The Vale Clinic

Podiatry & Chiropody Treatments

What to Expect at Your Initial Consultation

Details of your presenting complaint and a thorough medical history will be taken. An assessment will be carried out, a treatment plan will be agreed with you, and your progress is reviewed periodically.

A standard treatment for example, of  toenail cutting and removal of hard skin and corns is generally included at your initial consultation; however, this may not always be the case and is dependent on your foot complaint and the time given for the appointment. An extended appointment time can be requested and scheduled, if you require one.

The outcome of your appointment can be any of the following:

  • Periodic general foot care appointments to help manage your foot care needs, and improve the general condition of your feet.
  • A course of treatment-  this includes a set number of appointments until the condition is resolved or the problem alleviated. An example of such is nail surgery, biomechanical assessments and insole or orthotic provision and you will be subsequently discharged with self-management advice.
  • One- off appointment- the problem is resolved and you are given self-management advice to prevent recurrence.  Further appointments can be booked in the future where required.
  • Referral- on to an appropriate healthcare professional or specialist for further assessment, input, opinion or management where indicated.  A referral to a specialist is processed via your GP.

Please print off and complete the new patient consent form and medical history questionnaire opposite, and bring both copies along with you to the appointment. 

If you do not have access to a printer, you will be provided with a hard copy to complete at the clinic. Please arrive at least ten minutes before your appointment to allow for time to complete the forms.

Podiatry & Chiropody Treatments

Below are examples of common foot conditions and problems, the Podiatrist assesses and treats at the Vale Clinic

The build-up of hard skin on the soles of the feet and development of corns, can be caused by rubbing of bony prominences on the feet which can become very painful.  The heels can crack where the skin is inelastic and dry.  Treatment is offered to improve and maintain good skin quality, by gently pairing away the hard skin and corns.

Podiatrists are able to treat painful problematic nails, and help you better manage them. Problematic nails such as painful Ingrown toenails, fungal nails, blackened toenails, thickened and deformed toenails.  Advice on daily foot care tailored to your needs, will be given to you by the Podiatrist.  

An example of a common skin condition is Athlete’s foot.  This is a 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, which 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 a 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 clinic using Low Level Laser therapy, Cryotherapy, caustics or acid and needling if 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, and become dry, thin and fragile, reduced padding to the sole of the feet, arthritic joints, normal wear and tear that can cause us to experience pain in the feet.  

An annual foot health check or regular general foot care every few months with a Podiatrist or Chiropodist is recommended, as they are well placed to help with foot advice and general care. They 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 talk to the Podiatrist or Chiropodist if you are experiencing 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. It is caused by friction, burning, or other damage.

Numb feet is caused by damage, irritation or entrapment of nerves in chronic conditions such as diabetes.  The Podiatrist or chiropodist will assess your feet, and advice you how you can manage your feet, or refer you to an appropriate medical practitioner where indicated.

Foot sores also known as wounds or ulcers, are seen in many chronic conditions such as Diabetes.  Diabetes is the number one cause for foot ulcers. It can be caused by damaged nerves in the feet – peripheral neuropathy, 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. 

Wounds 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.

Podiatric biomechanics is the use of the mechanics in the body to assess, diagnose and treat lower limb musculoskeletal problems and conditions.  It covers a multitude of areas in clinical practice such as sports injuriesarthritic conditionsthe diabetic foot and in children (Podopeadiatrics)

Podiatrists help prevent, diagnose, treat and rehabilitate the foot and associated structures.  An assessment will enable the Podiatrist to evaluate the presenting complaints through a means of reliable tests, and come to a diagnosis from the information gained. 

Common MSK conditions in the lower limb the Podiatrist assesses and treats at The Vale clinic

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

Ankle & leg – Achilles tendonitis, Shin splints, Severs disease

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

Podopeadiatrics is the diagnosis and treatment of foot conditions in children.  Children can exhibit foot and lower leg conditions such as heel pain (Severs disease), knee pain (Osgood Schlatter’s disease). There are times where parents require advice on observed traits in their child such as toe walking or flat feet, and would simply like the opinion of a Podiatrist. The Podiatrist at the Vale clinic can give advice and treat these conditions where indicated.