The Vale Clinic

Podiatry & Chiropody Treatments

Podiatry & Chiropody Treatments

Below are examples of common foot conditions I treat at the clinic, click on the description below to find out more.

The build-up of hard skin on the soles of our feet, can be caused by rubbing of bony prominences in the shoe. It can become very painful, if left untreated.  The heels can crack where the skin becomes inelastic and dry, causing pain.  

Here at the clinic, treatment is offered to improve and maintain skin quality, by gently pairing away the hard skin and corns.

We treat painful problematic nails, and can help you better manage them. Problematic nails such as painful ingrowing toenails, fungal nails, blackened toenails, thickened and deformed toenails.  We advice you on how you can look after your feet at home.

Fungal toenails are one of the most common nail conditions we see in our clinic every day.  We can now offer a consultation and instant testing with same day results, where previously for many years Podiatrists have relied on sending nail clippings through the GP for laboratory testing, which took 6 weeks.  The results sometimes would come back negative or inconclusive, even though clinically we can tell that fungal elements are present within the nail.

Our same day testing service, returns an accuracy with over 97%.  This tests for the most common cause of fungal nail infections – dermatophytes.

The test takes no more than 5 minutes, all that is required from you are nail clippings that are processed straightaway in our clinic.  The results are sent to you within 24 hours with a diagnosis, with treatment options for you.

We employ two main treatment modalities with excellent clinical outcomes. 

  1. Treating conservatively with antimicrobials and antifungals, and monitoring the progress whilst having the bulk of the infected nail/s cut back periodically (every six to eight weeks) where loose, and;
  2. Painless removal of the infected nail to expose the nailbed where the infection resides, and over a period of time as the nail grows back, topical antimicrobials and antifungals are applied to the nail bed daily with the expectation that a healthy new nail will regrow.

If treating conservatively, treatment of fungal nails with topical antifungals and antimicrobials for mild to moderately infected toenails can take approximately two years. For a quicker turnaround, or if all other treatment has failed, the painless removal of the infected nail/s under local anaesthetic and treating the nail bed with an antifungal medication over a period of 6- 12 months as a new healthy nail grows may be considered.  Removal of a nail is a well-known procedure used by Podiatrists to treat problematic toenails.

Click here to view some case studies with pictures of before and after treatment for a few of our patients.

Athlete’s foot is a very common skin condition, and is prevalent the summer months.  This is a fungal skin infection caused by Tinea, a fungus that grows on the foot. 

It can be itchy, flaky, and appear as moist patchy white areas in-between the toes. This can sometimes crack and become painful. It can also appear as red spots, on toes, soles, or sides of the feet.

Athlete’s foot can be treated very easily with antifungal powders, sprays or creams from the pharmacy. Improvement can be seen as little as a few days. 

If left untreated, the fungal infection can spread to the nails, causing fungal nail infection.

Verrucae are warts that can be found on any part of the foot, but commonly on the soles and the toes.  It is caused by a virus, and can be treated in the foot clinic using acids, freezing and dry needling where appropriate.

Arthritis is swelling in one or more joints of the feet, causing pain and stiffness.   A Podiatrist or Chiropodist are one of the healthcare professionals able to advice and help manage symptoms of arthritis in the feet.

As we age, our feet can develop associated physiological changes such as inelasticity of the skin, where it becomes dry, thin and fragile.  A depletion of the padding to the sole of the feet can at times be seen – you might describe it as ‘walking on pebbles’; aches and pains in arthritic joints – these are normal wear and tear that can cause us to experience pain in the feet.  

It is recommended that we have an annual foot health check, or regular general foot care every few months. A podiatrist or chiropodist is well placed to help general foot care and with management advice. We can also pick up on conditions such as poor circulation, which can occur in old age or in chronic conditions such as diabetes.

Poor circulation is reduced blood flow to the legs and feet, through the hardening of the arteries. It causes cold feet, cramps and sometimes pain in the lower limb, and can undermine the body’s healing process of fighting off infection. Smoking  and conditions such as diabetes, can cause poor circulation.   Book an appointment to have your circulation checked, if you are experiencing any symptoms of poor circulation.

 Chilblains are painful, itchy swelling on the foot, caused by poor circulation in the skin when exposed to cold.

Blisters are small or large bubbles that can appear on the skin, they are filled with serum. In the feet, It is usually caused by chafing or friction from ill-fitting footwear.

Numb feet is caused by damage, irritation or entrapment of nerves often seen in chronic conditions such as diabetes I am able to assess your feet, and advice you on how you can manage your them.

If there is a need to refer you for further management, your doctor will be contacted in writing to request their input.

Foot sores also known as wounds or ulcers, are seen in many chronic conditions such as diabetes.  Diabetes is known to be the one of the main causes for foot ulcers.   Ulcers are simply a break in the skin which and range from a small superficial wound, to very deep – they vary in size, depth and location.

Ulcers can come about as a result of nerve damage in the feet – known as peripheral neuropathy. This is where the sensation in the feet is altered, and the perception of cold, heat or pain is diminished.  

Poor circulation in people with Diabetes, through hardening of the arteries, reduces the blood flow to the legs and feet, and can undermine the body’s healing process of fighting off infection. 

Ulcers can fester if not treated in a timely manner. If you discover an ulcer seek immediate medical assistance as this would require a specialist’s input to help progress the ulcer to healing.  

Podiatrists specialise in wound care,  and can assess and treat ulcers effectively.

Below are common musculoskeletal conditions that I see at the clinic, hover over the highlighted words to find out more.

Feet – Plantar fasciitis, Morton’s neuroma, Bunions, Arch pain, Heel pain, Ball of the foot pain (metatarsalgia).

Ankle & leg – Achilles tendonitisShin splints, Severs disease

Knee – Osgood Schlatter’s disease, Patello- femoral syndrome

Children also experience foot and lower leg conditions such as ingrowing toenails, verruca and warts, heel pain and  knee pain – If you need professional advice or opinion, on an observed trait in your child, for example toe walking or flat feet, this is something I can help with at the foot clinic.