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12.03.2015
What Is Pinkeye?Pinkeye -- also called conjunctivitis -- is redness and inflammation of the clear membranes covering the whites of the eyes and the membranes on the inner part of the eyelids. Shingles (herpes zoster) is a viral infection that may cause pain, burning, or a tingling sensation on either the left or right side of the body. Research has shown that nine out of ten people will have problems with their feet before they are 30 but only one in ten will visit a Chiropodist or Podiatrist. Many people will not realise that other aches and pains may be caused by problems with their feet. The Parkgate Chiropody Practice specialises in treating a wide range of foot conditions and disorders which involve both chiropodial and podiatric disciplines. We use both advanced technology and traditional therapies to treat a variety of foot and lower limb problems. There are a number of different antifungal medicines for athlete's foot available without prescription.
Arthritis is not cureable so treatment involves managing the symptoms to alleviate discomfort such as treating corns, calluses, thick nails and ulcers. A bunion or "Hallux Valgus" appears as a bony prominence at the first joint on the inside of the foot, below the big toe.
There are many things which can contribute to and exacerbate the occurence of bunions such as choice of footwear, however a propensity to develop bunions is hereditary. Bunions are generally only painful when wearing enclosed shoes and so are often more symptomatic during the winter months.
If arthritis is present then the joint(s) may be fused which means some degree of physiotherapy will be required after surgery to re-establish a functional gait. Additional corrective surgery is also possible if the big toe is still malaligned after the metatarsal is repositioned. When we walk or stand, our body weight is carried first on the heel and then on the ball of the foot, where the skin is thicker, to withstand the pressure. A callus, or callusity, is an extended area of thickened skin on the soles of the feet, and occurs on areas of pressure. Most calluses are symptoms of an underlying problem like a bony deformity, a particular style of walking, or inappropriate footwear. You can control a small amount of hard skin by gently rubbing with a pumice stone, or chiropody sponge occasionally when you are in the bath.
We will be able to advise you why this has occurred and, where possible, how to prevent it happening again. Lack of blood flow means vital elements such as oxygen does not reach the tissues in the foot which leads to infections and sores occuring. Claudication - a dull cramping pain in the calf which repeatedly occurs even when walking short distances. Corns are small areas of hardened skin which occur over a boney prominence such as a joint. These are the most common form of corn and appear as small concentrated areas of hard skin which is around the size of a small pea. Appearing between the toes, these form in a similar way to hard corns but are usually white and rubbery in texture.
These are tiny, painless corns which may occur singly or in clusters on the sole of the foot. Corns left untreated for a long time can appear to become more firmly attached to the deeper tissues and can therefore become painful.
Never be tempted to cut corns yourself and avoid using corn plasters or paints as these can burn healthy tissue around the corns.
Cracked heels or heel fissures are caused by a build up of dry skin (xerosis) on the outer rim of the heel. Daily moisturising with a rich, oil based moisturiser twice daily will help keep the skin supple in this area.
If the problem persists and becomes severe, we can encourage the cracks to heal by debriding the area to remove the hardened skin. Diabetes can cause complications including a loss of feeling in the feet, known as Neuropathy.
The condition can cause an inability to detect heat, cold and even pain, putting the diabetic at risk of being unable to sense any cuts or sores on their feet.
It is vital therefore, that people with diabetes should check their feet on a daily basis for any problems.
As with Peripheral Vascular Disease, it is important to seek professional advice regarding general footcare. A true flat foot or Pes Planus with no arch present is extremely rare, less than 5% of the population have completely flat feet. Fungal infection of the nail, Onychomycosis, is generally caused by dermatophytes, most commonly Trichophyton Rubrum or Trichophyton Mentagrophytes. Left untreated, it can advance into the base of the nail where it can attack the nail matrix. Initially, a sample of nail will be taken to be sent to the laboratory for analysis to confirm the diagnosis.
Inflammation and pain can be treated with a course of nonsteroidal anti-inflammatory drugs such as Ibuprofen and the application of ice packs.
Affecting the second to fourth toes on either or both feet, toes which become mishapen or clawed are referred to as hammer or mallet toes.
Selecting shoes which do not force the toes against the front of the toe box with a low heel is essential.
