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A step ahead in comfort and care

Rutland Podiatrists treat a wide range of conditions


Arthritis is a disabling disease that affects many people in the United Kingdom. Arthritis is an inflammation of the cartilage and lining of the body’s joints. Symptoms include swelling in one or more joints, recurring pain or tenderness in any joint, redness or heat in a joint, limitation in motion, early morning stiffness and skin changes including rashes or growths.  Feet can be more susceptible to arthritis than other parts of the body because each foot contains 33 joints and bears the weight and pressure of the body.

Athlete’s foot

Athlete’s foot is a fungal infection of the skin and nails that causes itching, scaling, redness, and the formation of small blisters. Usually, lesions start between the toes and can extend to the borders and bottom of the foot. The fungus can spread to the toenails, causing them to become thickened, discoloured, and painful; this is called onychomycosis.

What might a podiatrist do?

  • Prescribe topical anti-fungal medication.
  • Education on prevention and treatment of the condition.


Blisters are painful and fluid-filled and are usually caused by friction and pressure.

What might a Podiatrist do?

  • Remove the blister surface if needed.
  • Prescribe appropriate medications. 
  • Recommend padding, dressing, and friction-reducing measures.


A bunion is caused by a misalignment of the joint and result in an enlargement at the base of the big toe.  It is often swollen, tender and painful when footwear is worn.

What might a podiatrist do?

  • Physically examine the foot.
  • Arrange for an x-ray of the foot.
  • Recommend padding or taping.
  • Prescribe orthotics as needed.
  • Referral for assessment for surgery if necessary.

Corns or Calluses

Callus can appear pale or yellow in colour due to its thickness, the skin is less sensitive to touch, often found under the ball of the foot.  Corns tend to develop on the tops and sides of the toes due to repeated friction and pressure from skin rubbing against bony areas or against an irregularity in a shoe.

Hard corns vary in size and can appear almost translucent in colour.  Soft corns form between the toes due to moisture; they appear whitish and rubbery in texture. Neurovascular corns are often very painful due to their nerve involvement. Seed corns are found on dry skin usually on the ball of the foot.

If you are a diabetic you should have all corns and calluses removed by Podiatrist; NEVER use commercial corn cures – this is important for those with diabetes as it is easy to damage the skin.

What might a podiatrist do?

  • Examine the foot and possibly arrange for an X-Ray, if needed.
  • Trim or pad the lesions
  • Perform surgery when indicated


Diabetic foot problems are responsible for 47% of all diabetes related admissions to hospitals. Foot problems have a real impact on the quality of life of people with diabetes. A coordinated approach to foot health can prevent up to 50% of these problems.

What might a Podiatrist do?

  • Assess the level of risk for foot injury or ulceration and provide appropriate management schemes including footwear recommendations, regular treatment or specialist care.
  • Educate on condition to assist in preventing future complications.
  • Provide routine care for those in need of treatment.

Flat foot

A flat foot is a structural deformity caused by the lowering of the arch of the foot and is sometimes called ‘fallen arches’. A person with flat feet or a highly arched foot needs treatment because they may have ankle, knee or lower back pain.

What might a podiatrist do?

  • Physically examine the foot and analyse the person’s gait.
  • Prescribe simple insoles or custom-made orthotics

Fungal nail infection

Fungal nail infection is an infection of the bed and plate under the surface of a nail.  It is extraordinarily common, and affects many people in the United Kingdom. Once the infection gets under a nail, the fungal spores begin to multiply. The toenails are vulnerable to infection, because they spend a lot of time in dark, warm and moist shoes and socks. A fungal nail infection can cause the nail to change colour, often to a yellow/green or darker colour.  Debris can collect under the nail and cause a rotten smell and the nail can thicken and become flaky. This can cause discomfort in shoes and may make standing and walking uncomfortable. It can spread to other nails, and possibly to other people.

What might the podiatrist do?

  • Perform a physical exam of the foot.
  • Culture the nail.
  • Prescribe appropriate medications, such as topical anti-fungals.
  • Refer to GP for appropriate medication and treatment plan.
  • Education on prevention and management of condition.

Hammer toe

This normally occurs when the smaller toes become bent and deformed, usually caused by a tendon or joint imbalance.  Over time callus and corns can form on the joint causing pain from shoe pressure.

What might the podiatrist do?

  • Perform a physical exam of the foot.
  • Arrange for an x-ray.
  • Appropriate footwear advice.
  • Strapping in the correct position.
  • Provision of Orthotics.
  • Referral for surgery  and assessment if necessary.

Ingrown toenail

An ingrown toenail is a painful condition caused by a splinter of nail digging into the surrounding skin, leading to inflammation, redness and possibly infection of the toe. This can be a serious condition for people with impaired circulation, diabetes or other systemic diseases.

What might the podiatrist do?

  • Examine the foot.
  • Remove the piece of nail and manage conservatively until the nail has resumed normal appearance.
  • Perform appropriate nail surgery procedure on the nail when necessary.
  • Education and prevention.


