Services

We offer a range of services from different clinicians to address your requirements. Hopefully these are explained in the information below but please contact us if you want to discuss which service would be best for you.

running gait hope valley

Biomechanical Assessments / Gait Analysis

Our bodies are subjected to a great deal of force during our normal day to day activities. These forces will put strain on particular parts of our body and sometimes these forces exceed what our bodies are happy with. Then our bodies let us know they are not happy and bits of our bodies start to hurt. This may be a traumatic incident like a fall or a gradual build up over time. Most of the injuries we see are chronic and have been going on for a while. Often we feel aches that settle with a couple of days of rest, but sometimes they do not heal as they should, and the niggles become an injury. We have a range of assessments to investigate what is going on, to identify what is hurting and how it has happened. We can then discuss the various treatments that we think will be of benefit to you.

Biomechanical Assessment - £75

This involves assessing what is hurting – to provide a diagnosis – and why it has happened. We have a chat about what is going on, when and what causes it to hurt, how long and any other factors that may be important. Examination of feet and body movements, strength and functional movement, barefoot and shod walking. We then discuss what we have found and what needs to happen to sort it out. Which treatments are going to work and why. We can often carry out some treatment during the assessment and provide a plan of action.

Biomechanical Assessment plus Gait Scan - £99

This assessment is the same as the biomechanical but uses the RSScan mat to provide us with further information. We take a recording of you standing still and also record you walking over the mat a number of times. This will provide us with a baseline reading of a number of things. The main things we can see how is much pressure you put on each foot and how your body weight moves forward over your foot when walking. We can then use this information to help us form a diagnosis and plan a treatment. The baseline information can be kept and used to monitor progress as we progress with treatment. 

Biomechanical Assessment plus Video - £99

This assessment is the same as the biomechanical assessment but will use video to record your walking or running. This allows us to break down your movement and analyse frame by frame. This shows up small details that we are unable to detect at real speed. It also allows you to see what you are doing and so makes things easier if you are trying to make changes to the way that you move.

Biomechanical Assessment plus Gait Scan and Video - £120

This assessment uses both video and gait scan mat to assess you and provide the most comprehensive amount of data.

Biomechanical Running Analysis, 120 minutes - £120

Biomechanical assessment, running specific exercises, pressure mat analysis and video of running gait. This assessment provides a comprehensive understanding of how you are moving as you and maybe linked to an injury or problems with trying to improve performance. You will receive information about how to progress regarding injury rehabilitation or performance improvement. We can often carry out some treatment during the session.

Gait Analysis hope valley

RSScan Gait Scan - £60

Stand alone service or part of an assessment

The RSScan mat is able to provide us with further information about how you are walking or running. We take a recording of you standing still and also record you walking over the mat a number of times. We can also record you running either inside or outside. This will provide us with a baseline reading of a number of things. The main things we can see how is much pressure you put on each foot and how your body weight moves forward over your foot as you move forward. We can then use this information to help us form a diagnosis and plan a treatment. This information is also used to help design the Phits and Podfo orthoses. The baseline information can be kept and used to monitor progress as we progress with treatment. 

Running-gait

Running Gait Retraining - £60

This service follows on from an assessment and is often implemented when we feel ready to move onto this stage of rehabilitation. This can be at the clinic or at a selected location.

You are videoed on the treadmill or outside and then this is discussed and we look at how to make the changes that we feel are required. This will include specific exercises and running drills. Video feedback is used to show you how you are running and how to make the changes required. This can also be offered as a group session for up to 10 people

Cosmetic podiatry chesterfield

Cosmetic Podiatry

Botox

What can we treat with botox?

Excessive sweaty smelly feet, also termed as” hyperhidrosis“. Botulinum toxin is approved to treat the symptoms of severe sweating when topical medicines do not work well enough.

Botulinum toxin is injected into the affected areas to help control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands do not receive chemical signals, the severe sweating settles.

Dermal Fillers

Fillers for Your Feet

Dermal fillers in podiatry are generally used to pad out and cushion a bony prominence. The most common example is to provide a cushioning for a reoccurring or persistent corn mainly in between the little toe and its neighbouring toe (interdigital corns). There are also other common locations found in the ball of the foot and the tip of the toes.

Sometimes corns are caused by a structural problem (e.g. hammer/claw toes), footwear, the way you walk, a lack of fatty padding or bony changes in the foot.

Dermal filler is normally injected underneath the corn to provide cushioning and therefore ease discomfort and prevent reoccurrence.

What are dermal fillers?

Dermal fillers in podiatry are generally used to pad out and cushion a bony prominence. The most common example is to provide a cushioning for a reoccurring or persistent corn mainly in between the little toe and its neighbouring toe (interdigital corns). There are also other common locations found in the ball of the foot and the tip of the toes.

Sometimes corns are caused by a structural problem (e.g. hammer/claw toes), footwear, the way you walk, a lack of fatty padding or bony changes in the foot.

Dermal filler is normally injected underneath the corn to provide cushioning and therefore ease discomfort and prevent reoccurrence.

What are dermal fillers used top treat?
  • Bony prominences
  • Painful corns
  • Fat pad atrophy
  • Hammer toes
injection therapy peak district

Injection Therapy

Steroid Injections

Steroid injections are used as a powerful, anti-inflammatory treatment for a specific area of the body including the foot and ankle. Common reasons for this are:​

  • painful joints, such as hallux rigidus or metatarsalgia secondary to hallux valgus
  • painful bursitis, often associated with other deformity
  • painful nerve conditions, in particular Morton’s neuroma
  • painful trigger points such as nerve pain following an ankle sprain
  • painful post-operative scars
How do steroids work?

