Cit Way Osteopathy

Chiropody & Podiatry in Rochester

Our Chiropodist and Podiatrist provide a wide range of high quality services from our Rochester clinic in Medway.

We provide a wide range of high quality services including ingrown toenail removal, fungal nail and foot treatment, corns, callus and hard skin removal, toenail cutting, treatment for cracked heels, verrucae, athletes foot, diabetic foot care and advice.

We also offer advice and health checks if you find you have sore feet and are looking for some answers and relief. Jalmeen can diagnose and treat a number of foot conditions. She can also perform checks on the health of the blood vessels and nerves of the foot.


Common Conditions


Athlete's Foot

How is it caused?

It is caused by spores of fungus (most people normally have a few on their skin) which, if conditions are right, multiply and invade the skin. It is very infectious and loves warm, damp and airless conditions, such as between the toes.

How do I know I have it?

At first the skin (usually between the toes) becomes itchy and flaky. The skin can become cracked and sore.

How is it treated?

First of all a sufferer needs to look at their foot hygiene. As there is a high risk of spreading the infection, feet must not be dried with towels used by the rest of the household. It is best to use a separate piece of kitchen roll for each foot to dry them after washing. An athletes foot spray should then be applied (creams make the area moist). Once the condition clears it is important to carry on using the spray for a week to kill the spores completely. Re-infection can occur if shoes still have fungal spores so use the spray in all shoes and ideally air them to ensure they are dry before wearing.


Fungal Nails

How are they caused?

They are caused by the same fungus as athletes foot. However, once the fungus has taken hold, it takes a long time to kill. The fungus starts from the tip of the nail and grows down towards the base. If athletes foot it untreated then it can spread to the toenails. A nail that is damaged is also more likely to become infected. You are also at greater risk of developing fungal nails (and athletes foot) if you are a diabetic or a smoker.

How do I know I have fungal nails?

The nail becomes thickened and becomes discoloured. If the infection becomes worse white or yellow patches appear where the nail comes away from the nail bed.

How is it treated?

For severe infection your doctor can prescribe tablets. However there are side effects and liver function has to be monitored. Over the counter nail lacquers can be purchased, but these take many weeks (if not months) to clear the infection. Healthy new nail grows up from the base and eventually the infected nail is clipped off (wash hands thoroughly after clipping nails).


Ingrown Townails

What is an ingrown townail?

The nail grows into the fleshy part of the skin (the salcus) at the side of the nail. It can grow into both sides, or just one. The condition is extremely painful, especially on wearing shoes. As the skin is punctured bacteria can get in and the toe can become infected, causing even more pain.

How are they caused?

The jury is out on that one. Some say ill-fitting shoes cause them. Some say genetics play a part as the shape of the nail will determine how it grows. People with very fleshy toes are also more likely to get them.

How are they treated?

Emergency treatment is to cut down the side of the nail and remove the nail spur that has grown into the flesh. If the toe is infected then antibiotics may be needed. A more permanent solution is to take a small sliver of nail all the way down to the base. An acid is then applied to the base of the nail to help stop it regrowing. A podiatrist will be able to perform this under local anaesthetic.


Hard Skin (Callous)

What is it?

Hard skin is normal skin that has becomed thickened due to pressure. This is a normal reaction to proctect skin underneath. However, it can cause pain on walking.

How is it treated?

Where skin is very thick it is pared with a scalpel blade. Thinner skin can be burred using a drill. Afterwards cream containing urea is applied to soften the area. Relief from pain is immediate.


Corns

What is a corn?

A corn develops where there is pressure. A small piece of skin is pushed upwards into the skin. Hard skin forms over the site and pain can be excruciating.

How are they treated?

The hard skin is pared away and the underlying corn is removed with a scalpel. The area is cleaned and a dressing applied to protect the area. Corns can reoccur if the source of the pressure is not resolved. Properly fitting shoes will often resolve the problem, but some people seem prone to developing corns.


Verrucas (verruca pedis)

What is a verruca?

A verruca is caused by a the wart virus and they will eventually go away on their own as the body’s immune system fights the virus. However, they are very infectious and so suffers must not go bare foot or use the same towels as other members of the household. Ideally feet should be dried with kitchen roll (separate sheet for each foot) which is thrown away after use. Verrucas can be painful and if this is so then they can be treated by paring away the skin to expose the wart tissue and applying an acid. The verruca is then covered. This treatment is applied usually twice a week. If the verruca is not painful the best, cost effective treatment is to do nothing except cover the verruca (this is thought to stimulate the body to fight the virus. It seems odd, but duct tape adheres to the skin well and seals the verruca ensuring that the infection does not spread.

However if there are multiple verrucas – called mosaic verrucas (see picture). It is most important that a doctor investigates as this can be a sign of a suppressed immune system.

Chiropodist:

Jay Lall