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Heel Pain

Mon, 24 Apr 2023 07:49:43 GMT

What is it and what can we do about it?

Heel pain is a umbrella term used for pain that occurs underneath the heel or behind it. It is a common foot and ankle complaint that can affect anyone at any age but most commonly affects middle aged people, people that are overweight, athletes or people that stand for long periods of time. Many conditions can cause heel pain such as; plantar fasciitis, achilles tendonitis, heel spur, stress fracture and heel bursitis to name a few. However, most conditions usually develop as a result of either injury/trauma, poor biomechanics, or due to the natural ageing process. Heel pain is rarely a symptom of something serious but it can make walking difficult and if severe can affect daily activities.

Most cases of heel pain will resolve in time following a routine of rest and simple self care measures. However, if ignored or inappropriately treated, it can become chronic requiring a longer recovery period or more invasive treatments. Rarely, it may require surgery. It is therefore recommended that if heel pain lasts longer than 3 weeks, to seek professional advice from a qualified podiatrist who will be able to assess and diagnose the condition, as well as implement an individualised treatment regime.

Treatment for heel pain varies depending on the cause of the condition and the severity of the condition, as well as individual needs. Most acute cases of heel pain will get better with conservative management that focuses on easing pain, reducing inflammation, improving foot function and reducing pressure on the heel.

Some simple self care measures include:

Resting regularly and minimising standing/walking for long periods or on hard surfaces barefoot.

Ice the area when painful and elevate the foot.

Avoid wearing ill fitting or uncomfortable shoes with very flat unsupportive soles.

Wear shoes with a good cushioning sole and effective arch support. Sports trainers are particularly effective.

Take pain relief such as Non-steroidal anti inflammatories to reduce pain as well as inflammation and swelling.

If you are experiencing heel pain that has not resolved naturally or with the above foot care measures, get in touch with our team to receive your personalised assessment and treatment plan.

The Diabetic Foot

Tue, 16 Nov 2021 11:04:54 GMT

Diabetes and How It Affects Your Feet

The Diabetic Foot

According to recent research, there are over 3.9 million people living with diabetes in the UK, with approximately 700 people a day being diagnosed. That's the equivalent of one person every two minutes!

Diabetes, a condition that affects the body’s ability to break down excess sugar in the bloodstream, can cause serious complications to the body. Two that frequently affect the foot are peripheral vascular disease and peripheral diabetic neuropathy and are the most common cause of non -traumatic lower limb amputation in diabetics.

The reason for this is that excess sugar in the bloodstream damages the small and large blood vessels, affecting the flow of blood around the body. Without good blood supply flowing down to the feet, the skin becomes very dry and fragile, making it prone to small cracks and cuts, which in turn take longer to heal due to having poor blood supply. As a result, these small cracks and cuts become at high risk of complications such as further ulceration and infection. In addition to damaging the blood vessels, excess sugar in the blood can also damage nerve fibres. If the nerves to your feet are damaged, you will lose sensation and will not be able to feel heat, cold or pain. Therefore, if you cut your foot, the cut could get much worse and become infected before you even realise there is an issue. Furthermore, if the nerves that supply the muscles to your feet are damaged it could affect the way you walk, resulting in callus and corns from forming or even injuries, increasing the risk of complications such as ulcers, infections or even a Charcot foot.

Common Conditions that affect the diabetic foot

Anyone can get the following foot problems, however for people with diabetes, these common foot problems can lead on to further complications.

Athlete's foot - Athlete's foot is a fungal infection in the skin that causes itching, redness, and cracking. Germs can enter through the cracks in your skin and cause an infection.

Fungal nail infection – Fungal infections in the nail may cause the nail to become discoloured (yellowish-brown or opaque), crumbly, very thick and brittle, causing discomfort in footwear and may become loose or drop off. Fungal infections are difficult to treat and should be done so via a podiatrist or GP.

Calluses - Callus is a build-up of hard skin, usually underneath the foot or on tops of toes and is caused by excess pressure and friction on skin. Calluses can become painful if they are left to build-up and can ulcerate if not treated accordingly.

Corns - A corn is a build-up of hard skin usually on an area of high pressure or from rubbing. Again, corns can become very painful if left and not treated. Do not use over-the-counter remedies to dissolve corns and DO NOT try to cut the corn or remove it with a sharp object.

Blisters - Blisters occur when your shoes rub on the same spot for a prolonged period. If a blister bursts or is de-roofed it can become infected.

Bunions - A bunion forms when your big toe deviates toward your second toe. Often, the big toe joint sticks out and forms a hard bony lump which may become red and callused from rubbing in footwear, making it prone to blisters and ulcers.

Ulcers - An ulcer is a break in the skin or a deep sore, they can happen from minor scrapes, cuts that heal slowly, or from the rubbing of shoes that do not fit well.

Hammertoes - A hammertoe is a toe that is bent because of a weakened muscle. The weakened muscle makes the tendons in your toe shorter, causing your toe to curl under your foot. Hammertoes can cause problems with walking and can lead to blisters, calluses, and sores.

Ingrow n toenails - Ingrown toenails happen when the edges of the nail grow into your skin. They cause pressure and pain along the nail edges. The edge of the nail may cut into your skin, causing redness, swelling, pain, drainage, and infection if not treated accordingly.

Plantar warts - Plantar warts look similar to corns but have a cauliflower appearance and may have black spots in them. Plantar warts are caused by a virus that infects the outer layer of skin on the soles of the feet. If left, they can spread to other sites and people easily and can be difficult to treat.

Getting your feet checked by a professional

If you have diabetes, it is very important to have your feet checked regularly by a qualified podiatrist who will be able to assess your feet and identify any serious problems as well as advise on an appropriate care plan and treat any conditions. A word of warning: many problems start with either self-treatment or as a result of inappropriate treatment by inexperienced individuals.

Qualified podiatrists receive a high level of training in the assessment and treatment of the diabetic foot whilst studying for their degree. To ensure your podiatrist is fully qualified, ensure you choose a podiatrist that is registered with the Health & Care Professions Council (HCPC), which you can find by either looking up their HCPC registration number or by going on to the Health & Care Professions Council website and looking up their name.

Tips for Diabetic Foot Care

Here are some tips for good diabetic foot care:

Take care of yourself and your diabetes. Follow your doctor's advice regarding nutrition, exercise, and medication. Keep your blood sugar level within the range recommended by your doctor.

Check your feet every day for sores, blisters, redness, calluses, or any unusual changes.

Wash your feet in warm water. Test the temperature of the water with your elbow as nerve damage can affect your hands, too. Dry your feet well, especially in between your toes.

Apply emollient to your feet daily to prevent dryness and help soften calluses and corns. Do not put emollient in between your toes however as it can cause fungal infections.

Gently file any calluses with an emery board. Do this after your bath or shower when your skin is soft.

Cut your toenails straight across. Do not round off the corners or cut down on the sides of the nails. File the toenails with a nail file.

Wear well-fitting and supportive, enclosed shoes that do not rub. Do not walk barefoot, even around the house.

Always wear socks or stockings that fit your feet well and have soft elastic.

Always check the inside of shoes to make sure there are no objects inside.

Protect your feet from heat and cold; Wear shoes at the beach or on hot pavements, do not put your feet directly into a hot bath and do not put your feet onto a radiator or too close to a heater. Wear thermal socks at night if your feet get cold.

Keep the blood flowing to your feet. Regular gentle walking and gentle leg exercises can help improve the blood flow to your feet. Put your feet up when sitting, wiggle your toes and move your ankles several times a day, and don't cross your legs for long periods.

If you smoke, stop smoking. Smoking can make problems with blood flow worse.

If you have a foot problem or notice any changes to your feet, contact your podiatrist or GP.

See your podiatrist every 6 months for check-ups, even if you don't have any foot problems. If you have problems such as calluses and corns, peripheral arterial disease, or peripheral neuropathy, it is advised that you see your podiatrist every 6 -12 weeks, depending on the severity of your foot problems.

Blog by Fonti Bentley - BSc (Hons) Podiatric Medicine, MCPOD, HCPC:CH3309

Fonti Bentley graduated from the University of East London in 2013 obtaining a First Class Bachelor of Science degree in Podiatric Medicine and won an award for the overall highest clinical grade achieved in her cohort. She has worked for some of the UK’s leading medical institutions in London including St Martin-In-Fields Homeless Shelter, Great Ormond Street Hospital and London’s leading Kings College Diabetic Foot Clinic. Fonti’s most recent role in the NHS was based at Hertfordshire Community NHS Trust where she worked as a Specialist Podiatrist as part of an autonomous team, assessing and treating diabetic and high-risk patients and managing a wound care clinic. Fonti currently works as a Private Podiatrist for Betafeet Podiatry in Tring, treating various foot complaints such as;

Routine nail and skin pathologies
Verruca
Diabetic foot assessments
Lower limb Vascular assessments
Nail surgery
Wound care management
Musculo-skeletal disorders and sports injuries
Orthotics (insoles)

Podiatry: Patients are asked to wear masks during routine consultations

0010000628 (Judith Sullivan) — Fri, 19 Jun 2020 11:02:44 GMT

We want to reassure both staff and patients that their safety is paramount, and, in line with our colleagues in England, Scotland and Wales, we support the use of PPE when carrying out face-to-face consultations with patients.

We are asking patients to wear a mask at present not just for their safety but the safety of those around. Patients may be asymptomatic and not exhibiting signs of the virus, but we must keep ourselves and patients safe during these unprecedented times in keeping with Public Health England guidance.

We are following physical distancing guidelines as much as possible, please do not enter our clinics if you have symptoms of COVID-19.

Hand gel is available on entering and before leaving the building, we do not recommend gloves be worn but if you do so please gel them thoroughly as you would your hands.

Certain people are exempt from wearing a mask such as:

Children under two years old
People with breathing problems
People who can't remove the mask without assistance, such as those who are incapacitated or disabled

If you are unable to wear a mask just inform us when booking your appointment. If you are unable to obtain your own mask we can supply if necessary.

You will be asked to fill in a consent form for treatment to confirm that you are aware that there is currently a Covid-19 pandemic and by being treated there is a small risk of transmission due to mixing with other people.

The Challenge of Seamless Care for the Aged in a Pandemic World

Tue, 09 Jun 2020 07:53:56 GMT

Many skilled nursing facilities have risen to the challenge that COVID-19 has given them. Residents who cannot see their family personally and benefit from the human touch of their loved ones are going down, even depressed. Staff around the world are trying to find creative activities for residents as well as creating ways to visit personal windows.

Bryn Celyn Aged Care Home had a good game of Hungry Hungry Hippo going. The residents and staff involved had a great time. The laughter and boost in morale across the board were phenomenal. Aged care homes across the globe are getting creative with everyday life for the residents to avoid depression and sadness.

Aged Care Homes Remain Closed to the Public

Months have slipped past and most cities and states in many of our world’s countries are working toward re-opening or have already opened back up. The elder in aged care homes must still be on lockdown for the protection of their health. Elderly residents in the United Kingdom have found that technology is a lovely bridge that stands strong in the gap Coronavirus has created between themselves and their families. Video visits have become the new normal. Aged care homes simply cannot take the risk of relaxing.

Continuing to keep visitors out of the facilities limits the chances of the virus spreading through the home. This means still no visits from family and friends and no one outside of staff should be coming in. General practitioners, wound care specialists, and other medical professionals are utilising telemedicine to provide care to their patients.

How Can Telehealth Be Used For Foot Care?

Through the advanced technology of telemedicine, a physician can be in his/her office or at home (virtually anywhere) and work hand-in-hand with facility nursing staff by way of video calls such as FaceTime or Skype. Rounds are done as easily as they are done in person with the help of the staff nurses. The doctor can guide her to pan up and down or left to right to get a full view of a patient's food and/or wound. Doctors will document the same way they do when they visit face-to-face.

The continuum of care provided by telemedicine is helping to avoid high admissions to the hospital. Even a short break in care for a diabetic foot care patient could result in hospitalisation. The goal of constricting aged care home movement is to not only keep the residents safe but to keep doctors from exposure as well.

When Will the Pandemic End and How?

Some professionals say it will be at least 18 months . The World Health Organisation says that the virus may never go away . All we know for sure is that this is a waiting game for many. Infection control measures are improving but it is a real possibility that a vaccine will not be ready to administer until the Fall of 2021.

It is important to realize that history repeats itself. We, as a people, have survived viruses and diseases many times over. Pandemics have two types of endings. One is medical. This occurs when the active cases and the death rates drastically reduce. We have not achieved this with the Novel Coronavirus. The other type of ending is social. This occurs when the epidemic of fear about the disease wanes considerably.

Among the diseases that have ended medically are smallpox (which has a vaccine for lifelong protection against the disease) and bubonic plague struck several times in the past 2,000 years but cases are simply not seen anymore.

The 1918 flu killed approximately 100 million people throughout the world. Children were orphaned, breadwinners died, and troops died from the disease during World War I. After the flu swept across the globe, it mutated into a variety of benign seasonal cases of flu. It also ended socially. People wanted a new era and were anxious to put the nightmare of this disease behind them. This horrifying pandemic that plagued the first World War people still circulates as the seasonal flu. Until the Novel Coronavirus, the pandemic status that the 1918 flu created was largely forgotten.

Has The Pandemic Ended Socially?

Professionals believe that we are in the process of attempting to socially call an end to the pandemic . People have grown tired of restrictions and declared it to be nonexistent or face, even while the virus is festering in the population and there are no effective vaccinations or treatments as of yet.

But the question is, who is the pandemic over for? Who says it’s over? On what criteria is an “end” based? The fact is, aged care homes cannot risk their residents' lives by allowing people to come in who have simply grown tired of COVID-19 and decided not to take precautions any longer. The seniors of our world are left with no visitors and lacking the compassion of human touch from their loved ones while waiting for a medical end.

According to Dr. Fauci, the United States (as well as other countries) has four months to prepare for and avoid a second wave of the virus. "There's no doubt that this virus is not going to disappear from the planet by the time we get to the fall and the winter, because there's considerable activity right now in the United States, even though some cities and states are going down [in virus cases] from looking at the charts.” Dr. Fauci has warned the United States that they have time to prevent a second wave and so do other countries, but preparedness is key.

Telemedicine Will Continue to Stand in the Medical Gap Created by Coronavirus

Before the Coronavirus pandemic, most people did not know about telehealth. It is now being used as a seamless continuum of care for aged care home patients and others. Doctors who were once apprehensive about the security of patients’ medical data being compromised are now embracing telehealth and finding that the convenient ease of providing care has been very beneficial during this crisis. Most doctors will continue to perform visits through telehealth beyond the medical end to the Novel Coronavirus ends medically.

We are treating in our practice

0010000628 (Judith Sullivan) — Sat, 30 May 2020 19:29:25 GMT

We have been advised that we can now ease our restrictions on the type of patients that we are treating in our practice

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Open

0010000628 (Judith Sullivan) — Mon, 18 May 2020 06:22:41 GMT

New guidelines from the College of Podiatry

We will be opening under the new guidelines from the College of Podiatry:

-Diabetics

-Patients in pain

-Patients with infection

-Key workers

-Ingrown toe nails

-Patients with Peripheral arterial disease (PAD)

-Patients with neuropathy or foot disease

-Patient with a wound or ulceration on the feet.

-Patients with Chronic kidney disease (CKD)

Podiatrists will wear a mask, gloves and apron during your clinical sessions. After each patient the chairs and door handle will be wiped down.

If you do not fall under any of the above categories then please give me a call on 01442 249080 where we can discuss the issue and make a choice on weather you need a clinical visit

I thank to all our patients for their support and patience during this difficult time. www.betafeetpodiatry.co.uk #COVID-19 #CKD #Diabetes #neuropathy #wound #infection #ingrowntoenail

How do I do a video consultation with my Podiatrist?

Tue, 07 Apr 2020 17:27:27 GMT

How it works:

Your practice will let you know that they would like you to do a video consultation

Your Podiatrist will then send you a text message with a link to load your video consultation. It will look something like this:

What you need to do:

Once you receive the message click on the link

It will then open your internet browser (e.g. Safari, Chrome)

It may show you a screen where you need to click "Request permissions" to enable your camera and your microphone.

You should then be able to see yourself.

Now wait for the Podiatrist to join the consultation.

See a video of how it works

We have a video of how it looks here

What do I need for it to work?

A smartphone, either with working Wifi/3G/4G connection

Your Internet Browser needs to have your phone's microphone and camera enabled (you can see how to alter this in your phone settings here) .

You might also need to make sure you are using a supported browser

iPhones running older software that has not been updated (iOS 12 and earlier will need to download the Whereby app to join the consultation )

What if I don't have a smartphone or the video doesn't work on my phone?

You can also access the link on a computer. Just copy and paste, or re-type the link into the top of the internet browser like so:

Book online today to schedule a consultation:

Alternatively, speak to our friendly booking team by calling: 01442 249080

Podiatry Home Visits for those Self-Isolating

Fri, 20 Mar 2020 20:03:13 GMT

General foot and nail care at home

General foot and nail care at home for those who are self-isolating and not travelled to any high risk areas, have not been in contact with any that has travelled to high risk areas and do not have symptoms of COVID-19 such as a cough, fever or shortness of breath.

We offer home visit appointments for people in and around the Hemel, Berkhamsted and Tring areas for patients who have become housebound due to immobility or illness, those recovering from surgery and the elderly who are no longer able to travel to our clinic. We're also more than happy to visit both residential and nursing homes as required.

Please contact the clinic if you are at all unsure if we're able to provide a home visit service in your location. We are well equipped to offer a near full range of our available podiatry services in a comfortable home environment.

A typical home visit appointment tends to last around 30 minutes to one hour where a full assessment and treatment will be undertaken. We will take a full medical history or update an existing history on file and it is important that we're aware of all medication currently being taken.

If you are booking a home visit appointment on behalf of the patient it is important that access is discussed and agreed with them in advance. We will also need to be made aware of any specific problems prior to our visit so that we can bring the appropriate equipment as required. Family members or carers are welcome to attend the visit.

If the patient is currently residing in a nursing or residential home or hospital please ensure you have confirmed our appointment times with their staff, so that they are aware of our intended visit and that it does not conflict with their existing timetable.

If you'd like to book a Home Visit with Betafeet Podiatry please ring our booking line:

01442 249 080

We remain open for business, and here for you!

Wed, 18 Mar 2020 18:20:28 GMT

Following advice from the College of Podiatry

Betafeet Podiatry has been part of the local community for many years and we’re proud to offer your local independent Podiatry Services. Being available and caring for our clients is at the heart of everything we do and what we stand for.

Like many of you, we’re closely monitoring the impact of Coronavirus (COVID-19) and what measures we need to put in place, to ensure the wellbeing of you, our clients, and colleagues.

But we’re still open!

Please rest assured that if you need an appointment, our staff are self-monitoring their own health and maintaining our usual high standards of infection control.

Coronavirus: treating patients

Following the Government’s announcement on 16 March, the College of Podiatry has advised that our medical service can still continue to treat patients, both in clinic and via home visits, as long as universal precautions are used and Government advice is followed.

Current government advice is to carry on as normal with patients who do not have symptoms or have not travelled abroad to the list of countries in the guidance. If you feel you are immunocompromised then you may wish to seek guidance from your GP or occupational health department.

We may pre-screen patients, and if you are symptomatic or are self-isolating due to being in contact with the virus, we ask that you rearrange your appointment

It is your individual responsibility to perform a risk assessment for yourself, as per government advice.

We may wish to pre-screen some patients by contacting them before they attend the clinic or have a home visit, to confirm they are not unwell. If you are not well we advise you to dial 111 (if appropriate) and rearrange your appointment with us.

It’s very much business as usual.

Social distancing or isolation? Social distancing doesn’t mean you have to lock yourself away completely, and it certainly isn’t the same as quarantine or a government-enforced lockdown. The idea is to reduce the amount of contact each person has with others. Please keep your podiatry appointments as usual as long as you have not travelled to any high risk areas, not been in contact with any that has travelled to high risk areas and do not have symptoms of COVID-19 such as a cough, fever or shortness of breath.

We’ll continue to monitor the situation and update you if anything changes. Our website and social media channels will stay active and you’ll be able to find updates and information there too.

https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance

Call our booking line: 01442 249080 or book online: https://www.betafeetpodiatry.co.uk/book-online

Coronavirus

Thu, 12 Mar 2020 12:13:30 GMT

What should I know or do?

Keep abreast of the news as we do not know much about the coronavirus at the moment.

The signs of coronavirus are like other illnesses such as a cold or the flu. This might mean you may have:

• a cough

• a high temperature

• or find it hard to breathe

These signs do not mean you have coronavirus, but still best to you isolate yourself.

Call 111 if you think you might have coronavirus or if you have been with someone who has coronavirus.

You should call 111 if you have been away to the places where people have had coronavirus. If you are unsure go to this website: https://www.nhs.uk/conditions/coronavirus-covid19/advice-for-travellers/

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How to avoid catching or spreading coronavirus by maintaining good hygeine

• wash your hands with soap and water often – do this for at least 20 seconds

• always wash your hands when you get home or into work

• use hand sanitiser gel if soap and water are not available

• cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze

• put used tissues in the bin straight away and wash your hands afterwards

• try to avoid close contact with people who are unwell

Don't

• do not touch your eyes, nose or mouth if your hands are not clean

What to do if you think you might have coronavirus

If you think you might have coronavirus or you've been in close contact with someone who has it:

• stay at home and avoid close contact with other people

• do not go to a GP surgery, pharmacy or hospital

• use the NHS 111 online coronavirus service to find out what to do next

The 111 coronavirus service will tell you if you need to continue to stay at home (self-isolate) or if you need medical help.

https://www.nhs.uk/conditions/coronavirus-covid-19/

Spreading the word about foot health with National Feet Week 9th – 15th March 2020

Sun, 08 Mar 2020 19:17:44 GMT

Encouraging people of all ages to prioritise foot health.

Most people will automatically book regular check-ups at the dentist or optician, but how often do those same people consider the benefits of an annual foot examination? Research shines a spotlight on how many of us are suffering in silence from debilitating foot pain and shows just how important foot health is for us, our families and the UK’s economy. The College of Podiatry stated 1,500 told them about their foot health and almost 60% of people who took part in the research said that they were currently experiencing foot pain of some sort, but fewer than half of them had sought help from a podiatrist or doctor. https://cop.org.uk/blog/ending-the-silence-lets-make-more-noise-about-foot-health/

This is a chance to check that our feet are getting the care and attention that they need. Betafeet Podiatry would like to raise awareness of how people can maintain healthy feet and get expert podiatric help when they need it. Podiatrists are keen to encourage people not to ignore common foot complaints, such as, fungal nail infections, corns and hard skin and recomends foot screening for all. A regular podiatry appointment can give feet a whole new lease of life. It is not to be underestimated how feet can feel with a bit of extra tender loving care.

Foot care is important through all stages of life. For children, it is necessary to take extra care with foot health to avoid problems and deformities in later life, and as we get older, everyday wear and tear can take its strain. Podiatrists are experts in all aspects of the foot and lower limb, who undergo years of specialist training to enable them to diagnose, treat and help people to look after their feet and lower limbs.

Feet are one of the hardest working parts of our body, but they are also one of the most neglected, we want to remind people to get to know their feet and not ignore any foot pain they might experience. Walking through pain or ignoring problems can, over time, cause damage to the feet and lower limbs. So, if your feet hurt, or you notice anything unusual about them, visit a Betafeet Podiatry specialist who can diagnose causes of pain and provide appropriate treatment.

Five easy ways to keep your feet healthy

1. Cut nails correctly. It’s best to use nail nippers rather than cutters, because they have a small cutting blade and a longer handle. Cut nails straight across and not too low at the edge or sides. The corner of the nail should be visible above the skin. It’s better to cut nails after a bath or shower when they are much softer

2. Don’t forget to moisturise. After washing feet, dry thoroughly and apply a good foot moisturiser all over the foot. Avoid moisturiser between the toes, as this can cause the skin to become overly macerated, causing it to break down. The best foot creams contain urea.

3. Don’t assume flat is best. People are more aware now of the health problems associated with wearing high heeled shoes frequently, but completely flat slip-on styles, such as a ballerina pump, are not ideal for everyday wear as they offer very little shock absorption or support. Slip-on styles also cause the toes to claw in order to hold the foot in place.

4. Alternate shoes and keep them clean inside. Feet naturally sweat and wearing the same pair every day doesn’t give them a chance to dry out and so they can then breed bacteria. To help keep your shoes clean and prevent them from becoming smelly, clean inside the shoe with some surgical spirit on a cotton wool pad to reduce the bacteria.

5. Check your feet regularly. Common symptoms to look out for are yellow, brittle and discoloured nails which can be a sign of a nail infection, flaky skin that may be dry or red or itchy. This can be a symptom of athlete’s foot and any changes to the structure of the foot such as swelling to the joint around the ball of the foot.

Foot pain is not normal. If you or a family member experience foot-pain then visit a podiatrist, data released by Diabetes UK showed there were 27,465 amputations from 2015–2018, which has gone up compared to 2011–2014.

Footcare for those living with diabetes

Fri, 28 Feb 2020 11:34:33 GMT

Recall Guidelines and NICE Guidance

Recall Guidelines

As a person living with diabetes, there may be changes occurring in your feet, we advise a Diabetic Assessment on a yearly basis, (in addition to your annual NHS Review). We also advise General Footcare on a regular basis, as recommended by your Podiatrist at your Assessment.

You can book by phone or online:

By phone: please call us on 01442 249080

Online: book a Diabetic Assessment appointment at

www.betafeetpodiatry.co.uk/book-online

We will be delighted to see you again!

Key priorities for General management of the Diabetic Patient

Following the NICE Guideline – Type 2 diabetes: prevention and management of foot problems 27

Effective care involving a partnership in decision making between patients and professionals.

Recall and annual review as part of ongoing care.

Annual review examining patients’ feet to detect risk factors for ulceration.

Examination of patients’ feet should include:

testing of foot sensation using a 10 g monofilament or vibration

palpation of foot pulses

inspection of any foot deformity and footwear

Classification of foot risk as: at low current risk; at increased risk; at high risk; ulcerated foot.

Care of people at low current risk of foot ulcers (normal sensation, palpable pulses)

Agree a management plan including foot care education with each person.

Care of people at increased risk of foot ulcers (neuropathy or absent pulses or other risk factor)

Arrange regular review, 3–6 monthly.

At each review:

inspect patient’s feet

consider need for vascular assessment

evaluate footwear

enhance foot care education

If patient has had previous foot ulcer or deformity or skin changes manage as high risk.

Care of people at high risk of foot ulcers (neuropathy or absent pulses plus deformity or skin changes or previous ulcer)

Review (1–3 monthly).

At each review:

inspect patient’s feet

consider need for vascular assessment

evaluate and ensure the appropriate provision of intensified foot care education

specialist footwear and insoles

Skin and nail care.

Evaluate arrangements for those people with disabilities or immobility.

Care of people with foot care emergencies and foot ulcers

Foot care emergency (new ulceration, swelling, discolouration)

Emergency appointment slots are available at the end of each session.

Refer to multidisciplinary foot care team within 24 hours to:

investigate and treat vascular insufficiency

initiate and supervise wound management which may include:

dressings and debridement as indicated

systemic antibiotic therapy for cellulitis or bone infection as indicated

ensure an effective means of distributing foot pressures, including specialist footwear, orthotics and casts

Try to achieve optimal glucose levels and control of risk factors for cardiovascular disease.

RAYNAUD'S AWARENESS MONTH 2020

Thu, 06 Feb 2020 13:41:55 GMT

HOW PODIATRY CAN HELP

February is Raynaud's Awareness Month

We need you to help increase awareness and understanding of Raynaud's which is a common condition affecting 10 million people in the UK yet so many remain undiagnosed or just deal with the impact. Download the Raynard's information pack provided by Scleroderma & Raynaud’s UK (SRUK) which is the only UK Charity dedicated to improving the lives of people with Scleroderma and Raynaud’s discussing:

The Signs and Symptoms of Raynaud’
The Difference Between Primary and Secondary Raynaud’s
How Raynaud’s is diagnosed
Managing Your Condition
The Link Between Raynaud’s And Scleroderma Explained

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Staying warm during wintertime can be a challenge and our hands and feet can suffer as a result.

In response to cold temperature changes, the small blood vessels in our extremities such as our fingers and toes temporarily contract (known as vasospasms) which can lead to a change of colour in the skin and temperature. The skin may look paler for example and become colder to touch. This is because the blood supply to the extremities has been restricted. This change in our circulatory system is our body’s natural response to heat loss and it occurs to ensure that our vital organs remain at their optimal temperature when we get cold. Once our hands and feet return to a warmer climate, the small blood vessels relax allowing the blood flow to return to normal and the skin becomes pink and warm again.

WHAT IS RAYNAUDS

In people who have Raynauds, the small blood vessels in the extremities are over-sensitive to temperature changes, so the response occurs much more readily. It is also exaggerated and prolonged. As a result, the changes are more severe; the affected skin may change colour from bright white to purpley / blue and can feel freezing cold or numb. As the blood flow returns to the affected areas, the skin may turn bright red and throb, tingle or burn. This exaggerated response is known as a ’Raynaud’s attack’. The attack can last from several minutes up to several hours and can be very uncomfortable or even painful for some, making everyday activities difficult.

These attacks usually occur in the fingers and toes, but all extremities can be affected such as the nose, ears, lips and nipples.

PROBLEMS WITH RAYNAUDS

For most people, these symptoms are usually minor and eventually everything returns to normal relatively quickly without any complications. However, repeated episodes of an attack can lead to dry, devitalised skin and changes in nail shape and texture. In more extreme cases, injury to the soft tissue can occur resulting in Chilblains, skin sores / ulcers or even possible gangrene.

TAKING CARE OF YOUR FEET.

If you are susceptible to Raynauds, it is important to keep yourself warm, so it is advised to listen to the weather/temperature forecasts and dress accordingly.

Fibres such as wool or bamboo are good insulators and several light layers, rather than one thick layer, traps more air and heat.

Moisturise your feet as often as possible, avoiding in between the toes, to help with dry skin and prevent fissures (splitting).

Choose good supportive footwear that doesn’t rub on your skin and allows room for thick, warm socks or tights.

A thick rubber or composite soled shoe may help to protect against the cold ground.

Some skin preparations which include ingredients such as capsaicin or ginger can help to stimulate the circulation.

Keep active as this improves circulation, and have plenty of hot drinks and food throughout the day.

In severe or recurrent cold weather problems in the feet, consult your GP who may advise a prescription drug to relax the constricted vessels and thus improve blood flow to the extremities.

HOW CAN PODIATRISTS HELP

Remember to inspect your feet daily and take note of any changes in your skin. If you are concerned seek medical advice from a podiatrist or GP.

If you have bony feet or foot deformities, insoles can help to cushion the bony areas and provide better protection. Thermal insoles can also help to keep the feet warm, these can be prescribed by a podiatrist.

If your nails are thickened and have changed shape making them difficult to manage see a podiatrist regularly to get them cut and filed.

If the skin becomes broken, keep it clean and covered with a sterile dressing to protect it from getting infected. If the cut starts to show signs of infection such as redness, swelling, discharge or increased pain or if it deteriorates seek medical advice from a podiatrist or your GP.

Preventative action should reduce the likelihood of chilblains from developing, but if they do, an antipruritic (anti-itching) cream or ointment can be obtained from a chemist. Seeing a podiatrist to manage the chilblains can also help to prevent them from worsening or developing into ulcers.

SWIFT MICROWAVE THERAPY FOR VERRUCAE SWIFT MICROWAVE THERAPY FOR VERRUCAE

Wed, 27 Nov 2019 07:16:16 GMT

Exciting New Treatment at Betafeet Podiatry Exciting New Treatment at Betafeet Podiatry

How does it work?

