RS Podiatry Clinic

Services

We offer the following services

Specialist Podiatry treatments

Extracorporeal Shockwave Therapy (ESWT) is one of the most innovative and progressive treatments for chronic soft tissue injuries. ESWT is non-invasive and involves passing short, intense sound waves into afflicted tissue causing micro trauma. This increases blood flow and stimulates an acute inflammatory response, aiding the body’s own accelerated healing process.

Soft tissue injuries can be debilitating. Whether your injury or pain has been caused by exercise, ageing, doing 'too much', being overweight or by having an accident, ESWT can help. In combination with a progressively planned rehabilitation programme it is sometimes considered as an alternative and less risky option to surgery.

Clinically proven Shockwave Therapy (ESWT) is clinically proven and recognised by the top orthopaedic hospitals and is used by high profile professional sports bodies.

Visit our service page for more info!

This appointment includes the musculoskeletal assessment and is for any patient experiencing a pain in the foot or lower limb. The individual may be of any age or activity level- be this a casual runner, marathon runner, golfer or a footballer.

‘With the foot carrying our entire weight the bones, ligaments, muscles, tendons and nerves can all suffer from mechanical damage’

Patients looking for a biomechanical assessment may typically present with heel pain or Plantar Fasciopathy, pain in the ball of the foot, pain in the big toe joint, early stage bunions, ‘shin splints’ or medial Tibial Stress Syndrome and Achilles tendinopathy, to name but a few.

Such problems can have potential knock-on effects to the ankle, knee, hip and lower back.

You will be asked to wear something comfortable such as gym/sports attire and/or shorts.

The appointment is usually structured as follows:

  • Medical history followed by a detailed history of the actual problem
  • Shoe analysis and foot measurement
  • Multiple objective assessments in stance from the head down to the feet (front/side/back)
  • Hands-on clinical assessment of the foot/leg looking at:
    - muscle strength
    - range of movement
    - assessment of foot function
    - clinical pain palpation tests assessing the area(s) of concern
    - and much more.
  • Gait analysis
  • RSscan – We feel very lucky to have this apparatus. It is used to gain further insights into the understanding of foot function and gait. It allows even the smallest movements of the foot to be recorded and then assessed for ‘abnormalities’ or asymmetries. We are one of the first clinics in Coventry and Warwickshire to offer this service. - Read More about RSscan.
  • Discussion on the findings and the suspected diagnosis
  • Individualised treatment plan

Overall, the assessment provides a more in-depth look and helps us to understand not only what the problem may be, but also the likely causative factors. This may for example be ‘poor foot function’ such as over-pronation, poor foot posture, weakness or tightness in certain muscles, leg length difference and much more. We can then address these factors and formulate a treatment plan. We are regularly attending courses and looking into the latest research papers to provide our patients with the most up to date evidence-based treatment plans.

If you are not sure what appointment you need please call us on 07516 425748.

Some patients may not want or indeed need the full biomechanical and musculoskeletal assessment. Hence, we offer the musculoskeletal assessment alone. It allows us to have an in-depth consultation with the patient followed by a hands-on clinical assessment of the problem area. We can then form a treatment plan. The plan, however, may not be as individualised as in the full biomechanical assessment. Also, this session does not include the use of the RSscan.

If you are not sure what appointment you need please call us on 07516 425748.

We specialise in orthotic prescriptions and even offer the latest in 3D Printed Orthotics.

For patients with re-occurring, excessively curled or particularly painful in-growing toe nails. This will involve a local anaesthetic at the base of the toe which may cause only minor pain similar to having a dental injection. The procedure itself is otherwise painless and involves having either one or two sides of the nail removed. It lasts around 12-15 mins but the overall appointment is approximately 45 min. This is simply to provide the patient with a relaxed environment whilst we take our time and ensure a thorough service is provided.

 

We offer a podiatric angle on gait and running biomechanics. This is a not a running shop gait analysis. We take a detailed look at running biomechanics and make subtle changes if needed. This can often be an add on to the Biomechanical and Musculoskeletal Assessment. It depends if there is an injury involved or if the patient simply wants the service as a stand-alone assessment.

 

Please understand that return appointments over a period of time may be necessary to effectively reach the desired outcomes. However, we will work to your goals if this is proving difficult.

 

Please speak to us prior to booking so that we can inform you of the process and book you into the correct time allocation.

 

What you can expect (please bring your running/gym kit and shorts, to help with the analysis, as well as all activity related footwear):

 

  • Video gait analysis (posterior and lateral aspect) from head to toe
  • Use of the RSscan
  • Analysis and explanation of the results
  • Gait Re-training cues
  • Exercise education (functional/dynamic/strength/balance, flexibility)
  • Rehab Programme
  • Tailored Strength Programme
  • Discussion/planning of current training programme with relevant alteration where needed relative to injury risk
  • Footwear assessment & advice 
  • Plan on relevant follow-ups

We are specialising in a specific type of verruca treatment known as Falknor's Verruca Needling Procedure.