If these measures fail to provide adequate pain relief or the affected toes have become rigid, we may refer you for surgery. Nerve Entrapment - known as Tarsal Tunnel Syndrome involving the Tibial nerve on the inside of the ankle. Sever's Disease - this occurs in children and young teenagers and is related to overuse of the bones and tendons in the heel. Around 70% of patients with plantar fasciitis also have a Heel Spur which is visible on X Ray. Rest is vital to prevent placing unnecessary stress on the plantar fascia thereby aggravating the injury and causing further inflammation.
We can tape the foot and provide instruction on good taping techniques to allow the foot to rest. An ingrown toenail, Onychocryptosis, is an extremely painful condition where either one or both sides of the nail cut into the nail bed as it grows out.
Why do my feet cause lower back pain?Each foot is an engineering masterpiece which we tend to take for granted until we start to experience pain. Successful treatment of these conditions often relies, at least in part, on orthotics, special shoe inserts, which correct dysfunctional biomechanics.
A full biomechanical assessment will determine whether or not your lower back pain is associated with poor foot biomechanics requiring orthotics. Correctly used, orthotics can prevent deterioration by halting the development of foot deformity, improving pelvic alignment,reducing limb torsion and knee stress.
High heeled shoes - wearing high heels for long periods puts extra stress on this part of the foot.
Morton's Neuroma - this condition affects the nerves which run between the metatarsal bones in this area of the foot. Treatment will depend on the underlying cause, however simple measures such as a change to more appropriate footwear, rest and losing weight may help. Mortons Neuroma is a painful condition caused by an enlarged nerve situated between the third and fourth toes. Wearing high heeled, tight or ill fitting shoes with a narrow toe box which place pressure on the toes.
High impact athletic activities such as jogging which subject your feet to repeated impact.Accident or trauma to the foot. Normally there are no outward signs of Mortons Neuromas such as swelling or redness (erythema), but if the forefoot is squeezed between the thumb and fingers, the symptoms will be replicated.
If the pain disappears during this time, it normally indicates the neuroma is probably small and was caused by inappropriate footwear. There are several over the counter ointments available containing salicylic acid which are effective in most cases.
Our principal podiatrists are members of the Society of Chiropodists and Podiatrists and are registered with the Health Professions Council. The Parkgate Chiropody Practice is approved by the Westfield Health Scheme and the Simplyhealth Cash Plan (formerly known as HSA). Swelling of the feet, ankles and legs, also known as edema, is often caused by an abnormal build-up of fluids in ankle and leg tissues. Exercising the legs causes the fluid to work back into the veins and lymphatic channels so that the swelling goes down. Pinkeye is most often caused by a virus or by a bacterial infection, although allergies, chemical agents, and underlying diseases can also play a role.
It is intended for general informational purposes only and does not address individual circumstances. Several days or weeks later, a band, strip, or small area of rash usually appears in the same area and progresses into blisters, which scab over before clearing up over the next few weeks.
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
If you would like more information about any of these conditions or have symptoms of something not listed here, please contact us or call us on 01709 522334 for a free foot health assessment.


It can lead to intense itching, cracked, blistered or peeling areas of skin, redness and scaling. These are provided as creams, ointments, lotions, powders, and liquid or dry powder sprays, and are applied directly onto the infected area(s). Normally the bones comprising the big toe and the long bone (first metatarsal) which leads up to it are in a straight line. If the foot becomes very splayed, forcing the big toe further across the second toe, it may produce a hammer toe type deformity due to the crowding.
We can also prescribe an arch support orthotic if the bunion is associated with a flatter foot. This is known as an Akin Osteotomy where a small segment of bone is removed from the inner side of the big toe itself.
When this pressure becomes excessive, some areas of the skin thicken, in the form of corns and callus, as a protective response. It is the body's reaction to pressure or friction and can appear anywhere the skin rubs against a bone, a shoe, or the ground. We will also remove hard skin, relieve pain, and redistribute pressure with soft padding, strapping, or corrective appliances which fit easily into your shoes. We will evaluate the condition of the feet and advise you how to prevent complications developing. Usually found within an area of thickened skin or callus, they are a sign that the foot or toes are not functioning properly. Caused by sweating or inadequate drying between the toes, they can be prevented by improved foot care and the application of astringents to reduce sweat retention.
Use a pumice stone to gradually remove thickened skin or relieve pressure between the toes with a foam Toe Separator.