Microwaves work by applying the probe from which heat under the probe is applied to the verruca. The probe is about 7mm in diameter. Usually the largest or most painful verruca is treated first, but multiple ones may be treated at the same time.

Am I eligible for Swift treatment?

Your podiatrist will make a full assessment and discuss whether Swift treatment can help you and advise whether you are eligible. If you have tried various verruca treatments to no effect, then Swift microwave energy at Betafeet Podiatry might be for you. However, precautions include:

The presence of metal in your foot or ankle
If you wear a pacemaker
If you have poor or limited healing capacity because of neuropathy or peripheral circulation
Patients who are immuno suppressed
Pregnancy – the effect of verruca/e treatment is reduced during this time

Does it hurt?

Like many treatments for verrucae, some minor discomfort may be experienced. Before treatment your podiatrist will reduce the verruca/e with a blade so the treatment site is level to receive the probe, which is applied for 5 seconds. Pain levels vary from person to person but most people undergoing Swift liken it to a pain similar to an injection or a scratch, lasting 2 - 3 seconds then quickly subsiding. Paracetamol can help if required.

How many treatments will I need?

This is dependent on how you respond to treatment. In some cases, you may need more than one treatment (these can be from 14 days to over a month apart depending on the response). Microwave energy treatment is normally conducted over 3-4 treatments. Larger or numerous verrucae may need more. The verruca/e will go dark, but you won’t see much shrinkage or debulking at first. Your Podiatrist will discuss this all with you.

What can I do after treatment?

In some cases the treated area may feel sore but will not prevent you from undertaking normal daily activities.

I am interested - what do I do next?

If you would like to discuss this further, please call Betafeet Podiatry on 01442 822990 (Tring) or 01442 249080 (Hemel) for an assessment appointment. The podiatrist will be able to assess your feet and advise you if you are suitable for treatment as well as suggesting the treatment plan which is best for you. The podiatrist can also give you an idea on the likelihood of success. This will also give you any opportunities to ask questions about the treatment.

Of course, you are under no obligation to have the treatment and your podiatrist can advise you on other treatments if Swift is not for you. Bear in mind that no verruca treatment can be guaranteed 100% successful and Swift is no exception.

Chillblains and Winter Foot care

Wed, 06 Nov 2019 12:24:14 GMT

When choosing your winter footwear, it may be tempting to choose form over function or whichever you feel is the most stylish, but would that still be the case if you knew the risks you were taking? Read on to find out about Chillblains and how you can prevent them!

What are Chillblains?

Chilblains (also called pernio) are small itchy, red (and sometimes purple) swellings on the skin, which can become increasingly painful, can swell and then dry out leaving cracks in the skin that exposes the foot to the risk of infection. They occur on the toes (particularly the smaller ones), fingers, the face (especially the nose) and the lobes of the ears. They can also occur on areas of the feet exposed to pressure, for instance on a bunion or where the second toe is squeezed by tight shoes. They can also lead to blisters and break down to become a small ulcer prone to infection.

What causes them?

Chilblains develop when the tiny blood vessels under the skin constrict under cold conditions reducing the flow of blood until the area warms up again and causes some leakage of fluid into the surrounding tissue. They are caused by the skin’s abnormal reaction to cold but not everyone develops them as this depends to a large extent on the efficiency of your circulation. People with poor circulation and other health problems involving their blood vessels are likely to be more prone to developing chilblains. In addition, damp or draughty conditions, dietary factors and hormonal imbalance can also be contributory factors. It is thought that rapid temperature changes from cold to hot can also be a cause. If the skin is chilled and is then followed by too rapid warming next to a fire or through using a hot water bottle, chilblains may result.

Who gets them?

Although chilblains are common, the condition mainly affects young adults working outdoors in cold places or people who do not wear socks or tights in winter. Elderly people, whose circulation is less efficient than it used to be, people who don’t take enough exercise and those suffering from anaemia are also susceptible.

How do I know if I have them?

During the onset of winter, susceptible people will experience burning and itching on their hands and feet. Upon entering a warm room, the itching and burning is intensified. There may also be some swelling or redness and in extreme cases the surface of the skin may break and sores (ulcers) may develop.

What are the treatments?

If the skin is itchy, a soothing lotion such as witch hazel or calamine can help. Most importantly, keeping the toes warm and dry as much as possible. Occasionally the skin can break. If it does, apply a dressing to keep infection at bay. A combination of a healthy diet and regular exercise have also been proven to reduce the occurrence of Chilblains.

If you think you may have an infection it is important to seek treatment as soon as possible. Your Podiatrist will be able to apply dressings and prescribe antibiotics if required.

How to prevent them?

The best way to prevent chilblains is to keep your legs, feet and body warm, especially if your circulation is poor and your mobility is limited.

The whole body, rather than just the feet, needs to be kept warm. Trousers, long boots, tights, leg warmers, long socks and gloves will also help.

Here are two more commonly known winter foot conditions that you may wish to avoid.

Blisters

If any shoes you’ve chosen are giving you blisters, it’s a clear cut sign that they’re the wrong choice for your feet. With properly fitted shoes, there should be no ‘breaking in’ period to have to go through.

Blisters are a result of friction or repeating rubbing, often when wearing brand new shoes that don’t fit properly.

Common remedies include soap and water, letting blisters heal with time and topical antiseptic on open wounds; however, a visit to the podiatrist’s clinic is always recommended.

Raynaud’s Phenomenon

This condition is named after the French doctor, Raynaud, and is also caused by cold weather and its effects on blood vessels.

As with chilblains, the blood vessels in the feet will tighten when exposed to very cold temperatures, causing limited circulation to the hands and feet.

Due to this lack of oxygen and blood flow to the feet, an individual may experience blistering, redness, discolouration or pain. These are the effects of Raynaud’s Phenomenon.

By wearing shoes that fit well and also keep you warm throughout the winter, you should be all set to avoid these painful conditions. Remember, for the best advice, always visit your podiatrist!

How do I get an appointment with a Podiatrist?

There are different ways to see a podiatrist, they vary depending on where you’re located.

If you’re experiencing any foot problems or if you have a long term condition which may put your feet at risk (e.g diabetes or arthritis) then speak to your GP. They may be able to refer you for an NHS podiatry appointment. Or in some areas, you may be able to self-refer.

You can also book an appointment with a podiatrist. It’s important to find a professional who is registered with the Health and Care Professions Council (HCPC), which is the UK-wide regulatory body. Use the tool on our website to find a podiatrist near you: https://www.scpod.org/find-a-podiatrist

Betafeet Podiatry, Hemel Hempstead and Tring 01442 822990 www.betafeetpodiatry.co.uk

Caring for your feet

Sat, 02 Nov 2019 11:32:34 GMT

Follow these tips to keep your feet in great condition.

It’s easy to take our feet for granted while they’re not causing you problems, however anyone who has experienced foot pain knows only too well how debilitating it can be. By following our simple foot care steps, you can help to reduce your risk of developing problems in the future.

1- Wash your feet

Clean feet are happy feet. By keeping your feet clean, you’re less likely to get fungal infections such as Athlete's foot. Wash feet in warm water and mild soap. This helps to soften and clean your skin and nails. After you’ve soaked your feet, gently remove any calluses and dead skin using a pumice stone. NEVER cut the dead skin from your feet.

2- Trim your toenails

It’s important to cut your toenails correctly and regularly. Use proper nail clippers and trim your toenails straight across rather than in a curved shape. The straight edge will grow out neatly whereas curved edges are prone to growing into the skin. Leave the corner of the nail so it’s visible above the skin.

3- Moisturise your feet

The skin on your feet is the same as the rest of your body and therefore is prone to dryness. After washing your feet, make sure to moisturise them. During the winter months, you may want to repeat this throughout the day. Apply cream to the skin focusing on the heels and calloused areas but avoid using between the toes as this can lead to fungal infections.

4- Wear the correct shoes

A large part of foot care is making sure that you wear the right shoes. Many of us are on our feet all day so it’s important to wear comfortable, well-fitting shoes. Buy your footwear in the afternoon when your feet are at their largest. Get your feet measured if you’re unsure of your size. Be sure to wear well-fitting socks and change them every day to avoid sweaty feet.

Four common foot conditions

If you do spot any problems with your feet, it’s easy to ignore them and hope they go away. The good news is that there are some easy things you can do to help prevent any issues becoming more serious.

Heel pain

Can be debilitating, affecting walking and posture. The most common cause is plantar fasciitis, when the ligament that runs under the heel becomes swollen.

Who gets it?

• Can affect anyone at any age, but is most common in those in their 40s or in athletes.

What can I do myself to help prevent or manage it?

• Wear well-fitting shoes with good heel cushioning and arch support.

• Avoid walking or exercising on hard ground.

• Rest regularly and try not to walk or run too fast.

• Wear a raised heel (no more than 6-10 mm higher than normal)

Bunions

A bony lump on the side of your foot where the big toe excessively angles towards the second toe.

Who gets it?

• Although anyone can get a bunion, they tend to be more common in women.

What can I do myself to help prevent or manage it?

• Give your toes room to move by opting for wider shoes.

• If you wear high-heeled shoes, do so in moderation.

• If you want to wear a heel every day, keep heel heights to 4cm or less – and vary your heel heights from day to day.

• Choose shoes with laces, or a strap or buckle over the instep.

• If the bunion becomes inflamed or troublesome, see a podiatrist.

Corns and calluses

Hard, thickened areas of skin, caused in response to rubbing, friction or pressure on the skin.

Who gets it?

• They can affect anyone, but may be caused by badly fitting shoes or a biomechanical irregularity in your feet.

What can I do myself to help prevent or manage it?

• Gently rub the area with a pumice stone or foot file when you are in the bath.

• Moisturising cream may help soften the thickened skin.

Ingrowing toenails

Develops when the side of a toenail pierces through the flesh of your toe, making it red, inflamed and painful. It most commonly affects the big toe.

Who gets it?

• Anyone, but particularly people who cut their nails incorrectly leaving small spikes of nail behind. Sporty people are more prone because they are likely to get moist, sweaty feet – this can make the skin around the toenails softer and easier for a nail to pierce.

What can I do myself to help prevent or manage it?

• Cut your nails properly – straight across, making sure not to trim them too low at the edge or down the side. Leave the corner of the nail so it’s visible above the skin. Doing it after a bath or shower is helpful, when your nails are softer.

• Avoid moist feet by rotating your shoes and choosing well-fitting socks and shoes made from natural materials.

• At home get your feet out and let the air get to your toes as much as possible!

Consulting a podiatrist

In many cases, following our self-care tips will help the problem improve. If it doesn’t, it’s best to seek professional help.

You should visit a podiatrist if:

Your feet hurt – they will assess your condition and advise you on the best treatment.

Your symptoms are getting worse – a problem isn’t improving naturally, or within three weeks of self-care.

You want to prevent foot problems – a regular foot check can help keep your feet healthy.

How do I get an appointment with a Podiatrist?

There are different ways to see a podiatrist, they vary depending on where you’re located.

If you’re experiencing any foot problems or if you have a long term condition which may put your feet at risk (e.g diabetes or arthritis) then speak to your GP. They may be able to refer you for an NHS podiatry appointment. Or in some areas, you may be able to self-refer.

You can also book an appointment with a podiatrist. It’s important to find a professional who is registered with the Health and Care Professions Council (HCPC), which is the UK-wide regulatory body. Use the tool on our website to find a podiatrist near you: https://cop.org.uk/find-a-podiatrist/

Betafeet Podiatry, Hemel Hempstead 01442 249080 and Tring 01442 822990 www.betafeetpodiatry.co.uk

Accredited Podiatry Practice

Wed, 16 Oct 2019 12:07:36 GMT

Here at Betafeet Podiatry we are proud to be part of the Practice Accreditation Scheme. Every two years we renew our Accreditation in the hopes of bringing its benefits to our staff and patients.

The aim of the Practice Accreditation Scheme is to ensure our best practice, achieve a high standard of care to our patients and guarantee the correct protocols and procedures are followed to practice safely and effectively within the profession.

Having our accreditation means that we are providing a quality practice with high levels of safety and care for our patients and following certain protocols which range from:

Adhering to NICE guidelines
All our decontamination processes and infection control are in place
Adhering to all clinical standards set by the College of Podiatry
Auditing notes and that we have peer review scheme in place
Complying with GDPR and patient confidentiality
Having a clear fee structure
In depth treatment planning
Onward referral to other specialisms including vascular, podiatric surgery, orthopaedic surgery, GP, physiotherapy, Diabetology
Safeguarding processes in place (adult and child)
And many more

A benefit of having our practice accredited is the recognition within the ‘Find a Podiatrist’ search.

Members that have an 'A' next to their clinic means the Practice is Accredited by The College of Podiatry. In addition the letter ‘V’ denotes the podiatrist can visit you at home. This ensures that the practice is functioning to the highest standards. To find your nearest Accredited Practice please look for the A in the 'Find a podiatrist' results.

All of our Podiatrists are fully qualified and registered with the Health and Care Professions Council (HCPC). You can verify your health professional is registered with HCPC here .

We look forward to meeting you and your feet here at Betafeet Podiatry. Please visit our website for more information about our services: https://www.betafeetpodiatry.co.uk/ .

International Podiatry Day - A Celebration of Podiatrists All Around The World

Tue, 08 Oct 2019 20:26:42 GMT

National Podiatry Day falls on October 8th every year. It was established as a way to show appreciation and thanks for Podiatrists. It’s a way to bring awareness to Podiatry so that more people can learn how to care for their feet. It also encourages those who may have avoided seeing a podiatrist to seek help.

We know that not everyone gets excited about check-ups or treatment, the big chair isn’t our favourite place to be either! But without our feet, we wouldn’t be able to do many of the day to day things we do without a second thought. Not only do they aid our movement and keep us upright, but the health of our feet can even indicate how healthy we are in other parts of our body. Foot health is a considerable issue that everyone should be aware of. International Podiatry Day is about making sure that everyone knows just how essential it is to look after our feet.

The day is focused on raising awareness about foot health for everyone, from the general public to government bodies and health professionals. The health of our feet can give us a good indication of our general health and even offer warning signs for several illnesses, as well as being closely linked to certain conditions.

The history of International Podiatry Day

The International Federation of Podiatrists is behind International Podiatry Day. The federation has existed since 1947 as a nonprofit organization dedicated to advancing podiatry worldwide. It has 26 member countries sharing research, practice and knowledge between them.

International Podiatry Day replaced another event that used to be held earlier in the year. The event is now a modern celebration that uses social media campaigns to raise awareness. The aim of the International Federation of Podiatrists is to make it the biggest event with a focus on worldwide foot health.

Celebrating International Podiatry Day

The main aim of celebrating International Podiatry Day is spreading awareness about the importance of foot health. If you are ready to get involved, you can do whatever you please to spread the word about podiatry. Of course, it’s essential that you educate yourself first so that you can pass on the things that you learn.

You can read about many health conditions related to the feet, as well as information on how to keep your feet healthy. Looking after your feet day-to-day involves things like wearing the right shoes and caring for your toenails. You can learn about how to keep your own feet healthy and how a podiatrist can help you. Click here to read some top tips in regards to caring for your feet

https://www.betafeetpodiatry.co.uk/top-tips-for-healthy-feet

When you have learned about foot health, it’s time to start spreading the word and helping to educate others. You can use social media or talk to people in person about why the cause of podiatry and foot health is one that you want to promote. Maybe you will encourage someone else to see a podiatrist! Talking about health issues is vital and we should all be more open about our health. So don’t be shy about discussing foot health, and letting people know about International Podiatry Day.

"We look forward to meeting you and your feet here at Betafeet Podiatry. Please visit our website for more information about our services”

https://www.betafeetpodiatry.co.uk/

Walking

Fri, 12 Jul 2019 13:15:06 GMT

How walking impacts on the foot

In an average lifetime, we walk about 100,000 miles, which is tough on our feet. Yet our bodies were designed for moving not standing still, so walking is good exercise. Walking helps the muscles and ligaments in our feet to work more efficiently, and helps keep them supple and flexible.

So even if you have to sit around a lot in your job or at home, try to get up and walk briskly for at least 30 minutes every day. Feet are adaptable and can withstand a lot of pressure before they rebel. If you walk a lot, it’s important to wear the right footwear which won’t damage your feet.

Potential problems and when to seek the help of a podiatrist

Walking at a brisk pace for regular exercise helps condition the body and improve overall cardiovascular health in the same way running and jogging do. But compared with running, walking carries a significantly lower risk of injury.

Consult your podiatrist if you start to develop pain when walking, or consider a visit before embarking on your new walking programme.

Equipment required
The key to keeping your feet healthy and comfortable, regardless of the type of walking you do, is wearing properly fitting shoes. When buying walking shoes, try on several different brands, styles and most importantly sizes. Your feet can expand as much as half a size during the day, so shop for shoes in the afternoon or early evening when your feet are at their largest. That will help protect them as they expand during your longer walks. Also, wearing the same type of socks when fitting shoes that you wear when you walk will help you select the right shoe.

To get the best out of your walking shoes, you need to look after them properly. Polish them regularly and, if they get wet, put newspaper inside them and let them dry out completely before putting them on again. It’s a good idea to invest in a couple of pairs so you always have one in reserve.

Maintaining healthy feet for walking

If you are going on a long walk, prepare well ahead. Take your shoes for a ‘trial walk’ and build up the distance gradually; don’t try to complete the London Marathon on your first trip! It’s also a good idea to pay a visit to your local Health and Care Professions Council (HCPC) - registered podiatrist who will be able to give advice, and treat any corns or callus you may have. Take some first aid supplies, like plasters or antiseptic cream, on your walking trip in case of accidents. It’s also a good idea to put some vaseline between your toes to prevent chafing.

Begin your walk at a slower pace and gradually increase the speed of your walk. This will give the muscles, bones, tendons and ligaments that make up your feet the chance to get used to the activity. If you experience any discomfort or foot pain, then it may be an indication that something more serious is wrong. We all know that “an ounce of prevention is better than a pound of cure”. In many cases, early diagnosis can prevent a small injury from becoming a larger one.

Five top tips
1. When buying shoes, wear the same socks to the store that you will wear while walking.
2. Try on at least four or five pairs of shoes. Put on and lace both shoes of each pair and walk around for a minute or two.
3. Good foot care is essential in keeping your feet comfortable and fatigue and injury free.
4. If you experience any sort of foot pain, consult a podiatrist.
5. Before you walk, go through a warm-up and stretching routine.

Copy reproduced from www.walkingconnection.com

Baby First Shoes

Thu, 04 Jul 2019 08:13:50 GMT

Seeing your baby take their first steps is such an incredible moment

As parents know, most babies don’t stay put for very long. The world is a fascinating place, particularly if it’s all new to you. So what happens if that amazing thing is just out if reach? You learn to crawl, that’s what.

Let's rock and roll: By about four months most babies start to rock and roll, first from their side to their back, then back again. Soon after they’ll start to lie with their upper body supported on one or both hands - all the better to see the world around them. Next they’ll learn to sit. At first they can stay in place when you put them down for just a few seconds before tumbling back, but later they’ll be able to sit up for themselves.

Olympic crawl: Next, babies will learn that by pushing down with hands and raising their upper body, they can pull themselves along. Later, little legs join in too and then they’re off. At high speed too – they can crawl four hundred metres in the time it takes to drink a cup of tea. Of course not all babies are the same and forego crawling in favour of a rather curious bottom shuffling.

Baby-walkers: Forget them. Your babies will stand when they’re ready and baby-walkers won’t make it any sooner. In fact badly adjusted baby-walkers may even hinder development as they mean your child will have to stretch to reach the ground and won’t need to learn to balance independently.

Early first shoes : “Cruising” comes between crawling and walking. Having pulled themselves up on the furniture children slide their hands to one side, then their feet, which allows them to move their whole body. To stay upright they will always keep either two hands and one foot or two feet and one hand in place.

At first they will crawl when confronted with a gap between furniture. But as they grow they learn to cross by moving their feet into the gap and letting go to totter to the next support.

Time for first shoes : Most children learn to walk aged between 9 and 18 months, depending on the development of the required muscular strength. But don’t hurry them or become anxious - your child is an individual and will walk when they are ready. After all, these are just the first steps on a very long road.

First shoes : Once your child can take a few steps unaided then he or she is ready for that first pair of real shoes. When choosing your child’s first shoes the first thing to look for is a trained fitter. Then make sure the shoes have these features:

* Close cropped soles to prevent tripping
* Room for movement and growth built in
* Soft leather uppers for cool comfortable feet
* Lightweight, flexible sole to aid walking development
* Whole and half sizes and a choice of widths to find the right fit
* Fully adjustable fastenings
* Padded ankle for protection and support

Up and running

At this age most kids learn to run and do little standing jumps. Once they reach this stage watch out, as you’ll need shoes that can take some punishment and still look good.

Our recommendations for infant shoes:

* Room to grown built in without sacrificing fit
* Made to follow the unique shape of children’s feet
* Whole and half sizes and a choice of widths
* Quality leather uppers for comfort and protection
* Lightweight, flexible sole for comfort and grip

Running and Jumping

As your child grows, you will pass many other milestones together, first birthday, first words, and many others. But while all this is happening your child’s feet and their walking will be developing all the time.

By the time your child is a fully-fledged toddler they will walk very differently from when they took those first steps.

* Arms are no longer used for balance so they can be used to pick up (and throw down!) things that catch the eye
* Knees and feet now point forward as the hip joints are fully in place
* Ankles and knees are now being flexed, reducing the shock that leads to head movement and, in turn, tumbles
* Walking is still flat footed (which is what can make can make toddlers look clumsy) so light, flexible soles are still vital. https://cop.org.uk/foot-health/advice-for-parents/baby-first-shoes/

Sweaty Feet

Sun, 23 Jun 2019 12:18:54 GMT

What is it?

Most of us have suffered from foot perspiration and odour from time to time, yet for some people, sweaty feet (along with sweaty palms and armpits) are a persistent problem, which can be embarrassing and uncomfortable. For some people, this can affect their day-to-day life considerably, and result in decreased social contact with others. But the condition is treatable.

There are more sweat glands per inch in our feet than anywhere else in the body. Their function is to keep the skin moist and supple and regulate temperature when the weather is hot, if you have an unnaturally high temperature or while exercising. They secrete all the time, not just in response to heat or exercise, like elsewhere in the body.

Excessive sweating, also known as hyperhidrosis, has a lot to do with how the sweat glands in the feet work. With 250,000 sweat glands, feet do tend to sweat more than other parts of the body, but with a daily hygiene routine few people should suffer from the embarrassment that it may cause.

What causes the problem?

Sweaty feet (along with palms and armpits and the face/scalp) tend to be symmetrical. The exact cause is unknown but due mainly to overactive sweat glands. In some cases, the cause can be genetic.

Possible other causes include stress on the foot, sometimes caused by a structural problem, or because the foot is under strain or tired, for example when you have been standing on your feet all day.

Is it serious?

Although hot weather can make matters worse, sweaty feet is both a summer and a winter problem as well as an inherited condition. It also tends to be a long-term condition, which may require treatment over a sustained period of time.

In some cases, sweaty feet can lead to athlete’s foot or blisters.

Who gets it?

In adolescents and people generally under 25, sweaty feet are probably caused by overactive sweat glands triggered by changing hormone levels in the body. As the sweat glands on the soles of the feet (and palms of the hand) respond mostly to emotions, both mental and emotional stress is a common cause.

How do I know I have the condition?

An added problem that often accompanies sweaty feet and signifies its presence is foot odour caused by bacteria on the skin breaking down the sweat and releasing an offensive smell.

How do I prevent it?

Following a simple daily foot hygiene routine is usually effective in dealing with sweaty feet. This may include washing your feet with anti-bacterial soap, applying cream and/or using an absorbent foot powder and not wearing the same footwear every day but rotating what shoes you wear so they have a chance to dry out.

Wearing socks is also considered essential especially those that absorb moisture like wool, cotton or a wool/bamboo/cotton mixture. In addition, detachable insoles (and medicated insoles that have a deodorising effect) are recommended as a lot of sweat is absorbed by insoles or the uppers of shoes.

In terms of footwear, well-fitting shoes made of leather, which allow your feet to breathe, are considered best.

What are the treatments?

For more serious cases where normal foot care is not effective and for more longer term conditions, your doctor may refer you for Iontophoresis (electrical stimulation) and Botulinum toxin injections (botox).

When should I see a podiatrist?

If you experience any foot care issues which do not resolve themselves naturally or through routine foot care within three weeks, it is recommended to seek the help of a healthcare professional.

To talk to a podiatrist (also known as a chiropodist) about the options available regarding treatment, you can contact an NHS podiatrist or a private practice podiatrist. In both cases, always ensure that any practitioners you visit are registered with the Health Professionals Council (HCPC) and describe themselves as a podiatrist (or chiropodist).

To contact an NHS podiatrist, please contact your GP practice for information on an NHS referral (in some areas you can self-refer).

To see a private practice podiatrist, use our search Find A Podiatrist . https://www.betafeetpodiatry.co.uk

Athlete's Foot

Sun, 16 Jun 2019 14:51:34 GMT

What is athlete’s foot?

Athlete’s foot is a fungal infection of the skin that can lead to intense itching, cracked, blistered or peeling areas of skin, redness and scaling. It can occur on moist, waterlogged skin, usually between the fourth and fifth toes initially, or on dry, flaky skin around the heels or elsewhere on the foot. Large painful fissures can also develop and the condition can also spread along all five toes and sometimes to the soles of the feet if left untreated.

What causes it?

It is caused by a number of fungal species that you can pick up from someone else shedding affected skin (typically in communal areas such as pools, showers and changing rooms) or where you may walk around barefoot. Athlete’s foot can also be passed on directly from person to person contact, although people who sweat more are more prone to infection.

Once your feet have been contaminated, the warm, dark and sweaty environment of feet in shoes or trainers provides the ideal breeding ground for the fungus. However, athlete’s foot also occurs in dry, flaky areas. It’s quite common in summer with sandal wearers. The sun makes your skin dry out so it loses its natural protective oils. This combined with the constant trauma from sandals makes your feet more prone to infection.

Who gets it?

It’s not called athlete’s foot for nothing! Walking barefoot around swimming pools and spending your life in trainers may make you more likely to pick it up, but you do not need to be an athlete to get this condition.

Is it serious?

If left untreated, the fungus can spread to the toe nails, causing thickening and yellowing of the nail, which is much harder to treat. Fungal infections are highly contagious and can spread to anywhere on your skin – including your scalp, hands and even your groin. This is especially likely if you use the same towel for your feet as for the rest of your body. It is always best to treat this condition as soon as symptoms are first noticed.

What are the treatments?

Treatments depend on what type of athlete’s foot you have. Over-the-counter remedies are always a good starting point, and your GP or podiatrist can also recommend suitable treatments.

For athlete’s foot where the skin conditions are dry: if the condition occurs on a dry area such as your heel, you need to restore moisture by rubbing in an anti-fungal cream or spray, sometimes combined with a steroid cream (all from your pharmacist). You must remember to wash your hands thoroughly afterwards, or use disposable gloves so you don’t get the fungus on your hands.

For athlete’s foot where the skin conditions are moist: this requires a different treatment. Wash your feet in water as cold as you can bear (hot water only makes your feet fungus-friendly) then dry them thoroughly after washing, preferably with a separate towel or even kitchen roll. It is important to dab your feet dry rather than rub them, as rubbing tends to take away any healing skin. Although the skin may appear flaky and dry, never use moisturiser between your toes, and avoid powders as they can cake up and irritate skin. A spirit-based preparation such as surgical spirit can help (it’s cooling, soothing and antiseptic). This may sting a little but will evaporate the moisture and allow the skin to heal. Only use on unbroken skin.

In severe cases, an anti-fungal tablet may be prescribed. However, tablets are not suitable for everyone, for example pregnant women, so always check with your pharmacist and follow the instructions carefully.

You should also avoid using anti-fungal powders between the toes, although they’re good for dusting inside shoes and trainers.

The mistake most people make is to stop their hygiene regime, shoe rotation and/or medication once their symptoms have gone. Although symptoms may disappear after several days or weeks of treatment, the fungus can lie dormant and could eventually reappear in the right environment. Some products require continued treatment for many weeks – always follow the instructions. Also, be alert to symptoms so that you can deal with any problems straight away.

Fungal nails. Prescribed oral medications from your GP or podiatrist can be used for fungal nails. These usually takes between three and six months to get rid of the infection but can take longer. Alternatively, over-the-counter remedies such as anti-fungal nail lacquer can be used. These can take up to a year or more to work as it takes this long for a nail to grow out fully.

How can I prevent it?

The most important tip for preventing athlete’s foot is to ensure your feet are completely dry after washing them and before you put your shoes and socks on. However, there are many things you can do to make your feet less hospitable to fungal infections.

·Firstly, change your footwear on a regular basis. There’s no point sorting your feet out if you constantly re-infect them by putting them into damp, fungally infected shoes. It takes 24-48 hours for shoes to dry out properly, so alternate your shoes daily.
·If you really have to wear the same pair day after day (say, if you’re on holiday), dry them out by using a hairdryer on a cold setting; this will get rid of the perspiration quickly without creating more heat. To help shoes dry out more quickly, take any insoles out. Also, loosen any laces and open your shoes out fully so that air can circulate. Choose trainers with ventilation holes.
·If your shoes are so tight that they squeeze your toes together, this encourages moisture to gather between your toes and encourages fungus. Let air circulate between the toes by going for a wider, deeper toe box instead and choose shoes made from natural materials. Of course, you should also change your socks daily.
·Wear flip-flops in the bathroom and in public showers. This will ensure that you don’t leave shed skin around for others to pick up, but will also stop you picking up other species of fungus.
·Finally, never wear anyone else’s footwear.

When should I see a podiatrist?

Athlete’s foot is usually treatable at home, but a podiatrist may help you pinpoint the best treatment for your particular type of athlete’s foot. Your podiatrist can also help if the fungal infection has spread to your nails by reducing the thickness and cutting back the nails thereby exposing the infected nail bed to a lighter, cooler environment.

Nail infections can be treated with topical or oral medications. Oral medication can have side-effects so if you have other medical conditions or are on other medication, your GP or podiatrist may recommend that you don’t take it.

If you experience any foot care issues that do not resolve themselves naturally or through routine foot care within three weeks, it is recommended that you seek the help of a healthcare professional.

To talk to a podiatrist (also known as a chiropodist) about the options available regarding treatment, you can contact an NHS podiatrist or a private practice podiatrist. In both cases, always ensure that any practitioners you visit are registered with the Health and Care Professionals Council (HCPC) and describe themselves as a podiatrist (or chiropodist).

To contact an NHS podiatrist, please contact your GP practice for information on an NHS referral (in some areas you can self-refer).

To see a private practice podiatrist, use our search Find A Podiatrist . https://www.betafeetpodiatry.co.uk

Blisters

Tue, 11 Jun 2019 08:51:33 GMT

What are blisters and what causes them?

Blisters are painful, fluid-filled lesions produced by friction and pressure. They can be caused by the following:

Ill-fitting footwear
Stiff shoes
Wrinkled socks against the skin
Excessive moisture
Foot deformities.

Are they serious?

Blisters can become a more serious concern if you have diabetes and they may not heal so easily. Please see your podiatrist for further advice.

What are the treatments?

It is important to act immediately if you feel any friction or discomfort as blisters can form very quickly. Stop walking or running and examine your feet and if nothing has developed, consider applying some material or padding to cushion the area or even a breathable waterproof plaster.

If a blister does occur, do not pop it. Cut a hole in a piece foam or felt to form a doughnut over the blister. Tape the foam or felt in place or cover with a soft gel-type dressing. Treat an open blister with mild soap and water, cover it with an antiseptic ointment and a protective soft gel dressing to prevent infection and speed up the healing process.

Most foot blisters last between three and seven days and will normally clear up if further excessive friction is avoided.

