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Bunion care and management

Bunion care and management

By home, Treatment

Move then 15% of UK women have bunions. If not treated a bunion normally gets worse over time. They get bigger, and more painful. They can limit the types and styles of shoes you wear. It makes it difficult to walk around on holidays, or in the perfect shoes.

Bunions are usually hereditary. Bunions are not generally caused by shoes. They are most often caused by a defective mechanical structure of the foot which is genetic and these certain foot types make a person prone to the development of a bunion.

They can, however, be made worse by the shoes we wear and the way we walk (biomechanics). This can be made worse by arthritis. Toe spacers or bunion splints may provide temporary relief. But this only lasts as long as they are on.

It is not a long term solution. Surgery is not usually performed for cosmetic reasons, so if you have a bunion, it is better if you look after it. Where we cannot change the damage that is there, we can help prevent it from getting worse.

Top 10 ways to look after bunions

  • Maintain a normal weight. Excess weight makes a bunion worse.
  • Use shoe inserts to help position the foot correctly. These can be over-the-counter arch supports or prescription orthotic devices.
  • Wear a splint at night to hold the toe straight and ease discomfort. (we will need to look at your feet, so you have the correct splint)
  • Protect it from abrasion in your shoes, by a padding. We can help you with the type and where to apply it properly.
  • Use warm soaks, ice packs, and massage. Anything to remove pressure helps your feet.
  • Buy well-fitting footwear that are wide in the toe area. Get the best advice in choosing shoes.
  • Get the right orthotics (insoles), so that we can remove pressure from your toes
  • Use the right stretching exercises
  • Wear wider shoes, wear shoes with a strap / lace over the instep to reduce pressure on the toe.
  • Calf stretches and other exercises.

We can work with you to make sure that the right shoes are chosen, to minimise the pressure on the toes. With the right insoles and orthotics. We can change your walking style (gait) so that we can minimise the impact of this on your feet, and the rest of your body.

We will guide you on the next step to take. At Bucks Foot Clinic, we are here to make your feet work for you. We want the best solution for you. Call us for an appointment, and let us discuss what we can do together.

Stiff Big Toes – Hallux Rigidus

Stiff Big Toes – Hallux Rigidus

By home, Treatment

If you try to move your toes back, and they do not flex, you can have Hallux Rigidius or Stiff Big toes. Signs of this are when you are walking, and your toe hurts. It is a form of arthritis, where the cartilage in the toe has worn out.

Your big toes bear a great deal of pressure as you walk. With every step, a force equal to about twice your body weight passes through this very small joint. The big toe is used every time we walk, bend down, climb up and even standstill.

The condition varies in terms of stiffness, pain, and loss of mobility. Some people will develop what is known as hallux limit us, where mobility is restricted rather than lost.

Symptoms include:
  • Pain and stiffness during movement
  • Problems with some activities such as running
  • Swelling and inflammation around the joint
  • Symptoms are worse during cold and damp weather
At a more advanced stage, symptoms include:
  • Pain when resting
  • Development of bony bumps (osteophyte) may develop on the top of the joint which can rub on shoes
  • People may walk on the outer side of the foot to avoid pain from the big toe. This can produce pain in the ball or outside of the foot.

The big toe can become what is known as a “frozen joint” when all movement is lost. At this end stage of hallux Rigidus, other related problems are likely to have developed in the foot.

Hallux Rigidus can start early in life, even during the teenage years or the twenties. However, in the majority of cases, it does not get progressively worse. About 20 to 25 percent of patients experience increasing stiffness and loss of mobility and are likely to require treatment.

This is caused and made worse by Having Flat feet, or fallen arches. People with rolling in of the feet when they walk, putting extra pressure on the toe. (It is also possible to have ankle pain in this case) Some people may have a family history of the condition and inherit a foot type which is more prone. This can be caused by biomechanics or musculoskeletal problems. This can also be triggered by injury, inflammation, and infection. This can be treated if caught early, without a need to go down the surgery route. Without fell biomechanical assessment, we can help you find a solution to this.

If not managed correctly, this can cause problems in the hips, knees, and ankles, as this will change the natural walking pattern.