Steroids have a powerful anti-inflammatory effect that can help to break the pain/inflammation cycle. They also work by reducing the bulk of soft tissue in the treated area.

The steroid may be given along with a local anaesthetic to block pain from the injected area, giving immediate relief while the slower acting steroid takes effect.

Normally a course of up to three injections can be given, at intervals of 6-8 weeks or up to 3 on an annual basis.

The steroid usually starts to take effect in approximately 24-36 hours, however it can take 6 weeks for the full benefit to be felt.

Are there any risks?

These may occur but are extremely uncommon and generally resolve within a few weeks – they include:

  • Short term increase in pain – this effect is short lived and can be relieved with an ice pack or simple pain killers.
  • Possible raised blood sugar levels in diabetic patients. Diabetic patients should monitor their blood sugar after the injection.  Adjustment of diet or medication may be necessary for a few days.
  • Facial flushing – for a short time only.
  • Skin dimpling, or skin discolouration at the site of injection.
  • Soft tissue rupture.
  • Very rarely bleeding and/or bruising in the injected area may occur which may cause increased pain for a few days

Platelet Rich Plasma

Platelet Rich Plasma (PRP) injections can provide long lasting reduction in pain associated with a range of degenerative joint and tendon problems such as joint osteoarthritis and tendinopathies. PRP is a safe and effective treatment. As with any invasive treatments, some people may experience side effects.

The process requires some blood to be taken from a patient (usually a vein in the arm) which is then spun very quickly in a specialist piece of equipment known as a ‘centrifuge’. This causes the blood to separate into a range of parts depending upon thickness and weight.

PRP injection treatment is a process whereby the PRP is injected into the site of injury in order to trigger the body’s natural healing mechanisms. 

Research has consistently demonstrated that this enriched PRP has a regenerative effect on the tissues of the body by triggering natural healing processes. PRP injections are delivered under ultrasound guidance to the area (normally a joint or tendon) of pain to ensure that the PRP reaches the exact area to be treated. 

PRP injections are often recommended for people with osteoarthritis of the knees and other joints. They can also be used in a range of other soft tissue conditions such as tennis elbow and plantar fasciitis which involve pain and degenerative changes identified on scans. 

Ultrasound Scanning

Ultrasound scan provides us with the ability to look inside our bodies to see what is going on with regard to our injuries. Ultrasound scanning is really good at seeing the state of ligaments and tendons. We use it most often for Achilles tendon and Plantar fascia issues. It can also be used to look at bones or joint spaces. We can see the state of the tendon with regard to how much damage has gone on and where this damage is located. We can see if there is a tear or a rupture in a ligament or tendon or if the joint is restricted. This information then allows us to direct your treatment more appropriately. For example if there is not much damage and there is not a lot of swelling or acute damage we can progress treatment quickly. Conversely, if we see acute damage and maybe a tear we can then keep loading lighter until we start to get healing occurring. If we are going to carry out one of our injection therapies we would perform this with ultrasound guidance. This means that the injected material is injected into the correct place. This is vital to ensure that you receive the most effective treatment.

Manual Lymphatic Drainage - MLD

Tammy Peat works from our clinic offering this service.

Manual Lymphatic Drainage (MLD) is an advanced therapy that encourages the natural process of the lymphatic vessels to eliminate waste products and to boost your body’s defences.

Manual Lymphatic Drainage (MLD) is what we call a “skin technique” in which the MLD therapist uses specialized , infinitely light, rhythmic pumping techniques on the skin in order encourage lymph to move in the direction in which the skin is being stretched. This stimulates the lymphatic vessels which carry substances vital to the defence of the body and removes waste products.

MLD is used to help to treat a variety of conditions because it has a calming effect on both mind and body and as well as for treating oedemas including lymphoedema, it is also used for well being and relaxation , weight loss and detoxing.

For more information contact us or visit Tammy’s website here >

Physiotherapy

Physiotherapy can help you recover from injury, illness or movement difficulties. We use education, advice, hands-on therapy and exercises to improve and maintain your health – no problem too big or too small!

Have you been having “niggles” or things in your body “just don’t feel right”? We can help identify the cause and get you comfy again.

Or if you’ve had a serious injury, like a sports injury or car accident, we can diagnose and rehabilitate complex cases to get you back to feeling yourself. 

sports massage hope valley

Sports Massage / Soft Tissue Therapy

Don’t let the title “Sports Massage” put you off if you’re not a particularly “sporty” person. Sports massage and soft tissue therapy can be beneficial to any person suffering with muscle, joint or ligament pain.

Our therapists will take an holistic approach to your treatment, looking at factors such as lifestyle, occupation, activity levels and health conditions to provide a service that suits your needs and gets you back to a place where you can enjoy doing the things you love. 

 

Benefits of Sports Massage/ Soft Tissue Therapy
  • Increase mobility and flexibility of muscle tissue
  • Decrease the risk of injury
  • Correct muscular imbalances
  • Relieve tension and stress
  • Improve Range of Movement & flexibility
  • Relieve muscle pain and spasm
  • Breakdown scar tissue & adhesion
  • Get you back to full function after surgery/accidents/slips or falls
  • Increase or decrease muscle tone
  • Deactivate trigger points
  • Improve postural awareness
  • Correct dysfunctional movement patterns
  • Speed up recovery from training & aid rehabilitation
  • Identify potential causes & help with injury prevention
  • Can form part of a training programme tooptimise performance
  • Increase feelings of well-being