How can I prevent them?

As blisters are the result of friction, there are a number of simple techniques that can prevent your walking, running or social activity being ruined by a blister:

Keep your feet dry and your toenails trimmed
Always wear socks of the right size as a cushion between your feet and footwear and change your socks daily
Wear comfortable, good-fitting footwear, especially on long walks or runs
For very sweaty feet, use products that help control excessive moisture
Immediately remove any foreign bodies that accumulate in socks and boots
Ensure the tongue and laces of your boots are arranged correctly and evenly
Check your feet regularly for any sign of rubbing and tenderness.

It is possible to buy socks made of fibres with good ‘wicking’ properties and also special ‘dual layer’ socks where the inner layer moves with the foot, and the outer layer with the shoe – eliminating friction at the skin surface.

When should I see a podiatrist?

If you experience any foot care issues which do not resolve themselves naturally or through routine foot care within three weeks, it is recommended to seek the help of a healthcare professional.

To talk to a podiatrist (also known as a chiropodist) about the options available regarding treatment, you can contact an NHS podiatrist or a private practice podiatrist. In both cases, always ensure that any practitioners you visit are registered with the Health and Care Professionals Council (HCPC) and describe themselves as a podiatrist (or chiropodist).

To contact an NHS podiatrist, please contact your GP practice for information on an NHS referral (in some areas you can self-refer).

To see a private practice podiatrist, use our search Find A Podiatrist . https://www.betafeetpodiatry.co.uk/

Corns & Callus

Sun, 09 Jun 2019 07:59:11 GMT

What are corns and callus and what causes them?

When we walk or stand, our body weight is carried first on the heel and then on the ball of the foot, where the skin is thicker to withstand the pressure. When this pressure becomes excessive, some areas of skin thicken in the form of corns and callus, as a protective response to the body’s reaction to the friction of skin rubbing against a bone, shoe or the ground.

Callus (or callosity) is an extended area of thickened, hard skin on the soles of the feet. It is usually symptomatic of an underlying problem such as a bony deformity, a particular style of walking or inappropriate footwear. Some people have a natural tendency to form callus because of their skin type. Elderly people have less fatty tissue in their skin and this can lead to callus forming on the ball of the foot.

Corns are caused by pressure or friction over bony areas, such as a joint, and they have a central core which may cause pain if it presses on a nerve. There are five different types of corns, the most common of which are ‘hard’ and ‘soft’ corns:

Hard corns – these are the most common and appear as a small area of concentrated hard skin up to the size of a small pea usually within a wider area of thickened skin or callus. This may be a symptom of the feet or toes not functioning properly.
Soft corns – these develop in a similar way to hard corns but they are whitish and rubbery in texture and appear between toes where the skin is moist from sweat or from inadequate drying.
Seed corns – these are tiny corns that tend to occur either singly or in clusters on the bottom of the foot and are usually painless.
Vascular/neurovascular corns – these are corns that have both nerve fibres and blood vessels in them. They can be very painful and can bleed profusely if cut.
Fibrous corns – these arise when corns have been present for a long time and are more firmly attached to the deeper tissues than any other type of corn. They may also be painful.

What are the treatments?

It is advised not to cut corns yourself, especially if you are elderly or have diabetes. A podiatrist will be able to reduce the bulk of the corn and apply astringents to cut down on sweat retention between the toes in soft corns.

Always consult a podiatrist for advice before using commercially available products. In particular, be careful about using corn plasters, as they contain acids than can burn the healthy skin around the corn, which can lead to serious problems such as infection. Home remedies, like lamb’s wool around toes, are potentially dangerous. People with diabetes, poor circulation or a reduced immune system should not self-treat, but instead seek advice from a podiatrist.

A podiatrist will be able to remove corns painlessly, apply padding or insoles to relieve pressure or fit corrective appliances for long-term relief. For callus, your podiatrist will also be able to remove hard skin, relieve pain and redistribute pressure with soft padding, strapping or corrective appliances that fit easily into your shoes. The skin should then return to its normal state.

Elderly people can benefit from padding to the ball of the foot, to compensate for any loss of natural padding. Emollient creams delay callus building up and help improve the skin’s natural elasticity. Your podiatrist will be able to advise you on the best skin preparations for your needs.

How can I prevent them?

If you have corns or callus, you can treat them yourself occasionally by gently rubbing with a pumice stone or a foot file when you are in the bath and apply moisturising cream to help soften thickened skin a little at a time or relieve pressure between the toes with a foam wedge. Do not self-treat if you have diabetes, poor circulation on a reduced immune system, instead seek help from a podiatrist.

You may also need to wear more supportive or wider fitting footwear to reduce pressure on the affected area.

When should I see a podiatrist?

If you experience any foot care issues that do not resolve themselves naturally or through routine foot care within three weeks, it is recommended that you seek the help of a healthcare professional.

To talk to a podiatrist (also known as a chiropodist) about the options available regarding treatment, you can contact an NHS podiatrist or a private practice podiatrist. In both cases, always ensure that any practitioners you visit are registered with the Health and Care Professionals Council (HCPC) and describe themselves as a podiatrist (or chiropodist).

To contact an NHS podiatrist, please contact your GP practice for information on an NHS referral (in some areas you can self-refer).

To see a private practice podiatrists at Betafeet Podiatry in Hemel Hempstead and Tring call: 01442 249080 or 01442 822990 , or use our search Find A Podiatrist .

“The podiatrist's primary role is to identify if there is an underlying mechanical issue contributing to the injury or pain.”

https://www.betafeetpodiaiatry.co.uk

Understanding Rheumatoid Athritis

0010000628 (Judith Sullivan) — Wed, 05 Jun 2019 09:54:45 GMT

Rheumatoid arthritis (RA) is an autoimmune condition, the specific cause of rheumatoid arthritis is unknown. Normally your immune system makes antibodies that attack bacteria and viruses, helping to fight of infection. With RA the immune system turns against itself, and instead of protecting the joints, it attacks healthy body tissue.

Rheumatoid arthritis (RA) is an autoimmune condition, the specific cause of rheumatoid arthritis is unknown. Normally your immune system makes antibodies that attack bacteria and viruses, helping to fight of infection. With RA the immune system turns against itself, and instead of protecting the joints, it attacks healthy body tissue.

The early warning signs of RA include:

Extreme tiredness and lack energy or unexpected weight loss
Unwell and feverish
Early morning stiffness > 30 minutes
Joint tenderness, swelling or stiffness
Joint pain especially to the hands and feet
History of ulcerations

Key medical aspects to explore with a suspected RA/ RA patient include:

Raised inflammatory markers (CRP, ESR)
Anti-nuclear antibody positive (ANA)
Positive rheumatoid factor
X-rays of the foot/ankle
Referral to GP and Rheumatologist
Pain management
Annual Podiatry review in addition to regular treatments if required

There are several options to help manage the RA foot. These may include:

Offloading areas of shearing or compressive forces. Based on the footwear assessment and the extent of deformity/ pathology, footwear advice/ new footwear and/or custom bracing or orthotics can be prescribed. Footwear advice about extra depth of the toe box, cushioning and flexibility of the shoe should all be provided to the patient.

Mental Health Awareness Week

Sun, 12 May 2019 13:02:16 GMT

13-19 May 2019

Mental health awareness week starts every year on the second Monday in May – in 2019 from 13 – 19 May .

In a world that is increasingly opening up to – and understanding those with – mental health issues, it’s no surprise that Mental Health Awareness Week is now a firmer fixture on calendars around the UK and beyond. It’s organised by the Mental Health Foundation (MHF), and focuses on a major issue each and every year. Last year's focus was on stress.

The theme for 2019 is Body Image – how we think and feel about our bodies.

Body image issues can affect all of us at any age. During the week we will be publishing new research, considering some of the reasons why our body image can impact the way that we feel, campaigning for change and publishing practical tools.

Since the first Mental Health Awareness Week in 2001, MHF has raised awareness of topics like stress, relationships, loneliness, altruism, sleep, alcohol and friendship. This year, they want to reach more people than ever.

When the lay person thinks about body image they might look at ‘overly thin’ people like ballerinas, gymnasts, divers, wrestlers, cat walk models. But it can equally be about people who might be over-weight or look in the mirror and think they are fat. Indeed, after the winter holiday indulgences, the adverts bombarded us with weight loss plans.

On a personal note, I was extremely sporty. Award winning sprinter, long jumper, swimmer, and later whilst at university I played women’s amateur football and even tried my hand at rowing in a mixed crew. But it was gymnastics which was my great love. I had aspirations to go to the Olympics and qualified for US nationals three years in a row. I never had a body image problem; I was slim hipped, broad shouldered and could eat for America. Indeed, they called me the ‘bottomless pit’ thanks to a high metabolism.

Imagine my shock at university when we would be weighed every week. Without naming names, this was overseen by an obese coach. A few of my fellow gymnasts were hardly big. Rather than pressurising with weekly weigh-ins, providing diet and nutrition advice would have been more useful.

Apropos, the UK news today carried a story about sport coaches being given funding to help for mental health awareness training for sport and physical activity.

Soar high during Mental Health Awareness Week focused on body image.

PS That's me!

National Bunion Day 25 April

Sun, 21 Apr 2019 15:02:59 GMT

Foot Health Awareness

Sun, 31 Mar 2019 13:04:08 GMT

Put your best foot forward this Foot Health Month (April)

The College of Podiatry (formerly the Society of Chiropodists and Podiatrists) has launched a 'Foot Health Awareness' campaign throughout the month of April. It is focused on practitioners and public alike.

This is a chance to check that our feet are getting the care and attention that they need. Betafeet Podiatry has joined the campaign and is looking to raise awareness of the importance of good foot health

To mark Foot Health month, is promoting activities including free foot health checks for the public.

Feet are one of the hardest working parts of our body, but they are also one of the most neglected. During Foot Health Month we want to remind people to get to know their feet and not ignore any foot pain they might experience. Walking through pain or ignoring problems can, over time, cause damage to the feet and lower limbs. So, if your feet hurt, or you notice anything unusual about them, visit a Betafeet Podiatry specialists who can diagnose causes of pain and provide appropriate treatment.

Five easy ways to keep your feet healthy

1. Cut nails correctly . It’s best to use nail nippers rather than cutters, because they have a small cutting blade and a longer handle. Cut nails straight across and not too low at the edge or sides. The corner of the nail should be visible above the skin. It’s better to cut nails after a bath or shower when they are much softer

2. Don’t forget to moisturise . After washing feet, dry thoroughly and apply a good foot moisturiser all over the foot. Avoid moisturiser between the toes, as this can cause the skin to become overly macerated, causing it to break down. The best foot creams contain urea

3. Don’t assume flat is best . People are more aware now of the health problems associated with wearing high heeled shoes frequently, but completely flat slip-on styles, such as a ballerina pump, are not ideal for everyday wear as they offer very little shock absorption or support. Slip-on styles also cause the toes to claw in order to hold the foot in place.

4. Alternate shoes and keep them clean inside . Feet naturally sweat, and wearing the same pair every day doesn’t give them a chance to dry out and so they can then breed bacteria. To help keep your shoes clean and prevent them from becoming smelly, clean inside the shoe with some surgical spirit on a cotton wool pad to reduce the bacteria.

5. Check your feet regularly . Common symptoms to look out for are yellow, brittle and discoloured nails which can be a sign of a nail infection, flaky skin that may be dry or red or itchy. This can be a symptom of athlete’s foot and any changes to the structure of the foot such as swelling to the joint around the ball of the foot.

Foot pain is not normal. If you or a family member experience pain then visit a podiatrist.

Betafeet podiatry has been given leaflets and other promotional materials.

We welcome current and new clients to take advantage of this service and information during April.

Judith Sullivan

Podiatry and Type 2 Diabetes

Thu, 28 Mar 2019 13:42:24 GMT

NHS Diabetes Prevention Week 1-7 April 2019

Many of our clients find their way to be cared for in our clinics because of the condition Type 2 Diabetes and the damage it can cause to the legs and feet. The high blood sugars, that cause Type 2 Diabetes, cause damage to the blood vessels and the nerves of the body. It is very important to ensure you are seen regularly by a podiatrist once diagnosed, as they can keep an eye on the overall condition of your feet and spot any damage before it becomes it becomes serious. In our clinics we offer a full diabetes assessment:

https://www.betafeetpodiatry.co.uk/diabetic-feet-arthritis

As time goes on, the sugar causes further damage, eventually causing loss of feeling, loss of blood supply and often neuropathy pain. Sadly, the longer you have the high blood sugars, the more wide-ranging and permanent the damage. Type 2 diabetes is the leading cause of lower limb amputations in the UK. Your body tries to remove the sugar from your bloodstream, by secreting the hormone Insulin and so storing the sugar in your cells.

Happily, it is never too late to change things, by changing your diet you can prevent, halt or even reverse damage to your nerves and blood supply. Thousands of people have already turned their health around by doing just that.

How can you lower those blood glucose levels? The amount of sugar and carbohydrates you eat will have a direct link to your blood sugar levels. Carbohydrates, such as cereals, bread, pasta, potatoes and rice are simply tightly packed chains of sugars, that are broken down into sugar once digestion takes place within your body. By limiting the total sugars you put into your body, you will decrease the damage that is being done to your whole body. As kidney specialist Dr Jason Fung colourfully puts it, you are decreasing the “rot” within your body. Replacing those carbohydrates with healthy, non-industrialised fats, for example butter, cheese and cream, with good quality protein and mainly above ground vegetables, will have a huge effect on your health. This is not a diet that you do and then return to your former way of eating. If you are prediabetic or have type 2 diabetes your body can’t take the number of carbohydrates you are consuming, it is insulin resistant, so you must decrease that total amount for good. Of course, keeping as active as is possible for you and stopping smoking will also help your overall health too. See https://idmprogram.com/blog/

There are some wonderful resources to help you with this change of lifestyle: we have in The NHS Apps Library- the Low Carb Program, developed with help of GP Dr David Unwin and the charity https://www.diabetes.co.uk/ .

It has already helped over 145,000 people to gain control of their blood sugar levels by changing their diet. It is a fully supported 10 week course and is very useful if you are on medication, as it can be personalised. See:

https://www.lowcarbprogram.com/

We also have the Diet doctor website, developed by Dr Andreas Eenfeldt. This provides a wide variety of resources including low carb recipes and meal planners to guide you through your change to health. Most of the website is free to browse and if you want to join, the first month is free. This is long enough to take up their 2 week keto challenge twice if you want and learn a new way of eating. You can also watch the many helpful videos by world health experts that are available. You can then just cancel easily when you no longer need it. https://www.dietdoctor.com/

The Public Health Collaboration has a good website that has some extremely useful information, including infographics that show you the glycaemic response of everyday foods. They can really open your eyes to how much sugar you are unwittingly consuming. For instance, a bowl of cornflakes has the equivalent of 8 spoonfuls of sugar, whilst a 30g slice of bread has 4 spoonfuls! https://phcuk.org/sugar/

Watching your fruit intake is important too. Most fruits are extremely high in sugar, a single banana has the glycaemic equivalent load to 6 teaspoons of sugar. A 120g serving of grapes is equivalent to 4 teaspoons of sugar. If you are going to eat fruit, eat 120g of berries, such as strawberries which are less than the equivalent of a teaspoon of sugar, instead of the more sugary fruits. Fruit juice should be avoided for the same reason, it is pure sugar without the benefit of the fibre. High fructose (the main sugar found in fruit and high fructose corn syrup) intake is indicated as the main cause of non-alcoholic fatty liver disease.

If this has whetted your appetite for more information on this subject, then you are in for a treat. The PHC has organised an amazing conference with world class speakers, it will be held on the 11th and 12th of May 2019 at The Royal College of General Practitioners in London. Amongst others, there will be cardiologist Assem Malhotra, Professor Robert Lustig and Tom Watson MP, who has his own tale to tell on diabetic reversal and diet! https://phcuk.org/conference/

IMPORTANT. If you are on medication for your diabetes or are on high blood pressure medication, please discuss your dietary changes with your doctor. Both your blood sugar levels and your blood pressure, can come down very quickly (sometimes within days) as you move into a low carb way of eating.

World Cancer Day 4th February 2019

Thu, 31 Jan 2019 13:55:18 GMT

(Cancer and the Feet)

World Cancer Day is held every year on 4th February. It seeks to raise awareness of cancer and to encourage its prevention, detection and treatment. Multiple initiatives are run on World Cancer Day to show support for those affected by cancer.

The primary goal of World Cancer Day is to significantly reduce illness and death caused by cancer and is an opportunity to rally the international community to end the injustice of preventable suffering from cancer.

The theme ‘I am and I will’ will run for three years, offering a chance to create long-lasting impact by increasing public-facing exposure and engagement, more opportunities to build global awareness and impact-driven action.

How Cancer Chemotherapy Can Affect the Feet

If chemotherapy is part of your cancer treatment, be aware that side effects may include conditions that affect the feet. The two most frequent are hand-foot syndrome, also called palmar-plantar erythrodyesthesia (PPE) and chemotherapy-induced peripheral neuropathy (CIPN).

PPE

Hand-foot syndrome usually manifests as redness, swelling, and pain on the palms of the hands and/or the soles of the feet. Sometimes it is accompanied by blisters, peeling of the skin, and rashes. Less frequently, it may occur in other areas, including knees and elbows.

One of the primary concerns with hand-foot syndrome is the potential infection of peeling or cracking skin and open sores. Use antibiotic creams and cover any open wounds or exposed areas with bandages. Over-the-counter burn pads and bandages may also be helpful. If any indication of infection occurs, consult a physician immediately. Common signs of infection are redness and swelling around a sore, a warm feeling when touched, the presence of pus, and sometimes red streaks in the area near the sore.

For more information see: https://www.cancer.net/navigating-cancer-care/side-effects/hand-foot-syndrome-or-palmar-plantar-erythrodysesthesia for more information.

If you suspect that you have hand-foot syndrome as a result of chemotherapy, and especially if the discomfort and pain interfere with your ability to walk and/or use your hands normally, consult your oncologist, your primary care physician, or a podiatrist at Betafeet Podiatry ( www.betafeetpodiatry.co.uk ).

CIPN

Chemotherapy-induced peripheral neuropathy typically occurs when chemotherapy drugs circulating in the body damage the nerves.

CIPN may last for a limited amount of time, or it may be a long-term issue, depending on age, other medical conditions (such as diabetes), whether or not you are taking other medications, and the type, dosage and frequency of chemotherapy treatment. Exercise may be beneficial in managing symptoms of CIPN.

Chemotherapy drugs are effective because they kill fast-growing cancer cells; however, because they circulate throughout the body, they may affect normally functioning, healthy cells as well. Not everyone experiences side effects, and side effects can vary in severity. The most effective way of dealing with side effects like hand-foot syndrome and chemotherapy-induced peripheral neuropathy is to work with your medical team, and take steps to address any symptoms as soon as they arise.

For more information see: https://fightcolorectalcancer.org/blog/chemotherapy-induced-peripheral-neuropathy-cipn/ .

Also see: https://www.betafeetpodiatry.co.uk/peripheral-arterial-disease .

Skin Cancers of the Feet

Skin cancer can develop anywhere on the body, including in the lower extremities. Skin cancers of the feet have several features in common. Most are painless, and often there is a history of recurrent cracking, bleeding, or ulceration. Frequently, individuals discover their skin cancer after unrelated ailments near the affected site.

We often view the sun's harmful rays as the primary cause of skin cancer; the condition is often found on parts of the body that receive the most sun exposure. Skin cancers of the feet, however, are more often related to viruses, exposure to chemicals, chronic inflammation or irritation, or inherited traits. Unfortunately, the skin of the feet is often overlooked during routine medical examinations, and for this reason, it important that the feet are checked regularly for abnormalities that might indicate evolving skin cancer.

Some of the most common cancers of the feet are:

Basal Cell Carcinoma

Basal cell carcinoma frequently is seen on sun-exposed skin surfaces. With feet being significantly less exposed to the sun, it occurs there less often. This form of skin cancer is one of the least aggressive cancers in the body. It will cause local damage but only rarely spreads beyond the skin. Basal cell cancers may appear as pearly white bumps or patches that may ooze or crust and look like an open sore. On the skin of the lower legs and feet, basal cell cancers often resemble non-cancerous skin tumours or benign ulcers.

Squamous Cell Carcinoma

Squamous cell carcinoma is the most common form of cancer on the skin of the feet. Most types of early squamous cell carcinoma are confined to the skin and do not spread. However, when advanced, some can become more aggressive and spread throughout the body. This form of cancer often begins as a small scaly bump or plaque, which may appear inflamed. Sometimes there is a history of recurrent cracking or bleeding. Occasionally it begins as a hard projecting callus-like lesion. Though squamous cell cancer is painless, it may be itchy. Squamous cell cancer may resemble a plantar wart, a fungal infection, eczema, an ulcer, or other common skin conditions of the foot.

Malignant Melanoma

Malignant melanoma is one of the deadliest skin cancers known. Non-surgical treatments are rarely effective, and many remain experimental. This type of skin cancer must be detected very early to ensure patient survival. Melanomas may occur on the skin of the feet and on occasion beneath a toenail. They are found both on the soles and on the top of the feet. As a melanoma grows and extends deeper into the skin, it becomes more serious and may spread through the body through the lymphatics and blood vessels.

When reggae superstar Bob Marley died in 1981 aged 36, all sorts of conspiracy theories abounded. Instead, the Jamaican singer, musician and songwriter died of melanoma.

It’s easy to see how he could have missed the warning signs. People with very fair skin are the ones most at risk for skin cancer. When a dark spot appeared under his toenail, Marley attributed it to a recent soccer injury. He probably never imagined it could be anything serious, but the spot turned out to be a form of skin cancer called acral lentiginous melanoma that often becomes aggressive because it is detected later than other melanomas.

If Marley’s cancer had been detected early, it could have been treated and even cured. Instead, his melanoma spread, or metastasised, to other areas of his body and tragically cut his life short. Advances in melanoma treatment today likely could have saved or extended his life.

We’ll be focusing a future blog on ethnicity and the feet from a podiatric perspective.

When to Visit Your Podiatrist

Podiatrists are uniquely trained as lower extremity specialists to recognise and treat abnormal conditions on the skin of the lower legs and feet. Skin cancers affecting the feet may have a very different appearance from those arising on the rest of the body. For this reason, a podiatrist's knowledge and clinical training is of extreme importance for patients for the early detection of both benign and malignant skin tumours.

Learn the ABCDEs of melanoma. If you notice a mole, bump, or patch on the skin that meets any of the following criteria, see your podiatrist immediately:

Asymmetry - If the lesion is divided in half, the sides don't match.
Borders - Borders look scalloped, uneven, or ragged.
Colour - There may be more than one colour. These colours may have an uneven distribution.
Diameter - The lesion is wider than 6 mm.
Evolution – The lesion changes in size, shape or colour.

For many podiatry patients today, the risk of amputation remains high. It must be understood that amputation can often avoid further complications, poor quality of life and even death. With modern prosthetic and biomechanical advancements, amputation of digits, feet and limbs doesn’t require major lifestyle changes. Many patients can carry on with their everyday life with small and simple changes.

Please see the following web links for more information:

https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=990

https://www.medicalnewstoday.com/articles/79115.php

https://www.nhs.uk/conditions/melanoma-skin-cancer/

https://en.wikipedia.org/wiki/Acral_lentiginous_melanoma

https://www.thoughtco.com/why-did-bob-marley-die-3552830

Healthy Feet and Nutrition ...

Tue, 15 Jan 2019 11:35:24 GMT

… a New Year’s Resolution you can stand by!

The Christmas advertisement bombardments have finished (I am sure there will be those who agree with me that they are glad to see the back side of singing delivery parcels (company unnamed!). Now marketeers are flogging ‘New Year, New You’ campaigns, especially weight-loss and nutrition programmes (and yet Easter egg chocolates are already on the shelves!).

With all the nutrition hoopla, the focus has been on obesity – the UK has been designated the fattest nation in Western Europe. We’re advised to reduce our intake of high levels of fat, sugar, salt, going vegan, cutting out alcohol, stopping smoking, and more. All worthy considerations. But there is little emphasis on nutrition and the feet.

Our feet carry a heavy burden. They are the foundation of our body, and not just for mobility; they are our support. So why do we neglect our feet when it comes to nutrition?

I have found a useful blog (updated February 2018) on ‘Nutrition and the Feet’: ( https://www.everydayhealth.com/foot-health/nutrition-and-your-feet.aspx ) . It’s very US-centric; however, I hope the authors won’t mind me having lifted large chunks of the blog’s contents to inform UK readers.

According to the Every Day Health blog, medical research, including a review of studies published in October 2015 in the British Journal of Nutrition , suggests that what we eat can affect inflammation in the body, which is a risk factor for many chronic conditions.

Inflammation is basically a defence mechanism the body uses to help stop the growth of abnormal cells, promotes healing of injured tissues, and gives a signal to cells to fight off viral and bacterial infections. However, when inflammation persists, it requires the body find other ways to protect cells. These ‘mediators’, if present for a long period of time, can destroy healthy tissue and trigger disease.

Inflammation is a common cause of foot pain associated with types of inflammatory arthritis such as psoriatic arthritis , rheumatoid arthritis , and gout . It can also strike the plantar fascia, a thick band of tissue that runs across the bottom of your foot, causing the intense heel pain associated with plantar fasciitis .

Many common foods are believed to encourage inflammation, such as the refined grains, sugar, and trans fats in baked goods and junk foods; the saturated fat in red meat; and the omega-6 fats found in many commonly used vegetable oils.

People may also develop increased levels of inflammation in their bodies due to chronic allergies to common foods such as wheat. Eliminating protein gluten found in wheat, barley, and rye may benefit patients with plantar fasciitis.

Another dietary factor that can contribute to inflammation is eating too many foods that cause your blood sugar to rise quickly, such as sweets, white flour, and pasta.

To reduce inflammation, patients should eat more omega-3 fats. Fatty fish such as salmon, as well as fish oil supplements, are good sources of omega-3s, she says. Most people's diets provide far more omega-6s than omega-3s, so a fish-rich diet can address this imbalance.

A healthy diet with anti-inflammatory benefits is rich in green vegetables and other fresh plant foods, and eliminates refined grain foods and sugary treats.

Osteoporosis

Many chronic conditions that affect the feet can be better managed by eating right. One such condition is osteoporosis , a disease of progressive bone loss. Dairy products such as milk, cheese, and yogurt are among the best dietary sources of calcium. But remember that saturated fats, which are found in full-fat dairy products, are on the list of things that can increase inflammation.

You can also get dietary calcium from some green vegetables; and many products such as certain cereals, breads, and juices contain added calcium. Vitamin D, which helps the body absorb calcium, can be found in fatty fish such as mackerel, salmon, and tuna.

Osteoporosis is associated with an increased risk of fractures. Increasing your dietary intake of calcium and vitamin D can decrease the risk of a fracture, as can other lifestyle changes like regular exercise.

On a personal note, having broken both my hips in falls on separate occasions this past year, it’s not surprising my GP referred me for a DEXA bone density scan at Amersham Hospital. Compromised movement, inability to drive and cook easily have led to my losing two stone in weight, largely due to severe muscle wastage and poor nutrition. I have needed a home visit from Betafeet Podiatry ( www.betafeetpodiatry.co.uk ) to cut my toenails and deal with calluses and dry feet as I can’t bend over enough to do it myself, and an orthotics assessment to try to address a 2cm leg length differential. I await the bone scan results.

Peripheral Artery Disease (PAD)

A common foot condition that affects millions is PAD, and this condition can damage arteries that bring blood to your lower extremities.

One of the ways PAD is diagnosed is by comparing the blood pressure in your feet to the blood pressure in your arms. This test, known as an ankle-brachial index (ABI), determines how well blood is flowing.

Common symptoms of peripheral artery disease may include discomfort in the muscles of your feet. In severe cases, patients have extreme pain or tingling in the feet or toes.

A diet that is low in saturated fat, trans fat, and sodium, while also rich in fruits and vegetables, can help reduce your risk of peripheral artery disease .

Diabetes

Like PAD, diabetes can cause many types of foot problems, from skin changes to nerve damage, i.e. neuropathy. Symptoms may include burning pain, tingling, or weakness in the feet.

A healthy diet is one of the keys to controlling blood sugar levels and managing your diabetes. A diabetes diet, like any healthy eating plan, means eating fibre-rich fruits and vegetables, lean protein, and moderate amounts of whole grains and healthy fats.

Weight

Given that your feet bear the weight of your entire body, it's not surprising that being overweight can lead to foot problems. Excess body weight increases your chances of a variety of painful conditions in the feet. Besides the other benefits of a healthy diet, weight management can help avoid or manage conditions affecting the feet.

***

PS the American blog doesn’t cover heredity and the feet, but it is worth ensuring that you inform your podiatrist of any family foot health issues.

Give the gift of happy feet ...

Thu, 06 Dec 2018 10:24:15 GMT

no, not the film!

Stumped by what to buy a loved one or friend for the holidays? Down trodden at the thought of facing holiday shopping? Betafeet Podiatry ( www.betafeetpodiatry.co.uk ) has the answer for you!

Betafeet offers gift cards to treat a special someone. To the value of £50, a gift card can be applied to any of our podiatry treatments and services ( https://www.betafeetpodiatry.co.uk/podiatry-and-chiropody ) and/or footcare products we stock.

Of course, happy feet are not just for Christmas! Gift cards are available all year 'round for any other holiday celebration or special occasion. A gift card can be purchased by customers and the general public alike at either of our clinics in Tring or Hemel ( https://www.betafeetpodiatry.co.uk/contact ).

Please note our holiday opening and closure days during the holiday period:

Monday 24th December OPEN morning, Tring only
Tuesday 25th December CLOSED
Wedneday 26th December CLOSED
Thursday 27th December OPEN morning, Hemel only
Friday 28th December OPEN normal hours, Tring only
Saturday 29th December CLOSED
Monday 31st December CLOSED
Tuesday 1st January 2019 CLOSED
Wednesday 2nd January OPEN, both clinics

It remains for all of us at Betafeet Podiatry to wish you the very best for the holidays and a Happy New Year.

Foot Health Research Survey

Fri, 30 Nov 2018 09:02:06 GMT

Informing the future of foot health care provision

The Foot Health Priority Setting Partnership (PSP) is launching a foot health research survey and invites the public to participate. Betafeet Podiatry ( www.betafeetpodiatry.co.uk ) is delighted to share this with our readers to encourage as much participation as possible, across a broad spectrum.

It is essential that future foot health research focuses on the right challenges and supports the most important aspects of foot health. The PSP is about giving a voice to those most intimately concerned with foot health issues – patients, carers and health professionals.

The PSP https://salford.onlinesurveys.ac.uk/foot-health-priority-setting-partnership-survey is a collaboration between the School of Health Sciences at the University of Salford ( https://www.salford.ac.uk/health-sciences ) and the James Lind Alliance ( http://www.jla.nihr.ac.uk/ ). It is funded by the William M Scholl Endowment Fund, a charity of the Central North West London NHS Foundation Trust ( www.dr-william-m-scholl-endowment-fund-cnwl-nhs-foundation-trust ).

The Foot Health PSP will ensure that future research will be focused on the questions that matter most to people with foot and lower limb problems, their carers and the health care professionals who treat them.

What sort of research questions?

The questions can be related to any aspect of foot health including NHS service provision, treatments from health professionals and ‘over the counter’ remedies, and health issues where feet are important, such as the risk of falling in older people, or preventing amputations after a foot ulcer. It might also relate to sports injuries, footwear or common foot skin and nail problems.

All the questions received will be considered. The questions will be grouped together by topic and then checked to see if they have already been answered by existing research. If PSP find answers to these questions, it will publish the research through their website.

Any new and unanswered questions will then be ranked in order of their importance using a further survey. This will produce a short list that goes to a ‘Final Workshop’ where the list of Top 10 research questions will be produced.

