Your Local Chiropodist / Podiatrist in  Milton Keynes -      Dennis Lima MChS DPodM
 
 
What is Chiropody & Podiatry?
 
Chiropody and Podiatry is the branch of medicine concerned with the diagnosis and medical, surgical, mechanical, physical, and adjunctive treatment of the diseases, injuries, and defects of the foot. The Chiropodist / Podiatrist  treat complaints using various treatment modalities such as medication,  conservative and surgical. Whatever your symptoms treatment is available, we are here to help.
 
Here are a few examples of some of the problems we deal with on a daily basis.
 
 
Corns and hard skin
A common complaint but easily dealt with, corns and hard skin (callus) can be painlessly removed by our podiatrist and you will feel the difference immediately.
 
 
 
Warts & Verruca Laser Clinic
Verrucae are usually caught on wet surfaces where you walk barefoot, common with people who use showers at the gym, swimming pool's etc. If left untreated, Verrucae can be very difficult to cure.
 
We have the latest in Laser Low Level Laser Therapy which benefits include:
 
*Pain Free
*Ideal for Children
*Speedily treats wide areas of infection
*Permanent solution with very low
reoccurrence rateIdeal for Mosaic and Cluster Verrucae
*Treatable to a wider range of Patientsincluding Diabetics
 
The latest in Cryosurgery treatments are also available.
 
 
Bunions
A common, deforming and debilitating condition of the foot, usually affecting people with flat feet (pronated). A referral for a biomechanical assessment would be recommended particularly during early stages as casted functional orthotics can prevent the need for surgery.
 
Ingrown toe nails
A painful condition caused by a spike of nail puncturing through the skin at the nail edge, causing inflammation and infection. Treatment may involve antibiotics, removal of the spike or minor surgery under local anaesthetic. 
 
Fungal skin & nail infections
An irritating condition that can recur, treated with debridement, creams, tablets, nail paints and homeopathic remedies as instructed.
 
Heel Pain / Orthotics
Also known as heel spur syndrome (Plantar Facilits). Usually worse first thing in the morning or after periods of rest. If this is suspected a referral for a biomechanical assessment would be recommended. This condition is treated with orthotics, taping, exercise programs and hydrocortisone injection therapy, surgery is not recommended.
 
Forefoot Pain
Can be caused by repetitive trauma causing joint inflammation, stress fracture or nerve irritation (enlargement) also known as a Morton’s Neuroma. If this is suspected a referral for a biomechanical assessment would be recommended. A Morton’s Neuroma is treated with orthotics, injections and may require surgery.
 
Diabetes
Diabetes has long term complications, the vast majority of complications in diabetes are due to damage to either large or small blood vessels. Fatty plaques (artheromas) are laid down in the blood vessels causing narrowing of the arteries and consequent poor blood flow and neuropathy - numbness, pain, tingling, swelling, and muscle weakness.
 
It is so important to support the diabetic foot with functional orthotics (shoe inserts) as this reduces the risk of ulcerations, slips, trips and falls and improves the natural walking pattern. There are two types of diabetic foot the neuropathic and ischaemic Foot, complications come when both types are present in the same foot. 
 
In the case of a neuropathic ulcer, expert attention from a podiatrist is required to debride any callus and remove the pressure on the affected area so that healing can take place. The latest research recommends that this is achieved with functional orthotics (shoe insoles).
 
Useful websites for managing diabetes:
www.diabetes.org.uk - Diabetes UK is the largest organisation in the UK for people with diabetes.
(funding research, campaigning and helping people live with the effects of diabetes)
www.footindiabetes.org - A Journal for the prevention and management of diabetic foot disease.
 
 
Telephone (01908) 566095
 
 
 
 
 
 
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