We offer a range of advanced treatments not commonly offered at most podiatry clinics. Following an initial podiatry appointment your podiatrist may discuss one or more of the following:
- Corticosteroid Injection
- Viscosupplementation Injection
- Platelet-Rich Plasma Injection
- Podiatric Acupuncture
- Extracorporeal Shockwave Therapy
- Musculoskeletal Diagnostic Ultrasound Imaging
- Therapeutic Ultrasound
- Dermal Fillers (Feet)
- Digital In Shoe Gait Analysis
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Minor Surgery
Widely used for a variety of joint and soft tissue conditions. When clinically appropriate they can be used as part of a wider treatment plan to help relieve pain and inflammation. Injections can be performed under local anaesthetic and ultrasound guidance.
Typically, we inject knees / ankles / midfoot joints / big toe joints / bursa.
OSTENIL® is a solution containing sodium hyaluronate. It is injected into the space in the joint that contains synovial fluid and works by restoring the normal balance between the breakdown and production of sodium hyaluronate. This procedure is known as ‘viscosupplementation’, and the effect of OSTENIL® means that it can decrease pain and stiffness and improve the other symptoms of osteoarthritis.
The sodium hyaluronate in OSTENIL® is very pure and is manufactured using a process called fermentation. It contains no animal proteins, which means that it is very unlikely to cause an allergic reaction. OSTENIL® has been given to thousands of patients and has not been found to cause any serious side effects. The exact make-up of the sodium hyaluronate in OSTENIL® has been carefully chosen so that it is as effective as possible in treating osteoarthritis.
Platelet-Rich Plasma Injection
Platelet-Rich Plasma (PRP) injection involves taking some blood, normally from your arm and putting it into a centrifuge to separate the different components. The platelet rich plasma is then drawn into a separate syringe and can be injected into joints of your foot/ankle or knees. It can also be used to inject the plantar fascia.
Acupuncture can be used to treat a range of lower limb conditions; you can discuss with your podiatrist if this could be an appropriate addition to your treatment plan. As a general guide, if you are suffering from pain, acupuncture may well help to improve your pain depending on the area.
Extracorporeal Shock Wave Therapy
Extracorporeal Shock Wave Therapy (ESWT) has shown some great results. The shockwaves are targeted onto the affected area and are low-energy soundwaves which physically pass through the skin and increase the blood flow to the area. This can be used on chronic tendon pain and has been clinically proven to:
- Reduce pain felt by the nerve fibres
- Increase circulation of blood into the surrounding soft tissues
- Begin the healing process triggered by stem cell activation
Musculoskeletal Diagnostic Ultrasound Imaging
We have our own scanner in the clinic. Ultrasound imaging is a non-invasive imaging modality that allows your podiatrist to diagnose and treat musculoskeletal conditions. Ultrasound images of the musculoskeletal system provide pictures of muscles, tendons, ligaments, joints, and soft tissue structures throughout the body.
Ultrasound is safe and painless; imaging involves the use of a small transducer (probe) and ultrasound gel placed directly on the skin.
This form of therapy uses sound waves generated through a transducer head to penetrate soft tissues. The tissues absorb the energy and increases the rate of healing.
Ultrasound (high frequency sound waves) can be used to treat:
- Ligament sprains
- Muscle strains
- Achilles Tendonitis (and other tendon problems)
- Plantar Fasciitis
- Inflammation and tissue damage associated with Osteo and Rheumatoid arthritis
- Capsulitis (joint capsule pain and inflammation)
- Bursitis (a bursa is a fluid-filled sac which forms under the skin, usually over the joints)
There are four main clinical benefits to Ultrasound treatment:
- Decrease in pain from the reduction of inflammation
- Speeding up of the healing process from increased blood flow to the affected area
- Generation of heat to increase flexibility of soft tissue
- Stimulate the production of collagen in soft tissues
Dermal Fillers (Feet)
Your Podiatrist will assess your suitability for the procedure and recommend a specific treatment plan. Procedures are normally carried out under local anaesthetic and paints are advised not to drive for that day or to do any strenuous activity for a week.
Patients who may benefit from Dermal Fillers procedures include:
- As we get older, we can lose the fatty padding under the joints on the balls of our feet. This can cause pain and discomfort when walking.
- Patients with painful corns or callus.
- Patients who have a history of wearing high heel shoes who as a result lose the fatty padding under joints on the ball of their feet.
- Patients who have toe deformities, such as hammer toes that rub on footwear.
Digital In Shoe Gait Analysis
The insoles are a clever innovative piece of equipment that can quantify the movement of the body with different mobility disorders such as neurological, orthopaedic, age related or sporting injuries.
They are inserted into a pair of shoes for approximately 10 minutes whilst the patient goes for a walk or run. After the activity the data from the insoles is transferred into the podo station via Bluetooth technology, the complex algorithms are translated into clinical data that can be used to measure any abnormalities in the body when walking or running.
Transcutaneous Electrical Nerve Stimulation (TENS)
TENS is a treatment method aimed relieving pain in both acute and chronic conditions. It is a safe and effective method which produces electrical impulses which can block pain signals going to the spinal cord and brain and stimulate the production of endorphins, which are the body’s natural pain killers.
TEN’s can be used regularly to provide short to moderate term pain relief. It is particularly useful where patients are unable to take oral pain killers.
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