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#Chilblains

It’s that time of year when the weather turns cold that we see more of these on feet.

Some people are more prone to these than others and indeed suffer from them in milder conditions too.

The cause is blood moving away from the extremities towards the organs in the body as these are more important to keep at an ideal temperature.

If the chill remains for too long then blood vessels are damaged and less able to contract and expand.

If warming occurs too quickly, the sudden burst of blood can also damage vessels and feel painful.

Recommended are double layers of socks, (silk as a first layer to insulate then wool over the top).  Plastizote insoles are helpful.  Balmosa cream is good on skin which is not broken and can help keep the area warm. A good waterproof pair of shoes with thick soles is also a good idea if you are going to be outdoors.

 

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Nail Surgery – ingrowing or painful thick nails

A common condition that I see which can be resolved with surgery.

Ingrowing or painful nails have a number of causes; shape of the nail, ill fitting shoes or trauma are some of the reasons that the condition arises.

A brief assessment is performed and a local anaesthetic is used to extract the problem nail. A chemical is used which kills the nail cells from growing again. Post surgery, the toe must be kept clean and a dressing applied daily.

The procedure might also be available through the NHS, ask your Doctor if he will consider referring you.

The following link to a video is really useful.

https://youtu.be/r7aNl2C6rv8

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Verrucae and how to get rid of them

There are many methods used to get rid of verruca

These range from waiting until the immune system picks it up to caustics, freezing and taping.
However, there is another way which directly stimulates the immune system to get rid of the virus ‘Verruca needling.’

Falknor`s Needling for Verrucae 

Falknor`s needling procedure is an innovative and effective treatment for verrucae (warts), which are benign types of the Human Papilloma Virus (HPV) group. It is a form of soft tissue therapy which is intended to break down the verruca and create a controlled inflammatory response which, in turn, stimulates the body’s immune system to recognise the virus and destroy it. The treatment has been around for over 45 years (being first described in a medical journal in America in 1969) and is used routinely with great success by practitioners. 

Needling is different from most other treatment modalities (such as caustics, which can entail dozens of applications to be effective) as it only requires one, or occasionally two, applications making this an ideal treatment for busy people.

Twenty-four hours after treatment you can shower as usual without the need to keep bulky dressings dry. In fact, no dressings are required at all after two days so that you can continue with daily activities as normal. 

before…
…and after

How does this method of treatment work? 

By puncturing the verruca with an empty sterile needle many times, the viral particles are directly exposed to the fatty tissue beneath the skin where the body is rich in immune regulators. Here, the immune system can recognise and destroy the virus. As this immune response is often systemic, treatment of only one Verruca is required even where there are many lesions as spontaneous remission occurs in all, or most, Verrucae at the same time. 

The procedure is carried out painlessly under a local anaesthetic and only mild soreness the following day has been reported by a few patients, although the majority of patients feel no discomfort at all. 

Eight months post procedure is when it can be said that the Verruca is gone for good as the virus can lay dormant in the body for this length of time.

Katrina Corby

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Check their Feet #toebusiness18

Many elderly clients that I see have very overgrown toenails

this is because they can’t deal with them and no one really sees their feet

Unfortunately, not many people like dealing with feet either

I often get calls from shocked relatives who have eventually seen the feet of their aging relative and they feel very upset that the feet are in this condition.

PLEASE CHECK THE FEET OF ELDERLY RELATIVES

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Running Injuries

Injuries are often caused by other underlying problems.

Many of you may have taken up running recently or increased your running and could now be experiencing pain or injury.

As Podiatrists, we look at the whole of the lower limb so rather than just treating the painful area, we delve deeper to find the cause so that the issue has less chance to reoccur.

Why not book a biomechanics consultation? I will send you a form to complete which will allow me to have a clearer overview of the problem before the consultation. When you come in, I will have a better idea of the issue and I can concentrate on the key areas that are causing you concern.

Taping is another treatment we use. I can use it for heel pain and achilles tendon issues.