some of the pressure



Happy feet will help you enjoy your holiday.

Use sun-tan lotion on your feet. They are often forgotten about and

burn easily as are not so used to be exposed to the sun. You might consider using a higher factor cream on this skin. Alternatively keep the feet covered in light coloured material as dark colours absorb heat and may also harm your feet by getting too hot.

It is advisable to wear some form of shoe even on the beach as sand can become hot and there could be sharp debris on the beach. A plastic shoe is also a good idea for wearing in the water to protect your feet.

Flip flops and other shoes which do not have a fastening are not adequate for walking any distance, they should be kept for ‘pool-side’ activities. A back-less shoe also causes the skin on the heel to dry and crack a lot quicker. The constant slapping of the shoe against the heel causes water loss within the tissues.

Long journeys can make your feet swell. Try to have a break and get out of the car for a short walk, even a short distance is beneficial. This will keep the circulation moving and the keep the swelling down.

Remember that your feet might swell in the heat so make sure your shoes are not too tight.


OUCH! Ingrowing nail. What should you do?

When an ingrowing toenail can not be managed conservatively then it is often required that nail surgery is performed in order to reach permanent resolution.

An ingrown toenail can often happen if the nail is too wide, been cut incorrectly, suffered trauma or is pathological. They are extremely painful and can often result in infection.

Minor nail surgery takes about 1 – 1.5 hour and the procedure does require a local anaesthetic. There are two procedures which can be performed depending on the severity of the condition. The most common is called a partial nail avulsion where only a small section of the toenail is removed, taking the ingrown toenail away from the skins edge (sulcus).

The other procedure is where the whole nail is removed, called a Total nail avulsion. A chemical called phenol is applied to the nail bed after the nail has been removed ensuring the removed aspect of the nail does not grow back causing the same problem.

It takes approximately 6-8 weeks for full healing to occur and there will be some aftercare involved. Minor nail surgery is offered as a package which includes the surgery, the anaesthetic, a dressing pack and 2 follow up appointments.

OUCH. This is an ingrowing toenail

Ingrowing toenail on the lateral aspect with localised infection

Post op surgery, approximately 5-6 weeks after surgery was performed.

Phew thats better

Orthotic Therapy

Orthotics are devices worn in your shoes. At Toe Business and Southsea Podiatry we can provide bespoke and off the self orthotics.

If you require bespoke orthotics then a prescription will be tailor made to your needs. A Bespoke pair of othortics are prescription orthotics, similar to glasses which have to be prescribed.

The main aim of orthotics is to redistribute pressure, thereby decreasing the load from painful or injured areas. They ensure that your foot posture is working to the very best of its ability and research has shown that by your lower limb functioning to its best anatomical ability, it reduces stress on the foot, lower limb, and other areas of the body.

Orthtoics can be extremely useful if you have poor foot posture, injury and or pain. Some of the following conditions that orthotics are commonly used for are:

  • Plantar Fasciitis (heel pain)
  • Arch pain
  • Flat feet
  • High arched feet
  • Bunions
  • Shin splints
  • Neuromas
  • Achilles Tendinitis
  • back pain
  • knee pain
  • and much more