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11/11/2011 02:14 PM
Foot problems and the podiatrist

Foot problems and the podiatrist

A podiatrist or chiropodist can help you with common foot problems, including ingrown toenails and bunions.

What does a podiatrist do?

Podiatrists are health care professionals who have been trained to prevent, diagnose, treat and rehabilitate abnormal conditions of the feet and lower limbs. They also prevent and correct deformity, keep people mobile and active, relieve pain and treat infections.

They can give you and your family advice on how to look after your feet and what type of shoes to wear. They can also treat and alleviate day-to-day foot problems, including:

How can a podiatrist help?

You may want to see a podiatrist for advice and treatment if you have painful feet, thickened or discoloured toenails, cracks or cuts in the skin, growths such as warts, scaling or peeling on the soles, or any other foot-related problem.

Podiatrists can also supply orthotics, which are tailor-made insoles, padding and arch supports to relieve arch or heel pain. You put the orthotic device into your shoe to re-align your foot, take pressure off vulnerable areas of your foot, or simply to make your shoes more comfortable.

Even if your feet are generally in good condition, you might consider having a single session of podiatry to have the hard skin on your feet removed, toenails clipped, to find out if you’re wearing the right shoes (take your shoes with you for specific advice on footwear) or just to check that you’re looking after your feet properly.

Podiatrists can also help with more complex foot problems including preventing, diagnosing and treating injuries related to sports and/or exercise.

What’s the difference between a podiatrist and a chiropodist?

There’s no difference between a podiatrist and chiropodist, but podiatrist is a more modern name.

What happens at the consultation?

At your first consultation, the podiatrist will take a full medical history and do basic tests such as checking the blood circulation and feeling in your feet. They may also check the way you walk and move your lower leg joints.

They will discuss your concerns with you and then make a diagnosis and treatment plan.

Usually any minor problems that are picked up can be treated on the spot including the removal of hard skin, corns and calluses.

The session is usually completely painless (even pleasant) and takes 30 to 60 minutes.

Can I get podiatry on the NHS?

You may be able to.

Since April 1 2013, clinical commissioning groups (CCGs) were given the power to decide what footcare services to commission for their local area.

Guidance by the National Institute for Health and Care Excellence (NICE) recommends that footcare services related to long-term conditions such as diabetes, peripheral arterial disease and rheumatoid arthritis should be available on the NHS.

However, there is no NICE guidance for foot health provision that is not associated with a long-term condition. This means that each individual CCG will decide on what to make available on the NHS, depending on local need.

If your condition is not affecting your health or mobility – such as a verruca that looks ugly, but doesn’t hurt when you walk – you are unlikely to be eligible for NHS podiatry.

If you want NHS podiatry treatment, contact your GP to see if you qualify.

Find your local CCG.

Read more about getting podiatry on the NHS.

Can I see a podiatrist privately?

If free NHS treatment isn’t available, you can visit a local clinic for private treatment, but you will have to pay.

Find a local chiropodist or podiatrist.

Would a podiatrist come to my home?

If your foot problems are so bad that you find it difficult to walk, it may be possible to arrange for a chiropodist to come to your home. Tell your GP if you need to have a home visit and they should be able to find a suitable chiropodist or podiatrist.

Many private podiatrists do home visits whatever your health status.

How can I make sure the podiatrist is qualified?

Anyone who calls themselves a podiatrist or chiropodist must register with the Health and Care Professions Council (HCPC).

Go to the HCPC website to check if your podiatrist or chiropodist is registered.

It’s also worth checking that they are a member of one of the following organisations:

How much does private podiatry cost?

Private fees can vary, depending on where you live and the podiatrist’s experience. Ring a few local podiatry clinics to check their prices.

06/21/2010 11:48 AM
Summer feet tips

Summer feet tips

Use these 10 summer footcare tips from the College of Podiatry to get your feet in shape for summer.

1. Trim your toenails for summer

Use proper nail clippers and cut straight across – not too short, and not down at the corners, as this can lead to ingrown nails. File them, if that’s easier.

