Treatments

We offer a range of treatments. These will be discussed with you when you come for your first visit. Some treatments will in included at the initial assessment and some may have to be booked in following the assessment. Some conditions will require a number of treatments to be used to gain maximum effect. We have treatments for your presenting symptoms and some to enable longer term effects to be maintained. Please see below for more information and contact us to discuss if you need more information. 

Routine Podiatry

Nail Cutting

For some people cutting their toenails is a simple task that can be carried out at home. However, for others it can become necessary to get this done by a professional. Regular visits to the podiatrist can keep your toenails at a healthy length, plus the podiatrist will spot any other foot issues you may develop.

Callus and Corns

Calluses are hard, rough areas of skin that are often yellowish in colour.

They can develop on the feet, usually around the heel area or on the skin under the ball of the foot.

Calluses are larger than corns and don’t have such a well-defined edge. As callused skin is thick, it’s often less sensitive to touch than the surrounding skin.

Calluses develop when the skin rubs against something, such as a bone, a shoe or the ground. They often form over the ball of your foot because this area takes most of your weight when you walk.

Corns are small circles of thick skin that usually develop on the tops and sides of toes or on the sole of the foot. However, they can occur anywhere.

Corns often occur on bony feet as there’s a lack of natural cushioning

Corns are often caused by: 

  • wearing shoes that fit poorly – shoes that are too loose can allow your foot to slide and rub
  • certain shoe designs that place excessive pressure on an area of the foot – for example, high-heeled shoes can squeeze the toes

Ingrowing Toe Nails

Ingrowing toenails are an extremely painful condition where the skin around the toenail becomes red and swollen and can easily become infected as the nail grows into the skin. This is normally due to ill-fitting shoes or incorrect cutting of the nail.

Treatment can include trimming the nail to make it more comfortable and providing a dressing to relieve the pressure on the area, or partial or full removal of the nail. 

Partial nail avulsion

Partial nail avulsion is a very effective and commonly used operation for treating ingrown toenails.

A local anaesthetic is used to numb your toe and the edges of your toenail are cut away. A chemical called phenol is applied to the affected area to prevent the nail growing back and becoming ingrown in the future.

A course of antibiotics may be prescribed if your nail is infected, and any pus will be drained away.

Total nail avulsion

Total nail avulsion may be necessary if your nail is thick and pressing into the skin surrounding your toe. After your toenail has been removed, you’ll have an indentation where your nail used to be. However, it’s perfectly safe for you not to have a toenail.

Foot mobilisation peak district

Foot and Ankle Mobilisations

During the assessment we often find that some joints may be restricted in the amount of movement that they have. We may need to address these to ensure that things are going to work correctly. This involves moving the joints in certain ways to restore good movement. This can be a stand alone treatment or part of a treatment package.

sports massage hope valley

Soft Tissue Mobilisations - Fascia Mobilisations

This is where we treat the soft tissues and can be focused on the muscles, tendons, ligaments or fascia. To ensure we give you the best chance of restoring good function we need to make sure the soft tissues can adapt to the new loading and will not be restricting function

Shockwave

Shockwave is becoming increasing well known for treating longstanding problems of either tendons or where the tendon attaches to bone. It can be very effective in many chronic injuries that are slow to heal such as Plantar fasciitis or Achilles’ tendon problems. It is very effective at turning on the body’s own healing systems and we use it in a variety of ways to do this. The machine delivers a high energy shock wave deep into the tissue, this stimulates tissue damage, without causing damage, and encourages your own healing system to repair the damage.

Here is a link to our machines manufacturers website for more in-depth information

Orthoses

We have a variety of orthoses to offer as part of the treatment plan. They should work with how you are moving and aim to make your movement more efficient. They could be for long term or short term use.  Not everyone is going to need orthoses and this will be discussed after the assessment. I prescribe my orthoses to do a particular job as part of the treatment plan. This means that they will be custom made for you and the way you move and will impact on the movement that we think is the issue. We have pre made, customised and fully bespoke orthoses.

Premade Orthoses

These are a great range of products and can be fitted whilst you are with me in the clinic. I find the best fit for your foot shape and also the way your foot moves. We can adjust these to a certain extent to make sure that they do have an influence on both your symptoms and the way you move.

Footlabs Custom Made

These traditional orthoses are very well made and come in a variety of materials. I have a great relationship with this company and I can be very versatile in my design and finished product. These can be used to accommodate painful feet as well as help change the way you are moving

Phits Custom Made

These orthoses are designed from the software with the RSScan gait scan information. These 3D printed devices allow for localised distribution of areas of support and flexibility. They support your feet where needed without affecting the function of the rest of your foot. We can be extremely accurate with our prescription of your orthoses and ensure that they help with improving the way you move and not just provide arch support. The combination of the scan and devices give you the best combination of being able to make changes to the way you move.

Podfo Custom Made

Podfo orthoses are truly custom made to your foot shape and prescribed to help your function. They are made using a laser sintered process from a 3D scan of your foot shape. These are a very modern design and we can do so much more with these than traditional foot orthoses. They also come in a great selection of colours.

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.