We can work with you to make sure that the right shoes are chosen, to minimise the pressure on the toes. With the right insoles and orthotics, this can also remove a lot of stress on the toe. We can change your walking style (gait) so that we can minimize the impact of this on your feet, and the rest of your body.
Surgery and steroid injections are normally the final solutions, and we can make sure that it does not come to this. We can get you to get to a normal pattern, quickly and effectively.

It’s best not to ignore any foot pain that lasts longer than a few days. We will guide you on the next step to take, as well as help you with proper arch supports and padding. We can also make custom shoe inserts and molds, to remove and redistribute the pressure.

At Bucks Foot Clinic, we are here to make your feet work for you. We want the best solution for you. Call us for an appointment, and let us discuss what we can do together.

Trapped toe nerve

Trapped toe nerve

By home, Treatment

This is also called Morton’s neuroma. It is a painful condition that affects the ball of your foot, most commonly the area between your third toe and fourth toe.

It feels like you are standing on a pebble in your shoe or on a fold in your sock. It also involves a thickening of the tissue around one of the nerves leading to your toes. This can cause a sharp, burning pain in the ball of your foot. Your toes also may sting, burn or feel numb.

Top 10 ways to prevent Trapped toe nerve

  • High-heeled shoes have been linked to the development of Morton’s neuroma. Many people experience relief by switching to lower heeled shoes
  • Wear Shoes with wider toe boxes.
  • In extreme cases corticosteroid injections or surgery may be necessary.
  • Wear the correct type of shoes. Un-necessary pressure in parts of your feet can cause this, and this affects the nerve.
  • Certain high impact sports can cause this, like jogging or running
  • Sports with tight shoes can make the condition worse, like climbing, snow skiing, skating
  • Make sure if you have other foot conditions like high arches, flat feet, etc, you get the right orthotics (insoles)
  • Make sure that your socks and shoes do not have any lumps are imperfections.


It’s best not to ignore any foot pain that lasts longer than a few days. If you experience a burning pain in the ball of your foot that’s not improving, despite changing your footwear and modifying activities, this can make the situation worse.

We will guide you on the next step to take, as well as help you with proper arch supports and padding. We can also make custom shoe inserts and molds, to remove and redistribute the pressure.

At Bucks Foot Clinic, we are here to make your feet work for you. We want the best solution for you. Call us for an appointment, and let us discuss what we can do together.

Athlete’s Foot & other Infections

Athlete’s Foot & other Infections

By home, Treatment

No one likes smelly feet. It is embarrassing, and if not managed, gets worse. It is also more common than most people believe.IF your feet are smelling or itching, there is a good chance you have athlete’s foot. This is a fungus and must be treated as such, as it is easy to spread to your other foot, as well as to other family members.

In the initial stages it is not painful, then it causes rashes, and peeling skin. If not treated, it will smell, and get itchy.

This is when you have a higher chance of transferring/transmitting to other people (as you use your fingers to scratch it). If still not treated, it will cause fungal nails, which is a lot harder to cure and remove.

If you are diabetic, like all foot infections, you need to get this looked at by a podiatrist to make sure the condition is looked after properly. Any condition where there is poor circulation can decrease the immunity against the infection.

Top 10 ways to prevent Athlete’s Foot

  • Sweating heavily or not drying the feet can increase the moisture for encouraging the breeding of fungus. If you dry between the toes all the times.
  • Get this managed quickly, as this will spread to the nail.
  • Walking barefoot in damp communal areas, such as swimming pools, gyms and shower rooms
  • If you have diabetes, circulation problems or a weakened immune system, any infection, can increase the chance of fungus. Consult your podiatrist at the first sign of athlete’s foot.
  • Change your socks daily
  • Use a disinfectant, liquid or soap to scrub your feet daily
  • Use antibacterial spray in your shoes
  • Keep your feet dry and clean at all times
  • Wear flit flops with walking in communal areas
  • Do not share towels, nail clippers, etc with other people.Do not ever share trainers
  • Always wash your hands after treating, cutting your nails (ok, we lied about 10 ways)
Important

If you have diabetes, or have reduced blood circulation and nerve supply in your feet you are a high risk of skin infection. So any minor injury or condition has the potential to cause more serious issues. Fungal nail infection is a condition, which can lead to more serious conditions. Any diabetics with nail infections should get professional help as soon as possible.