These questions will be widely publicised with researchers and funders of health care research with the aim of directing research funding towards these questions. The William M Scholl Endowment Fund will use the “top ten” as the basis of their future research funding strategy.

The PSP Protocol is available HERE .

The foot health research survey is now LIVE: Click here to participate online! Click here for an Easy read version. Deadline for receipt of completed surveys is 31 January 2019.

You may wish to use our ‘Find your foot pain’ click tab on the Betafeet website ( https://betafeetpodiatry.yourfootpain.co.uk/ ) to help you in completing the survey.

We hope you will agree to take part in this important research survey. Quality foot health care has become increasingly important given the decline in NHS foot health care provision and growing health issues such as diabetes.

Name Changer - Game Changer

Tue, 20 Nov 2018 14:34:32 GMT

Society of Chiropodists and Podiatrists Becomes College of Podiatry

Following a decisive membership vote in favour at the AGM in June 2018, the Society of Chiropodists and Podiatrists has now been renamed the College of Podiatry.

Appropriate changes have been made and the name of the organisation and trade union is now legally The College of Podiatry. The website ‘domain’ name has now also been changed to www.cop.org.uk .

How will the name change affect Betafeet clients?

The short answer is, not much. The College of Podiatry exists to ensure the public has access to high quality footcare delivered by qualified and regulated professionals such as our podiatrists at Betafeet Podiatry ( www.betafeetpodiatry.co.uk ).

Our podiatrists will have a new credentials designation – MCPod (Member, College of Podiatry) which will replace the previous MChS (Member, Society of Chiropodists and Podiatrists). We will be updating this on our website section ‘Our Practitioners’ and in our letterhead and other communications.

World Diabetes Day

Wed, 14 Nov 2018 12:13:47 GMT

Today is World Diabetes Day. The theme is The Family and Diabetes .

The Brussels-based International Diabetes Federation ( www.idf.org ) leads the World Diabetes Day campaign. It is the global advocate for the millions of people living with diabetes worldwide. A Non-Governmental Organisation (NGO), it represents more than 230 diabetes associations in 170 countries and territories. Its mission is to promote diabetes care, prevention and a cure worldwide.

Diabetes concerns every family

According to IDF:

More than 425 million people are currently living with diabetes . It is estimated this figure will rise to 640 million by 2040. Most of these cases are type 2 diabetes, which is largely preventable through regular physical activity, a healthy and balanced diet, and the promotion of healthy living environments. Families have a key role to play in addressing the modifiable risk factors for type 2 diabetes and must be provided with the education, resources and environments to live a healthy lifestyle.

One in two people currently living with diabetes is undiagnosed . Most cases are type 2 diabetes. Early diagnosis and treatment are key to prevent the complications of diabetes and achieve healthy outcomes. All families are potentially affected by diabetes and so awareness of the signs, symptoms and risk factors for all types of diabetes are vital to help detect it early.

Diabetes can be expensive for the individual and family . In many countries, the cost of insulin injection and daily monitoring alone can consume half of a family’s average disposable income, and regular and affordable access to essential diabetes medicines are out of reach for too many. Improving access to affordable diabetes medicines and care is therefore urgent to avoid increased costs for the individual and family, which impact on health outcomes.

Less than one in four family members have access to diabetes education programmes . Family support in diabetes care has been shown to have a substantial effect in improving health outcomes for people with diabetes. It is therefore important that ongoing diabetes self-management education and support be accessible to all people with diabetes and their families to reduce the emotional impact of the disease that can result in a negative quality of life.

What is the difference between type 1 and type 2 diabetes?

Put simply, there are two main types of diabetes: type 1 and type 2. Both types of diabetes are chronic diseases that affect the way the body regulates blood sugar, or glucose. Glucose is the fuel that feeds a body’s cells, but to enter the cells it needs a key. Insulin is that key.

· People with type 1 diabetes don’t produce insulin. You can think of it as not having a key.

· People with type 2 diabetes don’t respond to insulin as well as they should and later in the disease often don’t make enough insulin. You can think of this as having a broken key.

Both types of diabetes can lead to chronically high blood sugar levels. That increases the risk of diabetes complications .

Diabetes in the UK

In the UK, poor diet, obesity, inactivity and other unhealthy lifestyle choices are key triggers for diabetes, particularly type 2.

The Diabetes Research & Wellness Foundation in Hampshire ( www.drwf.org.uk ) reports that there are currently more than 3.8 million people with diabetes in the UK. It is estimated that around a further 500,000 adults have type 2 and don't know it. For every 10 people with diabetes, 1 (10%) has type 1 which is unpreventable. The remaining 9 (90%) people have type 2 which in many cases can be prevented.

There are a number of other leading UK charities focused on diabetes research, advocacy, advice and raising funds. A search on the internet for ‘Diabetes’ will reveal a wealth of information too numerous to list here. The NHS and other healthcare providers also offer useful advice.

Diabetes and Podiatric Care

Every week 170 people will lose a limb to diabetes, the majority with type 2 diabetes.

Betafeet Podiatry ( www.betafeetpodiatry.co.uk ) with clinics in Hemel Hempstead and Tring takes diabetes very seriously. Clients established and new are asked to update or provide their medical history, where diabetes is a key question. Despite the effect the condition can have on the feet, podiatry for people with diabetes is one of the most overlooked aspects of diabetes management (see www.betafeetpodiatry.co.uk/diabetic-feet-arthritis ).

Diabetics who visit Betafeet will be assessed once or twice yearly to check for any nerve damage (neuropathy) and other potential diabetic-related foot health issues, even if diabetes hasn’t been formally diagnosed.

Diabetes break-throughs in research and treatments

Diabetes is oft in the news these days. Again, these are too numerous to list, but here are a few:

· Wearable glucose monitors will be available to tens of thousands of type 1 diabetes sufferers from April 2019 through the NHS. It reduces the need for finger-prick tests and helps type 1 diabetics personally manage their condition. Prime Minister Theresa May, a well-known type 1 diabetic was spotted wearing such a monitor at a dinner with President Donald Trump in July.

· Doctors in Edinburgh believe a simple blood test ‘could mean the end to daily insulin jabs’ for Type 1 diabetics.

· Type 2 diabetes signs may be ‘detectable 20 years before diagnosis’. A Japanese research study carried out between 2005 and 2016 looked at Body Mass Index (BMI) levels for 27,000 non-diabetics. A higher BMI is a well-known risk factor for type 2 diabetes.

· Diabetes UK has published the following article on how a low carbohydrate diet has allowed a man to stop taking insulin. See www.diabetes.co.uk/diabetes-news- ‘Diabetes Awareness Month: David no longer takes insulin thanks to Low Carb Program’ (12 November 2018).

Home Visits

Thu, 27 Sep 2018 10:25:28 GMT

Focus on Betafeet treatments

We offer home visit appointments focused on podiatry care in and around the Hemel and Tring areas for patients who have become housebound due to immobility or illness, those recovering from surgery and the elderly who are no longer able to travel to our clinic or are unable to care for their feet and/or nails at home. We're also more than happy to visit both residential and nursing homes as required.

A typical home visit appointment tends to last around 30 minutes to one hour where a full assessment and treatment will be undertaken. We will take a full medical history or update existing history on file and it is important that we're aware of all medication currently being taken. A home visit currently costs £60 per visit. We can accept card payments in the home or, if a third party is managing your affairs, we can bill on your behalf. We can also bill to your health insurance provider if you use Bupa or Vitality.

If you are booking a home visit appointment on behalf of the patient it is important that access to the home is discussed and agreed with them in advance. We will also need to be made aware of any specific problems prior to our visit so that we can bring the appropriate equipment as required. Family members or carers are welcome to attend the visit.

'For people who are home bound and unable to attend our clinics, Betafeet Podiatry offers home visits covering essential foot and/or nail care and basic assessments for foot health care related to diabetes, circulatory conditions and others. Our home visit service covers areas in and around Hemel and Tring. We are an accredited practice through the Society of Chiropodists and Podiatrists (SCPOD) and and the Health and Care Professions Council (HCPC).'

Judith Sullivan

Focus on Betafeet Treatments …

Tue, 11 Sep 2018 07:00:25 GMT

… nail surgery revisited

Nail surgery is a minor procedure to remove the whole or part of a nail. The surgery will be performed under local anaesthetic (so you can eat normally up until the time of your operation). The nail or part of the nail is simply lifted away from the nail bed. A chemical is applied to the area to destroy the part producing nail cells. A dressing is used to cover the toe. This must be kept clean, dry and not removed until your dressing appointment. After this appointment you will be expected to redress your toes yourself. Sterile dressings and adhesive tape are available from your local chemist.

Preparing for your nail surgery

Please remove all nail varnish from toes before attending the clinic. On the day of surgery wear a loose-fitting shoe, slipper or sandal. Tight footwear is best avoided during the healing process. The initial dressing should be kept on and dry until your first appointment, when this will be changed. The podiatrist will show you how to redress your toe at this appointment. The wound must be kept covered until it is fully healed. This will be when the scab has fallen off and a smooth layer of hard skin forms over the nail bed. It is advisable not to drive until the effects of the anaesthetic have completely worn off, as your insurance may be invalid. You will normally be able to return to work/ school the next day. Some people find 24 hours rest beneficial.

The total appointment time is around 45 minutes to one hour. This includes time for the paperwork to be completed, for the anaesthetic to work and for you to relax. The procedure itself takes about 5-10 minutes.

Complications and Risks

Nail surgery is known to be very safe and effective, however no operation can guarantee success all the time. In rare cases the following may occur:

· Nail Regrowth – every step is taken to prevent the regrowth of the nail, however there is a small percentage (3%), where regrowth occurs.

· Delayed Healing – healing can be slow and can depend on your age, health, how quickly your skin takes to heal and how you look after your toe.

· Infection of the Wound – this may present itself as a red, hot, inflamed, painful toe. A swab may be taken to ensure infection is present and that it is treated with the correct antibiotics.

· Bleeding – bleeding may occur after nail surgery. It is important to keep the foot elevated and rest for the remainder of the day.

· Allergic Reaction – anaphylaxis is a severe allergic reaction. It is a risk, although it is rare and highly unlikely.

'Nail surgery has become an increasing part of our treatment menu. With cuts to social care and NHS services, more people are turning to private podiatry provision. Ingrown nails can cause great discomfort and ongoing pain, and if left untreated, they can lead to infection and other complications. Nail surgery (partial or full) can relieve, even remove, pain for good. You should not be put off by the word surgery ... it is a minor operation done under local anaesthetic.'

Judith Sullivan , Betafeet Podiatry Owner Business Manager

To book an appointment to discuss your ingrown nails and treatment options, please ring our Hemel or Tring clinics.

The Diet Rollercoaster …

Mon, 27 Aug 2018 15:20:13 GMT

... are we being taken for a ride?

Not a day seems to pass without yet another media mention of good, bad or ugly food/drink that might make us feel better or do us more harm. What source(s) can we believe and what ultimate proof?

True Health Initiative ( www.truehealthinitiative.org ) is a global coalition of health experts and influencers in diet and nutrition focused on lifestyle medicine, which seeks to encourage a healthy way of eating and living to promote longevity, vitality and overall health, backed by scientific evidence, not media distortions and hyperbole:

‘The rollercoaster ride of diet headlines can be dangerous to your health. Sensational soundbites about diet sow confusion and sell books, but the constantly changing focus from one nutrient or food to another misses the forest for the trees.’

Here is but a small ‘taster’:

· A high carb diet may hasten the menopause (01/05/2018). On the same day: oily fish could help push back menopause.

· Type 2 diabetes: ‘Eat to beat diabetes in just 8 weeks’, a life changing diet that can help you avoid or even reverse type 2 diabetes ( Daily Mail 2016). According to the article, research by Newcastle University tracked 11 people who followed a very low caloric diet (around 800 calories a day). Results after two months showed that the volunteers lost an average of 33lbs and five inches around their waists. All saw their blood sugar levels return to normal . The study was championed by the article’s author, Dr Michael Mosley, who just happens to have published a book ‘The 8-week blood sugar diet: lose weight and reprogram your body’.

· Tea helps combat obesity.

And of course, the perennial debate of decreasing vs increasing salt in the diet, drink/more less coffee or tea, and others. Cooking methods also come into play The bottom line is to lead a healthy and active life.

Media diet and nutrition sensationalism

A study of UK newspapers concluded that the majority of nutritional claims had ‘no credible scientific basis’. ‘ The quality of the evidence for dietary advice given in UK national newspapers’ Benjamin E. J. Cooper, William E. Lee, Ben M. Goldacre and Thomas A. B. Sanders (2012). Not surprisingly the tabloid papers lead the way. With increased social media use and its international scope, more such stories are appearing. Most of these sensationalist headlines and stories have no scientific evidence to back them and small or limited research samples. Newspaper headlines and stories play on relative public ignorance, emotions and often, scaremongering. Such headlines and their related stories sell newspapers.

A study of UK newspapers concluded that the majority of nutritional claims had ‘no credible scientific basis’.

The quality of the evidence for dietary advice given in UK national newspapers’ Benjamin E. J. Cooper, William E. Lee, Ben M. Goldacre and Thomas A. B. Sanders (2012). Not surprisingly the tabloid papers lead the way. With increased social media use and its international scope, more such stories are appearing. Most of these sensationalist headlines and stories have no scientific evidence to back them and small or limited research samples. Newspaper headlines and stories play on relative public ignorance, emotions and often, scaremongering.

Such headlines and their related stories sell newspapers.

What to look out for

You need to be able to identify the signs which tell a good piece of health information from the bad. In this way we can all enjoy the entertainment that a tabloid or magazine can give, but know what to watch out for to help avoid the utter confusion we seem to be facing regarding nutrition:

Language

Most tabloids and magazines will use sensationalist language. Bold statements are intended to shock, hold relevance and so appeal to the public. We all like information to be simple and easy to understand, but watch out, the ‘science’ is often oversimplified and likely to be contradicted.

Single food focus and poor sample sizes

Ignore any article that suggests a single food confers either miraculous or devastating health effects. Remember one recommendation will not work for everyone. Drinking juice everyday might work amazingly for one person, but it might not for another. It is always best to follow the advice of a medical practitioner. If you have a question, research it.

Trends

Have you seen trends starting to arise? Are you starting to see an over-publication of a particular food or diet in the media? Big industry controls much of what gets published in the headlines so you should expect provocative diet ‘breakthroughs’ to dominate news stories and suddenly disappear.

Deadlines vs research methodology

Authors and journalists tend to get their information from press releases quickly and do not have the time or word count to criticise the methodology of the science.

Sources of information and vested interests

Look into the true source of your information: is it research published from a university? An organisation with vested interests? It’s always best to think of the intentions of the information sources. Universities often need publicity and funding for further research. However, many studies do have good intentions, but are not conclusive in their findings. Authors in turn try and reach strong conclusions to appeal to the reader.

Remember: the lifeblood of newspapers and magazines is to entice readers (current and new) and make money. Social media relies on website ‘hits’ and online advertisers benefit from the putting their products out in the market for potential consumer
consumption. Of course, internet searches invariably expose users to related products and previous searches/orders, as well as market research and data collection.

Data manipulation

The majority of time, Journalists act as a filter between science and the public. As a result, we are often listening to manipulated information. If you have the time, read up on the health columnist who wrote the article. Do they have the credentials they say and are they truly informed to make strong claims which have a strong influence?

List of resources on the internet

· National Health Services offers the service NHS choices where you can obtain up to date and achievable health recommendations. These national guidelines provide relevant lifestyle choices and has a health news tab where you can find current research aimed at informing the public:

http://www.nhs.uk/Livewell/Pages/Livewellhub.aspx\

· The World Health Organization (WHO) offers a nutrition page amongst an extensive array of health guidance. Here the information is presented in an informative manner. Specific scientific data can be found on the fact sheet link:

http://www.who.int/topics/nutrition/en/

· With more than four million now diagnosed with diabetes in the UK, it feels important to provide you with specific advice on this disease. Type 2 diabetes is largely attributed to lifestyle choices (nutrition being a major factor) and Diabetes UK provides a comprehensive guide to managing your diet. https://www.diabetes.org.uk .

· Betafeet Podiatry can direct you to additional resources, particularly local. www.betafeetpodiatry.co.uk .

These organisations' aims are specifically to inform the public and are not motivated by news values that govern journalism.

We do appreciate that tabloids can provide entertainment and spark interest in health topics. Our key point is that you take these health claims with a ‘pinch of salt’ and try to be as critical as possible when evaluating how they impact your life.

Chronic Diseases

0010000628 (Judith Sullivan) — Mon, 13 Aug 2018 12:11:20 GMT

Mind your feet

By Reggie Simpson

According to a Wikipedia chronic disease is a health condition that is persistent or otherwise long-lasting or a disease that comes with time. The term ‘chronic’ is often applied when the course of the disease lasts for more than three months.

While many illnesses can be considered chronic, there are major chronic conditions that are a significant burden to society and our healthcare system and may require footcare:

· Cardiovascular diseases

· Stroke

· Cancer

· Mental health

· Type 2 diabetes

· Arthritis

· Osteoporosis

· Asthma

· Kidney disease

· Dementia and Alzheimer’s

· Diet issues

Chronic diseases form a large part of treatments at Betafeet Podiatry, and due to the national rise of diabetes and vascular disease, the clinic promotes and targets patients with these conditions amongst others.

2018 statistics from Diabetes UK reveal that more than 8.8 percent of people living in Hemel Hempstead suffer from diabetes, and it is ranked as the number two killer in the region, after cardiovascular diseases. Both ailments can be traced back to mobility issues and obesity and have an indirect link to foot and joints related problems. According to a Society of Chiropodists and Podiatrists (SCP) report published in April 2014 entitled ‘Developing a Sustainable Podiatry Workforce for the UK Towards 2030’, by the year 2030, a minimum of six million older people will have foot problem which will require a professional workforce able to deliver 27 million footcare/podiatry appointments a year. Currently, some 58% of older people’s foot care need is met within the private sector.

With no tangible results from government’s operational policy and a local government action plan to reduce physical inactivity; we believe our practice will be a ray of hope for people who present with a poor lifestyle and multiple ailments, whose symptoms can be significantly reduced by the non-intrusive therapies offered by Betafeet Podiatry Clinic: www.betafeetpodiatry.co.uk

Feet accompli

0010000628 (Judith Sullivan) — Mon, 30 Jul 2018 15:56:42 GMT

Betafeet wins website blog award

by Reggie Simpson

Betafeet Podiatry has been ranked 3rd among the top 10 UK Podiatry Blogs from thousands of UK podiatry blogs on the web. The award, sponsored by Feedspot, a company which provides a platform for users to read all their favourite blogs and websites in one place, recognises podiatry blogs which actively work to educate, inspire, and empower readers with frequent updates and high-quality information.

These blogs are ranked based on following criteria:

Google reputation and Google search ranking
Influence and popularity on Facebook, twitter and other social media sites
Quality and consistency of posts
Feedspot’s editorial team and expert review.

Thank you to all our blog readers for this recognition.

Top tips for healthy feet

0010000628 (Judith Sullivan) — Tue, 12 Jun 2018 20:15:15 GMT

Your feet are amazing

“The human foot is a masterpiece of engineering and a work of art” ….. Leonardo da Vinci Since taking our very first steps, we rely on our feet every day for so much. But how much do you know about them?

Surprising facts about feet

Each foot is made up of 100 moveable parts, including 26 bones and 20 muscles.
The bones in both feet make up around a quarter of all the bones in your body.
With every mile you walk, you shift approximately one hundred tonnes (the weight of a blue whale) just by moving your own body weight forward.
The average person will walk around 150,000 miles in their lifetime – that’s more than four times around the Earth.

Look after your feet! Our feet are incredible.
And it’s easy to take them for granted. We only have one pair of feet, so we owe them more of our attention!
Here we share some very simple steps for keeping our feet healthy and in peak condition.
And we highlight five common foot problems that you can manage yourself at home – and advise when it’s best to seek help from a podiatrist.

Top tips to help prevent foot problems
Follow our simple steps to help to keep your feet in tip top shape and reduce your risk of developing any problems.

Wash your feet every day Use warm, soapy water and take care to dry them well, especially between your toes – this will help to prevent fungal infections, such as Athlete’s foot.
Do regular calf stretches Get into a routine of doing these every day to keep your feet supple.
Pay attention to your socks Wear well-fitting socks and change them every day to avoid sweaty feet.
Trim your toenails Use proper nail clippers – and cut them straight across, not too short and not down at the corners, as this can lead to ingrowing toenails.
Keep them moisturised If the skin on your feet is dry, put moisturiser on your feet before you go to bed, avoiding between the toes (this can lead to fungal infections).
Wear the right footwear It’s important to make sure your shoes are the right size for your feet. Buy footwear in the afternoon when your feet are at their largest. Get your feet measured if you are unsure of your size.
Rotate your shoes Try not to wear the same shoes two days in a row, to reduce your chances of developing a fungal infection.
Vary your heel height Keep high heels for special occasions, as regular use can damage your feet.
Check your feet regularly Giving your feet the once over every week will help you to spot any possible problems quickly

Five common foot conditions
If you do spot any problems with your feet, it’s easy to ignore them and hope they go away. The good news is that there are some easy things you can do to help prevent any issues becoming more serious.

Heel pain
Can be debilitating, affecting walking and posture. The most common cause is plantar fasciitis, when the ligament that runs under the heel becomes swollen.
Who gets it?
Can affect anyone at any age, but is most common in those in their 40s or in athletes.
What can I do myself to help prevent or manage it?

Wear well-fitting shoes, with good heel cushioning and arch support.
Avoid walking or exercising on hard ground.
Rest regularly and try not to walk or run too fast.
Wear a raised heel (no more than 6-10 mm higher than normal)

Bunions
A bony lump on the side of your foot where the big toe excessively angles towards the second toe.
Who gets it?
Although anyone can get a bunion, they tend to be more common in women.
What can I do myself to help prevent or manage it?

Give your toes room to move by opting for wider shoes.
If you wear high-heeled shoes, do so in moderation.
If you want to wear a heel every day, keep heel heights to 4cm or less – and vary your heel heights from day to day.
Choose shoes with laces, or a strap or buckle over the instep.
If the bunion becomes inflamed or troublesome, see a podiatrist.

Corns and calluses
Hard, thickened areas of skin, caused in response to rubbing, friction or pressure on the skin.
Who gets it?
They can affect anyone, but may be caused by badly fitting shoes or a biomechanical irregularity in your feet.
What can I do myself to help prevent or manage it?

Gently rub the area with a pumice stone or foot file when you are in the bath.
Moisturising cream may help soften the thickened skin.

Ingrowing toenails
Develops when the side of a toenail pierces through the flesh of your toe, making it red, inflamed and painful. It most commonly affects the big toe.
Who gets it?
Anyone, but particularly people who cut their nails incorrectly leaving small spikes of nail behind. Sporty people are more prone because they are likely to get moist, sweaty feet – this can make the skin around the toenails softer and easier for a nail to pierce.
What can I do myself to help prevent or manage it?

Cut your nails properly – straight across, making sure not to trim them too low at the edge or down the side. Leave the corner of the nail so it’s visible above the skin. Doing it after a bath or shower is helpful, when your nails are softer.
Avoid moist feet by rotating your shoes and choosing well-fitting socks and shoes made from natural materials.
At home get your feet out and let the air get to your toes as much as possible!

What is Podiatry?
Podiatry is the field of medicine that specialises in assessing, diagnosing and treating conditions of the foot and lower limb. A podiatrist can also give you advice about foot care, gait analysis and on the best footwear for you and your family.

When do I need to see a podiatrist?
In many cases, following our self-care tips will help the problem improve. If it doesn’t, it’s best to seek professional help.

You should visit a podiatrist if:
Your feet hurt – they will assess your condition and advise you on the best treatment.
Your symptoms are getting worse – a problem isn’t improving naturally, or within three weeks of self-care.
You want to prevent foot problems – a regular foot check can help keep your feet healthy.

How do I get an appointment with a podiatrist?
There are different ways to see a podiatrist, and may depend on where you live:

Go through your GP
They may be able to refer you for an NHS podiatry appointment. Or in some areas, you may be able to self-refer.

Visit your local independent practice podiatrist
It’s important to find a professional who is registered with the Health and Care Professions Council (HCPC), which is the UK-wide regulatory body. Use the tool on our website to find a podiatrist near you: https://www.scpod.org/find-a-podiatrist

Betafeet Podiatry, Hemel Hempstead and Tring 01442 822990 www.betafeetpodiatry.co.uk

Foot Health Month

0010000628 (Judith Sullivan) — Tue, 12 Jun 2018 07:44:09 GMT

Local podiatrist supports UK’s Foot Health Month

June is Foot Health month across the UK, and local podiatrist Betafeet Podiatry in Tring is taking part to raise awareness of the importance of good foot health and help keep local people on their feet.

Foot Health Month is an annual awareness campaign run by The College of Podiatry.

The College is keen to raise awareness of how important foot health is to our overall health, and how simple it can be to keep our feet in peak condition. Having healthy, pain-free feet is important throughout life, so a little knowledge of foot care is essential for everyone, and that’s what this year’s campaign is all about.

Podiatrists are experts in all aspects of the foot and lower limb and undertake years of specialist training to enable them to prevent, diagnose and treat the conditions that affect the feet and legs – podiatrists work in the NHS and independent settings and there are podiatry clinics on most UK high streets.

To mark Foot Health Month, Betafeet Podiatry at our Tring Clinic are offering free foot health checks for the public to celebrate Foot Health month.

Betafeet Podiatry, 110 High Street, Tring HP23 4AF 01442 822990 said:

“Our feet are one of the hardest working parts of our body but can be one of the most neglected. Having healthy feet enables us to keep fit and well. if our feet are injured or in pain, we can’t walk, do sports or even relax properly.

“There are some very simple steps that everyone can take to keep their feet healthy, but if they do hurt or you notice anything unusual about them, a registered podiatrist can diagnose the problem and provide the right treatment.

“Just like the optician or the dentist, your local podiatrist is here to help keep the community well, so if your feet hurt we can help.”

UK data privacy law is changing …

0010000628 (Judith Sullivan) — Thu, 12 Apr 2018 12:46:26 GMT

… and you are the beneficiary!

By Reggie Simpson

One of the biggest changes to UK data privacy law comes into effect on 25 May 2018.

Until now The Data Protection Act 1998 (DPA) has governed how organisations such as Betafeet Podiatry must collect, handle and store personal information regardless of whether data is stored electronically, on paper or other materials.

To comply with the law, personal information must be collected and used fairly, stored safely and not disclosed unlawfully.

The DPA will be replaced by the General Data Protection Regulation (GDPR) with effect 25 May 2018.

The GDPR is an EU regulation designed to bring data protection legislation into line with changing ways data is now used through the digital economy, internet and cloud technology. The GDPR aims to simplify the legal framework and create consistency and transparency across the single market. The GDPR will apply to the UK regardless of Brexit . It introduces tougher fines for non-compliance and breaches. The GDPR also gives people more control and say over what organisations can do with their personal data.

The GDPR is a positive step toward you having more control over how your data is used and how you're contacted. The changes will also help to better protect your personal data.

As part of these changes, you may soon find organisations such as Betafeet Podiatry asking you how you would like to be contacted.

We would like to share a brief summary of the GDPR to help to explain the changes and what they mean for you:

1. It’s the biggest change to UK data privacy law in 20 years

Thanks to technological advances, the amount of personal data being generated is rapidly increasing – every time you shop online, use your favourite app or ‘like’ a photo you generate data – which is why the law needs updating to better protect people. As part of the GDPR, all organisations have to review how they manage personal data – from customer contact addresses to employee bank details – and ensure they are GDPR-ready by 25th May 2018.

2. It will give you more control over your personal data

The GDPR is all about giving you more control on how your personal data is used. You’ll have greater visibility and control over the personal data organisations hold about you – whether it’s something as simple as your name, or as complex and sensitive as medical information. This means you can have greater confidence that information about you is accurate, up-to-date and properly managed.

3. You can choose who contacts you and how

Over the coming months you’ll notice a lot of organisations asking for your consent to receive and hold information. You get to choose how you are contacted, for example by email, SMS messaging, social media or phone.

4. You can also change your mind at any time

If you give an organisation permission to contact you, it doesn’t mean you can’t change your mind in the future. Under the new rules, it should be easier to update your preferences on what you want to receive and how.

5. Your data will be better protected

The GDPR also aims to make sure that all organisations holding personal data have the right processes in place to protect it. Organisations who put customer data at risk will face hefty penalties.

How will Betafeet Podiatry comply with the GDPR?

The new legislation is not just for large organisations that collect data to help them increase and serve their customer base and to market new products and services. We have certainly been exposed to recent breaches involving the selling of data, particularly through organisations which are built around social media. Betafeet is not similarly reliant on social media; we rely largely on word of mouth and an informative website.

Please note: although we hold contact details so that we may be able get in touch with you about an appointment or appointment follow up we never sell email lists .

We need to hold personal information about you in our patient computer system. We do not retain paper records. The information we collect or hold on your patient record helps us to look after your health needs, and all podiatrists in the business are responsible for information accuracy and safe keeping. Aside from contact and other relevant information (such as care givers) we need to be able to review your medical history, history of treatments and other information which will help us treat you to the highest standard (all held on a secure database with no paper records kept.) Please help to keep your record up to date by informing us of any changes to your circumstances.

We also have a robust system in place to dispose of personal and sensitive documentation.

You may wish to see our Patient Confidentiality and Duty of Candour documents which are on display in the clinics, within our new patient welcome packs available in clinics and on our website.

The GDPR is looming, but it remains a work in progress as organisations adapt and implement the legislation. We will keep you up to date with relevant updates.

'Toes-ty tidings ... and mistle-toe'!

0010000628 (Judith Sullivan) — Sat, 09 Dec 2017 09:47:07 GMT

By Reggie Simpson

Dear Betafeet Clients and Friends

I chose this image for the festive child in us all (forget the Black Friday shopping frenzy for which America is to blame). The photo reflects my German-American upbringing wherein children put their shoes out at bedtime on the 5th of December and, if they have been good, they are greeted the next morning (St Nicholas Day) with chocolates or other treats in their shoes. Naughty children would get a lump of coal or worse. Thankfully, I was always nice, not naughty (ha ha, ho ho!)

Betafeet Podiatry will be closed formally from Saturday 23 December, reopening on Tuesday 2 January 2018. Appointments may be made by phoning 01442 822990.

The Tring clinic (only) will be open extraordinarily on Friday 29 December for emergencies only between 9am and 1pm, telephone 01442 822990. If we cannot accommodate you on the 29th or treat you during our holiday closure, we recommend that you make every effort to seek alternative emergency treatment through your GP surgery, out-of-hours doctors, urgent care or A & E.

On a final note, gift vouchers to the value of £50 are available for purchase and could make great stocking fillers.

I t remains for all of us at Betafeet Podiatry to wish you and yours the very best for the festive season
and a prosperous and healthy new year.

Calendar Girl

0010000628 (Judith Sullivan) — Thu, 28 Sep 2017 12:16:38 GMT

This is a subtitle for your new post

We are delighted to announce that prose written by our Practice Business Manager, Reggie Simpson, will be featured in the Rennie Grove Hospice Care’s Rhyme & Reason 2018 diary, now in its 26th year. The theme for this forthcoming year’s diary is ‘Freedom’. All proceeds from sales of the diary go to support this worthwhile charity.

Reggie says: ‘Although my entry wasn't among the top poetry and prize winners, I was chuffed to be selected for the 2018 diary. The theme was quite broad, but my degrees in politics and love of writing invariably drew me to entering the competition. In the end I settled on a focus of freedom in healthcare, no doubt inspired by my current employment at Betafeet Podiatry and the noble work of Rennie Grove Hospice Care ( www.renniegrove.org ).