We can painlessly remove the corn, apply padding or provide orthotic insoles to relieve pressure, providing long-term relief. Strapping the area may also be required to hold the fissures together during the healing process. The most common form is Peripheral Neuropathy which occurs when the nerves running from the brain to the organs, muscles, skin and glands are impaired. Left untreated, these injuries may become infected leading to ulceration which could result in amputation.
The feet should be protected from extremes of hot and cold and the feet should be moisturised to keep the skin soft and supple. We will evaluate the condition of the feet and advise you how to prevent complications developing.
Whilst the foot appears normal with a clear arch when sitting down, any weight bearing activity causes the arch to collapse and the ankles to roll inwards. Overpronation occurs when the foot pronates too deeply and for too long without allowing the foot to recover and supinate.
These microscopic organisms grow beneath the nail and in the nail bed and live of the protein, or keratin, of the nail. We can also recommend stretching exercises to relieve tension in the Achilles tendon and give advice on suitable footwear.
Persistent traumatization from ill fitting shoes which are too short or narrow can impair the normal function of the muscles and tendons surrounding these toes so they will not allow the joints to relax and straighten normally Bunions, flat feet and arthritis may also cause hammer toes. This inflammatory condition is caused by overuse of the arch tendon on the underside of the foot.
A heel spur is a hook of bone protruding from the base of the foot at the point where the plantar fascia is attached to the heel bone. We can prescribe an antibiotic if necessary and treat the nail surgically to drain the infection and where necessary remove the section of nail which has become ingrown. Many problems are caused by a malalignment or faulty relationship between the bones, muscles, tendons and ligaments in the foot which can result not only in various obvious conditions such as flat feet, persistent ankle sprains, bunions, corns and calluses but also stress and pain in the neck, back, hips and knees as the body tries to compensate for the malalignment. Prescription made using our 3D Optical Laser Foot Scanner, they provide support for the foot to improve its overall biomechanical function thus removing pressure to relieve direct or consequential pain. We can prescribe metatarsal pads and inserts for your shoes to reduce the pressure placed on this area of the foot. It can become rough and bumpy with a cauliflower-like appearance and may develop a black spot in the centre.
However, if the verruca is particularly troublesome, we can remove it using cryotherapy often in a single appointment. Painless swelling of the feet and ankles is a common problem, particularly in older people.
Mild pressure applied by elastic bandages or support stockings can help reduce ankle swelling. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg. With Podiatry, attention is directed towards gait problems involving the foot, ankle, knee hip and back such as problems with walking or sports injuries. It can occur on moist, waterlogged skin especially between the fourth and fifth toes, or on dry, flaky skin around the heels or elsewhere on the foot.
But if the condition keeps recurring or gets worse and spreads to the nails, consult us as we can prescribe broad-spectrum anti-fungal medication to eliminate the fungus if local treatment or your prevention regime hasn't worked. We may also prescribe protective shields and orthoses to redistribute pressure away from the affected area.
As the first metatarsal drifts away from the second metatarsal at an angle, the foot widens and the head of the first metatarsal becomes prominent producing the bunion.
The hammer toe may then become painful if it rubs against the top of the shoe box or underneath as the toe is forced up and pressure is then placed on the second metatarsal head.
This will reduce the width of the foot and also realign the tendons to straighten the big toe. You will be able to walk with the aid of crutches and a special protective shoe for the first two weeks following surgery and return to work at this time if you are not required to stand for long periods.
Elderly people have less fatty tissue in their skin and this can lead to callus forming on the ball of the foot. If this does not appear to be working, and especially if the callus becomes painful and feels like you are "walking on stones" seek advice!
The arteries carry blood from the heart all over the body including to the extremities, a gradual thickening and hardening of these arteries impairs this blood flow. It is vitally important therefore to protect the foot to prevent cuts and accidental trauma.
Other factors such as lack of exercise, high blood pressure, smoking and high cholesterol levels need to be addressed.
In most cases it is a cosmetic nuisance but if the cracks or fissures deepen, they may bleed and it can become painful to stand. It can also occur during pregnancy as a result of increased elastin being produced by the body. The condition usually begins at the far end of the nail and often appears as patches of white or yellow discolouration initially. We can also surgically treat any ingrown areas if necessary and generally improve the appearance of the affected nail. Heel lifts, heel pads or wedges to cushion the heel inside the shoe, or orthotics may also be prescribed.