Treatment

Atheletes foot can be treated and managed with the correct creams and ointments. Some over-the-counter medicines work, many do not. We have access to stronger ointments and creams, to ensure that you get rid of your athlete’s foot.

Some of the methods we use include
  • We also use homeopathy where we use natural algae to help the body fight the fungus.
  • We have strong ointments and creams we can use to fight the fungus
    With available on the table, and with your particular case, we can find the right solution to get rid of your fungus.

We can use the latest state of the art equipment, or we can work with other methods to remove the fungal infection on the nails that are there. Together we can find the perfect solution.

Arch Pain and Heel Pain

Heel Pain

By home, Treatment

Ok, we can use the technical word, it is Plantar fasciitis. There is a muscle that your heel to the front of your foot. It supports the arch of your foot and helps you walk. As expected, your ligaments experience a lot of wear and tear in your daily life. Normally, these ligaments act as shock absorbents, supporting the arch of the foot. When there is extra pressure on your feet can damage or tear the ligaments. This then causes pain.

The pain can be at the bottom of the heel, or even although some experience pain at the bottom mid-foot area. This can develop gradually over time, and certain actions like sports can make it worse. The definition of pain in this is varied. Some people say it is as dull, while others a sharp pain.

The pain is usually worse in the morning when you take your first steps out of bed, or if you’ve been sitting or lying down for a while. Climbing stairs can be very difficult due to heel stiffness. After prolonged activity, the pain can flare up due to increased inflammation. Pain isn’t usually felt during the activity but rather just after stopping.

The top 10 ways to manage Heal Pain

  • If you are working or exercising on your feet more, you need better foot support.
  • You need to have the correct arch support and shoes
  • Stay off your feet when possible.
  • Apply ice and raise your feet for 15-20 minutes, 3-4 times a day to reduce swelling, and to calm the inflation
  • Change you routine to more non-impact sports
  • We can show you exercises to strengthen your arches
  • You can use a towel, and use it to pull your toes towards you when you keep your knee straight
  • Splints can be attached to the calf and foot when you sleep helping to stretch your muscles
  • The hardest one to do, but one of the most effective, is to lose weight.

So how can we help

  • We have an experienced team that can help with your custom arch support, to remove the pressure of your ligaments and muscles.
  • We also have access to advanced medical strapping techniques, that will move the pressure off the feet, to relieve the pain, and to help the feet heal. These braces can provide instant relief.
  • We can use the latest wave of technology, which can help and speed up the healing.
  • With so many options available, and with your particular case, we can find the right solution to get you out of pain. Together we can find the perfect solution.
Verrucae and Wart

Verrucas / Warts

By home, Treatment

These are often confused with corns. Corns are thick skin on your feet that are painful when you walk. Verrucae and Warts are viral infections that cause think skins, and these hurt when you walk.

Verrucae are a type of wart that develops and affects the bottom of your feet. They are generally harmless. However if not treated promptly they can take months and sometimes years to get rid of.

Warts can and do spread around the body and they can be passed onto other people. This means that you can infect other people in the family, or can be infected by them. It is normal to get them when you share changing rooms or shower facilities (like swimming pools, or gyms) with other people.

Like most infections, they can be removed. Please do not worry, we here at Bucks Foot Clinic can assist you. We can tell you if you have a corn or a verruca’s, and we can help you manage this. We can make sure you have the correct tools to get rid of them.

Top 10 ways to prevent Verrucas / Warts

  • Always avoid direct contact with warts, this includes your own warts, always remember to wash your hands after touching the warts / verruca.
  • Keep your feet clean and dry, change your socks shoes regularly.
  • Avoid walking barefoot around swimming pools locker rooms and gym’s
  • Do not pick, scratch warts. They are viral infections and can spread easily
  • Do not use the same emery board, pumice stone, or nail clippers that you would use on healthy skin.
  • Do not share nail clippers, pumice stones or emery boards with other people. You can pass the infection to them or get it from them
  • Boil / wash you socks and bedsheets to prevent passing the virus to other people
  • Wear a pair of verrucae socks or use a use a transparent verrucae spray which can stop you getting re-infected.
  • Do not share socks or shoes with other people
  • Wear flip-flops or wet shoes in communal areas. This prevents the infection of your feet. Keep a pair of flip-flops or wet shoes when you go to the pools or to the changing room shower.
Treatments

Over the counter medicines rarely work. They are not as strong as the medicines given by us, as your podiatrists. We can make sure that we fit the right treatment to your verruca.