2. Go barefoot

Go barefoot or wear open-toed sandals whenever you can in the hot weather (except when you’re in a communal shower or changing area) to help stop your feet getting sweaty and smelly.

3. Forget flip-flops

Don’t be tempted to wear flip-flops or flimsy sandals all through the summer. They don’t provide support for your feet and can give you arch and heel pain if you wear them for too long.

4. Change socks daily

If you have to wear socks in hot weather, change them once a day and choose ones that contain at least 70% cotton or wool to keep your feet dry and stop them smelling.

5. Remove hard heel skin

Hard, cracked skin around the heels is very common in summer, often caused by open-backed sandals and flip-flops rubbing around the edge of the heel. Use a foot file, emery board or pumice stone to gently rub away the hard skin, then apply a rich moisturising cream to soften the skin.

6. Banish blisters

Blisters strike more often in hot weather. They’re caused by rubbing, especially between the toes if you’re wearing flip-flops with "thongs".

Prevent summer blisters by stretching out sandals. Wear them with socks and walk around indoors to loosen them up, or use foot balm to protect your skin from chaffing.

If you do get a blister, don’t pop it. Cover it in a plaster and if it bursts, apply some antiseptic. 

7. Take a break from nail polish

Nails need to breathe from time to time, so have a break from nail polish about once a month for a few days to a week. This can help prevent discoloration, particularly if you like to use dark-coloured nail polishes.

8. Watch out for foot infections

The floors of communal showers and changing rooms at open-air and hotel swimming pools are hot spots for infections such as athlete’s foot and verrucas. Don’t wander around public pools barefoot. Protect your feet by wearing flip-flops in the changing room and at the pool edge.

9. Tackle sweat

If you have sweaty feet in the summer, it’s even more important to wash your feet each morning and evening in warm, soapy water, then dry them thoroughly. You can also use an antibacterial wash, which deals with foot odour. Then wipe them with cotton wool dipped in surgical spirit and dust them with talc.

Here's more advice on how to stop smelly feet.

10. Use sun cream on your feet

Don’t stop at the ankle  put sun cream on the tops and soles of your feet as well. Not only does the skin on your feet and toes need protection, but nails are made of protein and are therefore as vulnerable to sun damage as your skin.

12/11/2007 07:25 PM
10 tips on foot care

10 tips on foot care

Read our top 10 tips on how to look after your feet, with special advice for the over-60s.

Watch a video about ingrown toenail

Your feet take the weight of your whole body, so foot problems can quickly lead to discomfort and affect the way you walk. This can in turn cause knee, hip and back pain.

Research from The College of Podiatry shows that nine in 10 of us experience some sort of foot problem, with one in five admitting to suffering with foot pain often or constantly.

Podiatrist Lorraine Jones says: "What this research shows is that a huge amount of people are willing to put up with sore, aching and painful feet.

She adds: "Your feet shouldn't hurt on a daily basis. If you are experiencing discomfort it is usually because you aren't wearing the right footwear. You don't need to put up with it so do seek professional advice."

Here are 10 tips from the College of Podiatry to keep your feet in good condition and prevent problems:

Foot facts

  • Each foot contains 26 bones and more than 100 ligaments.
  • Your feet contain more than a quarter of all the bones in your body.
  • The skin on your feet has more than 7,000 nerve endings.
  • There are more than 125,000 sweat glands on each foot, more than anywhere else in the body.
  • Your feet produce an eggcup’s worth of sweat each day.
  • Wash your feet often

    Keep your feet clean by washing them every day in warm soapy water, but don't soak them, as this might destroy your skin's natural oils.

    Dry your feet well

    Dry your feet thoroughly after washing them, especially between the toes which is where fungal infections such as athlete's foot can develop.

    Moisturise and file

    If your skin is dry, apply moisturising cream all over the foot, except for between the toes. Gently remove hard skin and calluses with a pumice stone or foot file – don't overdo it though or skin will grow back harder than ever.

    Cut toenails carefully

    Trim your toenails regularly using proper nail clippers. Cut straight across, never at an angle or down the edges. This can cause ingrown toenails.