Inflammation and pain can be treated with a course of nonsteroidal anti-inflammatory drugs such as Ibuprofen.
The arch tendon or Plantar Fascia is a thick band of tissue which runs from the heel to the front of the foot, just behind the toes.
We may also recommend the use of night splints which gently stretch the calf muscles and planter fascia overnight reducing painful stiffness upon waking. Recurring ingrown toenails can be permanently removed by phenolisation which cauterises the nail matrix. If necessary, we can refer you for physiotherapy or surgery for example, to straighten hammer toes or treat Morton's Neuroma.
This may also spread into the toes, particularly when wearing tight or narrow shoes or engage in activities which place pressure on the forefoot.
A corticosteriod injection may be administered to reduce inflammation and advice on appropriate low heeled footwear with a wide toebox will be given. The virus thrives in warm moist environments such as bathrooms and swimming pool changing room floors.
Avoid putting anything directly under the knees when lying down, and don't wear constricting clothing or garters on the upper legs.
It's easily spread through poor hand washing or by sharing an object (like a towel) with someone who has it. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. The big toe is especially susceptible due to the tremendous amounts of pressure that is placed upon it while we are walking. In the case of a rheumatoid arthritic patient, we will work with your GP and other specialists such as physiotherapists, rheumatologists and specialist nurses. As a consequence, the tendons which run circumferentially around the joint between first metatarsal and big toe become destablised causing the toe to become angled excessively towards the second toe. Drugs may be prescribed to prevent blood clotting such as antiplatelet agents or anticoagulants.


We also offer a nail cutting service and treatment of corns or calluses to prevent sores, wounds or infections developing.
Fungal nails are notoriously slow to respond to treatment however as the nail is slow growing. Pressure may also build up in the ball of the foot resulting in hard skin and calluses forming.
The pain is associated with the degeneration of the collagen fibres close to the heel bone (calcaneus). It is caused mainly by improper cutting technique when trimming the nails, wearing tight footwear, inadequate foot hygiene, accidental trauma to the nail, fungal or bacterial infection. We can also demonstrate nail cutting techniques to help prevent further recurrences and advise on footwear. A verruca has a lifespan of around 2 years so left alone may eventually disappear of its own accord. Symptoms of SciaticaThe most common symptom of sciatica is lower back pain that extends through the hip and buttock and down one leg. Osteoarthritis causes the cartilage to erode and then causes the bone ends to fuse which results in stiffness and aching of the joints. It affects the feet by causing a gradual collapse of the arch; the toes become contracted and draw back.
Other risk factors include lack of physical exercise, smoking, high blood pressure and high cholesterol levels. Whilst dermatophytes are present on most people's skin, those with a lower immunity due to other systemic conditions such as Diabetes or poor circulation may be at greater risk of fungal nail infections. Left untreated, hammer toes can become rigid and will not respond to non-surgical treatment.
It is frequently worse in the morning as the tendon tightens overnight and may ease as you start to move about and the foot "warms up". However they can be painful, particularly if they appear on a weight bearing area of the foot. Swelling in the legs and feet may also be a symptom of other, more serious health issues, such as heart failure, renal failure, or liver failure. Kids diagnosed with infectious pinkeye should stay out of school or day care for a short period of time. We can also advise on exercises to help strengthen the muscles to prevent the condition recurring.
Allergic pinkeye (caused by seasonal pollens, animal dander, cosmetics, and perfumes) and chemical pinkeye (from chemicals or liquids, including bleach and furniture polish) are not contagious. Pinkeye is a common condition that is rarely serious and unlikely to cause long-term eye or vision damage if promptly detected and treated. Sciatica or Other Back Pain?Up to 85% of Americans experience some type of back pain during their lives.
Symptom: Swollen, Red EyelidsThe symptoms of infectious pinkeye typically begin in one eye and involve the other eye within a few days. In many cases, back pain is the result of overextending or straining the muscles in the lower back. What most often sets sciatica apart is the way the pain radiates down the leg and into the foot. Symptom: Lots of TearingViral and allergic pinkeye are known for causing more tear production than usual. Symptom: Itchy or Burning EyesYou would know it if you felt it -- that overwhelming itchy, burning feeling in the eyes, which is typical of pinkeye.