Rennie Grove Hospice Care, formally known as Iain Rennie Hospice at Home, merged with Grove House, St Albans in 2010 to integrate services in south western Hertfordshire. The ethos and values of the two charities were closely aligned with the principle of allowing patients to lead a good quality of life at home for as long as possible, helping patients and their families avoid the distress of unnecessary hospital visits whenever possible.

The diaries can be ordered from the Rennie Grove website, payment by debit/credit card. It's part of their annual Christmas/holiday promotion. There will also be copies in local Rennie Grove shops. They are £5 each with additional postage if bought online. Shop locations can be found here: http://www.renniegrove.org/support/our-shops/online-shop/page/2/ .

Here is Reggie’s entry (to appear in the month of September 2018):

‘Do not count the days; make the days count.’

Muhammad Ali. Professional Boxer. Audacious. Charismatic. A winner in the ring.

But even when you have won it all, life throws you a few more punches.

Yes, his name opened doors and wealth, but the bombastic man of his younger years was humbled in later life, and following retirement, he dedicated himself increasingly to charitable work. Parkinson’s was already taking hold.

He received the Presidential Medal of Freedom in 2005, the highest honour the USA can bestow. He died in June 2016, aged 74.

Now the news is about boxing helping dementia sufferers.

So what does this mean for freedom? Does getting battered around the head spell freedom and choice? One would say yes; a boxer is free to take such risks. When the consequences deal you a fatal blow as a result, when do you lose your freedom? Is it when you have been reduced to a shadow of your former self, a normal human being, and have to rely on others? Muhammad Ali likely had plenty of resources to ensure his final days would help him on his final journey.

We tend to think of freedom in political terms. It is hard to remove freedom in healthcare from politics. Think NHS reform, among others. Freedom in a healthcare environment means more to the individuals and families when they have life-limiting illnesses and need the care of volunteer-run hospices such as Iain Rennie Grove.

The NHS gives patients the rights to make choices about different aspects of the care they receive, from the different treatment options available. How these are chosen is individual, although for those with life threatening or limiting illnesses this choice will fall on family members.

I quote the following:

‘In health there is freedom. Health is the first of all liberties’.

Henri-Frédéric Amiel, Philosopher

September is World Alzheimer’s Month.

Where are they now?

0010000628 (Judith Sullivan) — Tue, 18 Jul 2017 10:37:11 GMT

Betafeet Podiatry catches up with Andre Ferreira

Andre was an associate podiatrist at Betafeet for five months. His contributions to the practice were considerable. Sadly we lost him to a higher professional and personal calling.

After a stellar educational background and career, Andre joined babylon Healthcare Services, UK based, with a view to helping them set up and deliver the first digital healthcare pilot services to the NHS. Digital healthcare is a cluster of new and emerging applications and technologies that exploit digital, mobile and cloud platforms for treating and supporting patients. Digital Healthcare is being applied to a wide range of social and health problems, ranging from monitoring patients in intensive care, general wards, in convalescence or at home – to helping doctors make better and more accurate diagnoses, improving drugs prescription and referral decisions for clinical treatment.

Rwanda then beckoned.

Since joining babylon Rwanda in April 2016, Andre has been instrumental in successfully setting up and launching Africa's fastest growing digital healthcare service. According to Lindsey McConaghy, babylon's PR manager, 'Rwanda has a population of around 12 million but doctor numbers are in the hundreds. There’s an imbalance between supply and demand'.

Digital Healthcare is not without its sceptics nor controversies - at what point do you let an app do the diagnosis? Will GPs embrace technology in this way?

Here is Andre's report about his experiences in Rwanda:

Rwanda is a small ambitious country known as the land of 1000 hills with a population around 12 million and a rapidly growing economy. It has rolling hills for as far as you can see, a rain forest, gorillas and volcanoes, making for quite the site to any visitor. However, it is also known for the 1994 genocide in which over 1 million people were killed in 100 days across the country.

This tragic event has led to some very big health issues, which the country still faces, but thanks to a range of donor funding and strong political leadership, the country is on its way to quickly becoming a middle-income country.

As countries shift from low incomes to middle income economies, health issues become complex, where the country can face a mix of communicable disease (ie. malaria, HIV, TB) and the introduction of non-communicable disease (ie. diabetes, high BP, cholesterol) with changes in lifestyles.

Now you are probably wondering what this has to do with podiatry?

Well, as clinicians we play a role in the overall wellbeing of every patient that walks through our door for treatment and we become advocates for a number public health issues. While our specialist area is focused on the foot and ankle, an understanding of the bodily systems is imperative for understanding the impacts on the lower limb. This allows us to transition from clinical practice to other work streams such as health policy, public health programmes, service management and research.

As a podiatrist with a public health background, the increase of diabetes and chronic conditions in developing nations has become of personal interest. In many of these countries, diabetes is poorly understood and without proper prevention and care, can lead to a large economic burdens on the healthcare system. In 2012, the UK alone spent a whopping £639 million on foot ulcers and £662 on lower limb amputations, so the prevention and monitoring of these conditions is of paramount importance in the developing world.

The quality of life for individuals with diabetes is also drastically affected if not controlled, impacting mobility, footwear and overall lifestyle. Additionally, chronic ulceration and limb amputation, creates an increases risk (approximately 80%) of mortality within the first 5 years post amputation.

How did all this lead me to Africa, I hear you say?

In April of 2016, I (sadly) departed from the Betafeet clinic to implement an mhealth project in Rwanda in partnership with the Ministry of Health. This project, allows patients across the country to speak with a doctor and receive a prescription via SMS through their mobile phone, reducing the travel time, wait time and expense of receiving care from one of the local physical hospitals. The system is also working on monitoring both communicable and non-communicable disease using artificial intelligence, engaging patients to take ownership of their health.

This could be a major milestone for a country with stretched resources. To put things into perspective, over 80% of the population lives in remote areas of the country and works in the ‘in-formal’ sector as subsistence farmers with an average income of 2-3 dollars per day, which is not very much. To receive care, a patient may travel over an hour to reach their nearest hospital where a doctor is present and then wait anywhere from a few hours to a few days to receive the care they need. However almost 80% of the population already has a mobile phone.

Appropriate access to clinical care is a large part of the prevention and management of many conditions and undertaking this project has been a great experience. As a clinician, I have had the opportunity to utilise my knowledge to develop operational pathways and input into the technology development to shape the way patients receive their care.

'Footnote'

It is with this experience I now look to move on to my next adventure focusing on Aboriginals and the utilisation of technology in the prevention of major non communicable disease such as diabetes.

Final comment from Reggie Simpson and Betafeet Podiatry

We wish Andre the very best in his future and thank him for this interesting blog account. We look forward to his next blog focused on his work with the Aboriginal population.

Special limited discount offer on Noveon® our innovative fungal nail treatment

Mon, 12 Jun 2017 08:16:45 GMT

Get your feet sandal-ready for the summer!

Blog updated April 25 2018

Do you suffer from fungal nail infections? Not only are they unsightly; they can also cause discomfort and pain.

Our Hemel clinic offers Noveon®, a state of the art laser technology backed by research. And, for a limited time (May, June and July 2018), we are offering the treatment for a reduced price of £400 for up to four treatments and up to four nails, saving you £200 off the normal price. You will, of course, need to have a pre-treatment assessment appointment (£50) before you begin your treatment sessions. Your podiatrist will review the areas you want/need to be treated, ensuring you are suitable for this treatment and answer any questions you might have.

How does it work?

Fungus, bacteria and yeast are prime causes of fungal nail. Yeasts and moulds combine with dampness to cause toenail fungus. Wearing tight-fitting shoes or not letting feet dry out gives toenail fungus a place to grow. Other risk factors include diabetes, a compromised immune system, or an abnormal PH skin level. The likelihood of toenail fungus increases with age, which leads to reduced blood circulation and more risk of exposure.

Noveon® is the safest and most effective treatment option available. The laser is able to kill the fungus using certain light wavelengths that are known to disrupt the metabolism of fungal cells. Once their metabolism has been altered, the fungal cells die. Meanwhile, healthy skin and tissue cells are left unharmed.

The laser works by targeting the infected nail or nails with two unique wavelengths of laser light. Whereas other laser treatments for fungal nails do so at high temperatures (which often cause pain or discomfort during treatment), Noveon® treats at lower temperature levels.

Noveon® treatment also reduces fumes (plumes) which can affect both patient and user. Laser plume may contain carcinogens, irritants and fine dusts. Plumes may also contain viruses and cancer cells, blood fragments, and bacteria spores. They also contain carbon monoxide, hydrocarbons, and various toxic gases. Plumes may contain chemicals such as formaldehyde, hydrogen cyanide, and benzene.

What can I expect with this treatment?

A session involves having the affected toe or toes being hooked up to the Noveon® laser machine. A typical treatment consists of three/four 16-minute treatments, in all around 120 days.

But first there will be an initial consultation 10-14 days before starting your first treatment. This will involve:

· Signing a consent form and receiving information on the treatment

· Pre-treatment

· Q & As

· Assessment to determine the number of treatments required, which depends on the severity of infection and number of toes infected

· Photographs of nails before and after treatment

· Agree post-laser care programme

Is it painful?

There is no pain associated with the procedure, largely due to the lower heat Noveon® generates. There is no need to feel anxious – you are in good trained hands at Betafeet Podiatry!

What does it cost?

Betafeet Podiatry currently charges £600 for the whole cycle of treatment (reduced to £400 for a limited time.

What is the success rate?

Based on research, around 95 percent.

More information

See our Treatments and Services section on the home page: http://www.betafeetpodiatry.co.uk/fungal-nail-treatment which features a video interview with Judith Sullivan, Practice Owner/Manager.

Book now to take advantage of our special offer. We look forward to helping you get your toenails back in view this summer!

Summer Loving: get your feet shipshape!

0010000628 (Judith Sullivan) — Fri, 09 Jun 2017 13:58:07 GMT

Take a good, hard look at your feet. Are they ready for the summer?

By Reggie Simpson published in large part in the summer edition of Tring Living

The warm, sunny weather in March has already had some people out in shorts and sandals.

Whether exposed in open footwear or encased in closed shoes), you need to minimise potential abuse to your feet. Contrary to winter, feet are more susceptible to problems in the summer.

Common foot complaints

Here are some traditional foot issues and our take on how to manage them, ‘home or away’:

The problem: Fungal infections

Athlete’s foot is one of the most common fungal infections. It causes flaky, red skin with white cracks that can be agonizingly itchy. Fungal infections in the nails can also cause problems and shouldn’t be ignored as, if left untreated, they can spread to other nails.

Home solution

· Anti fungal treatments

· Soak your feet in Tea Tree oil

· Use antibacterial wash such as Hibiscrub®.

· Consult pharmacist for other over the counter treatments

Professional help

You only need to visit your GP or a podiatrist if your Athlete’s foot persists or is causing you wider discomfort or other foot problems.

The problem: Ingrown toenails

This is a painful condition when the toenail has grown into the skin on the side of the nail bed. It can become infected.

Professional help

It is best to seek professional help from a podiatrist who can remove the spike of the nail and cover it with an antiseptic dressing. In extreme cases, antibiotics and nail surgery may be required.

The problem: Corns and calluses

Corns are small but painful areas of thickened skin that are caused by repeated pressure on the area, such as from socks and tights or badly fitting shoes. Foot position and/or how you walk can also contribute. Heredity may also play a part.

Calluses usually occur on the sole or heel of the foot. Corns and calluses are symptoms of an underlying problem. You should only self-treat (using Compeed© for example for corns) if you know the cause and you've spoken to a specialist about the best way to manage them. Shaving away your calluses on your own may only cause bleeding and discomfort and could lead to infection.

Professional help

A podiatrist can help to treat corns or badly callused areas using a sharp blade to remove the thickened area of skin. This should help reduce pain and discomfort. Further advice on self-care and prescribing special insoles can also be given.

The problem: Bunions

Bunions are a misalignment of the joint at the base of the big toe. It’s usually genetic, and you can live with it most of the time. Problems are caused when it becomes inflamed and painful, usually at the part where it meets the shoe.

Flat shoes can actually make the problem worse as they don’t provide any support, as can high heels or pointy shoes.

Professional help

If bunions have become painful then they may require surgery to correct the misalignment.

Verrrucae (warts)

Verrucae are caused by the Human Papilloma Virus (HPV). The virus invades the outermost layer of skin and causes visible lesions. Our immune system is far more active in the deeper layers our skin, which explains why verrucae are so resilient. The virus is contagious and can be spread.

Home solution

You can try over-the counter solutions such as Bazooka© or salicylic acid-based treatments, but verrucae tend to persist without professional help.

Professional help

Betafeet Podiatry offers the following verrucae treatments:

· Salycidic acid (prescription strength)

· Cyrotherapy (freezing)

· Falknor’s Needling (requires surgery consent)

· Swift Microwave Therapy (new): https://www.betafeetpodiatry.co.uk/swift-microwave-therapy-for-verrucae

Final thoughts

This list is by no means exhaustive, but there are some other feet health issues to also consider:

Diabetes

Diabetics need to be especially careful about their feet; a lack of sensation when, for example, treading on potential hazards, as simple as stepping on a thorn, could lead to life changing complications due to poor healing ability. Aside from daily foot checks, diabetics should not walk around barefoot. Wearing socks and appropriate footwear helps to

decrease the risk of developing blisters and sores, which could lead to wider infection.

Gout

This is by no means an old man’s illness or old wives’ tale. Gout can be hugely painful and debilitating at any age. Gout is a form of arthritis and can be controlled by medication or following a diet.

Climate plays a big role for gout sufferers especially when it’s hot and humid, which can lead to dehydration and triggering a gout attack. So think on your feet when venturing out in the summer.

***

Of course, the best treatment for any or all of foot ailments is to avoid them in the first place. Here are some tips:

· Keep your feet, especially the area between your toes, clean and dry.

· Air and change your shoes and socks often to help keep your feet dry.

· Avoid synthetic socks (nylons) where possible.

· Exfoliate your feet regularly.

· Make sure you wear sandals in public showers or wet areas.

· Stay away from talc on the feet.

· Moisturise your feet daily.

· See a podiatrist when you can no longer self-manage.

June is ‘Feet for Life Month’ and you can find out more information on foot health with free leaflets and tips at the College of Podiatry website: www.feetforlife.org .

Restless Legs Syndrome

0010000628 (Judith Sullivan) — Wed, 12 Apr 2017 16:13:23 GMT

Author/blogger Reggie Simpson

‘… a common condition you’ve never heard of …’.

Last week, Channel 5 aired a documentary on Restless Legs Syndrome (RLS) that has proved both compelling and sad, not least for its featured sufferers, but also other RLS sufferers and those who suffer along with it. It is estimated that one in 10 people in the UK have RLS.

RLS can occur occasionally for some and daily for others.

Sufferers in the documentary describe:

Deep, throbbing pain
Unstoppable urge to move their legs
Tingling pain
Unpleasant crawling or creeping sensation in the feet, calves and thighs and sometimes the arms
Isolation
Poor step pattern
Disruption to daily activities
Compromised relationships

One of the interviewee said ‘ You can it, bottle it, use it. It would be a brilliant torture method’ . Some sufferers even say that the condition makes them want to chop their legs off.

So, what is this condition (also known as Willis-Ekborn Disease) we know little to nothing about?

What causes RLS?

In the majority of cases, there is no obvious cause, although RLS can run in families, and women are twice as likely to develop RLS. Symptoms generally develop in middle age; however young people are also affected, particularly pregnant women.

Some neurologists believe the symptoms of RLS may have something to do with how the body handles a chemical called dopamine. Dopamine is a hormone that governs much of our brain activity. Low dopamine levels can lead to lack of motivation, fatigue, addictive behaviour, mood swings and memory loss. Indeed, Parkinson’s disease is linked to low levels of dopamine. Iron deficiency anaemia, diabetes, rheumatoid arthritis, Morton’s Neuroma, under-active thyroid or kidney disease) may also have an impact.

Treating RLS

Mild cases of RLS not linked to an underlying health condition might not need treatment other than some simple lifestyle changes:

Adopting good sleep habits
Losing weight
Stopping smoking
Reducing drinking and/or caffeine intake
Exercise regularly
Some medications (anti-depressants, lithium, some high blood pressure tablets, antihistamines)

Sadly, for regular sufferers of the condition, it is more about how to live with RLS, not cure it.

Resources

To view the Channel 5 documentary visit:

https://www.my5.tv/restless-legs-syndrome-desperate-for-help/season-1/restless-legs-syndrome-desperate-for-help

Other sources of information may be found at:

www.nhs.uk/Conditions/Restless-leg-syndrome
RLS-UK registered charity https://rls-uk.org/
Your GP
Your podiatrist
Other healthcare professionals

If you think you have or have been diagnosed with RLS, please speak to us at Betafeet Podiatry to discuss how we might be able to help alleviate your pain. Equally, our associated healthcare professionals at Beta Health Clinic based in Hemel may be able to offer complementary options:

www.betafeetpodiatry.co.uk

www.betahealth.co.uk

Betafeet Orthoses

0010000628 (Judith Sullivan) — Fri, 07 Apr 2017 15:10:04 GMT

19 Oct, 2016 (with apologies for the late posting)
By Matthew Collison

What we offer

Simple, chair side devices

Your podiatrist may provide you with simple insoles in clinic to provide you with a temporary device to relieve your symptoms. Sometimes these may be used to test a concept for treatment with more permanent devices to be issued at a later date, or to act as an interim solution while you wait for your custom device. Simple devices can also be used to reduce pressure under the foot to prevent damage to sensitive feet.

The simple insole may have wedging or felt padding added to it to meet your needs, occasionally these same modifications can me made to the insole of your existing footwear. Sometimes felt padding is applied directly to your foot to reduce pain following the treatment of a painful corn.

These simple devices are available at a relatively low cost, but are not very durable and are mainly used as a temporary solution. Usually, we aim to replace the devices with more durable devices, or in the case of acute problems or self-limiting conditions withdraw them completely.

These devices are available for £20-30 in addition to the consultation fee.

Simple frelen insoles
Diaped trisorb insoles
Prefabricated devices

Prefabricated (sometimes called over-the-counter) devices are useful for a wide range of conditions. We offer accommodative devices made from cushioned materials to reduce pressure in sensitive feet such as for patients with diabetic neuropathy or established deformity relating to arthritis, as well as more rigid functional devices used to manage pathological forces where more biomechanical control is required such as in posterior tibial tendon dysfunction. These devices are often modified in clinic to suit your needs by adding posting or by trimming them to your footwear so that they can best suit your needs.

These devices are much more durable than the simple devices, and are designed to fit a range of feet. Many people do well with these devices, but they do not suit everybody, some people respond better to a custom device, particularly if they have very flat feet or have joint deformity. The devices are cheaper than bespoke or custom devices, but tend to be slightly bulkier and may not be as durable, we have ¾ and full length orthoses as well as narrow orthoses to fit dress shoes.

These devices are available for £75 in addition to the consultation fee.

Langer Bio Soft (accommodative) and Bio Advanced ¾ (functional)
Langer Bio fashion (for dress shoes), Bio Mex (functional) and Bio Advanced ¾ (functional)

Bespoke modular insoles

Bespoke modular orthoses (sometimes called simple insoles) are built up from a flat base with components such as arch pads, wedging and metatarsal pads or heel lifts to manage pressure in the foot to reduce pain or offload lesions such as corns and callus. These are particularly useful for plantar fasciitis (plantar heel pain) or to reduce the build up of painful corns on the soles of the feet.

An impression of your foot is made onto a pressure-sensitive ink pad to give an image of your foot which shows high-pressure areas. This is added to the base material and used as a template to which the components such as pads and wedging are added to the podiatrist’s prescription. This is usually covered in a durable leather or vinyl top cover and ground to fit the patient’s footwear. These are made in our own laboratory, giving us full control over the manufacturing process.

These devices are durable, and cost £125 in addition to the consultation fee.

Bespoke modular orthoses: f ully custom devices

Custom foot orthoses are individually made from moulds of the patient’s feet and offer superior fit and comfort to patients. While many conditions can be treated using prefabricated devices, custom devices are particularly useful to patients with chronic conditions or difficult to fit feet. Custom devices are also frequently used by athletes or people with specific footwear needs. Generally, the orthoses are very durable and can be modified over time to ensure they continue to meet the patient’s requirement.

At Betafeet we offer two main types of custom foot orthoses; Sidas orthoses made in house and orthoses made in an external laboratory.

Sidas foot orthoses

The Sidas system uses a pair of vacuum controlled silicone bags to take direct impressions of the feet in specific, semi-weight bearing positions. The podiatrist will place your feet in a specific position on the hardened bags, and will then release the vacuum so that your feet sink into the moulds. Your foot position will be checked and the podiatrist will turn the vacuum on to harden the mould. You then remove your feet and the podiatrist will check the mould. Next, a heated blank insole is then placed into the mould and the podiatrist will ask you to stand on the insole as it cools to ensure it takes the correct shape.

Once cooled, the basic shape of the orthoses is ready, however these are then taken to our own laboratory to be finished. Posting and cushioning material is added and the orthoses are ground to fit your footwear.

We are able to make Sidas orthoses to fit most footwear styles, and we have specific insoles available for different sports such as running, cycling, football and rugby, skiing, snowboarding, hiking and golf. These insoles are commonly used by premiership footballers, world tour cyclists and world cup skiers as well as ambitious amateurs. We also have generic insoles available in ¾ and full-length to fit most day-to-day footwear. As these are fully custom devices they are suitable for many different pathologies and foot complaints.

These orthoses have similar durability to prefabricated devices but offer full customisation, and as they are made in house we have full control over the process. They are available for £250 plus the initial consultation fee, however the price includes a casting and fitting appointment.

Firefly orthoses

While we produce some of our orthoses in-house, for some of our devices we use an external laboratory to produce some of our foot orthoses, particularly when we need to use more rigid materials such as polypropylene or carbon fibre. We use a laboratory based in Ireland, Firefly, who are known for producing some of the highest quality orthoses on the market.

A cast is taken of the foot, either using a foam-impression box in a semi-weighted position or a plaster cast taken in a non-weight bearing, suspended position. If your foot is moulded using a foam box, you will be seated on a chair and the podiatrist will place your foot on an impression box and gently push your foot into the foam to take an impression. If the podiatrist takes a plaster cast, you will lie on your front on the treatment couch with your feet dangling off the end. The podiatrist will position your foot in a specific position, and apply some bandage soaked in plaster of Paris. Your foot will be held in place until the plaster sets hard (it may warm slightly as it hardens). The plaster cast is then removed leaving a perfect impression of your foot.

The plaster cast or foam box is then sent to the laboratory, where a 3D scan is taken to produce a 3D model of your foot on the computer. Depending on the type of orthoses needed, the orthotic is either directly milled from polypropylene using a CAD/CAM process or a model of your foot is milled and the orthotic material (often carbon fibre or polypropylene) is vacuum formed onto the model. The orthosis is then covered with the desired topcover, any posting added and the device is ground to fit the footwear and they are checked by the technician. The devices are then posted back to the clinic to be issued to the patient.

These devices are extremely durable, and the polypropylene or carbon shells have a lifetime guarantee against breakage. They are available for £350 including a casting and fitting session, the price is in addition to the initial consultation.

Firefly standard orthoses with metatarsal pad with vinyl top cover.

Will they fit in my shoes?

Yes- they should fit into most sensible footwear. Our prefabricated and simple insoles should fit into most trainers and shoes with adequate space and a good fastening such as laces which are the kind of shoes we recommend for day to day use. Provided your footwear is suitable in the first place, we can make custom orthoses to fit specific shoes. We understand that sometimes you may need to wear less suitable shoes, and we do have some options that will fit into dress shoes, though we would prefer that you don’t wear these as often as your sensible shoes or trainers! Ask your podiatrist for footwear advice specific to your needs (this will also be covered in a future blog).

‘Toeing the line’

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 15:53:44 GMT

10 Mar, 2017
Author/blogger Reggie Simpson

Parliament debates workplace dress codes

Remember when Naomi Campbell tripped and fell on the catwalk wearing super high platform shoes during a Vivienne Westwood show in 1993? She laughed it off; we guffawed. Here was one of the top supermodels dubbed the ‘Trinity’ purported to ‘not wake up for less than $10,000 a day’.

I suppose Campbell’s ‘fall from grace’ was an occupational hazard.

Speed forward to 2017. The average woman can hardly afford to lounge in bed, and she most likely (and sensibly) will not totter around in platform shoes in the workplace. However, high heels and other compulsory dress code attire for women have become symbols of workplace sexism and discrimination.

In a week that celebrated International Women’s Day (‘Be Bold for Change’), Parliament convened a meeting on 6 March to consider an e-petition submitted by Nicola Thorp focused on high heels and workplace dress codes. The petition had 152,420 signatures.

In December 2015, Ms Thorp was sent by Portico for a job as a temporary receptionist at the headquarters of PriceWaterhouseCoopers in London. When she arrived, Ms Thorp was told that the smart black shoes she was wearing were unacceptable because they were flat; at the time, Portico’s dress code specified a heel height of between two and four inches—for women, not men. She was offered the opportunity to go out and buy a pair of high heels. When she refused, she was sent home without pay.

Speaking on behalf of the petition, Helen Jones (Warrington North, Lab) MP said:

‘There was never a suggestion that Ms Thorp was not smartly dressed … Secondly, it was clear that wearing high heels was a requirement that impacted far more on women than on men. In fact, most of Portico’s dress code at the time was about how women should look. Not only were women to wear high heels but they were compelled to wear make-up’.

When the issue was first raised with the parliamentary Petitions Committee and the Women and Equalities Committee this past January, there was shock and disbelief that such workplace attitudes and practices still exist.

Make-up and dress aside, we at Betafeet Podiatry and within the wider foot care profession take particularly interest in High Heel Gate (or is that High Hell Gate?).

According to the Hon MP Jones:

‘There are people who think that we should not have investigated this at all—in fact, they think it is a bit of a joke. Yes, it is true that women sometimes wear high heels, but there is plenty of evidence about the damage from wearing heels long term; that is well known and has been for some time. We received written evidence from the College of Podiatry and individual podiatrists on our web forum setting out just what that damage is. Wearing high heels long term alters balance, reduces flexion in the ankle and weakens calf muscles. Over time, that can make women much more prone to a number of problems, including stress fractures, Morton’s neuroma, ankle sprains and bunions, and it causes a reduction in balance that lasts into old age, putting people more at risk of falls’.

See Betafeet Podiatry’s previous blog on the effects of wearing high heels:

https://www.betafeetpodiatry.co.uk/the-risks-of-high-heels-and-how-to-avoid-them

From a corporate risk assessment standpoint, companies should review their dress code policy, not least for health and safety reasons, but also reputational risk and/or litigation consequences. To its credit, Portico has since changed its dress code policy.

Watch this space for further steps, hopefully in the right direction.

Note: Men, please forgive me for not commenting on any of your own possible workplace dress code issues. That is for another parliamentary debate.

PhysiApp

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 15:48:13 GMT

17 Feb, 2017
Author/blogger Reggie Simpson

Introducing new technology at Betafeet Podiatry

At Betafeet Podiatry we pride ourselves in offering our patients the latest technologies to help you achieve your outcomes. We are pleased to announce that we are offering a new treatment which will help to create tailored exercise programmes for you using a brand-new app called PhysiApp.

PhysiApp will let you complete your prescribed exercise programme by following crystal-clear, narrated exercise videos. The app is completely free to download from the App store and Google Play store or can be accessed via your web browser. Built-in reminders help you move forward to a better you!

Of course, there are other ways to get you 'on track' with exercises equally free and not reliant on mobile technology.

I, for one, have been exploring opportunities to participate in fitness outings and have joined in walks organised by Simply Walk (

www.buckscc.gov.uk/simplywalk

) around College Lake Nature Reserve, Tring. I spotted their poster in a a local car park. I also recently picked up a leaflet from the Tring Silk Mill Community Centre entitled Hertfordshire Health Walks ( www.hertfordshirehealthwalks.org )

Contact Hertfordshire, Buckinghamshire and/or Bedfordshire county councils for more information on walks within the three counties and beyond; many of these are accessible by public transport and cater for varying ability levels, ages and interests. Your local library is also well worth a visit to help you get more information.

These are all great ways to get fitter and meet new people, whilst enjoying some fresh air, good company and beautiful countryside! Hats off to the myriad of volunteers who keep these walks 'going'.

Stay tuned for more information on the use and impact of Physitrack by Betafeet's own Matt Collison, who has been commissioned to write an article about PhysiTrack for Podiatry Now . In the meantime, do ask about whether you can benefit from the app at a future visit with us.

World Cancer Day – 4 February 2017

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 15:42:05 GMT

03 Feb, 2017
Author/blogger Reggie Simpson

We can, I can. Unity.

World Cancer Day takes place every year on 4 February and unites the world’s population in the fight against cancer. This year, and through 2018, With a theme of ‘We can, I can’, World Cancer Day aims to save millions of preventable deaths each year by raising awareness and education about the disease and pressing governments and individuals across the world to take action.

Currently, more than 8 million people worldwide die from cancer every year, out of which, more than 4 million people die prematurely (aged 30 to 69 years).

World Cancer Day was established by the Paris Charter , which was adopted at the World Summit Against Cancer for the New Millennium in Paris on 4 February 2000.

Around the world, communities will hold festivals, walks, seminars, public information campaigns and other events to raise awareness and educate people on how to fight cancer through

screening and early detection

, through

healthy eating and physical activity

, by

quitting smoking

, and by

urging public officials to make cancer issues a priority

One of the most visible events marking the occasion in the United States will be in New York, where the Empire State Building will be lit blue and orange for the seventh year in a row. The colours are those of the Union for International Cancer Control (

http://www

uicc.org

), which organises World Cancer Day.

UK Unity

Not to be ‘outshone’, 10 UK charities are uniting in support of World Cancer Day. They are all encouraging supporters to purchase and wear a Unity Band® on 4th February to show their support and to raise funds. The money will be used to fund research projects and support the work of scientists, doctors and nurses across the UK.

Each charity has its own Unity Band®, available in a range of ways including online, from charity shops and from some stores for a suggested donation of £2. The bands are each made from two differently coloured parts knotted together, to represent strength in unity and the power of what can be achieved when people join forces.

See: https://fundraising.co.uk/2017/01/25/10-cancer-charities-unite-2017-world-cancer-day/#.WJShlyOLRaE

There is particular relevancy to World Cancer Day with the UK press today reporting a significant rise in cancer rates, particularly among women:

http://www.itv.com/news/2017-02-03/cancer-in-women-rising-six-times-faster-than-in-men/

Podiatry and Cancer

There are many kinds of cancers of the foot; some take the form of cysts and lesions, while others are more widespread:

Malignant melanoma is a skin cancer that is very curable if caught early. Although it makes up only one percent of skin cancers, malignant melanoma accounts for over 60 percent of skin cancer deaths. It is estimated that approximately 30 percent of melanomas occur in the lower extremities, and that three percent occur in the feet.
Tumours of tissue, bone under the toenail) can be benign or malignant. Sometimes they can deform the nail and cause deformity and need to be removed surgically, although they can reoccur.
Plantar fibroma in the plantar fascia, bottom surface of the foot
Benign non-cancerous tumours of the tendon sheath. These masses are generally found on the toes, top of the foot or sides of the foot. They can also occur deep inside the foot. They are firm irregular masses that are commonly painful.

Podiatry and Cancer Patients

Some of the most common complications resulting from cancer treatments such as chemotherapy include:

Chemotherapy-induced peripheral neuropathy (damage to nerves in the extremities

Hand-foot syndrome (resulting from cytotoxic agents
Hand-foot skin reaction (resulting from targeted therapies)

Paronychia (soft tissue infection around the nail often leading to a fungal infection)

Fibroma (benign tumours in connective tissue)

Onycholysis (separation of nail from the nail bed)

Oedema, (swelling in the body’s tissues)

In 2012, the Netherlands developed an educational programme for podiatrists. The main goal of the programme was to encourage awareness of potential complications and screening, providing appropriate guidance to patients and keeping the feet of cancer patients in optimal condition during and after treatment.