A Neuroma is a painful condition also known as a pinched enlarged nerve, swollen nerve or nerve tumour. It is a benign growth or nerve tissue, frequently found between the third and fourth toes. It may result in pain, burning, tingling or numbness between the toes and in the ball of the foot.

What might a podiatrist do?

  • Perform a physical exam of the foot.
  • Recommend padding.
  • Prescribe custom orthotics.
  • Refer for ultrasound to confirm diagnosis.
  • Referral for surgery when necessary.


Orthotics are custom-made shoe inserts, made from an electronic scanning or a plaster cast of the foot which is form-fitted to the foot when not bearing weight. There are different types of orthotics designed for different activities, various shoe gear and various foot ailments. An orthotic is designed to control the mechanics of the foot to a precise degree – from the heel contact phase of walking through mid stance and toe-off phases.
Orthotics fall into three broad categories: rigid, soft and semi-rigid. Rigid orthotics are designed to control function. They may be made of a firm material, such as plastic or graphite. Soft orthotics help absorb shock and take pressure off uncomfortable or sore spots. Semi-rigid orthotics provide dynamic balance of the foot while walking or participating in sports. Orthotics help guide the foot through proper functions, allowing the muscles and tendons to perform more efficiently.

How do I know if I need an orthotic? 

If you are experiencing foot discomfort that persists, the origin may be biomechanical in nature, in which case, an orthotic would be helpful.
Many times, orthotics can help in situations of flat feet, high-arched foot structure, heel pain, bunions, neuromas and even callus formation. Since the foot is the foundation of the body, symptoms at the ankle, knee, hip and lower back can be related.
Since orthotics can work in a preventative fashion to avoid potential foot problems, they may be indicated in some cases even though you are not experiencing pain. An example of this is when the foot rolls in or flattens excessively. This may lead to disabling problems in the future. Arthritis and soft tissue damage can result due to poor alignment of the foot. Have a podiatrist do an assessment of your feet in order to decrease the chance of potential future problems.

Aren’t orthotics just expensive arch supports?

No. A simple arch support is designed to push up against the arch while standing. It is not meant for ‘static stance’ or for ‘dynamic motion’. This means that an arch support is not designed to control the mechanics of foot imbalances, which are so varied that a precise prescription for each patient is often required.

Buying an arch support over-the-counter is similar to buying eye glasses off the shelf. An exact understanding of the origin of the problem is required in order to obtain optimum results.

Heel Pain / Plantar fasciitis

Plantar fasciitis is an inflammation of the long band of connective tissue running from the heel to the ball of the foot. Heel spur syndrome is a bony overgrowth on the heel bone. Plantar fasciitis and heel spur syndrome affect women more than men. This can cause the bottom of the heel and arch to become painful.

What might the podiatrist do?

  • Perform a physical exam of the foot.
  • Apply taping and strapping.
  • Prescribe orthotics.
  • Prescribe appropriate medication.
  • Administer injections.
  • Instruction and appropriate exercise plan

Pregnancy and the foot

When a woman is pregnant, the excessive weight gain combined with hormonal release relaxes certain ligaments in the body. As the foetus grows larger, the centre of gravity changes from the lower back to the front of the body. In the later stages of pregnancy, the woman tends to turn out her feet for stability. This puts undue stress on the tendons, muscles and ligaments of the foot, which may cause pain or mechanical problems such as bunions, tendonitis, ingrown toenails and other inflammatory conditions. A pregnant woman’s foot can also swell or enlarge anywhere from one to two sizes, causing discomfort. Other common complications include swelling of the legs, varicose veins, leg fatigue and cramps.

What might a podiatrist do?

  • Perform a physical exam of your feet.
  • Prescribe support hose.
  • Prescribe orthotics.
  • Evaluate and treat associated foot problems.

Verrucae – Warts

A verruca / wart is the result of a viral infection that invades the skin with the human papilloma virus (HPV). They are both common in adults and children. The HPV virus is contagious though some people have a natural immunity to the virus.

They appear as small, dark almost puncture like marks that later turn grey or brown. A verucca may become raised and bumpy with the appearance of a cauliflower with small black spots in the middle, these are blood vessels called capillaries.

The virus thrives in warm, moist environments such as swimming pools, changing rooms and bathroom floors. Therefore, if you walk on the same surface as someone who is infected you could pick up the virus, but only if you have small or invisible cuts and abrasions that allow the virus to penetrate your skin.

It is also possible for a variety of more serious lesions to appear on the foot, including melanomas. Although rare, these conditions can sometime be misidentified as a wart. It is wise to consult a podiatrist when any suspicious growth or eruption is detected on the skin of the foot in order to ensure a correct diagnosis.

Treatment can be a very slow and frustrating process, if the verrucae/wart is persistent contact your podiatrist

What Podiatrists can do

  • The podiatrist may use a variety of different medications to treat the wart.
  • The wart can also be treated with cryosurgery which involves freezing the tissues.
  • Recommend home treatment plans for you to carry out.
  • The application of pads to re-distribute pressure away from the verruca.
  • Verrucae are stubborn lesions and may take some time to reside depending on the patient and the severity of the condition.
  • There is no guaranteed method of removing verrucae as they can be resistant to treatment.


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