The longer it is left, the harder it is to remove, and more invasive methods are needed to aggressively attack the verruca infection.

Some of the methods we use include

At Bucks Foot Clinic, we have invested in the latest technologies. The latest machine in the fight against verruca is the Swift microwave machine. We have used this over the last few months with excellent results on stubborn verrucae.
We can use stronger acids (like the ones found in over the counter packaging) to make sure the verruca is cleared out.

We can freeze or use Cryosurgery to freeze the verruca. This is used by applying liquid nitrogen onto the verruca. We can use chemical therapy (chemotherapy), where we use a selection of different chemicals and acids to treat the virus.

We can use, dry needling, where we can force the blood in the body to fight the verruca naturally. This can remove the most stubborn verrucae. We also use homeopathy where we use natural algae to help the body fight the verruca.

With so many options available on the table, and with your particular case, we can find the right solution to get rid of your verruca.

We can use the latest state of the art equipment, or we can work the natural methods to remove the verruca that is there. Together we can find the perfect solution.

Ingrowing Toenails

Ingrowing Toenails

By home, Treatment

We are a regional specialist in ingrown toenails.

We promise you a fast consultation and solution. We make sure that after we have seen you, we will work to find relief to your painful swollen toenail. After diagnosis, of your inflamed toe, we make sure that you to get pain relief with or without surgery so that you are back on your feet.

Not every ingrown toenail, needs surgery. If it is required, we have years of experience, so you know that you are in the best possible care. Why suffer in pain, when rapid relief is possible.

The top 10 ways to manage Ingrown Toenails

  • If your toes are inflamed, soak them in salty water 3-4 times a day. This will reduce the swelling and reduces the tenderness in your feet.
  • Raise the toenail by putting cotton wool, or dental floss under the toenail. This will raise the nail, decreasing the chances of the nail to grow over the edge of the skin.
  • Cut your toenails flat. Do not cut the nails in a curve, to follow the shape of the toe. This also applies if you go to a salon. If you have a condition with poor blood flow (like diabetes), ask a Podiatrist, to help with cutting your nails.
  • Keep the nails at medium length – If your nails are too short, the shoes you wear may force the nails to grow into the toenail tissue causing them to get inflamed.
  • Make sure your shoes fit well. Tight shoes, or shoes that pinch, put extra pressure on the nail, and can damage the feet. If you have any form of nerve damage in your feet, you may not notice that the shoes are fitting correctly. Take care, and get the right advice from the shoe store, to get the best for your feet. There are specialist stores with experience in fitting shoes for people with foot problems.
  • Wear protective shoes – If you are in a position where your feet may be injured, protective shoes or footwear, can help manage any damage to your toes.
  • Check your feet – If you are a diabetic, or you have any other issues, it is recommended that you check your feet daily for ingrown toenails (as well as other foot problems)
  • If you have open wounds, it is recommended that you keep them clean, and keep them open to help the wounds heal. It is strongly recommended that you visit us, or your local podiatrist, to make sure that the correct dressing is applied.
  • Do not cut your nails if you have ingrown toenails. We offer guidance and training, for you to cut your nails properly so that the condition is not made worse.
  • Do not peel or bite your nails. This increases the chance of your condition getting worse.

Solutions for In-grown toe nails

  • It is possible for us to trim the nails, to remove the pressure on the toes, and done on a regular basis, this is a great solution for some people who do not need surgery. This can prevent or delay the need for surgery.
  • We can do nail surgery, where we can remove part of the nail so that when you wear slippers or sandals, it still looks natural. This way, your ingrown toenails do not impact your life. This could be a permanent solution for a happier you.


Why suffer in pain. Why wait to get your nails resolved. We will help you manage and/or fix your issue with ingrown nails.

Ingrown toes nails, that are not looked after, have a higher chance of bacterial infections. Talk to us to get the best solution for you. We will advise you of all your options, and help you manage this.