Closer to home, the Buckingham Branch of the Society of Chiropodists and Podiatrists (SCP) is planning a Cancer Study Day on the 1st April 2017. Branch members are increasingly seeing patients who are having treatment for cancer. It is hoped that Dr Bilal Patel & MacMillan Care will be the featured speakers, focusing on clinical treatments as well as emotional support: Talking about Cancer, Understanding the Long Term Impact, How to Support Carers.

World Leprosy Day - 29 January 2017

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 15:24:24 GMT

27 Jan, 2017
Author/blogger Reggie Simpson

If you have seen the classic film Ben-Hur (1959) starring Charlton Heston as Judah Ben-Hur, a wealthy prince and merchant in Jerusalem, you will know that Judah was unjustly condemned to the galleys and his mother and sister imprisoned by the Romans. On his return, Judah finds his mother and sister had contracted leprosy in prison and had been banished to the Valley of Lepers. Indeed, the Bible has many references to leprosy.

But leprosy (also known as Hansen’s Disease) was not restricted to ancient Christians, nor is it an ancient disease. It continues today among many vulnerable people and religions around the world.

World Leprosy Day is celebrated on the last Sunday in January each year to coincide with the anniversary of Mahatma Gandhi’s death on 30 January 1948. Gandhi worked tirelessly to help those afflicted with leprosy.

The goal for World Leprosy Day is to raise the awareness of a disease that many people believe has been eradicated when in fact more than 210,000 new cases are diagnosed each year, more than half of these in India.

Leprosy is an infectious chronic bacterial disease caused by the bacillus Mycobacterium leprae (a relative of the tuberculosis or ‘TB’ germ).

It targets the nervous system especially the nerves in the cooler parts of the body – the hands, feet, and face. Numb patches on the skin are usually the first sign of the disease.

As the disease progresses it can lead to nerve damage and other complications. Numbness and lack of feeling can lead to injury and wounds that become infected. Changes to the skin leave those suffering with leprosy can lead to ulcers which, left untreated, can cause further damage, wounds and visible disfigurements such as collapsed noses or shortened limbs. Blindness can also occur.

In turn, this can lead to stigma towards those affected and their families, causing them to be shunned and even excluded from everyday life, much as the with the case of the fictitious Judah’s family.

However, leprosy is not hereditary nor can it be caught by touch. It is most common in places of poverty where overcrowding and poor nutrition and housing allow people to become more susceptible to infection. There are still some cases of leprosy in the United Kingdom, but they are often as a result of emigration from susceptible areas around the world and are often misdiagnosed as eczema.

Leprosy is curable with multidrug therapy (MDT), which was developed in the early 1980s. Early diagnosis and treatment usually prevent disability related to the disease.

For more information about World Leprosy Day and the charities who are engaged in its eradication, visit:

https://www.lepra.org.uk/

https://www.leprosymission.org.uk/

Also:

http://www.telegraph.co.uk/news/health/news/10934366/Leprosy-is-still-present-in-Britain-and-often-m...

And for a Podiatry student’s account of her work with leprosy patients in Nepal copy the following link into your web browser

https://www.cosyfeet.com/media/cms/cosyfeet/catherine-waller.pdf

Foot health app for people with diabetes

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 15:20:12 GMT

29 Nov, 2016
By Matthew Collison

New Foot Screening App

Foot problems related to diabetes are common, and sensation and the blood supply to the feet can be impaired, which if not detected early enough can predispose a patient to ulceration and in some cases amputation. There are over 7000 diabetes related amputations annually in England, and many of these are preventable. Early detection of foot problems in patients with diabetes is vital in preventing these, including an annual foot check and ongoing monitoring and management by a podiatrist and the wider medical team as required. One of the most important issues however, is an individual’s awareness of their own condition and how it affects their feet.

Over the past year, I have been fortunate to be involved in a project with our professional body, the College of Podiatry and Foot in Diabetes UK as well as other professional groups including the Royal College of Physicians and Surgeons of Glasgow, the British Association of Prosthetists and Orthotists on the development of a smartphone and tablet app for patients with diabetes on maintaining their foot health. The app is also recognised by the Royal College of Nursing and Diabetes UK.

For people with diabetes, this App has been developed through a unique multi-disciplinary collaboration, based on nationally approved guidelines. Supported by videos, this app and provide the following:Advice and information on your condition, exploring how diabetes can affect your feet
Track your routine screening appointments and offer reminders when they are due/upcoming
Detailed, practical information on how to look after your feet in accordance with nationally recognised and agreed guidelines and how to recognise when to seek advice.

I would encourage all of our patients with diabetes (or family members) to download the free app to their devices, as it provides straightforward, practical advice on looking after your feet, and how to recognise when things go wrong (and when and how to seek help).

The app is available on Apple iOS and will be available on Android devices soon. For more information, search for diabetic foot screening app on the app store, or visit:

http://www.scpod.org

Pics 1 and 2 (below): The app includes videos on what to expect at your annual foot assessment and

allows you to save your appointments to your calendar and it notifies you beforehand. It also allows you to store important numbers including your GP, podiatrist and hospital foot clinic.

Chilblains

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 15:20:09 GMT

08 Jan, 2017
Author/blogger Reggie Simpson with thanks to the Society of Chiropodists and Podiatrists and NHS Choices

What are they and how do you treat them?

Season’s Greetings from my birthplace of Ohio (yes, one of the defining US swing states for Donald Trump! ).

I managed to miss out on the heavy snow and sub-freezing temperatures (-24C at their lowest). Temperatures then rose briefly to 15C and then returned to the average norm (-1C to 6C). With the Lake Erie effect, the wind chill makes it even colder. Potential chilblain weather .

What are they?

For those who like to study the etymology of words, ‘chilblain’ comes from the Old English ‘cele’ – chill/cold + blain/‘blegen’ – a sore. The modern medical definition of chilblain is pernio or perniosis, and is a localised form of vasculitis.

Chilblains are small, itchy, red (and sometimes purple) swellings on the skin, which can become increasingly painful. They usually develop several hours after exposure to the cold. They typically cause a burning and itching sensation and when they dry out they can cause cracks in the skin. It is important not to scratch the skin as it can break easily and become infected.

Chilblains most often occur in the toes, fingers, the face (particularly the nose) and the earlobes. They can also occur in areas exposed to pressure, such as bunions.

Chilblains should not be confused with frostbite. Frostbite is an injury to the body that is caused by freezing and exposure of the body to cold temperatures for a prolonged period of time. Frostbite can permanently damage the body, and in severe cases can lead to amputation. Those who have reduced blood circulation and those who don’t dress properly for the extremely cold temperatures face increased risk of frostbite.

Although chilblains are most associated with cold weather, damp conditions can also bring about chilblains. The condition can also be worsened by poor circulation, often diabetics and the elderly people have poor circulation and prone to peripheral vascular disease, low body weight, poor nutrition or health, lack of exercise, hormonal changes, genetics and family history. Also those who have connective tissue disease such as lupus erythematosus, anemia, Raynaud phenomenon, systemic sclerosis may be more prone to chilblains. Those who smoke are more at risk of chilblains as nicotine constricts blood vessels.

How do chilblains develop?

Chilblains develop when tiny blood vessels under the skin constrict because of any or all of the aforementioned conditions, reducing the flow of blood until the area warms up and causes some leakage into surrounding tissues. You may remember how exposure to cold weather makes your skin tingle as it warms up, but this does not necessarily mean you have chilblains.

How do you prevent them?

The best advice is prevention, and chilblains can be prevented by keeping your legs, feet, and body warm, especially if you have poor circulation and your mobility is limited. Wear warm clothes, socks and gloves to keep to hands and feet warm which are not too tight, keep your whole body warm and if needed carry around a form of portable heater such as the G-Tech Hand Warmer – (a portable warming pouch offering instant heat anytime, anywhere). Warm up slowly when cold and do not use too hot direct heat. Exercise and move about don’t sit for too long so that the blood flow keeps pumping; especially before and during outdoor activities. Avoid medicines that might constrict blood vessels: this may be problematic with some blood pressure medication, please discuss alternatives with your GP, also known to constrict the blood vessels are caffeine, decongestants, diet aids and smoking.

How do you treat chilblains?

Chilblains often get better on their own without treatment after a week or two. However, there are various home remedies such as soothing lotions you can use such as witch hazel and calamine or speak to your pharmacist. If your chilblains continue to be a problem or have ulcerated, get advice from your podiatrist, who may refer you on to your GP for medical treatment. Equally, your GP may refer you to your podiatrist for specialist chilblain and related foot care. If your chilblains are severe and keep returning, your GP may recommend taking a daily dose of a medication called Nifedipine. This works to relax the blood vessels and improve circulation.

Other treatments may include:

Topical corticosteroid cream applied accurately for a few days to relieve itch and swelling.

Antiseptic dressings, antibiotic ointment or oral antibiotics for secondary infection if required.

You can read more about how to keep warm in very cold weather and looking after your health in the winter in the following links:

http://www.nhs.uk/Livewell/winterhealth/Pages/Verycoldweather.aspx

http://www.nhs.uk/Livewell/winterhealth/Pages/Winterhealthhome.aspx

Don’t suffer in silence! Visit Betafeet Podiatry today, conveniently located in Hemel Hempstead and Tring.

Gift Vouchers for Fabulous Footcare

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 14:48:56 GMT

16 Nov, 2016

Just £50 - buy yours in person or by phone 01442 249080

Give your friends and family one of our lovely Betafeet Gift Vouchers to treat their feet this Christmas. Their treatment includes an assessment of their foot health, general footcare (eg for corns, toenails and hard skin) and advice on any further treatment required.

Vouchers are for one treatment and cost £50; drop in to buy at Betafeet Podiatry in our Tring or Hemel clinics , or by phone 01442 249080.

Swift Microwave Therapy for Verrucae

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 14:31:23 GMT

24 Oct, 2016
Author/blogger Reggie Simpson

Introducing an Exciting New Treatment at Betafeet Podiatry

What is Swift©?

Swift is a new technology, developed in the UK, which has been licensed for the general treatment of verrucae or warts in Podiatry. Swift uses microwave energy that is delivered through a special probe applied to the skin to treat the affected area. Betafeet will be one of only a few clinics in the UK to offer this treatment.

How does it work?

Am I eligible for Swift treatment?

The presence of metal in your foot or ankle
If you wear a pacemaker
If you have poor or limited healing capacity because of neuropathy or peripheral circulation
Patients who are immuno suppressed
Pregnancy – the effect of verruca/e treatment is reduced during this time

Does it hurt?

How many treatments will I need?

What can I do after treatment?

In some cases the treated area may feel sore but will not prevent you from undertaking normal daily activities.

I am interested - what do I do next?

What Happens Next ...

0010000628 (Judith Sullivan) — Wed, 05 Apr 2017 09:22:33 GMT

19 Oct, 2016
By Matthew Collison

... And Frequently Asked Questions and Useful Links

After the correct orthoses have been selected and fitted to your footwear, the next stage is to start wearing the orthoses. Orthoses alter the way that forces act on the tissues in the feet and lower limbs, and can ultimately affect the way you walk. It is, therefore best to wear the orthoses in gradually to allow the tissues in you lower limbs and back to adapt. This could take a week or two. We usually recommend wearing them for no more than an hour the first day, increasing by an hour each day until you can wear them all day. In this period some aches and pains may be normal, however if these persist, remove the orthoses and try again the next day. Should these aches or pains continue, let your podiatrist know as soon as you can.

It is very important that you continue with any exercises that the podiatrist has advised during this period, even if you feel that the orthoses have alleviated your symptoms. Although relief can be instant, it can take up to 6 weeks to get a good response from your orthoses.

After 6 to 8 weeks, we like to book a review with you to see how you are getting on. At this short appointment we will check that the orthoses are well tolerated and that they continue to fit correctly to your feet and shoes. We will also review any exercises issued to ensure that you are performing them correctly. At this point we can make minor adjustments to your orthoses or exercise regime.

After around a year we like to review progress with our patients and their orthoses. These are usually standard appointments and it allows us to ensure that the orthoses are still working and that the prescription is still correct. We can also perform an additional assessment and modify our management plan to ensure that your needs and expectations are met. If you are no longer symptomatic, we will discuss whether you need to continue with your orthoses in the longer term, or whether they can be withdrawn altogether.

How do I look after them?

You do not have to do much to look after your orthoses, but it helps to keep them clean and dry. It is best to avoid submerging them completely, but if they do get wet, remove them from your shoes and leave to dry in a warm dry place, away from direct heat (not on a radiator!) or sunlight. Exposing them to direct heat may cause the plastics to deform rendering them useless. To clean your orthoses, remove them from your shoes and wipe them down with a damp cloth or baby wipe and leave to dry.

Sometimes, certain shoes can cause the orthoses to squeak when you walk. This is caused by the materials rubbing. If this happens, remove the orthoses pour some talc into your shoe and spread around and then replace the orthoses. If that does not work you can rub candle wax around the back edge of the orthoses at the heel.

If the top covers on your custom orthoses are looking tired or excessively worn, but the orthoses are still working, we can offer replacement of the covers for a fee.

Finally, make sure you keep the orthoses out of reach of your dog, as often they can mistake your expensive orthoses for a chew toy!

Orthotic myths and frequently asked questions

Do I really need orthotics?

You might do, however not everyone needs orthoses, and not everyone will benefit from orthoses. Generally, they are a safe, effective treatment for many lower limb complaints. At Betafeet we see orthoses as only one part of a complete, induvidualised management plan which may include orthoses as well as activity modification, stretching and strengthening exercises, massage, manipulation, pain medications or steroid injections and footwear advice. Your podiatrist will only recommend orthoses after a full biomechanical assessment if they feel that they are appropriate and that you will benefit from them.

Don’t orthotics make muscles weak?

In short, no. Currently, there is no compelling evidence to suggest that orthoses cause weakness in the muscles. Orthoses work by altering the forces acting on the foot and not by supporting or splinting the foot as a cast would, so it is unlikely that they would cause muscles to weaken. In the majority of cases orthoses are provided as part of a management plan which often include specific stretching and strengthening exercises.

Will they cure my flat feet or bunions?

They might help reduce the pain and improve foot function but, generally they will not permanently cure bunions or flat feet. By reducing the associated pain and tissue stress caused by these conditions they may allow you to function better and maintain your active lifestyle

How long do they last?

It depends on the type of device, how often it is used, how heavy the patient is and what kind of activity it is used for. Generally softer, accommodative orthoses do not last as long as more rigid devices, and custom devices tend to last longer than prefabricated devices. You will be able to tell if the orthoses have worn out as they may appear worn or tatty and may not be relieving your symptoms any longer. As a general rule we tend to expect:

Simple devices may last several weeks
Prefabricated devices may last between 1 and 3 years
Modular devices usually last 1 to 3 years
Sidas devices usually last 1-5 years
Firefly devices last far longer, the shells have a lifetime guarantee against breakage.

However, it must be noted that we can make no guarantee for the longevity of the devices (except Firefly carbon/polypropylene) as some patients subject their orthoses to heavier use than others, different conditions such as heat an moisture levels will also cause the glues and plastics to degrade over time at different rates.

They look bulky, will they fit into my shoes?

Orthoses will not fit into all shoes. Ballet pumps and high heels are particularly problematic, and we would often advise against wearing these types of shoes whether or not you have foot pain. Many foot complaints are caused or exacerbated by inappropriate footwear. We would recommend that you wear sensible shoes with adequate room, suitable fastening and supportive soles- running shoes are often ideal. We do however, understand that there are times where you can’t wear trainers or lace-ups, in which case we can offer slim or fashion orthoses to fit into your shoes. Custom orthoses can also be made to fit specific shoes such as running, golf, or cycling shoes as well as walking or ski boots. Your podiatrist can advise on the most appropriate orthoses for your needs.

Is there any discount for second/third pairs?

If at the time of casting you request additional pairs of orthoses we can offer a discount of £50 off Sidas or Firefly orthoses, however if these are requested at a later date, a subsequent casting appointment will be required and the orthoses will be charged at full price. We are unable to offer discount on additional pairs of simple, prefabricated or bespoke modular orthoses.

What happens if I lose/break my orthoses or the dog eats them?

Unfortunately, these things do happen. Firefly offer an insurance policy called SHIELD where orthoses are covered for loss/theft or damage. Refurbishment and re-covering is also covered, and the policy costs £55 for 2 years. Some fees may apply and the scheme is run by Firefly Orthoses and Betafeet Podiatry accepts no responsibility for any issues with this scheme.

Unfortunately, there is no insurance policy available for simple, prefabricated, bespoke modular or Sidas orthoses.

Will they work in my work/running/cycling/walking shoes?

Yes, we have models of orthoses suitable for most types of work or sports shoes. Ask your podiatrist who will be able to advise further.

References/ useful links:

http://www.firefly.ie/products/shield-insurance/

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006801.pub2/full

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002302.pub2/full

http://www.ncbi.nlm.nih.gov/m/pubmed/19530750/

http://www.nksportspodiatry.co.uk/blog/

http://www.sidassport.com/sidas-home-2-1.html

http://www.running-physio.com/mechanics/

What do orthoses do and why do I need them?

0010000628 (Judith Sullivan) — Tue, 04 Apr 2017 16:53:14 GMT

21 Sep, 2016

By Matthew Collison

Foot orthoses are often prescribed for foot and lower limb pain. The main way that orthoses work is by altering the way your foot interacts with the ground when you walk or run. The aim of an orthosis should be to reduce pathological forces acting on the foot, whether that be to pain in a tissue such as the plantar fascia (heel pain) or to prevent skin breakdown in patients with diabetic neuropathy (sensory loss related to diabetes).

The way forces act on an object (such as the foot) are called kinetics, and the movement and angle of these forces is called kinematics. Often, orthoses are sold to ‘improve alignment’ or to ‘straighten’ feet and joints with the hope of reducing pain; however often it is not necessary or achievable or desirable to modify kinematics with an orthosis. The focus of treatment should be on reducing the kinetics or forces within tissues to reduce pain, rather than purely on alignment.

Different materials and shapes of orthoses can have different effects on tissues, some materials such as low density foams can provide cushioning, whereas other materials like carbon fibre or polypropylene provide more support. Even the top covers can affect the way the orthosis works.

Foot orthoses have been shown to be useful in the management of foot pain in chronic conditions such as rheumatoid arthritis and juvenile idiopathic arthritis as well as specific lower limb pathologies such as plantar fasciitis (heel pain), medial tibial stress syndrome (shin splints), pes cavus (high arches), to name a few.

What kinds of orthoses does Betafeet Podiatry offer?

We offer a wide range of orthoses, ranging from simple wedges, pads or props added to your existing footwear, to prefabricated devices and fully custom devices made from moulds of your feet. Following a biomechanical assessment, your specialist podiatrist at our Tring or Hemel clinic will advise you on what is most appropriate for your needs, and will often offer you a choice of appropriate interventions based on your condition. The key is finding the right tool for the job. You may also find that you need different devices for different footwear or activities. For example, a runner, cyclist or hiker taking on the roads in and around Ashridge or the Tring reservoirs will likely need different devices for his or her running shoes and for their work shoes. Betafeet Podiatry also sees clients who are on their feet most of the day such as those who work in restaurants in Tring and Hemel, and surrounding areas, as well as hairdressers, builders and others.

Orthoses will almost always be prescribed alongside other advice and interventions such as activity modification, stretching and strengthening exercises, self-massage advice and footwear advice.

Stayed tuned for further orthoses blogs.

Usain Bolt and Orthoses

0010000628 (Judith Sullivan) — Tue, 04 Apr 2017 16:47:01 GMT

19 Sep, 2016
Author/blogger Reggie Simpson

See how he ran!

Well, Games over for another four years. Congratulations to Team GB, as well as all the athletes who represented their countries in the Olympics and Paralympics. They are all winners in their own right.

There were many distinguished performances, but the undisputed star was Usain Bolt. He’s wowed us at three Olympics with the treble/treble on the athletics track. He wears orthoses and has linked up with a firm in the UK that produces them (regrettably not Betafeet Podiatry!). Whether you are a world-class athlete or a mere mortal, you can still visit us to discuss your feet problems and we will assess whether orthoses may help you.

Our Matthew Collison has written a blog that will help to explain more . The blog will be spread out over a few subsequent related blogs. Watch this space.

It's Blood Pressure UK Week

0010000628 (Judith Sullivan) — Tue, 04 Apr 2017 16:42:49 GMT

12 Sep, 2016

Know Your Numbers Week!

It's Blood Pressure UK's Know Your Numbers Week!

The biggest blood pressure testing and awareness week encourages adults across the UK to know their blood pressure numbers and take the necessary action to reach and maintain a healthy blood pressure.

Pressure Stations are located throughout the community including pharmacies, workplaces, GP surgeries, hospitals, health clubs, leisure centres, shopping centres and supermarkets. Ask at Betafeet Podiatry if we can take your blood pressure during your appointment:

www.betafeetpodiatry.co.uk

http://www.bloodpressureuk.org/microsites/kyn/Home/AboutKYN

Find Your Foot Pain ...

0010000628 (Judith Sullivan) — Tue, 04 Apr 2017 16:32:30 GMT

03 Sep, 2016

... with our Virtual Podiatrist and Diagnostic Helper

Find Your Foot Pain is an easy to use web tool simply click on the following link:

http://betafeetpodiatry.yourfootpain.co.uk/

Move your mouse over where you have your pain and we'll provide a shortlist of possible diagnosis. Then you can read, print or save our advice and contact details OR click back to our home page for more information and book yourself an appointment with one of our podiatry team at Betafeet Podiatry.

It really is that easy and completely FREE!

Do your shoes fit?

0010000628 (Judith Sullivan) — Tue, 04 Apr 2017 16:27:18 GMT

22 Jul, 2016

Does one size fit all?

When did you last have your feet measured for a pair of shoes in a shoe shop? We are seeing the demise of the independent shoe shop, sadly, many are closing, this week 3 children’s shoe shops have closed.

The footwear industry has very few specialists, presently you don’t have to be trained to sell shoes and approximately 90% of those in the industry know nothing about feet or fitting shoes and no legal obligation to do so. The Society of Shoe Fitters are trying to change that and are campaigning for training to fit shoes, by appealing to the government to take steps to educate the public and improve the footwear industry: http://www.shoefitters-uk.org/ .

Imported cheap shoes will often offer no support, combined with not being fitted can lead to foot problems. Shoe brands will often vary in sizes as there is no standardisation and no 2 pairs of feet are the same, you can even measure the length and the width but the volume your foot fits into a shoe is another matter and that takes skill and knowledge. It’s hard to describe an ideal shoe but as a golden rule the toe box at the front of the shoe should be foot shaped and deep enough also sufficient room to wriggle toes. ‘wear the right shoe for the right occasion’ and ‘change your heel heights regularly as the different heights will exercise your arches, your leg and back muscles’. Although ideally heel height should be no greater than 4cm with a broad base of shock-absorbing material and fitting snugly around the heel. Ideally a shoe is best secured onto the foot with laces, straps with either buckled or Velcro fastenings.

As podiatrists we see many patients in our clinics on a daily basis wearing shoes that do not fit their feet and the resulting damage. When we put on weight on our body feet will too, altering the size or width, the foot can also elongate due to the arch dropping. Some have been wearing the same size shoe all their lives regardless of the changing foot shape, length or width. Fortunately, the youngsters of today are kicking off their ballet pumps and putting on their trainers as the retro styles are becoming trendy again. I did go shopping for these last weekend with my granddaughter for just a pair of these and our experience was:

We looked at the shoes on the shelf and picked 2 styles she had in mind to try on, the assistant collected them in a size 5. He loosened the laces handed them to us and then walked back to the till to chat to another colleague. Are we only going to be left with buying online, supermarket and retail shops, is this kind of service we want for our children or ourselves?

Summer Holiday - First Aid for Feet

0010000628 (Judith Sullivan) — Mon, 03 Apr 2017 15:31:41 GMT

Advice from a Podiatrist

20 Jul, 2016

The warm summer weather will often call for a trip to the beach! but if you are not careful you can run into trouble:

• Wear shoes to protect your feet from cuts, athletic shoes are much better than flip flops as they provide support and cushioning

• Hot weather can cause your feet to swell, make sure you have plenty of room but not too big for your feet to slop around

• Wear socks to prevent blisters

• Moisturise to prevent rubbing or chaffing

• Don’t walk around bare foot or go in the water if you have cuts and protect against infection with a plaster or dressing especially if you have diabetes or circulation problems

• Protect your feet against sunburn, apply sunscreen to the top and bottoms of your feet

• Sand and hard surfaces can get very hot in the sun, wear shoes to protect against burns

If injuries occur reduce the risk of a small problem becoming a bigger one:

• Sprains – RICE (rest, ice compression and elevate) to relive the pain and swelling, if pain lasts more than a few days or unable to stand seek medical help

• Broken bone – immobilise and attend A & E to prevent further damage

• Bleeding – elevate the leg and apply firm pressure with a dressing if possible directly over the cut. If bleeding does not stop in 20 minutes seek medical help

• Cuts and puncture wounds – remove any foreign objects, clean, disinfect the area and apply antiseptic and a sterile dressing – seek medical help if the wound is large, will not stop bleeding or unable to remove the foreign object or signs of infection

• Blisters – don’t pop a blister but if they burst apply antiseptic and a dressing

• Infection – if you have a wound that is oozing, red or swollen it’s a good chance its infected, soak your feet 4 – 6 times daily in warm salt water (2 table spoons per gallon of water), keep the area covered in-between soaks with a sterile dressing. If you have any red streaks coming away from the wound going up the leg, soreness or a lump appearing behind the knee or in the groin is get professional help immediately. Infections are serious and should be dealt with urgently

• Stings – you can treat some stings yourself but if you have severe pain, trouble breathing or swallowing call 999 and request an ambulance immediately a sever anaphylaxis reaction needs to be treated in hospital. Also call 999 if you are stung on a large part of your body, face or genitals, have chest pain, very young or elderly. If not up-to-date with tetanus shots, a prophylactic dose may be needed. If your rash or pain gets worse or there is signs of infection seek medical help. Remove any large spines or tentacles with tweezers being careful not to touch them yourself with bare hands, any that have gone very deep or are near a tendon or joint may need an x-ray and be surgically removed - If in doubt seek medical help

Symptoms can vary from mid to the extreme with the different type of stings and are not to be taken lightly:

a) Server pain

b) Itching and skin irritation

c) Swelling

d) Numbness or tingling

e) Sweating

f) Nausea and vomiting

g) Headache

h) Feeling faint, weak and dizzy

i) Muscle spasms

j) Abdominal cramps

k) Diarrhoea

l) Tremors (shaking)

m) Seizures – (fits)

n) Shortness of breath

o) Swollen lymph glands

• Treatments - check out NHS Choices website:

http://www.nhs.uk/Conditions/Stings-marine-creatures/Pages/Treatment.aspx

NHS Milestone - 5 July 2016

0010000628 (Judith Sullivan) — Mon, 03 Apr 2017 15:12:59 GMT

Celebrating 68 years of dedicated service

On 5th July the National Health Service turned 68 years old. The health secretary at the time, Aneurin Bevan, launched the NHS at Park Hospital in Manchester (now Trafford General Hospital). This brought together hospitals, doctors, nurses, pharmacists, opticians and dentists under one umbrella organisation to providing services free for all at the point of delivery.

Despite growing concerns, a survey in 2014 by the Commonwealth Fund ranked the NHS as 'best system in terms of efficiency, effective car, safe care, coordinated care, patient-centered care and cost related problems'. The NHS is still constantly undergoing change as you can see in the NHS Constitution

https://www.gov.uk/government/publications/the-nhs-constitution-for-england/the-nhs-constitution-for-england

Which includes:

patient involvement

feedback

duty of candour

end of life care

integrated care

complaints

patient information

staff rights, responsibilities and commitments

dignity, respect and compassion

Many of us today are grateful to the NHS and wish it a long and healthy life. Nothing brought this home to me more than the art installation at the British Museum 'Cradle to the Grave' by:

Susie Freeman

Dr Liz Lee

and

David Critchley

The installation is a two 13 meter long display which tells the story of the health of eight individuals by a pill 'diary', objects and documents, and personal photographs and demonstrates the average consumption of over 14,000 drugs an estimation of what the average person is prescribed in Britain in their lifetime.

Peripheral Neuropathy

0010000628 (Judith Sullivan) — Mon, 03 Apr 2017 15:06:07 GMT

Author/blogger Reggie Simpson

I still (can) do

In 2002, the renowned English rock and blues guitarist, singer and songwriter Eric Clapton took part in ‘Concert for George’, a tribute to the late George Harrison, who wrote the song for the Beatles’ ‘The White Album’, released in 1968. The song features lead guitar by Clapton although he was never formally credited on the album.

That song may hold particular poignancy for Clapton as he has recently been diagnosed with peripheral neuropathy, which has severely affected his ability to play the guitar, yet he managed to release his 23 album, ‘I Still Do’ earlier this year.

Clapton discussed the symptoms of the ailment, including numbness in his limbs, especially extremities. He said in an interview, ‘I’ve had quite a lot of pain over the last year. It started with lower back pain and turned into what they call peripheral neuropathy, which is where you feel like you have electric shocks going down your leg … [It’s] hard work to play the guitar and I’ve had to come to terms with the fact that it will not improve.’

Peripheral neuropathy develops when nerves in the body – such as the hands, feet and arms – are damaged. The symptoms depend on which nerves are affected. Peripheral neuropathy can be caused by a number of health issues such as diabetes, vitamin deficiency, medication (e.g., chemotherapy), traumatic injury, radiation therapy, immune system disease, Coeliac disease, viral infection or excessive alcohol consumption.

Clapton’s neuropathy was triggered by years of substance abuse, particularly long-term, heavy alcohol use. He is ‘dry’ now, but acknowledges the damage to his health in his later years.

In most cases, people who develop alcohol-related peripheral neuropathy have been active alcoholics for at least 10 years. Such neuropathy can damage motor nerves and sensory nerves. Symptoms can include burning, numbness, tingling and/or shooting/stabbing pain in the toes and/or fingertips, muscle cramps, muscle pain, muscle twitching, partial or complete loss of normal muscle control and other movement-related disorders. In severe forms, alcohol-related neuropathy can lead to incontinence, male impotence, constipation, diarrhoea, and/or abnormal intolerance to heat.

In the UK, it is estimated that almost 1 in 10 people aged 55+ are affected by some degree of peripheral neuropathy. Diabetes is the most common cause. Peripheral neuropathy can also be an early indicator of diabetes among those not previously diagnosed with it.

One of the early changes can be loss of sensation in your feet, often starting at the toes. Your chances of losing feeling in your feet increases with the number of years that you have diabetes and research suggests that up to one in three people with diabetes have some loss of sensation. The onset of neuropathy is gradual and often people who develop this complication are unaware of it at the start. Often it occurs between 7 and 10 years of having diabetes, although in some cases it can occur sooner where blood sugar levels have not been so well controlled.

Any change in sensation in the fingers or toes may be a symptom of peripheral neuropathy. Be sure to report any abnormal sensations to your GP.

Betafeet Podiatry can help identify whether you are showing signs of peripheral neuropathy or help to treat and manage your neuropathy as best as possible.

If you have been diagnosed with peripheral neuropathy, it is important to inspect your feet regularly. Decreased sensation may develop eventually, so you might not notice an injury or infection. With the loss of protective sensation, someone who has peripheral neuropathy could step on a stone without noticing it. Regularly inspect your feet so you can note any injuries or infections and seek appropriate podiatry or wider medical attention as needed.