    Shoe shop in the afternoon

    Shop for shoes in the afternoon. Your feet swell as the day goes on and if shoes fit in the afternoon when your feet are at their largest, you can be assured they will always be comfortable.

    Footwear tips for work

    If you have to wear heels at work, wear comfortable shoes to and from the office and only wear your smart shoes once you're in the office. Also, try to vary the heel height, between low, medium and high. Read how to choose the right footwear for work.

    Limit time wearing high heels

    Be shoe savvy. Wear high heels and pointed shoes for special occasions only, and always wear the right shoes for the job (so no sandals for mountain climbing). Read this guide to choosing the correct shoes.

    Change your socks often to avoid foot odour

    Change your socks daily to keep your feet fresh. Read advice from the Institute of Chiropodists and Podiatrists on buying socks.

    Read how dirty socks can cause smelly feet.

    Watch out for foot bugs in communal changing areas

    Wear flip-flops to avoid catching athlete's foot and verrucas when you use public areas such as gym showers, swimming pools or hotel bathrooms. 

    Take care with flip flops

    You can't wear flip-flops all the time. They don't provide support for your feet and can give you arch and heel pain if you wear them too much.

    Foot pain advice for over-60s

    If you're over 60, foot care becomes even more important. Age takes its toll: your skin thins, your joints begin to stiffen and your feet become more vulnerable to the cold.

    Not only that, but as podiatrist Emma Supple says: "Physically, it gets more difficult for us to get to our feet, and failing eyesight doesn't help."

    Emma says: "Go to see a professional for a foot MOT every six months and never put up with foot pain as if it is normal. Your feet shouldn't hurt."

    Find a chiropodist or podiatrist

    12/11/2007 07:25 PM
    How to stop smelly feet

    How to stop smelly feet

    Smelly feet aren't fun for anyone, but there is an effective, simple and cheap treatment that you can use at home which will banish foot odour within a week.

    Who gets smelly feet?

    Anyone can get smelly feet but they're more likely if you:

    Medically known as bromodosis, stinky feet are a common year-round problem.

    The main cause is sweaty feet combined with wearing the same shoes every day.

    Why feet sweat

    Anyone can get sweaty feet, regardless of the temperature or time of year. But teenagers and pregnant women are especially prone because hormonal changes make them sweat more.

    You're also more likely to have foot perspiration if you're on your feet all day, if you're under a lot of stress or if you have a medical condition called hyperhidrosis, which makes you sweat more than usual. Fungal infections, such as athlete's foot, can also lead to bad foot odour.

    According to podiatrist, Lorraine Jones, feet become smelly if sweat soaks into shoes and they don't dry before you wear them again.

    Bacteria on the skin break down sweat as it comes from the pores. A cheesy odour is released as the sweat decomposes.

    "Your feet sweat into your shoes all day so they get damp and bacteria start to grow. The bacteria continue to breed once you've taken your shoes off, especially if you put them in a dark cupboard. Then, when you put your shoes back on the next day, even if you've just had a shower, putting your feet into still damp shoes creates the perfect conditions for the bacteria to thrive – warm, dark and moist."

    How to treat smelly feet

    The good news is that there's a simple, quick, sure-fire solution to smelly feet.

    According to Lorraine, "if you do this twice a day, you'll definitely banish smelly feet within a week".

    She adds that you shouldn't use Hibiscrub on your feet if you have broken skin, such as eczema.

    Preventing smelly feet

    Keeping feet fresh and sweet smelling is all down to good personal hygiene and changing your shoes regularly. To keep feet fresh:

    If you're particularly susceptible to sweaty feet, it's a good idea to:

    When to see a doctor

    Smelly feet are a harmless problem that generally clears up. Sometimes, however, it can be a sign of a medical condition.

    See your GP if simple measures to reduce your foot odour don't help, or if you're worried that your level of sweating is abnormally high.

    Your doctor can offer you a strong prescription antiperspirant or refer you for a treatment called iontophoresis, which delivers a mild electric current through water to your feet to combat excessive sweating.

    Here are more tips on how to look after your feet.

