One of the most common heel pain syndromes is called Plantar Fasciitis.
This painful condition can be identified and treated simply and effectively by our non surgical foot care specialist. Following a careful examination of you feet we can determine whether you have plantar fasciitis or another heel pain problem. This condition will not disappear overnight but we can adopt a program for you at your first appointment to help alleviate this painful problem.
This painful heel problem is diagnosed through careful history taking and an examination of your feet.
People with plantar fasciitis typically complain that they have pain in their heel when they get out of bed in the morning. This often fades away but can return if you are on your feet a lot during the day.
The pain is also experienced when standing after a period sitting.
As this is a musculoskeletal problem we need to examine you and take a careful history to determine the specific cause. We will also examine your footwear which can be a contributory factor for some sufferers.
Through a careful examination we can identify what is causing your problem. From this we can provide a treatment program at your first appointment. We will also advise you on the best footwear for this problem.
We also stock quality gel heel cushions which will not cure your problem but will give you some immediate relief from the pain this condition is causing.
Get in touch to make an appointment at a time that suits you. We look forward to seeing you.
Calluses appear as large patches of hard and yellowed skin on the feet. These patches of tough skin tissue can develop over small or large areas and can sometimes be fissured (cracked). Often the skin in these sites is less flexible and can be quite dry.
Hard skin usually forms over areas of the feet where there is too much friction or pressure.
We provide a painless instant treatment here at Toes Company which usually rids you of this problem immediately. We will also educate you regarding this problem and how to try to prevent it.
Maintenance of callouses with a pumice stone can be an effective way for some people to manage them and we advise that “little and often” is the best approach.
Using an effective foot cream to soften the skin in the area can be a useful way of maintaining your calloused skin and reducing the amount of professional attention needed. We recommend CCS Foot Care Cream or CCS Heel Balm for this purpose.
Here at Toes Company we are available to treat your callouses professionally. This can be arranged on a day and at a time to suit you either as a home call visit or at our Clinic.
We will also educate you on what is causing your callouses so hopefully you can prevent them from developing.
We also supply a range of emollient creams which are very useful in maintaining the skin where you get callouses. This not only helps with prevention but can reduce the amount of professional treatment you may need for them.
We look forward to seeing you should you choose this treatment option.
Athlete’s foot is a fungal infection of the skin and can be diagnosed with a clinical consultation. Positive identification is essential as many skin complaints look very similar, for example dermatitis and psoriasis.
It may have two classic appearances depending on the site infected:
1. If the infection is between your toes the skin often has a white, soggy appearance. There may also be fissuring (cracks/splits) in the skin between your toes.
2. Fungal skin infections either on the top or sole of your foot are often visible as dry, red, scaly patches which may or may not have spots in them. These spots are usually very small blisters with a clear to yellow coloured fluid in them.
The affected areas are often quite itchy and you will most probably be driven to scratching the area which can increase the inflammation and discomfort of the skin in the affected area.
Athlete’s foot is usually as a result of infection with a naturally occurring fungi residing on the skin. Athlete’s foot infection develops when the fungi has the right conditions to proliferate or if the fungus is introduced through a crack in our skin. These parasitic fungi are typically transmitted in moist communal areas where people go barefoot, such as around swimming pools or in changing rooms and public showers. They can be spread to elsewhere on your body by scratching infected areas or if not treated effectively.
With a positive identification and careful history taking we can plan a way of managing and hopefully eradicating this annoying problem.
We stock preparations to treat this condition. Using these together with other techniques to reduce the fungi’s desired living environment results in eliminating the infection which causes this common foot problem.
Start the treatment of your athlete’s foot today. Get in touch to make an appointment at a time that suits you whether for a home call visit in the comfort and familiarity of your own home or here at the Toes Company Clinic.
Alternatively you may simply wish for diagnosis, education or advice regarding the use of over the counter preparations for home treatment of your athlete’s foot infection, we can provide this in a single appointment. We look forward to seeing you.
Fungal nails are usually diagnosed through careful examination. They are painless, thickened and crumbly when cut. Fungal nails are often very distinct as there is a noticeable colour change in the nail. The most common colour changes are from your normal nail colour to a distinct range of colours from yellow through to a “rusty” orangey brown appearance. However, not every discoloured nail is fungal.
Injured nails often thicken and have a yellowish hue. This change in colour is due to the thickening of the nail tissue, not a fungal infection. Care is needed in determining whether the colour change is due to thickening of the nail plate or due to a fungal nail infection. Mistakenly treating a nail discoloured due to trauma will not harm you but it is best not to have unnecessary treatment.