Should women be forced to wear high heels at work?

0010000628 (Judith Sullivan) — Mon, 03 Apr 2017 15:00:38 GMT

25 Jun, 2016

Sign Petition to Make it illegal for a company to require women to wear high heels at work

It's still legal in the UK for a company to require female members of staff to wear high heels at work against their will. Dress code laws should be changed so that women have the option to wear flat formal shoes at work, if they wish. Current formal work dress codes are out-dated and sexist.

https://petition.parliament.uk/petitions/129823?reveal_response=yes

Foot Health Websites To Follow in 2016

0010000628 (Judith Sullivan) — Mon, 03 Apr 2017 14:11:24 GMT

21 May, 2016

Listed in the top 25 foot care websites on the web

Just to let you know Betafeet Podiatry has been featured in a recent article named:

Top 25 Most Credible Foot Health Websites To Follow in 2016

Ok, we are 24th but we are working hard to educate and inform the public on foot health matters, so watch out for more posts from us.

Here’s a link to the article:

http://www.healthlisted.com/top-25-credible-foot-health-websites-follow

Judith Sullivan, Betafeet Podiatry

Nail Surgery

0010000628 (Judith Sullivan) — Mon, 03 Apr 2017 14:07:05 GMT

21 May, 2016

Total and Partial Nail Avulsion for the Treatment of Ingrown Nails

I've been in the process of designing a new patient information leaflet on Nail Surgery for Betafeet Podiatry and have been asked to share this information with you on our blog page:

What is nail surgery?

Nail surgery is the removal of all of the toenail or part of the nail. A local anaesthetic is used so that you will feel no pain during the procedure. After the removal of the nail, a chemical may be applied to the exposed nail bed to prevent regrowth by destroying the nail cells. (However, it is possible that some nail regrowth may occur). Healing takes between four to eight weeks.

Pre Surgery Guidelines

1. Please avoid alcohol on the day of surgery.

2. You may continue to eat as normal.

3. Bring suitable footwear, as your toe will have a bulky dressing on it. Open toe sandals with adjustable straps are best. You will not be able to wear a normal shoe directly after surgery.

4. Do not to drive or use public transport after surgery, please arrange adequate transport. A friend or relative who drives or a taxi is best.

5. Some people may feel faint. We advise that you come accompanied for extra support. If you do come alone do not worry, the podiatrist will ensure you are ok before you leave.

6. After the anaesthetic has worn off, your toe may be painful.

7. If necessary, take your usual painkillers, BUT NOT ASPIRIN (Aspirin is not advisable as it thins the blood and can cause undue bleeding).

Nail Surgery Procedure

1. The procedure will be performed by a podiatrist and normally takes less than 1 hour.

2. You will be asked to sign a surgery consent form and check medical history.

3. The Podiatrist will inject your toe to make it pain free.

4. A local anaesthetic will be injected into both sides of the base of the toe. The sensation of both touch and pressure are not affected, this is normal. The local anaesthetic may cause some discomfort when being injected into the toe.

5. When your toe is numb, part or the whole of the nail will then be removed.

6. A chemical may be applied to an area of the nail bed to prevent re-growth.

7. After the surgery, the tourniquet will be removed, the toe will be checked for return of your blood supply to the toe and a sterile dressing will be applied.

8. You will then remain for a short period of time in the clinic with your foot up and the dressing will be checked to make sure there is not too much bleeding before you leave the clinic.

9. If undergoing a partial nail removal, the appearance of the nail will be permanently altered in width. 10. The anaesthetic will take about 2-3 hours to wear off; please take extra care not to damage the toe in this period.

11. You may feel tired afterwards, and it is advisable to rest your foot in an elevated position.

12. Avoid driving or excessive walking and ensure footwear is not too tight.

13. The dressing on your toe should be kept dry until your first re-dressing.

14. Any damage or infection in this period will increase the healing time.

15. The wound will discharge a lot of dark red/brown fluid which will gradually dry up. This is the dead nail tissue sloughing away and is quite normal.

16. Should you experience any increased pain in the treated area or excessive bleeding, please contact your podiatrist. Outside clinical hours contact your doctor or A&E clinic.

Aftercare Dressing Plan

1. After your first check up soak the wound in lukewarm salt water daily. Boiled water left to cool is best - always test temperature first.

2.The wound will need to be dressed with clean gauze dressing and tape, after each soak.

3.Dressings need to be continually changed daily until toe heals. This is usually 4-5 weeks.

4.You may bath and shower.

5.Wear only spacious shoes that cause no discomfort.

6. You will be given a final check up appointment in about 6 - 10 weeks to ensure that the toe is healing satisfactorily.

7. Avoid strenuous exercise or sport until the nail bed has fully healed.

8. If in doubt contact your podiatrist.

Tips for our patients on how to stay healthy

0010000628 (Judith Sullivan) — Mon, 03 Apr 2017 13:56:41 GMT

17 May, 2016

Little Lifestyle Changes That Will Help You Get Healthier

You should not smoke

If you smoke, stopping smoking is often the single most effective thing that you can do to reduce your risk of future illness. The risk to health falls rapidly as soon as you stop smoking (but takes a few years before the increased risk reduces completely). If you find it hard to stop smoking, then please consult a smoking cessation clinic or service.

Undertake regular physical activity

Anything that gets you mildly out-of-breath and a little sweaty is fine, for example: jogging, heavy gardening, swimming, cycling, etc. A brisk walk each day is what many people do - and that is fine. However, it is thought that the more vigorous the activity, the better. To gain most benefit you should do at least 30 minutes of physical activity on most days. Two shorter bursts are thought to be just as good as for example two 15-minute bouts of activity at different times in a day.

Eat a healthy diet

Briefly, a healthy diet means:

• AT LEAST five portions, and ideally 7-9 portions, of a variety of fruit and vegetables per day.

• THE BULK OF MOST MEALS should be starch-based foods (such as cereals, wholegrain bread, potatoes, rice, pasta), plus fruit and vegetables.

• NOT MUCH fatty food such as fatty meats, cheeses, full-cream milk, fried food, butter, etc. Use low fat, mono- or poly-unsaturated spreads.

• INCLUDE 2-3 portions of fish per week, at least one of which should be 'oily' (such as herring, mackerel, sardines, kippers, pilchards, salmon, or fresh tuna).

• If you eat meat it is best to eat lean meat or poultry such as chicken.

• If you do fry, choose a vegetable oil such as sunflower, rapeseed or olive.

• Try not to add salt to food, and limit foods that are salty.

Don't have too many sugary foods and drinks

Sugary foods and drinks are high in calories, and too much may cause weight gain. It isn't just the amount of sugar that may be bad. Even eating small amounts of sugary foods (sweets, etc.) too often is bad for teeth. Tips include:

• Try not to add sugar to tea, coffee, and breakfast cereals. Your taste for sweetness often changes with time. Use artificial sweeteners only if necessary.

• Reduce sugar in any kind of recipe. Use fruit as an alternative to add sweetness to recipes.

• Try sugar-free drinks. Give children water as their main drink.

• If you eat chocolate or sweets, try to keep the quantity down. Eating them as part of a meal, and then brushing your teeth, is better than between meals as snacks.

Don't drink too much alcohol

A small amount of alcohol is usually fine, but too much can be harmful. Men should drink no more than 21 units per week (and no more than 4 units in any one day). Women should drink no more than 14 units per week (and no more than 3 units in any one day). One unit is in about half a pint of normal strength beer, or two thirds of a small glass of wine, or one small pub measure of spirits.

Further tips on healthy independent living can be obtained from your GP, Practice Nurse, Podiatrist other Healthcare Professional.

Seeking two podiatry interns

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 14:49:16 GMT

10 May, 2016

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Seeking two podiatry interns

Are you interested in gaining experience in an SCP-accredited private practice with busy clinics in Tring and Hemel Hempstead, Hertfordshire?

Betafeet Podiatry is seeking two interns starting as soon as possible, but mindful of exam schedules and other commitments, who would like to add to their practical knowledge through observation, rotating between the two clinics with the potential to assist with assessments and gain insights into ‘back-office’ requirements that help to ensure the smooth day-to-day running of a podiatry business.

The internships will also provide an opportunity to observe and assist in the marketing of the business, particularly through social media.

These internships are ideal for podiatric students who may wish to enter management or set up their own clinic in the future.

See the value of an internship through the eyes of one of our own podiatrists, Matthew Collison, who is based at our Tring clinic:

http://www.nursingtimes.net/…/summer-in…/7002589.fullarticle

These are unpaid internships with travel expenses covered and flexible hours to suit both parties. Transport access will be required.

To express your interest, please contact Betafeet Podiatry at info@betafeetpodiatry.co.uk , sending through your statement of interest, your CV to date and availability.

What would a podiatry intern working for Betafeet Podiatry learn?

Patient interface (non-clinical, administrative)
Welcoming new and established patients
Learning and using the PPS database related to diary bookings, recording/updating contact details and medical history, using the SOAP method for recording a consultation, recording payments in the system and taking payment, improving the use of PPS
Observing the podiatrist in customer care management as well as various methods of treatment (general foot care, diabetic or neuropathy assessments, verrucae treatments, nail surgery, biomechanical assessments and orthoses advice), the importance of assuring treatment options are fully explained and verbal and written consent given; other advice and potential referral requirements
General administrative duties such as helping with stock control of podiatry sales items and ordering general office supplies
Preparing the disinfection of used instruments (autoclave etc) – Hemel only
Exposure to the requirements of an accredited practice
Writing blogs and updating content for the website
There may be scope to help with clinical research and learning techniques relative to bespoke orthotics production (depending on associate podiatrists’ agreement and availability).

Contact Judith A Sullivan, Practice Manager, Betafeet Podiatry, info@betafeetpodiatry.co.uk.

Rheumatoid Arthritis Revisited

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 13:55:36 GMT

07 Feb, 2016
Author/blogger Reggie Simpson

It's been in the news of late

What do the following famous names have in common?

Pierre-Auguste Renoir, renowned French artist

Claire King, British TV actress starring in Emmerdale, Bad Girls

Dr Christiaan Barnard, who performed the first human-to-human heart transplant

Kathleen Turner, US Hollywood star (Body Heat, Romancing the Stone)

They all suffered or are suffering from Rheumatoid Arthritis (RA).

February 2, 2016 was Rheumatoid Arthritis Day - a day to promote education and awareness launched by the Rheumatoid Patient Foundation, a non-profit organization based in the United States. Its mission is to improve the lives of people with RA and to raise greater public awareness, develop resources to support patients with effective healthcare decisions, advocate for quality healthcare and fair government policies, and contribute to scientific research in finding a cure.

It’s worth having a look at their website and online resources:

http://rheum4us.org/rheumatoid-arthritis-awareness-day/

In all about 1.3 million Americans — 75 percent of them women — know the pain of rheumatoid arthritis, or RA.

Closer to home, the charity National Rheumatoid Arthritis Society (NRAS), which counts the Rt Hon Theresa May MP, Home Secretary and Minister for Women and Equality as a patron, provides information for RA sufferers, their families, friends and carers and healthcare professionals in the UK. This includes information on the condition, how to manage it, and living with the condition so as to have the best quality of life possible.

690,000 people in the UK (1%) have rheumatoid arthritis costing the NHS approximately £560 million per year. The National Audit Office estimate that the total cost of RA to the UK economy is £4.8 billion per year.

World Arthritis Day (WAD) 12 October 2016

We may be debating about remaining in the EU, but there are European organizations and initiatives that focus attention on education, research and lobbying in the EU on RA and wider arthritic conditions and their detrimental effects on health and wellbeing.

WAD was established in 1996 as a global initiative bringing people together to raise awareness of issues affecting people with rheumatic and musculoskeletal diseases. WAD is celebrated every year on 12 October and is supported by a year-round global campaign to raise awareness, influence public policy and provide a vast network of support for all those touched by arthritis, be it osteoarthritis (OA) or arthritis in any form. The initiative is driven by EULAR (The European League Against Rheumatism) based in Switzerland. See http://www.eular.org/ to learn more. The organisation also has a useful leaflet on 10 things you should know about rheumatic diseases:

http://www.eular.org/myUploadData/files/10%20things%20on%20RD.pdf

What is the difference between RA and osteoarthritis (OA) and other forms of arthritis

Arthritis is an umbrella term used to describe inflammation of the joints. However, there are different kinds of arthritis. Although RA and OA both affect the joints, they’re very different forms of the same broader condition.

RA is an autoimmune disease, which means your body attacks itself. In people with RA, the body interprets the synovium , the soft lining around the joints, as a threat similar to a virus or bacteria and attacks it. This attack causes fluid to accumulate within the joint. The fluid build-up causes swelling, pain, stiffness, and inflammation around your joints.

OA, the most common form of arthritis, is a degenerative joint disease. People with OA experience a breakdown of the cartilage that cushions the joints. The wearing down of cartilage causes your bones to rub against each other exposing small nerves, which causes pain. OA does not involve an autoimmune process like RA does, but mild inflammation also occurs.

Both types of arthritis are more common in women than men as evidenced in the American statistics. RA and OA are more prevalent in older adults, but RA can run in families and develop at any age, often showing as a low-grade temperature, muscle aches and/or fatigue.

People who are overweight, smoke, suffer from joint deformities, diabetes, or gout are more likely to develop OA. Equally, sporting stars past and current have been diagnosed with OA, such as golfer Tiger Woods.

Symptoms could include morning stiffness and severe fatigue, as well as sore joints.

At Betafeet Podiatry we ask you for your medical history, and among the questions are whether you suffer from RA and/or arthritis. Not every patient understands what these mean unless they have been diagnosed with one or the other.

You may also wish to refer back to a website blog I posted in December 2015 on RA:

http://www.betafeetpodiatry.co.uk/rheumatoid-arthritis1

Hopefully, these resource tools will give you a better understanding about RA and arthritis generally. You should speak to your GP if you have any concerns about chronic or recent joint pain so that proper referral pathways to podiatric or other healthcare can be made, such as the Beta Health Clinic in Hemel, you may also benefit from other holistic treatments for RA from visiting www.betahealth.co.uk .

Ingrown Toenails

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 13:24:49 GMT

05 Feb, 2016

Causes, symptoms, treatment

Our feet are incredibly important. We use them to get around and, when any painful condition strikes, our movement is hindered. Unfortunately many people neglect the health of their feet and can succumb to painful feet conditions. One of these are ingrown nails.

Ingrown Nails – what are they?

Ingrown toenails are caused by increasing pressure of an in-growth of the nail’s edge onto the skin of the toe. The breakage of the nail through the skin produces inflammation and causes discomfort. This discomfort is mild initially; however it can quickly become extremely painful as the inflammation progresses into an infection. Many people suffer from ingrown nails on a regular basis, as it becomes a recurring problem.

C ommon Causes

There are multiple causes of ingrown nails including the simple fact that one is trimming their nails improperly. Athletes and sports enthusiasts are particularly prone to ingrown nails as they use their feet heavily whilst participating in sporting activities. Another common reason is that many of us are wearing improper/uncomfortable footwear that can cause disru ption to our foot structure and can press uncomfortably on the toenails, therefore increasing the likelihood of ingrown nails.

Tight footwear, tights/stockings and socks can also push your toe flesh onto the nail so that it pierces the skin. Also, if you sweat excessively or don’t rotate your footwear, this makes the skin moist and weak so that it is easily penetrated by the nail.

If you have brittle nails with sharp edges or are in the habit of breaking off bits of nail that are sticking out, you are also more likely to get an ingrown toenail.

Poor foot hygiene can introduce unwanted bacteria into your feet that can initiate infections or agitate mild infections into more severe inflammation. When our feet sweat, it creates the perfect moist environment for bacterial growth. In addition to this, many people suffer from foot deformities such as abnormally long toes or congenital toe deformities.

Symptoms to look out for

Ingrown toenails have various telltale signs include redness and pain and swelling around the site. If the infection has progressed then you may also observe discharge such as yellow pus. Symptoms also vary from person to person as the infection may cause a range of other symptoms. Often the signs are very limited, and one may only feel slight tenderness at the nail border when pressure is applied. Mild infections may clear up without treatment; however if the infection is recurring or has progressed into severe infection, then it is important to go and visit a qualified podiatrist.

Treatment

Visit a podiatrist if you experience any:

Persistent pain in your toe from the ingrown nails
Symptoms of infection, especially if you have Diabetes or a poor immune system
Conditions that affect the nerves and/or feeling in your foot.

For those particularly prone to ingrown toenails from underlying problems such as poor gait, partial nail avulsion (PNA) may be recommended along with finding a more permanent solution to the underlying condition. This procedure is done under a local anaesthetic where 8-10% of the nail is removed (including the root) so that the nail permanently becomes slightly narrower. The chemical phenol cauterises the nail and prevents it re-growing in the corners. This is over 95% successful. You will, however, have to go back to your podiatrist for a number of re-dressings.

If you experience ingrown toenails that do not resolve themselves naturally or through routine foot care within three weeks, it is recommended to seek the help of your GP to prescribe antibiotics. But if you need urgent attention, you should contact a private podiatrist such as Betafeet Podiatry.

For more information visit:

http://www.scpod.org/foot-health/common-foot-problems/ingrowing-toenail/

Orthotics: How can they help your foot, back, and/or knee pain?

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 13:18:15 GMT

25 Jan, 2016

This is a subtitle for your new post

We live in a society where we are constantly on our feet in our daily busy lives. Many of us are unknowingly wearing improper footwear or putting improper pressure on our feet due to bad posture. The way in which you walk also affects the degree of pressure on your knees and back. Hence, foot, back and knee pain are common ailments of the 21st century. Fortunately, orthotics can help you relieve the symptoms of such pain!

What can orthotics help with?

Orthotics can help many foot complaints such as bunions, corns and calluses, and heel pain. Furthermore, as our feet are the foundation of our body, they will also provide relief for back, hip, and knee pain. Orthotics adjust your bodies movement pattern to ease the strain through the joints and muscles of your body; restoring balance.

What are orthotics?

Functional foot orthotics are made on a custom basis according to your unique foot structure and biomechanics. Orthotics can vary in rigidity from very firm to soft depending upon your individual needs. Modifications made to the orthotic cast help to realign the rearfoot and the forefoot, whilst rearfoot posting helps to align the rearfoot and the leg and reduce compensation by modifying the angle at which the foot strikes the ground, thus improving posture and the alignment of the whole body and reducing tissue and joint stress. Additional accommodations such as special pads can also be applied to offload painful areas such as corns and redistribute pressure.

Fall Prevention and Management

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 13:12:47 GMT

20 Jan, 2016
Author/blogger Reggie Simpson

How to Reduce Your Risk of Falling

I was recently in the United States for the holidays and ‘stumbled’ across an article entitled ‘Fear of Falling’, which highlighted that the medical costs of falling run more than 30 billion dollars a year. Famous fallers include former US president George H W Bush, aged 91, and Democratic presidential candidate Hillary Clinton, 68.

Closer to home, a number of our Betafeet Podiatry patients have reported a fall or falls and we have advised them about an excellent falls prevention and management service provided by the NHS in Hertfordshire (see website link at the end of this blog).

Regardless of age, we are all prone to falling or tripping unexpectedly, often causing severe foot, knee and back injuries and often other consequences such as sprained ankles, torn ligaments and abnormal movement of joints. Statistics says that one in three older adults fall each year with resulting consequences such as broken bones, trouble getting around and a host of other health problems.

The impact of falls

According to ageUK, about a third of all people aged over 65 fall each year, with higher rates among those over 75. Falls represent over half of hospital admissions for accidental injury, particularly hip fracture. Half of those with hip fracture never regain their former level of function and one in five die within three months. Of those older people who enter falls prevention programmes, most do so only after they have fallen, by which time they may have suffered serious consequences.

You can make small provisions to prevent falls and hence reduce the risk of associated injuries. Try the tips below:

Perform regular exercises to improve strength in your legs and back as well as to promote balance in your posture. Appropriate exercises can do wonders for your stance and whole body alignment, so make sure that you take some guidance before starting any exercise. Special balance training classes have been shown to be highly effective in reducing falls in older adults. You can also try yoga and Pilates!

Ensure that the medications you take are not making you dizzy, sleepy or drowsy. Ask your doctor or thoroughly read the medicine information sheet for any side effects that may affect your balance. Anti-allergies medications as well as those prescribed to asthmatics are frequently associated with drowsiness. Try to choose non-drowsy options to prevent falls.

Get your eyesight checked by an optometrist, at least, in every one to two years, more often if you are older. Poor eyesight leads to misjudgement of how close or far objects are and are one of the major causes of falls. Update your prescription glasses and contact lenses according to changes in your vision.

There are also key steps and changes that you can make at home to make it a safer place. Bathrooms are often slippery, so make sure you immediately dry them off with a sponge. Also, install grab bars inside and outside your bathtub or shower to make it easy to get out without getting misbalanced. Use non-slippery substances to clean tiles and flooring in your home and always keep unnecessary clutter out of the way that can lead to people tripping and falling.

When outside ensure that your footwear is the correct size and is not causing you any discomfort that may interfere with your balance. If you are experiencing any issues with your gait or foot stance, then consult a foot specialist as soon as possible to correct these issues.

Preventing falls is important to our health; the tips above are simple ways that you can prevent dangerous falls.

Local services in Hertfordshire

There is local support for Hertfordshire residents of any age to help manage oneself for falls. Please visit the following link for reference:

http://www.hertsdirect.org/services/healthsoc/healthherts/fallsprevention/

AgeUK also has some excellent advice on the subject for patients and practitioners alike:

http://www.ageuk.org.uk/professional-resources-home/services-and-practice/health-and-wellbeing/falls-prevention-resources/

A Life in the Day of a Podiatrist

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 13:06:01 GMT

15 Jan, 2016
Author/blogger Reggie Simpson

Judith Sullivan as interviewed by Reggie Simpson

Q: How long have you been in the profession?

A: 34 years.

Q: What made you decide to become a podiatrist?

A: I was a nurse, but my hearing was deteriorating, and I needed a more closed-in environment that would allow me greater engagement and face-to-face time with a patient, away from the hustle and bustle of a busy, noisy ward. Also, my grandmother was a chiropodist, so I had an introduction to the profession at an early age.

Q: If you had to do it all over again, would you still have chosen this career path?

A: Most certainly – every day is different and rewarding.

Q: What do you like most about being a podiatrist?

A: For me, I have the satisfaction of having people come in with a problem and go out with a solution.

Q: Describe an average day at work.

A: There is no such thing. I never know what’s coming through the door – even with long-standing clients.

Q: How many hours a week do you work?

A: Upwards of 60 hours per week. Running two clinics. Striking work/balance is a challenge. I have new associates who have also joined which means more management responsibility. I also do home visits, which are not always near each other geographically.

Q: Give an example of a unique situation or patient with which/whom you have dealt (anonymous of course!).

A: Well, I have a patient with 20-size feet!

Q: What has been the most difficult thing you have ever had to tell a patient?

A: I can’t really say. It’s more about health education and changing lifestyles; sometimes it’s as simple as changing footwear or going on a diet, which some are not willing to accept. NHS healthcare for feet is in decline except for the most at-risk, and this means having to budget and pay for private foot care.

Q: What advice would you give to those considering studying podiatry and those seeking to develop their careers post-graduation?

A: For those considering a career in podiatry, they should do some work shadowing, even for just a day. For those newly qualified, I would say they should find their niche. Too many recent podiatric graduates want to specialise in biomechanics. I would argue for specialising in diabetic foot care. Diabetes UK ( www.diabetes.org.uk ) has recently announced that the number of people living with diabetes in the UK has reached more than four million, and there is an urgent need to increase diabetes care and education.

Q: How much emphasis should podiatric education place on soft skills, for example, business management? Staffing? Financial planning? Work/life balance? Other?

A: Universities are increasingly incorporating this into the curriculum, but at the same time, I think they could focus further on the soft skills.

Q: You are one of few accredited UK podiatrists in the business (150 according to the Society for Chiropodists and Podiatrists). Do patients really care whether a podiatrist is accredited or not? Is accreditation worth the bureaucratic hassle?

A: Do clients really care about whether you are accredited? No. But accreditation is about ensuring that my practice works to a gold standard and that all practice procedures and protocols are being met. Accreditation is a good audit tool, not just internally, but for all of our clients.

Q: There has been a lot in the news lately regarding UK diabetes numbers on the rise and that diabetes is increasing the risk of dementia by 60 per cent. Now they are also saying statins can increase the risk of heart disease. Just who can I trust for fair and accurate information?

A: I know how difficult it is to digest the regular stream of scare mongering in the media. I try to stay up to date on the latest information both in the UK and abroad and advise my clients appropriately. If they have wider concerns, they should discuss these thoroughly with their GP.

Q: Come on, you really are just a glorified agony aunt, with a sharp pair of nippers in your hand. Refute.

A: I have many regular clients as well as new. It’s not just about the feet. Their overall health and wellbeing impacts on the quality of their lives, and if I am in a position to be a sounding board during treatment, then I feel that I have made a difference.

Four DIY Treatments

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 12:46:31 GMT

12 Jan, 2016

Don't suffer this winter!

You’ll find that during the winter, your feet need a little more care to look and feel their best. Taking a little time out to relax and pamper them at home will help to keep them in tip-top shape without a pricey visit to a spa or salon. Here are four easy, affordable methods of treating your feet that you can enjoy all winter long – and throughout the year too!

Peppermint Foot Scrub

A good foot scrub can help fight off the dry patches that are prone to occurring during the winter months. But why not keep things simple and make your own?

Simply whisk together some granulated sugar, natural oil (such as coconut, olive or almond) and baking soda for a scrub that’s effective yet easy to make. Add some peppermint extract or oil for a great scent to keep your feet smelling fresh.

Soothing Salve

A homemade salve can help to reduce discomfort caused by cracked heels and skin. A simple recipe for salve can be made from beeswax, coconut or olive oil and an essential oil of your choice for a pleasantly scented solution that’ll soothe damaged areas. Simply melt the ingredients together and pour the mixture into a jar or tin to cool.

Relaxing Foot Soak

After a long day, it can feel incredible to soak your feet in warm water, especially if the solution has soothing properties too. Fill a large bowl with water and add sea salt, Epsom salt, baking soda and a few drops of your favourite essential oils for a stress relieving combination that’ll soothe your feet, whilst the Epsom salts help to detox your feet by removing toxins!

Deodorising Mist

After keeping your feet warm and dry in thick socks and winter boots, you may find your feet need a little refreshment once you take them off. A deodorising mist will help relax your feet as well as freshening them up. Mix eucalyptus and tea tree essential oils with water in a spray bottle for a quick, easy solution for tired feet.

Whether you try out a number of DIY lotions and potions or simply head off for a professional pedicure treatment, taking good care of your feet is essential. And remember, no matter how much love you give your feet, a trip to a podiatrist is always the best option if you’re experiencing aches and pains.

New Year's Resolution

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 12:41:22 GMT

04 Jan, 2016

10 Reasons You May Need to Visit a Podiatrist

A podiatrist is an expert when it comes to the health of your feet, especially if you’re suffering from pain. Whether it’s down to a chronic medical condition or simply your everyday circumstances such as poorly fitted shoes, a podiatrist can help you deal with the symptoms and improve your comfort. Read on to discover 10 reasons to book an appointment:

You’ve started a new fitness regime

If you’re going to be running regularly to improve your health, it’s also important to care for the health of your feet. A podiatrist can help you avoid potential problems such as aches or shin splints, as well as recommending the best type of running shoe for your feet.

You’re beginning to feel foot or ankle pain

There are plenty of reasons that could be leading to pain in your feet or ankles, but rather than ignoring the problem, head to a podiatrist. They’ll be able to evaluate your situation and advise on the best treatment.

You’re suffering from diabetes

Those with diabetes are at higher risk of developing foot problems, some of which can be serious. Sufferers of diabetes should visit a podiatrist annually to significantly lower their risk of amputation later in life.

You’re experiencing a heel spur

Heel spurs are bone growths that may cause a great deal of pain. A podiatrist will perform an exam of the feet, which may include an X-ray, before recommending the appropriate treatment.

You have an ingrown toenail

It’s important to deal with an ingrown toenail before an infection occurs. A podiatrist will be able to remove the unnecessary part of the nail and may advise further if the area has already become infected.

You think a muscle or bone may be sprained or broken

Whether it’s a strain, sprain or break you’ve experienced, a podiatrist can diagnose the issue, reduce your pain levels and provide a suitable treatment plan or referral.

You’ve developed corns or calluses

Corns and calluses are amongst the most common reasons for visiting a podiatrist. These painful conditions can be treated by a podiatrist, allowing you to get back to your daily activities without discomfort.

You have a bunion

Bunions occur when the bone of the big toe is out of alignment. Without treatment, they may get worse, so it’s important to see a podiatrist as they develop.

Your podiatrist will recommend treatment or may refer you for surgery in severe cases.

Y ou’re looking to take preventative measures

Even if your feet are healthy, your podiatrist can still advise on the best preventative care for your feet and encourage longterm foot health to avoid serious issues in the future.

If you’re experiencing any of the above, a good podiatric clinic such as Beta Feet Podiatry will be able to help treat the problem and provide reliable advice to keep your feet and ankles in great shape.

Keep on Walking 2016

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 12:27:53 GMT

08 April 2016

The nation has gone nuts about walking. Walking for fitness, for weight control, for mental health

Look after your feet they will walk you to great health If you are looking to get fitter and healthier, why not undertake an activity that comes naturally to us all. Walking is good for you, free and can fit around even the busiest lifestyle. We have collated a number of resources to inspire and guide you to greater fitness through walking.

We show you why walking is so good for you, give examples of fitness programs, the equipment required, where & who to walk with and how walking impacts on your feet.

Your feet are for life so it is vital that you care for your feet and take preventative measures to ensure they remain healthy. Here you will find tips on foot problems associated with walking and why, when and how you should seek the advice of a podiatrist.

Benefits of walking

Walking is good for you and if done at a brisk pace for regular exercise it helps condition your body and improve overall cardiovascular health in the same way running and jogging do. But compared with running, walking carries a significantly lower risk of injury, it reduces stress and gives you time to clear your head and aids better sleep. It's the nearest thing to 'perfect' exercise in terms of a safe, all-round workout and it doesn't cost a penny or need any special equipment.

If you walk an extra 20 minutes a day, you'll burn off more than 3kg of body fat a year
A single step uses up to 200 muscles. So you're not only doing a little cardio, but toning your muscles too and walking is easy on your joints
Walking can halve your risk of coronary heart disease and help prevent some cancers and cuts cholesterol
Walking may slow cognitive decline in adults, especially those with existing conditions such as Alzheimer's
Walking can help to prevent the onset of type 2 diabetesWalking requires little equipment can be done almost anywhere and is entirely free.
Can help improve circulation in your feet by stimulating the development of tiny new blood vessels.

What walking does to your feet?

Foot Problems associated with walking

Blisters
Heel pain - Plantar fasciitis
Morton’s neuroma

How a podiatrist can help you keep walking

Consult your podiatrist if you start to develop pain when walking, or consider a visit before embarking on your new walking programme.

The main role of the podiatrist is to help you maintain normal mobility and function in the feet and lower limbs. Podiatrists provide the basis for the ideal walking style and posture and identify any conditions that may require further referral and management. They also relieve pain, treat infections and skin, nail, soft tissue and connective tissue problems. This is achieved in conjunction with other members of a multi-disciplinary health care team. Podiatrists can also give expert advice on footwear, so it is a good idea to take your walking shoes with you when you go to see your podiatrist.

