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Skin & Nail Problems

Ingrown Nails

Does the edge of your nail curve downwards into the skin?

Have you had multiple treatments for your ingrown nail but they just keep coming back?

You don’t have to put up with a painful ingrown toenail!

Our podiatrists are trained in the both simple removal of ingrown toenails that can ease the pain straight away often with minimal pain and discomfort or provide a surgical removal for permanent relief.

Treatment options include:

Simple nail trimming & clearing of the affected corner
Examining how your footwear, activity & lifestyle factors may impact the way your nail grows
Surgical removal of the ingrown edge under local anesthetic to prevent the corner from growing back.


Learn more about Ingrown Toenail Surgery here.


Do you have discoloured or thickened nails?

You may have a fungal toenail infection…

Fungal nail infections are caused when fungi infects the nail plate and the soft tissue beneath the nail. Something as simple as banging a toe, trimming your nails too closely or wearing tight shoes can be enough to weaken the nail and expose the underlying nail bed to infection. Toenails are vulnerable to infection because they can spend much of their day in warm and often moist socks and footwear.

An infection may begin as a white or yellow spot under the tip of your toenail. As the nail fungus spreads, it may cause your nail to discolour, thicken and develop crumbling edges. Thick toenails may cause discomfort in shoes and may even make standing and walking uncomfortable for some people. The infection can spread to other nails, and possibly to other people. 

Research shows that fungal nail infections can affect up to 20% of people and account for over 50% of all nail problems. It is important to seek treatment as soon as you think you have an infection.

Your Podiatrist can diagnose & identify the fungus and start you on the road to stronger and healthier nails!

There are 3 main ways
to treat fungal nails:

Topical:

Applied daily for 3-12 months.  They work OK for minor/new infections but overall has a success rate of between 10-30%. 

These are best used in conjunction with other treatments to increase outcomes

Oral Antifungal tablets:

Prescribed by your GP and taken daily for a 6 week long course, usually after a liver function test. The 6 week course is generally repeated after another liver function test.

Although deemed to be safe there are known side effect. Success rates of around 50

Lunula Cold Laser:

Course of treatment 4-6 weekly treatments highest success rate of all known treatments painless treatment with no side effects

Ongoing maintenance of your skin, your socks & shoes is very important. You must either treat or change to new ‘uninfected’ socks, sterilise your shoes regularly using the Sterishoe, use a cream for your skin daily if your feet are showing signs of tinea and a nail paint as maintenance to keep nail infection away.

Your Podiatrist can take you through the best care for your feet.

Verruca/Warts
Do you have any unusual lumps or bumps that have developed on the soles or toes of your feet?
You may have developed a verruca.

Verrucae are caused by a viral infection and over time, develop into a hard, rough growth on the surface of the skin but can also appear on the top or around the toes. They may appear spongy, with tiny red, brown, or black spots. If left untreated, they can spread to other parts of the foot.

If left untreated, verruca can grow and can form into clusters, these are called mosaic warts.  They can be spread by touching, scratching or even by contact with skin shed from another verruca. Verruca may also bleed - another avenue for spreading.  Verruca are sometimes mistaken for corns or calluses.

Children, teens & people with weakened immune systems are more vulnerable to the verruca virus.

Dry ice, salicylic acid dressings and surgical removal are options for treatment but the new gold standard for fixing verruca is Swift Microwave Therapy

Calluses & Corns


Calluses are hard, thickened areas of skin that are generally not painful and require no treatment. This hardened skin is the body’s way of protecting itself from diffuse pressure or friction. Poorly fitted or worn footwear are a common cause. Some people with dry skin are predisposed to developing callus.

Corns are common foot conditions that occur from repeated focal pressure on the foot, such as rubbing of the skin against a shoe, wearing no socks with shoes, or foot deformities. Women are more likely to develop corns due to wearing high heels and less supportive footwear then men. Corns come in three different forms: hard corns, soft corns, and seed corns. Located on the top or outside of the little toe, hard corns look like a compressed patch of hard skin with a dense core. Soft corns are found between the toes while seed corns develop on the heel or ball of the foot. All corns can be painful.

The pain from a corn can be helped instantly by removing the hard skin that has developed, giving relief straight away and on most occasions will be a painless procedure. They can be cured by removing the force which is causing it via improved footwear choices that reduce pressure on the affected area. Deflective padding and digital corn devices are also indicated for treatment.

Over the counter (OTC) corn pads with medication are available but be wary; the salicylic acid on the corn pad can cause a chemical skin burn and possible infection. These are definitely to be avoided by those with diabetes.


Cracked Heels


Early stages of fissures on the feet, particularly the heel, involve the splitting of the skin to produce unsightly cracks. If heel cracks remain untreated, the cracks can progress into fissures. Cracks only effect the upper layer of the skin called the epidermis, while fissures begin to crack deeper into the skin, just below the epidermis into the dermis. Dry skin is the reason most people assume they have cracking heels, but increased weight, diabetes, neuropathy, poor circulation and poor nutrition can also cause poor foot health. Symptoms of heel cracks and fissures vary from mild to severe. The most apparent symptom is cracks in the epidermis of the heels. Other symptoms include: Dry, itchy heels, hard skin on the heels, pain, difficulties standing or walking and bleeding or discharge

With proper treatment, heel cracking will not evolve into fissures. Moisturising the feet twice a day will heal the cracks in most cases. If cream is not helping your Podiatrist is able to remove the hard skin and thickness around the cracked region helping to give initial relief and enable the cream to further soften the skin. In more severe cases you may need additional treatments to keep the skin thickness down alongside daily applications of cream. Regular appointments are recommended here

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