Verruca's are caused by the HPV virus and inhibit the upper layer of the skin. Falknor`s needling procedure is an innovative and effective treatment for verrucae (plantar warts). It is a form of soft tissue therapy which is intended to break down the verruca and create a controlled inflammatory response which, in turn, stimulates the body's immune system to recognise the virus and destroy it.

It is routinely used and offers great success. A 2013 study called 'The
Treatment of Verrucae Pedis Using
Falknor’s Needling Method': A Review of 46
Cases. J Clin. Med. 2013, 2(2), 13-21; found complete resolution of the verruca in 69% of cases. Three patients showed a reduction in verruca size and pain, whilst 11 showed no improvement. No adverse effects were noted.

Verruca Needling is different from other verruca treatments such as acids, caustics, over the counter treatments or cryotherapy, all of which can entail multiple applications, trial and error and money spent to then only possibly be effective. Flaknor's procedure only requires one, or occasionally two, applications making this an ideal treatment for busy people or those who do not want the rigmarole of trying to keep the foot dry whilst treatment is on-going on a weekly basis!

The procedure is carried out painlessly under a local anaesthetic to numb the foot. The verruca is then repeatedly punctured with an empty sterile needle allowing the viral agents to be directly exposed to the fatty tissue beneath the skin where the immune system can recognise and destroy the virus. A dressing is applied which needs to be kept on dry for 24 hours. We review the area in a few days time. 

The fee for the procedure includes the initial assessment appointment, local anaesthetic, procedure, dressings and x2 review appointments.

Please note there may be a short wait for this service and patients will be assessed for suitability prior to the procedure taking place. 

 

Telehealth is essentially an online video consultation rather than a face-face podiatry consultation. We started using Telehealth during the Covid-19 situation and it helped patients in this way.

The suitability for a video consultation is decided on a case by case basis and is sometimes condition specific. Therefore, if you are interested, please call us to discuss this and the cost further.

Routine Podiatry treatments

Looking after long nails and hard skin is key, particularly as they become painful. This can cause soreness, infection, affect the way we walk, affect our mood, and sometimes result in ulceration of the skin.
As we age our skin naturally becomes drier and we can lose the protective fatty padding we all should have. Heels can become dry and cracked and difficult to manage. Let us help!

As Podiatrists we are trained to use surgical grade sterile scalpel blades to remove hard and sometimes painful skin. This is important to keep on top of especially if you are diabetic. If needed we can look at the potential causes and try and address these through various methods some of which may include insoles, orthotics and advice on specific foot creams and files.
Walking with a painful corn(s) can mean we alter our gait and over compensate on other areas. This can sometimes lead to problems elsewhere. Corns are best treated by a Podiatrist. Treatment is often painless. However, treatment can become uncomfortable if the corn has been neglected for some time. Come and get it seen to sooner!

For patients who are elderly, have back problems, can’t reach their feet, have had a hip replacement, play sports or dance, wear tight shoes or for anyone simply wanting professional help to keep their toe nails in the best shape possible.

Some common nail problems include:

  • Fungal nails
  • Overly thick nails
  • Infected nails
  • Bruised nails
  • Detaching/Loose nails
  • Ingrowing toe nail

Diabetics are far more susceptible to foot and lower-limb complications. It is highly important to see a Podiatrist if you have any concerns about your foot health. It is also recommended to have an annual diabetic foot check.

 

Diabetic foot problems can include:

  • Delayed healing from cuts or lesions
  • Higher risk of developing an infection
  • Increased risk of developing an ulcer
  • Poor circulation
  • Nerve damage with subsequent lack of feeling in the feet
  • Increased risk of amputation (particularly with a poor medical history and poorly managed diabetes)
  • Changes in eye-sight making it difficult to cut toe nails

How can we help?

We help provide valuable advice and tests on:

  • Nerve Sensation for diabetic neuropathy
  • Advice on how to look after your feet in order to prevent potential complications
  • Circulation (Vascular assessment) using a hand held Doppler
  • Help with reducing corns and calluses and hard skin which all contribute to an increased risk of an ulcer
  • Offer a professional nail cutting service to reduce the chances of potential complications from poorly cut nails
  • See you every 6-12 months for routine check-ups to ensure any problems are picked up early
  • Take the time to go through with you and explain all your results
  • Work with you to form a management plan that you can keep to help improve the health of your feet and then maintain this
  • And more!

Ingrowing toe nails are often caused by poor nail cutting, excessively sweaty feet, tight footwear, or if you naturally have very curled nails. Seek treatment sooner rather than later and the problem can easily be resolved. Leave it too long and the nail becomes very painful and can result in subsequent pus, inflammation and infection.

Often, we can treat the nail in one to two sessions, however, if it is a continuous issue then a partial nail avulsion, where part of the nail is permanently removed, may be a better consideration.

For this we use a four-point system, including a doppler reading. It is often included into the initial patient assessment and helps gain further understanding of the patient and their presentation as a whole. Most importantly, time is taken to thoroughly go through the results and leave you with the knowledge of what it all means.