Symptom: Drainage from the EyesA clear, watery drainage is common with viral and allergic pinkeye.
Women may be more likely to develop the problem during pregnancy because of pressure on the sciatic nerve from the developing uterus. When the drainage is more greenish-yellow (and there's a lot of it), this is likely bacterial pinkeye. Symptom: Crusty EyelidsIf you wake up with your eyes "stuck shut," this may be caused by the discharge that accumulates during sleep from pinkeye.
A person who has severe symptoms, such as changes in eyesight, severe light sensitivity, or severe pain may have an infection that has spread beyond the conjunctiva and should be examined by a doctor. Symptom: 'Something in the Eye'You may notice a bothersome feeling like something is stuck in your eye. Sometimes the gel-like center of a disk pushes through its outer lining and presses on the roots of the sciatic nerve. Or, a child may describe the feeling as sand in the eye.  Pinkeye DiagnosisA doctor can often diagnose pinkeye just by its distinguishing signs and symptoms. In some cases, a swab of the discharge from the eye is sent to a lab to determine the cause. Cause: Spinal StenosisNatural wear and tear of the vertebrae can lead to a narrowing of the spinal canal. When Pinkeye Means Something MorePersistent pinkeye could be from a severe allergy or infection that needs treatment.
This narrowing, called spinal stenosis, may put pressure on the roots of the sciatic nerve.
Cause: Spinal TumorsIn rare cases, sciatica may result from tumors growing inside or along the spinal cord or sciatic nerve. Treating PinkeyeBacterial pinkeye is treated with antibiotic eyedrops, ointment, or pills to clear the infection. Most viral pinkeye cases have no specific treatment -- you just have to let the virus run its course, which is usually four to seven days. It connects the lower spine to the upper thighbone and runs directly over the sciatic nerve. Allergic pinkeye symptoms should improve once the allergen source is removed and the allergy itself is treated.
If this muscle goes into spasm, it can put pressure on the sciatic nerve, triggering symptoms of sciatica. Chemical pinkeye requires prompt washing of the affected eye(s) for five minutes and an immediate call to the doctor. A Fat Wallet Can Trigger PiriformisYou might not think of too much cash as a source of pain, but a fat wallet can trigger piriformis syndrome. This puts chronic pressure on the piriformis muscle and can aggravate the sciatic nerve over time.
Cause: SacroiliitisSacroiliitis is an inflammation of one or both of the sacroiliac joints, the spot where the lower spine connects to the pelvis. Sacroiliitis can cause pain in the buttocks, lower back, and may even extend down one or both legs. Cause: Injury or InfectionOther causes of sciatica include muscle inflammation, infection, or injury, such as a fracture. In general, any condition that irritates or compresses the sciatic nerve can trigger symptoms.
Diagnosing Sciatica: ExamTo determine whether you have sciatica, your doctor will ask you how the pain started and where exactly it is located. You may be asked to squat, walk on your heels or toes, or raise your leg without bending the knee. These muscle tests can help your doctor determine if it is the sciatic nerve that is irritated. Diagnosing Sciatica: ImagingYour doctor may order imaging tests, such as an MRI, to get more information about the location and cause of the irritated nerve. A CT scan using contrast dye can also provide a useful picture of the spinal cord and nerves. Complications Related to SciaticaIf you develop a loss of bladder or bowel control, contact your doctor right away. Sciatica Relief: Ice and HeatThere are steps you can take at home to ease the pain of sciatica. Sciatica Relief: MedicationOver-the-counter pain relievers can provide short-term relief from sciatica.
Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and naproxen are options. Sciatica Relief: InjectionsIn severe cases, a doctor may recommend injecting steroids into the spine area to reduce inflammation.
Sciatica Relief: SurgeryIf your sciatica is due to a herniated disk, and it's still causing severe pain after four to six weeks, surgery may be an option.
The surgeon will remove a portion of the herniated disk to relieve the pressure on the sciatic nerve. Sciatica RehabAfter back surgery, you will generally need to avoid driving, lifting, or bending forward for about a month. Once recovery is complete, there's an excellent chance you'll be able to get back to all your usual activities. Complementary TherapiesThere is evidence that acupuncture, massage, yoga, and chiropractic adjustments can relieve typical lower back pain.



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