Fungal nail infection is caused by a group of fungi adapted to living on the keratin of skin – the “dermatophytes”. This group of fungi can reside on the sole of your feet before spreading between your toes then eventually into your nails. They are acquired from the ground where they may lay dormant for long periods being activated when conditions are right for them to flourish. Fungi typically thrive in warm, damp and dark environments – what better place than a warm sweaty foot inside a shoe!
This infection is often very difficult to eradicate. This is due to the difficulty of getting antifungal agents into the full thickness of the nail and due to the very slow growing nature of nail tissue.
Topical treatments, that is sprays, paints, laquers, are still the main method of treating this condition often with different application methods.
There are many topical agents available in the UK. Some are more effective than others and more are being developed with ever increasing efficacy. Whichever agent is being used it will work best if the infected nail tissue is thinned or reduced. This treatment method requires comittment to resolve as daily applications are required, often for very long periods of 6+ months and regular nail reduction.
Prescription-only anti-fungal drugs are available but these are never a first line treatment. Careful consideration is needed as they are not suitable for everyone to use. A GP referral will be necessary to investigate suitability for this treatment.
Here at Toes Company we are here to help you address this unsightly and often embarrassing condition and to help you feel proud of your feet once again!
We can identify whether you have a fungal nail infection or if there is some other cause of your nail discolouration and problem such as psoriatic nails, trauma related nail changes, etc.
Clinically, we can reduce your fungal nails which will improve the efficacy of the topical antifungal agent you use. We will advise you of how often this needs to be done.
We do supply some topical antifungal agents. We will advise you which of these we feel will be best for you to use for your problem and instruct you on using it.
We look forward to seeing you at Toes Company.
Verrucae are a viral infection of the skin which causes localised patches of abnormal skin.They are often mistaken for corns.
They are diagnosed through careful examination in clinic.Some skin cancers may have a similar appearance. In light of this we recommend all suspicious growths on your skin be checked by your Podiatrist or GP.
Verrucae are often painless. They are usually only painful if sited on the foot in a position where they are pinched when walking or wearing footwear. There typically is no pain on direct pressure. This often leads to the situation where you may have verrucae and not know about them as they do not hurt.
Skin textural changes are noted with verrucae. Instead of the usual smooth and striated appearance of your skin, a cauliflower type texture may be noted in the localised area where the infection is present.
The infected area is usually slightly raised above the surface of the surrounding skin. This may be less noticeable on weight bearing areas where the skin and verrucae are often on the same level.
Colour changes are evident with verrucae with a slightly white appearance if the skin is moist. If the skin is hard and dry and the verrucae is over a weight bearing part of the foot, then there can be a yellowish hue.
“Black spots” in the infected skin is often quoted by people as being an indicator that the infection is a verrucae. This is often not the case! When “black spots” are visible in the infected skin, what is being seen are the sub dermal capillaries (blood vessels) that supply this patch of skin.
All verrucae are caused by the HPV virus. This virus is ever present in the environment. It is opportunistic and will only affect your skin if it gets into your skin through a cut, scratch or crack in your skin or when your skin is very soggy and prune like as it is after a long bath or swimming. In light of this, wearing Crocs, flip flops or similar footwear in public showers and changing rooms will hopefully reduce your chances of getting verrucae.
Verrucae can be very difficult to treat and eradicate. Everybody responds slightly different to the treatment and its duration is different for everyone. Although there are many treatment options available, here at Toes Company we use a single verrucae treatment:
We use specific acids and caustic agents safe to use on skin. We find that for most people they are well tolerated and effective, most importantly returning the skin to 100% normal. The treatment works by physically reducing infected tissue and also initiating an immune response so your own immune system can fight the virus. This treatment is suitable for most people and is effective in most cases. The downside is that we don’t know how long the treatment will take and some verrucae are very difficult to eradicate.
After we have examined your verrucae we will discuss with you your treatment options.
We will determine which is the better verrucae treatment suited to you. We can start the treatment of your verrucae at your first appointment.
If you simply want a diagnosis, education or advice about using over the counter preparations for home treatment of your verrucae, we can provide this in a single appointment.
Start the treatment of your verrucae today. Get in touch to make an appointment at a time that suits you whether at home or in clinic. We look forward to seeing you at Toes Company.
These problems often related to the way your feet and legs are functioning.
Common problems include: plantar fasciitis, shin splints, achilles tendonitis, painful bunions, corns, calluses, aching feet or specific joints and Morton’s neuroma.
