1. Do you have an ingrowing toenail?
Ingrowing toenails can be very painful. The toe appears red, hot, swollen and is very painful to touch. Sometimes there is also pus coming from the toe.
An ingrowing toenail can result from cutting the nail too short, picking your nails, or as a direct result of trauma, such as someone standing on your toe.
While an ingrowing toenail can be very debilitating, it can be fixed very easily, so don't panic!
Ingrowing toenails can often be fixed quite simply, by the Podiatrist cutting down the side of the nail and removing the sharp piece of nail digging in to the side of the skin. Sometimes, the piece of nail that is ingrown is so deep that the Podiatrist may recommend surgical removal of either part of the nail, or all of the nail. You can self refer for this procedure, there is no need to consult your GP first.
Should you require surgical removal of the nail, then this is what you can expect;
1. Injection of local anaesthetic into the toe
2. Removal of the nail which takes only about 5 minutes. This is typically with phenolisation. Phenol is used to prevent the nail from growing back.
3. The toe is then bandaged.
4. You may take some paracetomol when you get home to help with the pain once the anaesthtic wears off.
5. You must keep the bandage on the toe for up to a week, and very importantly, keep it dry.
6. The toe will be checked by the podiatrist approximately one week later. You will then be given instructions on how to change the bandage yourself.
7. Healing time depends very much on how you take care of your toe after the surgery. Generally, for healthy individuals you can expect the toe to heel after about 6 weeks. It is likely that you will be required to keep a bandage on your toe for this time. This will help keep the toe clean, and to prevent infection.
Should you require any firther information about ingrowing toenails and surgical removal of problem toenails, please do not hesitate to get in touch.
2. Are You Diabetic?
Are you Diabetic?
Diabetes is known to affect the feet. At StEPS we aim to prevent the complications associated with diabetes, and take our responsibility of foot care specialists seriously. We carry out diabetic foot assessments and liase with your GP and other health care providers to ensure the best care possible, keeping you and your feet healthy.
If you are a diabetic and you make an appointment with us, this is what you can expect;
1. Your clinican will take a full medical and social history
2. Your clinican will assess your feet, looking at structure, function, skin and nail condition, and discuss any concerns that you have with your feet
3. Your clinican will carry out a diabetic foot assessment. This will tell us what risk category you are (low, medium, high) and will tell us how often you need a diabetic foot assessment. If you are low risk, you will probably have a diabetic foot assessment once a year. If you are high risk, your assessment may be every three months or more (this is in accordance with national clinical guidelines). The findings from your diabetic foot assessment will be sent to your GP in the form of a written report.
4. Your clinican will provide a full podiatry treatment. This will include cutting and filing of all nails, the removal of any corns / callous, and the application of an emollient (moisturising cream)
5. Your clinican will then discuss with you the best management plan. This will include how frequently you should attend, approporiate footwear for you to wear, and preventing common foot problems associated with diabetes.
6. Please be reassured that if you do have diabetes, and any problems develop with your feet, we will always endeavour to assess and treat any complications as soon as we can, in order to prevent further problems and to give the best possible outcome.
If you have any further questions about diabetes and your feet, please do not hesitate to get in touch.