Firstly we will ask the patient to provide a medical history, it is important for us to know of any medical conditions such as Diabetes that may affect our treatment options.
Next we establish the problem that has brought the patient to us.
Following this an assessment Is made of the foot’s general condition, this may involve testing joint movement and checking pulses. An evaluation of all footwear will also be helpful at this stage
Then we will discuss the nature of the problem and along with the patient agree a treatment regime.
In the event that we feel that we are unable to treat the condition we will advise the patient who to contact or refer on to the appropriate professional.
Involving nail cutting and removal of corns and callus and advice on foot care.
When a patient presents with a nail problem so long as it is seen early enough we should be able to treat these problems, including infections, conservatively. However on some occasions the nail or part of the nail will have to be removed.
We have over 35 years experience in nail surgery, which involves removal or partial removal of a nail under local analgesia and phenol ablation to prevent nail regrowth.
This is an assessment of the foot’s function and its relationship with the lower limb. Sometimes ailments may be due to a shortening of muscle groups and simple stretches and advice on footwear may be all that is required to solve a problem.
Orthoses are used in conjunction with stretching and the correct footwear to treat many foot and leg problems, (see list of conditions). They play a valuable part in the treatment programme. Following a biomechanical assessment orthoses may be prescribed and fitted to appropriate footwear. There is a lot of debate within the Podiatry world with regard to off the shelf orthoses against custom made. While we will still make custom made orthoses we feel that the variety of off the shelf devises will be suitable for the majority of the conditions that we treat. As custom made devices can cost around six times that of an off the shelf device we are aware of cost implications.
Verrucae are caused by a viral infection that often results in a painful growth and may occur anywhere on the foot.
Treatments vary from over the counter remedies that the patient can use under guidance to strong acids and electrocautery.
There has been a recent development in the treatment using microwave technology. We hope to be able to offer this treatment in the near future but at the moment only one machine exists in Scotland, please follow the link to the Dunfermline Podiatry centre.
Many people suffer from fungal skin and nail problems. While treatment of the skin is relatively successful unfortunately fungal nail conditions remain difficult to cure. There is insufficient evidence to show the longterm benefits of the over the counter treatments. The most successful treatment is a combination of a systemic drug (available from your GP only) and a topical application of the same drug.
If a patient presents to us with a bacterial infection in their feet, the most common is at the site of an ingrowing toenail, we are able to supply a systemic antibiotic should we deem it necessary.