Diagnosis is via a physical examination of the affected structures on our examination couch and also observing how they are functioning whilst standing and/or walking. From this we are able to identify which factors are causing or contributing to your problem.
The most commonly reported symptom is pain. Various joints may also be stiff or may ache.
Typically, few if any symptoms are experienced whilst resting. They are certainly evident on activity. The pain is usually persistent and shows no sign of reducing over time.
If the injury is through a sudden trauma such as spraining your ankle, there may be redness, heat and swelling present. If a traumatic injury results in you not being able to bear weight or walk easily you should go to your local A&E for investigation just in case you have fractured a bone.
Musculoskeletal problems are many and varied, and so too can be the causes.
It could be that you have a particularly tight muscle somewhere, a difference in the length of your legs, too much movement available around a specific joint or even just through wearing footwear not suited to your feet or activities. You may also be walking or running in a way that overloads / over uses a particular structure causing it to be injured.
Musculoskeletal problems treatment can begin once we have identified the injured structure and factors contributing to or causing your problem. We will develop a personalised treatment plan which may involve several or all of the following: specific stretching exercises, appropriate medication, footwear advice and the prescription of orthoses (insoles). The orthoses may be a prefabricated orthosis which can be customised or a fully bespoke pair of orthoses made specifically for you and your problem. The purpose of the orthoses is to improve foot function or reduce pressure away from any problem area.
We will examine you to identify your problem and immediately establish a treatment plan to address your musculoskeletal problem. If left untreated, these problems can deteriorate further – so book an appointment at your earliest opportunity to start on the road to recovery. We look forward to seeing you at Toes Company.
This painful problem is diagnosed through careful professional examination in clinic.
With a true ingrowing toenail, the nail pierces the flesh and becomes embedded in it. These same symptoms can be experienced if your nail is excessively curved (involuted). An involuted nail can progress to become an ingrowing nail as it gets longer.
Pain not associated to injury is the earliest symptom of an ingrowing toenail. You will eventually be restricted to your roomiest or opened toed shoes due to the pain, as it can be very intense. Sufferers also typically report they cannot even bear the weight of their duvet in bed on the toe affected.
If the nail pierces the flesh near the tip of your toe a pus filled blister may develop. This can be visible as a greenish yellow area immediately adjacent to the nail. The toe may also get red, hot and swollen.
Sometimes hypergranulation tissue forms down the side of the nail. This is where the nail has pierced the skin and your body tries to heal the pierced area producing extra tissue which is usually reddish and wet. It can weep and sometimes bleeds if disturbed.
Ingrowing toenails are often due to poor nail cutting.
They may also develop due to trauma at the site – either a single incident or due to repeated trauma such as playing football or repeated pressure from a tight shoe.
They can often appear to develop spontaneously which may happen if the nail is very wide or excessively curved (involuted).
Picking at nails or pulling skin down the side of the nail can also lead to an ingrowing toenail.
If caught very early a simple clinic appointment can solve this problem.
If not caught early enough, nail surgery using local anaesthetic is the only answer to this painful problem.
Ingrowing toenails are best solved with immediate professional treatment in clinic – so book an appointment in order to identify the problem as early as possible. If the problem has progressed too far, Toes Company can advise you on the need for referral to your GP.
Corns are often mistaken for verrucae or warts. Read on for more about this condition and the treatment available.
Diagnosis is by inspection during a home visit appointment or in clinic. Corns are often mistaken for verrucae/warts.
Often the first symptom for all types of corn is pain at the site of the corn. Pain is usually only present with “direct pressure” over the corn. This can be by walking on the affected area, pressure of a shoe on the affected area or even pressure between toes that are affected. The area will usually have a very localised area of hardened and yellowed skin (for hard and seed corns) or slightly raised and whitened / soggy looking skin for soft corns.
The usual cause of all corns is excessive pressure or friction over the affected site. In the case of soft corns this is in the presence of excessive moisture as well.
Usually corns are very successfully and immediately treated in a single treatment appointment by a Foot Care Specialist. At this appointment we will also look at your feet and footwear to advise you on how you can hopefully avoid getting corns in future – many are preventable!
Here at Toes Company we are available to treat your corns professionally . This can be arranged on a day and at a time to suit you whether in clinic or a home visit may be preferred.
We can educate you on what is causing your corns so hopefully you can prevent further corn problems.
We supply a range of gel products which are very useful in alleviating the pain from corns until you can arrange a suitable appointment to have them treated. These gel products cushion painful corns and reduce friction over corn sites.
We look forward to seeing you at Toes Company.