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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.
 

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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
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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

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Would you like to be able to walk without pain?

Are your feet getting you down and stopping you from joining in?

If the answer is YES you would benefit from a Movement Assessment. If your joints are not moving in a smooth way or you have some muscle weakness, this can cause you pain and discomfort.

An assessment on your movement (biomechanics) is designed for those who are suffering with foot, ankle and lower limb issues or concerns.

You will be asked a series of questions relating to your symptoms​.

Some of the common conditions seen are:

  • heel pain (plantar fasciitis, heel spurs)
  • ankle pain 
  • forefoot pain (metatarsalgia)
  • shin splints 
  • calf or Achilles pain (Tibialis posterior tendon Dysfunction, Achilles tendinopathy)
  • other injuries of the lower limb 
  • and many more lower limb related problems and pain such as neuromas

​The average person takes 5000-18000 steps per day. This low grade but repetitive motion can place stress on the foot, legs, pelvis, and spine predisposing a person to pain and discomfort.

The foot is a complex structure made up of 26 bones, and over 100 muscles and ligaments.

If you have a low arched (pronated) foot or a high arched (supinated) foot then you may be more predisposed to problems. However, muscle inflexibility and weakness, footwear and activity levels, can all affect function.

The assessment involves examination of your feet, ankles , knees, hips and posture, looking at alignment, strengths and weaknesses within muscle groups, joints and ligaments. During the assessment the podiatrist will be using these examinations and information to build a clinical picture to help reach a diagnoses.

​Once the assessment is complete and a diagnoses is made, if required, a tailor made treatment plan will be prescribed. Typically many complaints can be resolved with a combination or orthoses (devices worn in shoes), exercises and other advanced therapies such as joint manipulation or mobilisation​.

At Southsea Podiatry we believe that injuries and certain pathologies respond more successfully to a combined treatment programme which usually includes footwear management, orthoses and exercise rehabilitation.

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RAYNAUD’S SYNDROME

Raynaud syndrome/ phenomenon.


The skin turns white and sometimes blue because of a reduced blood supply to the small blood vessels.


Quite often painful and a burning sensation as the blood returns, the skin then turns red.


Eponymously named after the physician, Auguste Gabriel Maurice Raynaud, who first described it in his doctoral thesis in 1862.


Episodes are typically triggered by cold, emotional stress, prolonged vibration, smoking, thyroid problems, and certain medications, such as birth control pills.


The primary treatment is avoiding the cold.
Other measures include the discontinuation of nicotine or stimulant use. Medications for treatment of cases that do not improve include calcium channel blockers and iloprost.
Little evidence supports alternative medicine.
Severe disease may rarely be complicated by skin sores or gangrene.

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WHAT TYPE OF BOOKING SHOULD YOU MAKE?

INITIAL ASSESSMENT CHIROPODY is for your FIRST VISIT for issues that you can see eg corns, toenails or hard skin. You will be assessed and treatment will form part of the appointment.

PODIATRY is for Mechanical issues or Surgical procedures (Nail removal or Verruca needling).
Mechanical issues are pain while walking not caused by something you can see.
Surgical procedures using anaesthetic to remove ingrowing nails or Verruca.

ROUTINE CHIROPODY. Clients who require regular Chiropody and conservative treatment for ingrowing nails.

I look forward to meeting with you and dealing with your Foot concerns.

Book your appointment today