Chiropody/ Podiatry

What is Chiropody/Podiatry?

Podiatry is a specialist area of healthcare that focuses on preventing, diagnosing and treating conditions associated with the foot and ankle.

Here at the Riverside clinic in Vauxhall we treat many of the common podiatric conditions such as:

Skin disorders such as:

  • Calluses – are thick hard skin formed from pressure, friction, mechanical and torsional forces.
  • Hyperkeratosis – dry cracked skin on the sole of the foot
  • Corns – which are small thick lumps of concentrated callus. May be hard, soft or vascular and very painful.
  • Verrucae – are a type of wart caused by viral infections affecting the outer-layer of the skin.
  • Ulceration – which occurs due to high extensive pressure causing the skin to break down.

Nail disorders such as

  • Ingrowing toe nails – occurs when the nail edge presses into the skin, often cutting through causing inflammation.
  • Fungal nails – a form of athlete’s foot, which can spread to the nails causing discolouration, crumbling and thickened nails.
  • Distorted nails – caused by damage the nails can grow very thick and misshapened.

Foot function problems such as

  • Heel and Arch Pain – often caused by strain on ligaments due to over pronation (flattening of the arch)
  • Weak Ankles – often caused by over supination (too high arches)
  • Shin, Knee, Hip and Low Back Pain – which may be caused by excessive rotation in the leg as a result of poor foot function.

Specialised treatments include:

  • Minor surgery under local anaesthesia for verrucae and ingrowing toe nails
  • Gait analysis and assessment of foot function

If you are suffering from any of the listed conditions above or have a problem with your foot or lower limb then please contact us at the Vauxhall Riverside clinic and we will be glad to liaise with you further.

Corns and Callus

Callouses are areas of hard skin, which form as a result of pressure and friction. The skin hardens to protect itself. Most people have a little callous on their feet which is harmless. It is only a problem if it gets too thick or crack. 

Corns are small areas of concentrated callous, which have a central core called a nucleus. When under pressure the nucleus is often very painful and requires treatment by a podiatrist. They form under or over pressure points, between the toes, on the toes and under the sole of the foot 
The hard skin is pushed in by the pressure and often feels like a splinter embedded in the foot. Treatment of corns will include the removal of the corn which helps address the abnormal pressure that is causing the corn to develop.

Cracked heels occur when heavy callous on the heels gets too thick and dry. Cracking is often associated with open backed sandals, which put a lot of stress on the edge of the heels. They can split deeply causing bleeding and severe pain.

If untreated they can breakdown underneath and ulcerate becoming very painful.

Verrucae

What are they?

Verrucae are viral infections caused by The Human Papilloma Virus. The virus invades the outermost layer of the skin thus causing a visible lesions to appear on the skin. They are really a type of wart. 

Like warts they often have a broken up “cauliflower” appearance. They can look a lot like a corn, especially on the sole of the foot, where they are squashed into a hard lump. 
The best way to identify them is by squeezing. If it is a verruca it will have a sharp pricking feeling.

Are they infectious?

They are not very infectious though that is how they spread. Normally your skin has to be moist or abraded to pick up the virus typically from communal changing areas at gyms and swimming baths.

Do they need to be treated?

Ideally they resolve naturally when the bodies immune system attacks, and this can provide future immunity. However if they are painful or spreading treatment may be required.

Treatments

Our podiatrists offer a range of verrucae treatments including caustic agents, liquid nitrogen freezing and verruca needling.

Ingrowing toe nails

They occur when the edge of the nail cuts into the skin. It often bleeds and becomes inflammed as the skin tries to heal itself. As the nail is in the way the wound cannot close so hypergranulation (healing) tissue starts to grow on top of the nail. The toe can swell to twice its normal size and the wound can become infected and ooze pus.

What causes them

Most ingrowing toe nails are caused by poor nail cutting or injury. A rough or sharp edge may be left which cuts into the skin as the nail grows. Close fitting shoes don’t help, pushing the nail edge down into the groove.

Involuted nails

These occur when the nail edge curls down into the groove. The more it presses into the groove the more the skin hardens forming a callous. If the pressure continues corns can form in the nail groove. They can be very painful but can usually be removed in a single treatment.

Treatment

Both involuted nails and ingrowing can be dealt with by your podiatrist. Conservative management is often sufficient. Some nails benefit from toenail surgery performed by a podiatrist under local anaesthesia, whereby a more long term solution can be offered.

Fungal Nail Infection

Fungal spores exist everywhere in the enviroment, so everyone is exposed to them at some time or other. They are very easily picked up in communal changing rooms. This is why Athletes foot is the common name for fungal infections. 

They grow best in warm moist dark conditions, so the inside of a shoe is ideal. 

Nail infection developes from Athletes foot as the fungus spreads to the nail.

Fungal toenails are identifiable by white spots on the surface of toenails, yellow / brown tracks at the end of the nail, similar tracks extending up from the cuticle or crumbling at the nail edges.

At their worst they can cause total destruction or deformity of the nail and may spread to other toenails or may spread to the skin of the foot leading to athletes foot.

As above your podiatrist will determine whether you are suffering from one of the following forms of fungal infection:

  • White superficial onychomycosis
  • Distal lateral subungal onychomycosis
  • Proximal lateral subungal onychomycosis
  • Total dystrophic onychomycosis

Your podiatrist will discuss with you appropriate treatments having excluded other possibilities which may have led to nail deformity, discolouration or crumbling such as disease processes or trauma.

Anuj Soni

Chiropody/Podiatrist & Acupunctur
BSc (HONS) MChS HPC Reg

Registered with the Health Professional Council Member of the Society of Chiropodists and Podiatrists.

Anuj graduated from Aston University with an honors degree in Podiatric Medicine in 2013 and brings a new modern approach to podiatry.

Anuj is a practitioner of general podiatry with experience in the treatment of a variety of foot conditions. Anuj’s care also extends to the management of the diabetic foot, rheumatology, biomechanics, nail surgery and verrucae needling.

Anuj currently works at clincs in Harley Street, Marylebone and at the Riverside clinic in Vauxhall. 

Prior to Podiatry Anuj worked within the Healthcare sector, this has allowed him to enhance his communication skills and the ability to understand his patient’s requirements.

Anuj is enthusiastic, professional and caring thus ensuring he delivers outstanding practice.

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Dentalia Limited
10 Aviary Court
Wade Road
Basingstoke RG24 8PE

Email: info@dentalia.co.uk
Tel: 01256 353033 / 01256 353252

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