Podiatry Care

Introducing our Podiatrist - Jessica Ackroyd

Our Podiatrist Jessica Ackroyd provides foot assessment, advice and short-term treatments for patients who are registered at any of the above GP practices. Patients may book podiatry appointments via reception or econsult. The podiatry service offers advice and short-term care for anything which is foot, toe and ankle related such as; foot and ankle pain, corns, verrucae, toenail concerns to diabetes footcare advice.  

The podiatry service does not provide any basic toenail cutting treatment and is not for patients who are already under the care of the Sirona podiatry high risk foot team. Patients who are already under the care of the Sirona podiatry high risk team must contact the Sirona podiatry team to book podiatry appointments. Sirona podiatry website:  https://sirona-cic.org.uk/nhsservices/services/podiatry-service-2/ 

Common Foot Problems

Information and images are courtesy of The Royal College of Podiatry

Aging Feet

As we age, we naturally develop more problems with our feet. Find out what you can do to avoid these. Read More

Athlete's Foot

Athlete’s foot is a fungal infection of the skin that can lead to intense itching, cracked, blistered or peeling areas of skin, redness and scaling. Read More
 

Blisters

blister-promotion

Blisters are painful, fluid-filled lesions produced by friction and pressure. Find out how to prevent them occurring and how to treat them. Read More

 

Bunions (hallux valgus)

A bunion is a deformity of the big toe which leads to a bony lump on the side of the foot. Find out what treatments are available. Read More
 

Chilblains

Chilblains are small itchy, red/purple swellings on the skin which may become painful and lead to infection. Find out more. Read More
 

Corns and callus

Corns and callus form as a protective response to skin rubbing against a bone, shoe or the ground. Find out more. Read More
 

Flat Feet 

 
Understanding the flat foot or low arch and when it becomes a concern. Your podiatrist will be able to advise you on the most appropriate course of treatment specific to you. Read More
 

Gout

Gout is an inflammatory type of arthritis that causes severe joint pain. Find out what causes it and how it can be avoided. Read More
 

Heel pain

 
Heel pain is a common complaint and can affect anyone. Find out about the different causes and the treatments available. Read More
 

Ingrowing Toenail

An ingrowing toenail occurs where a piece of nail pierces the flesh of the toe. Find out why this happens and what you can to to avoid it. Read More
 

Osteoarthritis

Osteoarthritis (OA) is often called the ‘wear and tear’ arthritis. Find out what causes it and how a podiatrist can help. Read More
 

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic inflammatory disease that affects the hands, feet, wrists, ankles and knees. Find out more about it and how it can be treated. Read More
 

Stiff big toe (hallux rigidus)

What is hallux rigidus? What is the cause of hallux rigidus? Find out about common presenting problems and treatment options. Read More
 

 Sweaty Feet

For some people sweaty feet are a persistent problem which can be uncomfortable and embarrassing. Find out how to manage the problem. Read More
 

Toe deformities

Find out about the various types of toe deformities, what causes them and the remedies podiatrists recommend. Read More

Verrucae

Verrucae are plantar warts that commonly occur on the soles of the feet or around the toe area. Find out what causes them and how to treat them. Read More
 

Diabetes and Your Feet

Diabetes may affect your feet in a number of ways.  

One of the early changes with diabetes can be loss of sensation (peripheral neuropathy) in your feet, often starting at the toes. Your chances of losing feeling in your feet (neuropathy) increases with the number of years that you have diabetes and research suggests that up to one in three people with diabetes have some loss of sensation. The onset of neuropathy is gradual and often people who develop this complication are unaware of it at the start. Often it occurs between 7 and 10 years of having diabetes, although in some cases it can occur sooner where blood sugar levels have not been so well controlled. Very occasionally pain or a burning sensation may accompany loss of feeling (painful neuropathy). Good blood sugar control is vital for the prevention of nerve damage, especially as the evidence shows that once loss of sensation has occurred, it will be unlikely for the sensation to fully return.   

Additionally, when the nerves in your feet are affected, other changes may follow, for example, your toes may start to claw and the bones in your feet can become more susceptible to fractures. Many people can also suffer from very dry skin and or may find they are more prone to developing fungal skin and toenail infections. 

High blood glucose levels can also damage your blood vessels and thereby reduce the circulation of blood flow to your feet and legs, this is known as peripheral arterial disease (PAD).  Diabetes may also affect your ability to heal and reduce your natural ability to fight bacteria.  Consequently, you should take particular care of any scratches, cuts or blisters on your feet. 

If you experience any form of neuropathy or pain or discomfort in your feet, it is advisable to consult a Podiatrist, since it is possible in many cases to alleviate these symptoms. Please contact your practice to request an appointment. 

What can I do to look after my feet? 

Preventing foot problems involves managing your diabetes well, controlling blood glucose levels (along with your cholesterol and blood pressure) and leading a healthy active lifestyle. Your chances of doing this will be greatly increased if you do not smoke.  By adopting these measures, you can prevent or slow down any changes to the nerves and blood vessels that supply your legs and feet. 

  • Good general foot hygiene such as washing feet daily, drying in-between your toes, changing socks daily.  
  • Check your feet daily. Therefore, you can recognise any changes to your feet early. 
  • Always wear footwear, inside and outside of the house. 
  • Check inside your shoes for any loose seams, stones which may cause blisters, wounds of skin irritation. 
  • Always wear shoes that fit the shape of your feet. Ideal shoes should have a fastening, cushion insole, accommodative toebox and a firm protective sole.  
  • Clean any cuts, blisters, wounds, burns to your feet and apply a dry sterile dressing. Any wounds which do not heal contact your GP surgery or podiatry team. 
  • Never sit with your feet too close to a fire or hot radiator and always check the temperature of your bath water with your elbow before going into the bath feet first.  
  • Avoid using corn plasters and over the counter verrucae treatments  
  • Apply daily emollient to your feet (not in between your toes) should you have dry skin.  

If you have any concerns relating to your feet, contact your GP surgery, see a podiatrist.  

Everyone who has been diagnosed with diabetes should have their feet checked once a year by a healthcare professional. During these foot checks you should be informed of your foot risk status ranging from low, moderate to high risk.  

To know more about your foot risk status and how to look after your feet you can access information online and if you have a smartphone, you can download the app for free on your mobile device. https://dfscreening.cop.org.uk/app/ 

What does a foot check involve? 

The healthcare professional such as a podiatrist or nurse will have a general look over of your feet. This includes around the back of your heels and in-between your toes. They would be checking for any open wounds, changes in skin colour, temperature difference, swelling, significant foot and toe deformities and any hard skin and corns.  

Blood supply will be checked by palpating for the pulses in your feet using their fingers and asking some questions about certain types of pain in your feet and legs. They may also listen the pulses with a hand-held non-invasive machine called a Doppler which allows the clinician to hear the quality of the blood flow through the arteries.  

Sensation in your feet is commonly checked using a 10g monofilament. The monofilament is a thin plastic probe, just like a bristle off a toothbrush, which is not sharp and is designed to buckle at a given amount of pressure. It is a good way of assessing if someone has any loss of sensation.  


For more detailed and comprehensive information about Diabetes and foot care generally, please consult the websites below:

 

 
 
 

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