Podiatric Surgery
“Podiatric surgery is the surgical management of the bones, joints and soft tissues of the foot and associated structures. ” Royal College of Podiatry.
Podiatric surgeons are highly skilled clinicians who continue from their degree in Podiatric Medicine to study at Master’s degree in Podiatric Surgery. They undergo rigorous academic and practical study, to enable them to qualify to perform foot and ankle surgery. They are regulated with specific standards by the hcpc.
From September 2022 we shall have Mr Ian Reilly (Podiatric Surgeon) join us once a month to offer advance treatments in the clinic. Please find below a short list of some treatments available:
Initial Assessment
It is necessary to fully assess and discuss the diagnosis and treatment plans with patients prior to undertaking any treatment.
Steroid Injection therapy
This procedure is an injection of corticosteroid into the big toe joint for patients experiencing pain at the big toe joint during gait. Performed under sterile technique to prevent surgical site infections. https://youtu.be/MAQSm5GqFzQ
Toenail procedures
Winograd
This procedure is used to treat an ingrown toenail after multiple attempts to treat an ingrown toenail have proven unsuccessful due to painful regrowth accompanied by hypergranulation tissue. It is an invasive out-patient procedure where the surgeon makes a soft-tissue incision shaped like a ‘D’ to remove the offending nail spicule after multiple failed partial nail avulsion procedures using phenol have been carried out. https://youtu.be/8gSCtHInSNA
Zadik (Fowlers technique)
A total nail removal, plus removal of the nail matrix where nail plate cells originate from. This is to be done after conservative treatment using phenolisation has failed and the offending nail has grown back. The procedure is performed under local anaesthesia and does not require phenolisation because the matrix will be removed. https://www.youtube.com/watch?v=QfnsMD-PA1c&t=10s
Minor Surgery
Falknors Needling
Used as one of many treatment options available to treat verrucae. The procedure is carried out under local anaesthesia. A hypodermic needle is then used to repeatedly pierce the skin. Patient to avoid taking NSAIDs immediately post-op in order to control the inflammatory response. https://youtu.be/JKfJXjIV0ps
Skin lesions
Other minor corns and skin tags may be removed during an out-patient appointment.