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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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Peripheral Arterial Disease – Checking your foot pulse

Why do I check your foot (pedal) pulses?


In the main, I want to know what your blood supply to your foot is like. This gives me an indication of the function of your heart and how well the blood is getting to your feet. I may ask you questions about pain or odd sensations. If the blood flood is good, then this indicates that you will heal up well should you suffer any cuts to your skin.


There are important peripheral arterial conditions that affect the flow of blood to your feet and as Podiatrists we have these in our minds when we are looking at the foot in general and listening to your pulse.

The Doppler


Listening to a pulse with the Doppler can detect irregularity in the heart rate (arrhythmia). Referral on for further investigation can result in the recognition of undiagnosed atrial fibrillation. For people with atrial fibrillation, the risk of stroke increases fivefold.

Atherosclerosis and Arteriosclerosis

Both these terms are used to describe blockages in your blood vessels, but they are different in the types of vessels they affect. Atherosclerosis is a thickening of the wall of an artery caused by fatty deposits and leads to a narrowing or obstruction of the artery.
Arteriosclerosis is a normal ageing process where the internal and middle wall of the artery becomes thickened, increasing the rigidity of the vessel. This contributes to increased blood pressure in later years.

Arteriosclerosis plays a key role in disease progression, particularly in people with diabetes, renal disease or the very elderly.
Symptoms include; intermittent claudication (inadequate blood supply causing pain in exercise), ischaemic rest pain – burning pain, worse at night, located in the forefoot and toes.

Critical limb ischaemia requires urgent referral to a vascular surgeon.
Preventative heart attacks and strokes is a major objective within the NHS 10-year plan. Early diagnosis of peripheral arterial disease is a key way of improving cardiovascular outcomes, and as the lower-limb profession, Podiatrists are able to take the lead in this extremely important task.

Katrina Corby

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NOVEMBER LOCKDOWN – Business as usual

Podiatry is a medical appointment and therefore I am permitted to continue working. This is to protect the NHS.

I will operate a triage system, those requiring Emergency treatment will be given priority.

Wickham Square Clinic will operate as usual (with a triage system in place).

Southsea Podiatry building is unable to open. I will offer clients an appointment in Wickham Square Clinic which will be on the same day and time slot as their original appointment. If it is not possible for clients to get to Wickham Square, I will carry out a home visit.

Please call if you require any further detail. I will be contacting those clients with appointments at Southsea Podiatry.

Many thanks for your continued support.

Katrina Corby, Podiatrist

07508 150 994