    Top tip for prevention

    'Never wear the same pair of shoes two days in a row. Instead, wear different shoes on successive days so they have a minimum of 24 hours to dry out' 

    Lorraine Jones, chiropodist



    12/11/2007 07:25 PM
    Choosing sports shoes and trainers

    Choosing sports shoes and trainers

    Sports shoes are probably the most important piece of fitness equipment you'll buy, so it's vital to pick the right pair.

    There are big differences in the way various sports shoes support your feet. This means it's not good for your feet if you play football or tennis in the same trainers you use for jogging, for example.

    Mike O'Neill, from The College of Podiatry, says serious back, knee and hip pain, Achilles tendonitis, shin splints (leg pain), traumatised toes and painful blisters are some of the conditions people wearing ill-fitting trainers may face.

    "Unfortunately, 65% of the UK's recreational sportsmen and women wear the wrong shoes for their chosen sport," he says. "Trainers are the most important piece of fitness equipment you'll ever buy, and changing what you wear on your feet can prevent injuries."

    Football boots

    Football can put a lot of stress on the feet, especially when you're playing on hard surfaces such as artificial turf. The boots can also put pressure on your feet, and it's not unusual for a footballer to develop corns and calluses or damaged, thickened and ingrown toenails.

    A good, well-fitting pair of boots is essential. There shouldn't be any signs of pressure on the foot after a game or training session.

    Tennis and squash shoes

    When playing racquet sports, such as tennis or squash, it's important to choose shoes specifically designed for the purpose. These sports involve a lot of side-to-side movement, and running shoes won't offer the right stability.

    Racquet-sport shoes are heavier and stiffer than running shoes, as their toes are built for stop-and-go action. Comfort should be your number one priority, and it's important to replace your sports shoes frequently.

    Aerobics trainers

    Fitness shoes are ideal for aerobics because they combine flexibility, support and cushioning to absorb impact and lessen shock to the feet.

    Running shoes

    Running shoes are great for running – and only running. They're very flexible, allowing the foot to bend and flex through each step, but they're not suitable for sports such as tennis that involve sideways stepping.

    It's a good idea to get your running shoes properly fitted to suit your foot type. If they're too small, they can cause blisters and black toenails.

    There are many types of trainers on the market, so try to find a specialist retailer who will assess your foot and find the right shoe for you. Good specialist running shoe retailers will offer gait analysis to get you in the right type of running shoe.

    Walking and hiking boots 

    Walking is a great way to increase your activity levels, while the more adventurous might go hiking. They're both good for your heart and lungs, but are low-impact activities, so carry less risk of injury.

    Ramblers offers the following advice on the best footwear for walking and hiking:

    Basketball and netball shoes

    Sports shoes for court games such as basketball and netball give a combination of flexibility and sideways support. Cross-trainers are stiffer, provide more support for side-to-side movements, and can be used across a range of activities.

    Read advice from The College of Podiatry on how to look after sporty feet.

    12/11/2007 07:25 PM
    How to look after your feet if you have diabetes

    How to look after your feet if you have diabetes

    It's especially important to look after your feet if you have diabetes. Here's how to take care of your feet and advice on when to get professional help.

    Diabetes can reduce the blood supply to your feet and cause a loss of feeling known as peripheral neuropathy. This can mean foot injuries do not heal well, and you may not notice if your foot is sore or injured.

    "The risk of complications can be greatly reduced if you're able to bring your blood sugar levels under control," says foot specialist Mike O'Neill.

    "Ensure that your blood pressure and cholesterol levels are also monitored and controlled with medication if needed."

    Foot care tips if you have diabetes

    Stop smoking to protect your feet

    If you have diabetes, it's important to try to stop smoking. Smoking impairs the blood circulation, particularly in people with diabetes. It can seriously worsen foot and leg problems.

    Read more about how the NHS can help you to stop smoking.

    When to see a doctor

    Seek treatment from your GP or podiatrist if blisters or injuries do not heal quickly.

    You should see your doctor urgently if:

    The Society of Chiropodists and Podiatrists has more information on diabetes and footcare (PDF, 1.3Mb).