How to contact a podiatrist

To find a local podiatrist, you can either approach your GP practice for an NHS referral, (in some areas you can self-refer) or if you decide to see a private practice podiatrist visit our Find a Podiatrist section.

http://www.scpod.org/find-a-podiatrist/

May is National Walking Month and includes Walk to School Week (16-20 May 2016) so there are plenty of things to engage with.

http://www.livingstreets.org.uk/…/national-walking-month-20

http://www.livingstreets.org.uk/…/proje…/walk-to-school-week

Diabetes and Your Feet

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 12:19:52 GMT

04 April 2016
Author/blogger Reggie Simpson

Support to help manage diabetes with confidence and control

According to Diabetes UK, people with diabetes are at much greater risk of developing problems with their feet, due to the damage raised blood sugars can cause to sensation and circulation. If left untreated, these problems can cause foot ulcers and infections and, at worst, may lead to amputations. However, most foot problems are preventable with good, regular foot care.

Diabetes UK has an excellent guide to how to live with diabetes:

https://www.diabetes.org.uk/Guide-to-diabetes/Living_with_diabetes/

It is important for anyone who has diabetes to learn how to manage the condition. There are short courses, such as DAFNE (Dose Adjustment for Normal Eating) for Type I diabetes and DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed) for Type II diabetes, which may help.

If you have diabetes and haven't yet attended an education programme, talk to your GP or diabetes care team as they can refer you to a local one. At Betafeet Podiatry we can also give you advice.

DAFNE is a way of managing Type 1 diabetes and provides people with the skills necessary to estimate the carbohydrates in each meal and to inject the right dose of insulin.

For more information visit the DAFNE website:

http://www.dafne.uk.com/

DESMOND (Diabetes and Self Management for Ongoing and Newly Diagnosed) is a UK NHS training course for those with Type II diabetes that helps people to identify their own health risks and to set their own goals.

For more information on DESMOND and diabetes care generally visit:

http://www.nhs.uk/Livewell/Diabetes/Pages/Healthfordiabetics.aspx

At Betafeet Podiatry, we aim to conduct a half-yearly foot assessment for our diabetic patients. We try to time this around six months after the patient has visited with his or her diabetic nurse or care team, and we are happy to provide the patient with a copy of our assessment to share with their diabetic health care team. In turn, we would like as much as possible for our diabetic patients to provide us with information such as their most recent Hb1Ac level. HbA1C is a measure of your average blood glucose level over 3 months. It was originally measured in percentages, but now is measured in millimoles per mol (mmol/mol).

Don’t let diabetes rule your life and those around you – take charge!

Style over Substance

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 12:13:30 GMT

18 Feb 2016
Author/blogger Reggie Simpson

Why trendy footwear may be damaging your feet

Ugg-styled boots. Ballet-type slippers. Fashion trainers. Don’t we love them? These shoes are designed to look and feel great, but next time you are on the high street, have a closer look at people walking in them. Their feet roll out or in because such footwear provides little support to the feet and ankles. This can have a knock-on effect on the rest of your body.

According to fellow Hertfordshire podiatrist Beverley Ashdown, interviewed by the Daily Mail (14 October 2014), ‘There’s been so much publicity about the damage high heels can cause to our feet, knees and backs, we forget that flat shoes — particularly ones that offer little or no support to the foot — can cause just as many serious foot and postural problems. Shoes that offer no support, such as flip-flops, ballet pumps and even Ugg-style boots, allow the feet to roll, taking the knees inward with them. This gives an awkward gait, which in turn increases the risk of knee and back pain.’

You might also like to read this press release from the Society of Chiropody and Podiatry (SCP) on this self-same subject:

http://www.scpod.org/news/press-release-archive/the-uggly-truth/

If this information seems to mainly address a female population, check out the footwear of men. They are also fashion shoe consumers, and those same trendy trainers and pointy type shoes are also leading to issues with feet.

The ideal shoes needs stability and should be the perfect fit for the shape of your feet. Unfortunately, you may find that the shoes you have your eye on have been designed purely for fashion purposes.

For comfort and foot health, shoes should be foot-shaped and fit your feet correctly. Take off your shoe and stand next to it. Look at whether it is too short, too long, or not wide enough. Here are some further tips from the SCP in association with The Society of Shoe Fitters:

Make sure there is ½ inch (1cm) of space between your longest toe and the end of the shoe
Check there is enough room for your toes to wiggle in the shoe
There should be enough width in the shoe to accommodate the entire foot – there should be no pressure on the joints on the sides of your feet
For comfort, shoes shouldn’t slip at the back. If the shoe slips when you walk, push your heel to the back of the shoe, then try altering the laces or straps to improve the fit against your foot.

You can also visit:

www.feetforlife.org

Or, pick up a brochure from Betafeet Podiatry on Footwear: a guide to choosing the best shoes for your feet .

Heel Fissures

0010000628 (Judith Sullivan) — Fri, 31 Mar 2017 00:00:00 GMT

18 April 2016
Author/blogger Reggie Simpson

Get cracking to the podiatrist!

Heel fissures, or cracked heels, are a common problem. They tend to be caused by dry skin and may be made more troublesome if the skin around the heels has thick callus. Many people with cracked heels may not notice any pain or discomfort, but if the cracks are deep, they can become quite painful and can also cause bleeding. If not cared for properly, the wounds can also become infected which can lead to more significant and ongoing problems.

Wearing open or thin-soled shoes usually makes the symptoms worse.

There are a number of over-the-counter remedies, but If self-treatment isn’t helping, you may want to see a podiatrist. Podiatrists can safely remove any thick and hardened skin, which will help existing cracks to heal and allow any moisturiser to be absorbed more easily.

Thickened dry skin or callus around the heel is more likely to crack when certain mechanical factors come into play, for example the way you walk.

Other factors that can be involved in the cause of cracked heels include:

Prolonged standing

Being overweight

Open back shoes or barefoot walking

Some medical conditions which predispose to dry skin such as hormonal imbalance, neuropathy, hypothyroidism

Skin conditions such as psoriasis and eczema

What can a podiatrist do for you?

· Perform comprehensive manual debridement of thickened skin

· Recommend creams to properly moisturise your skin

· Give advice about self-care options

· Apply padding and strapping or skin adhesive to help bring cracks together while they heal

· Assess your current footwear and/or orthotics and provide necessary adjustments

· Recommend alternatives to your current footwear and prescribe custom-made foot orthotics as needed for long-term control and prevention to help prevent the problem from recurring.

Visit Betafeet Podiatry and get those heels sorted for the summer and beyond!

Essential Cold Weather and Winter Foot Care Tips for Diabetics

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 13:24:53 GMT

02 Jan, 2016
Author/blogger Reggie Simpson

During winter, a special attention is needed to the feet for people with diabetes. Diabetic foot is one of the most common complications that occur in people suffering from diabetes. Diabetics often have a lower susceptibility to various changes in the body which is caused by nerve damage. This is why the changes that occur on the feet are sometimes noticed only when they become severe.

So, why exactly are there frequent changes in the feet? Disorders in the production of sweat and fat are detrimental to the skin, especially when walking, and lead to skin rupture and formation of wounds. Disorder in the immune system and damage to the blood vessels complicate the treatment and healing of these wounds which creates conditions for the development of a bacterial infection in the connective tissue, bones and muscles, and in the most severe cases, result in gangrene. Such serious consequences, as well as numerous other effects of diabetes, can be avoided by regular checkups. The following is a list of essential cold weather and winter foot care tips for diabetics that will help you keep your feet safe when the temperature is low.

Daily hygiene

Just like most people, many diabetics lower the intensity of taking care of their feet during cold weather. Diabetics naturally have cold feet (due to nerve damage), and that’s why some of them avoid washing legs on a daily basis, which is wrong. Daily care and washing your feet is critical. Use water that is heated to body temperature. After washing, wipe your feet thoroughly and apply a moisturiser. Make sure that there is no moisture left between the toes.

Don’t forget the nails

Nails on your feet should always be cut straight to avoid skin injury near the nail, and it would be wise to leave this task to a professional. Since this is not an activity that needs to be performed every day, try to find a day in a week when you will focus on your nails. Just because you are not wearing sandals, this doesn’t mean that you should forget about your nails. It is critical to use utensils and scissors that are yours.

Make sure that you are wearing the right boots

Diabetics, just like anyone else, start wearing boots when the temperatures drop. If you are in a process of buying boots, you should keep in mind that our feet tend to increase their size during the day (if we use our boots for four or more hours). So, make sure that you are wearing the correct size of boots.

Keep your feet warm and dry

It is imperative to keep your feet warm and dry during winter as the dampness can cause fungal and bacterial infection. Keep your feet dry thoroughly after exposure to wetness, especially the area between the toes as this is where the athlete's foot infection commonly develops.

Perform regular checkups

Since this is a period of the year when feet are prone to problems, it is a good idea to check them every day. Find out whether there are any traces of fungus, blisters, cuts, infections and other complications. Examine the feet thoroughly. Consult your doctor if you notice anything unusual.

Did you find these tips useful? Do you have any more to share? We would love to hear your thoughts in comments!

Happy New Year!

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 13:18:26 GMT

01 Jan, 2016

On behalf of the Betafeet Podiatry team, here's wishing all current and future clients a happy and healthy new year.

Charity Begins at Home ...

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 13:14:14 GMT

23 Dec, 2015

but When You Are Homeless You Need Extra Help

'Don't walk behind me, I may not lead. Don't walk in front of me, I may not follow. Just walk beside me and be my friend. '

Albert Camus, French Philosopher

Andre Ferreira and Luke McCarthy, our newest associate podiatrists, are putting their spare time to wonderful use by volunteering with Crisis at Christmas to help with foot care for the homeless:

http://www.crisis.org.uk/pa…/podiatry-service-volunteer.html

http://www.scpod.org/news/podiatry-volunteers-needed-for-crisis

Betafeet patients will remember that fellow associate, Danielle Kempster, similarly gave her time to help volunteers running for charity during the 2014 London Marathon.

This holiday season, Betafeet Podiatry is also donating 50 sets of podiatry single-use instruments to The Foot Project - Calais, a group of podiatrists and lower limb specialists who will be working at the migrant camp in Calais (‘the jungle‘) to provide free healthcare to those in desperate need:

https://www.facebook.com/The-Foot-Project-Calais-Migrants-951277384945677/

From all of us at Betafeet Podiatry, we wish you and yours the very best for the holidays, and a happy and healthy 2016.

Foot Health Checks

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 13:06:58 GMT

21 Dec, 2015
Author/blogger Reggie Simpson

Why Are They Necessary?

The feet are two of the most frequently used and abused body parts. Just think about it – each of us is walking on a daily basis. Some people are running too. Unfortunately, many people neglect feet when they take care of their body and health in general. It is very important to keep your feet in the best condition. However, even if you have good hygiene, wear proper footwear and use all kinds of products suitable for your feet, it is always a good idea to take stock of your feet on an annual basis.

Women know that visiting a gynaecologist at least once a year is a must. All people should visit their dentist’s office every year too. If you think about it, you will notice that there are many other check-ups that we perform each year (such as a car MOT). We have accepted these as routine because we know how important these things are and how they can affect our lives in case something goes wrong.

But, we seem to somehow take our feet for granted. A vast majority of people never check the health of their feet, and this often drives them to see a podiatrist when it has already become rather too late. Having healthy feet is crucial for proper mobility and flexibility. Besides, if there is some condition that is not visible and you leave it untreated, you can experience more difficulties over time. Regular foot health checks are also a good way to prevent possible problems. Feet health check-ups are necessary for people who are already suffering from certain chronic diseases like rheumatoid arthritis, diabetes, peripheral vascular disease, peripheral neuropathy and other diseases and disorders that can directly or indirectly affect your feet. Experts encourage patients to have annual checks although it is also a good idea to have more frequent checks.

Of course, this doesn’t mean that healthy people or people who are suffering from other health problems should ignore these health checks. For instance, many children who are experiencing certain problems with their feet should have feet health checks as this can lead to some serious issues in the future.

So, what does exactly a foot health check include?

An annual foot health check include several elements; it focuses on vascular health regardless of whether you have been diagnosed with a particular disease such as diabetes, and determines whether there is generally good blood flow in your feet. Also, it tests the muscle strength in the feet, the range o... to Improve the range of

motion, the skin condition, the bio-mechanical efficacy of your feet and general neurology. In addition, this check-up will confirm whether you are walking and standing in the right way.

If you're facing any issues with your feet health or want to complete a checkup, we can help! See Foot Health Checks on this same website for further information.

Nine Simple Ways ...

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 12:57:02 GMT

15 Dec, 2015
Author/blogger Reggie Simpson

... to Improve the Appearance of Your Feet

Whether you often find yourself showing off your feet or simply like to feel your very best when it comes to your appearance, there are plenty of things you can do to improve their look and get them feeling great too.

Keep your Skin Looking Radiant

Bright, radiant skin always looks healthier – no matter where on the body it is. Many body polishes and treatments contain skin brightening properties, so try to choose one that promises a healthy glow.

Take Care of your Cracked Heels

Cracked heels can be easily treated and soothed at home using moisturising salves or lotions. While the results may not be instant, a regular care routine will help to improve the cracked, sore skin.

Scrub Away the Dead Skin

Dead skin can look flaky and unsightly, so give your feet a scrub using products of your choice. For even better results, use a pumice stone to eliminate leftover flakiness before rinsing and moisturising your feet.

Give your Feet Some Rest and Relaxation

Stretch and massage your feet whenever possible to keep them relaxed. You’ll be promoting a healthy blood flow and reducing your risk of swelling or bruising that may be associated with discomfort or ‘stressed’ feet.

Combat Dryness for a Smoother Appearance

If your skin is dehydrated, it can often look dull, discoloured or wrinkled. Using a good moisturiser or lotion (urea-based is best) and ensuring you stay hydrated will help to keep your feet in better shape.

Keep your Feet Clean

This one may seem obvious, but it’s always necessary to keep your feet clean, especially if you’re planning on showing them off in sandals. Make sure any staining or dirt marks are washed away.

Keep your Toenails in Great Shape

Regular trimming and shaping will not only keep your toenails looking great, but it’ll also reduce the risk of blackened or ingrown toenails!

T reat Blisters and Cuts Effectively

Cleaning and covering blisters or cuts as soon as possible will help to prevent infection and encourage a faster healing time.

Indulge Your Feet on a Regular Basis

While you may not be able to head off to a spa or salon every week, there’s nothing to stop you recreating the experience at home. A long foot soak will work wonders for keeping your feet smooth and refreshed.

Alternatively, if the way your feet look or feel is bothering you, or you cannot manage your own foot care to best effect, you can always visit a podiatrist to discover the best ways to treat and maintain any condition you may have – from ingrown toenails to bruised or aching joints!

Things You Probably Didn't Know ...

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 12:37:32 GMT

11 Dec, 2015
Author/blogger Reggie Simpson

... About Your Feet

Conditions relating to the feet are more common than you may think, which means there’s often a lot of helpful advice and treatment available to help deal with the issue as soon as possible. According to the NHS, around 75% of the UK population will experience a foot problem at some point during their lifetime.

Your feet alone have around 250,000 sweat glands. During periods of physical activity or exertion, they can produce around four to six ounces of sweat in a single day – if not more! This is why it’s important to take care of your feet and keep them clean and dry after workouts to keep them free of conditions such as Athlete’s Foot.

An average person will walk around 8,000 – 10,000 steps each day, coming to a total of around 115,000 in their lifetime.

Most people have 52 bones in their feet – that’s a quarter of all the bones in the human skeleton combined! When these bones are out of alignment, the rest of your body will be too.

Have your toenails been growing faster recently? Toenails have been proven to grow faster during hot weather, pregnancy and puberty, so it’s worth keeping them cut and shaped to avoid discomfort or ingrown toenails.

Your feet may be the first indicator that you’ve developed a medical condition or illness. For instance, those who have developed diabetes may first notice reduced circulation, numbness of the feet or a foot infection that will eventually lead to a diagnosis of diabetes. It’s worth knowing the indicators of diabetes, especially as there are now over three million people with the condition in the UK.

Podiatrists are specialists in diagnosing and treating foot conditions. To become a podiatrist in the UK, one must study for a minimum of three years in order to exhibit the level of knowledge required to treat patients, so rest assured you’re in great hands when seeking treatment!

If there’s more you’d like to know about your feet, or you have a foot problem you’re looking to seek treatment for, get in touch with a podiatrist today. Betafeet Podiatry are ready and waiting!

What Do Your Toenails Say About Your Health?

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 12:10:50 GMT

08 Dec, 2015
Author/blogger Reggie Simpson

Keep a Watchful Eye

Take a look at your toenails. What do you see? You may not have realised, but the way your toenails look and feel can say an awful lot about your overall health.

You should not only take care of your toenails, but also pay attention to their overall condition and question any changes.

It’s important to make yourself aware of the issues that may be indicated by your nails, so here are several conditions that may show through their condition:

Stress

You may have heard of hair falling out after a bout of severe stress, and as the nails are closely linked to hair, it should come as no surprise that they can begin to show symptoms too.

Throughout very stressful periods, you may begin to show horizontal white or discoloured lines on the nails. Rest assured, though, these are not permanent and will start to fade as the situation resolves.

Melanoma

Sometimes, discoloured lines running vertically from tip to cuticle can be a sign of cancerous melanomas or benign moles. These changes in nail pigmentation are often related to ethnicity and are usually more likely to present themselves in people of Asian or African descent.

Arthritis

People suffering from arthritis may notice small cysts that begin to grow on or around the cuticles. These are benign and will present no harm; however, it is important to get them seen to by a professional who will know the safest, most effective way to remove them.

Psoriasis

When you think of psoriasis, you may think of red patches on the skin. However, the nails can also be affected – usually in the form of a yellow or red patch of discolouration. Other visible signs may include indentations, white spots or black lines.

Kidney Disease

Acute or chronic disease of the kidney could be indicated through the nails. Symptoms include Beau’s Lines (horizontal stripes across the nail), ridged, rough nails that are often concave in shape and can often be a sign of anaemia, or white streaks or spots on the nail.

Darier Disease

The genetically transmitted Darier Disease usually occurs in adolescence. As it develops, those afflicted will notice wide stripes of red or while running from the cuticle to tip of their finger and toenails. It can also cause a V-shaped groove close to the fingertip.

If you think your nails could be indicative of something more serious, or if they simply need a little care and attention, Betafeet Podiatry offers nail care and nail surgery to ensure your health and comfort.

Foot Pain?

0010000628 (Judith Sullivan) — Thu, 30 Mar 2017 12:05:06 GMT

07 Dec 2015

Author/blogger Reggie Simpson

Signs It May Be Serious

While you may think your foot pain is nothing to worry about, it may be a sign of a more serious underlying condition. Diseases such as arthritis, diabetes and peripheral arterial disease (PAD) all have significant effects on the feet, leading to potential discomfort.

There are further conditions that could also contribute, for example, thyroid problems. When the gland is not functioning effectively, your nerves may become affected, leading to odd sensations in the feet.

While some conditions are temporary and easily treated, others will require more in-depth medical attention:

Arthritis

In the UK, arthritis is a common condition that affects approximately 10 million people in some form. Around 400,000 of these people suffer from rheumatoid arthritis specifically, which occurs when the body’s natural defence system becomes weakened.

Up to 90% of people with rheumatoid arthritis will experience symptoms relating to their feet or ankles. The joints may become swollen and uncomfortable due to damage, which can also result in the shape of the toes and feet changing over time.

Rheumatoid arthritis is a treatable condition through medication, exercise or surgery, so it’s important to see a health professional at the first sign of foot discomfort.

Diabetes

Since the 1990s, the number of people in the United Kingdom diagnosed with diabetes has been rising. While today the figure stands at approximately 2.9 million, it is expected to rise to around 5 million by 2025.

Diabetes is a condition that prevents the body from using glucose and blood sugar as fuel, causing it to build up in the bloodstream.

The excess sugars may cause nerve damage and harm blood vessels in the feet, which can result in a decrease in sensitivity and a compromised flow of blood.

Due to today’s medication and treatments, diabetes can be managed. However, it’s important for people suffering from the condition to take care of their health, wear supportive footwear and reduce their risk of foot trauma.

If you’re experiencing abnormal severe foot pain, tell a doctor straight away for a quicker diagnosis.

Peripheral Arterial Disease (PAD)

Peripheral Arterial Disease, referred to as PAD ,is a commonly occurring condition that results in a restricted blood supply to the leg muscles due to a build-up of fatty deposits.

While many people with the condition experience little to no symptoms, others may experience cramping in the calves and upper legs whilst moving around. PAD can also lead to foot pain or discomfort and prevent foot wounds from healing effectively.

The condition can be treated with medication and simple lifestyle changes, so get in touch with a professional today if you’re experiencing cramps or discomfort.

By getting yourself checked out at the first sign of these symptoms, you’ll be able to rest in the knowledge you’re well taken care of. Foot care is important, so listen to your body and don’t take any risks!

Rheumatoid Arthritis

0010000628 (Judith Sullivan) — Wed, 29 Mar 2017 15:03:20 GMT

Author/Blogger Reggie Simpson

06 Dec, 2015

A High Risk Foot Issue

If you’ve been suffering with the joints in your feet, these may be indicative of a more serious underlying issue, such as Rheumatoid Arthritis.

What is Rheumatoid Arthritis?

Rheumatoid Arthritis is a condition that results in your body’s immune system weakening and turning on itself. As a result, your immune system will produce substances that attack your joints rather than protect them, resulting in inflammation, discomfort and pain.

The symptoms of Rheumatoid Arthritis may include joint pain, general stiffness, swelling, tiredness, fever, loss of appetite and/or sudden weight loss.

What are the known causes of the condition?

While the exact cause of Rheumatoid Arthritis is currently unknown, there are a number of factors that place certain individuals at higher risk of developing the condition.

Some may find that they are genetically more likely to experience it throughout their lifetime while others have developed it after exposure to certain chemical or environmental triggers.

What makes Rheumatoid Arthritis a high-risk issue?

There are several risk factors that can lead to the development of Rheumatoid Arthritis - as well as being genetic in many cases, so it’s important to take notice of these and keep track of your joints to catch the condition developing in its early stages.

Factors include:

• Gender. Women are more likely to develop the condition.

• Age. It occurs mostly in those aged 40 – 60.

• Family history.

• Poor environmental factors. By living an unhealthy lifestyle, you are at higher risk of developing health conditions as a whole, including RA.

What preventative measures can be taken to lower the risk of developing Rheumatoid Arthritis?

There are currently no preventative measures that can be taken to directly prevent Rheumatoid Arthritis; it is worth considering the risk factors involved.

While some people may be genetically predetermined to develop Rheumatoid Arthritis, others may find that simple lifestyle changes can lessen the risk of developing the condition.

Smoking, for example, is a known risk factor, so that’s yet another reason to try giving up if you haven’t already.

How can people who already have the condition properly deal with the effects?

There is no cure for Rheumatoid Arthritis; however, there are things sufferers can do to make the impact of the disease more manageable.

By getting support from health professionals, medication, supportive treatments or surgery, it is possible to reduce inflammation and significantly alleviate pain, slow damage to the joints, improve mobility and enable you to live a healthy lifestyle.

If you are at risk of developing Rheumatoid Arthritis or have noticed any changes in your feet that may be a sign of the condition, it’s important to pay your podiatrist a visit as soon as possible for an evaluation. They’ll be able to suggest the best method of treatment and ongoing care to ensure your health and comfort.

Contact Betafeet Podiatry today to book your appointment and take a step towards healthier joints.

Over the Counter Foot Treatments

0010000628 (Judith Sullivan) — Wed, 29 Mar 2017 14:44:37 GMT

05 Dec, 2015

Do They Actually Work?

You may have been searching for a specific product or have simply noticed the variety of foot treatments available to buy over the counter in order to counteract common ailments at home.

After taking note of the sheer variety, you may have found yourself wondering whether these products are actually likely to work, as well as which product would be the most appropriate for your needs and help alleviate your problem(s).

Anti-fungal Creams

Anti-fungal creams are readily available in several forms without a prescription and are most widely used to treat conditions such as Athlete’s Foot – a fungal infection that affects the feet and toes. The creams are usually successful in relieving symptoms when the user correctly follows the manufacturer’s directions. However, they may not serve as a full cure for severe cases.

Wart and Verrucae Treatments

Warts and verrucae will usually go away on their own as they are fought off by the body’s immune system. However, stubborn cases may require a little extra help. Typical brands contain salicylic acid, which helps to remove the infected skin tissue from the area, eliminating the virus in the process.

Combining this with the body’s natural resistance to verrucae, removing them is usually a relatively simple process, but a visit to the podiatrist might be necessary for stubborn, persistent ones.

Corn Plasters, Cushions and Pads

Plasters, cushions or pads aimed at relieving the symptoms of corns contain salicylic acid; however, these will not remove the corns on their own.

Successful treatment of corns usually involves a visit to a healthcare professional to remove the excess keratin build up, resulting in less pressure on the area.

Insoles and Orthotics

Insoles aim to provide relief from aches and pain in the feet. If you are often standing for long periods, insoles can help to improve support and reduce associated discomfort.

Lotions and Balms

While they may not be intended for a specific condition, using foot lotions and balms on a regular basis can significantly reduce dry, cracked skin, which in turn will reduce painful flaking as well as lowering your risk of developing infections. Betafeet Podiatry recommends urea-based creams as these are better absorbed into the skin.

In minor cases, many ailments of the feet can be dealt with through the use of over the counter products. However, if you’re finding them to be ineffective, it may be best to visit a podiatrist in order to have your condition properly evaluated.

After doing so, your podiatrist will be able to recommend the most suitable method of treatment. If you have concerns about your feet, don’t hesitate to contact Betafeet Podiatry today.

Painful Toes or Black Toenails While Running?

0010000628 (Judith Sullivan) — Wed, 29 Mar 2017 14:34:44 GMT

04 Dec, 2015

Your Shoe Laces May Be the Culprit

You may not realise it, but the way you tie up your running shoes can have a significant effect on the overall health and comfort of your feet. Whether it’s due to the way the shoe is coming into contact with your foot or the relative tightness of the laces, your chosen method could be a contributing factor to any issues you’re experiencing.

Here are some of the most common conditions that can be improved by simply switching up the way you tie your laces:

Black or Painful Toenails

Black or sore toenails often occur when the front of your toes rub against your shoe or sock. The most likely scenarios that lead to rubbing are laces that are too tight or ill-fitting shoes.

These can both lead to fluid build-up as a result of damage to the nail tissue, causing pressure below the nail. This then causes blackening and pain.

To avoid this condition, try to ensure your running shoes are properly fitted or avoid lacing them too tightly.

Pain on your Upper Foot

Pain on the top of your feet is usually caused by the tendons that run along the upper foot becoming inflamed. These are extensor tendons and when inflamed, the condition is known as extensor tendonitis.

It is often caused by running shoes that have been laced too tightly, or poorly fitting shoes that create a pressure point on the upper foot, leading to swelling. The condition can result in a very painful experience for runners, due to the way the upper foot will likely rub against the shoe.

Applying ice to the area may reduce the pain temporarily, but it’s important to try new lacing techniques or better fitting running shoes to avoid it in the future.

Irritation and Blisters

Whether your shoes are too tight or too loose, if they’re just not right there’s a chance your feet will be slipping to areas of the shoe that don’t quite match up to your foot’s natural shape. This will cause various parts of the shoe to rub on and irritate the skin, leading to irritation and blisters.

If you’re experiencing any of the above, try altering your laces to find a method that works for you. If you’re stuck on ideas, a simple search for ‘ways to tie running shoes’ or similar will show you a number of diagrams that may be helpful.

Alternatively, a visit to your podiatrist could be the best option. A trained podiatrist will be able to show you the best way to fit your shoes and laces to your foot, as well as recommending the best running shoes and techniques to avoid injuries.

Foot Care for Children

0010000628 (Judith Sullivan) — Wed, 29 Mar 2017 14:26:32 GMT

03 Dec 2015

Could it be time to take your child to a podiatrist?

Podiatrists can be of significant help to anyone experiencing discomfort or health issues in their feet or ankles. However, you may not have considered whether it’s time to book an appointment for your child.

By keeping an eye on the way your child walks as they develop, as well as paying close attention to any reports of pain or discomfort, you’ll be able to make the right decision for your child’s foot health.

Keep an eye on their gait

One of the most important aspects to look out for is your child’s gait. The term ‘gait’ is used to describe the way an individual walks, so it’s important to ensure your child is walking correctly from a young age to avoid long-term mobility issues.

While it’s expected that very young children who have only recently learnt to walk will have the awkward footing to begin with, this will often be rectified without treatment.

However, if your child’s gait is still showing signs of significant in-toeing or out-toeing, or if they are walking with a limp or even experiencing pain, it’s certainly a clear sign it’s time to take them to a professional.

Correcting your child’s walk

In some cases, your child may be a little older before you notice the way they walk is a problem. You may then think it’s too late to see a podiatrist or help them learn to walk correctly.

There’s no reason to worry – it’s never too late for an evaluation. If your child’s feet are still growing, it may be that their feet could be easily repositioned through the use of inserts. If successful, this will likely eliminate the need for surgery or reconstruction later on.

Sometimes, children have similar issues to adults

There are plenty of reasons adults may visit a podiatrist, and many of their conditions can be applicable for children too.

For example, if your child does a lot of sporting activities, a podiatrist will be able to advise on the best way to avoid aches or splints, in addition to recommending the ideal running child for your child’s feet.

It’s also important to listen to your child when they’re describing aches or pains. They may not be able to describe what’s going on in the way an adult could, so it’s worth getting the situation checked out to ensure it’s nothing too serious.

Verrucae

Children seem to be magnets for verrucae, whether it is through the swimming pool or sharing a shower with siblings. Betafeet Podiatry sees many young people whose verrucae are not being resolved by over the counter treatments. Cryosurgery is the usual treatment option, although discussing any underlying health issues, such as challenges at school, sleeping poorly or other childhood stressors, may give way to other treatment options.

Final Thoughts

In all cases, a parent or guardian must accompany the child.

Don’t leave it too late for your child to have his or her feet attended to – they need to last a lifetime!

Choosing the best winter footwear for your feet

0010000628 (Judith Sullivan) — Wed, 29 Mar 2017 14:15:58 GMT

Author/Blogger Reggie Simpson
27 Nov 2015

Keep your feet cosy but healthy

When choosing your winter footwear, it may be tempting to choose form over function or whichever you feel is the most stylish, but would that still be the case if you knew the risks you were taking?

Here are a few commonly known winter foot conditions that you may wish to avoid.

Blisters

Blisters are a result of friction or repeating rubbing, often when wearing brand new shoes that don’t fit properly.

Common remedies include soap and water, letting blisters heal with time and topical antiseptic on open wounds; however, a visit to the podiatrist’s clinic is always recommended.

Chilblains

Usually related to poor circulation, chilblains appear when the skin has been exposed to a cold, humid environment before being quickly moved to the warm.

The cold air causes the skin’s small blood vessels to constrict, which doesn’t give them enough time to react to the warm air. As a result, the blood may leak, leading to red, swollen, itchy skin.

These patches may turn into ulcers or lead to infection as the skin becomes dry or cracked.

Chilblains are most commonly found on the toes, especially if the feet already have bunions and/or callouses.

To avoid them, ensure your feet are kept warm throughout the winter and avoid direct heat. Allow your feet to warm up at a steady pace to allow your circulation to catch up.

Morton’s Neuroma

Morton’s neuroma is a result of footwear that’s too tight, causing the bones and tissues to become squeezed against the nerves of the feet.

These pinched nerves will lead to feelings of numbness, tingling or burning and is most commonly felt around the toes.

As your feet may get wider with age, ensure you update your shoes width accordingly. If you think you may be experiencing a Morton’s Neuroma, get in touch with your podiatrist at the first possible opportunity.

Raynaud’s Phenomenon

This condition is named after the French doctor, Raynaud, and is also caused by cold weather and its effects on blood vessels.

As with chilblains, the blood vessels in the feet will tighten when exposed to very cold temperatures, causing limited circulation to the hands and feet.

Due to this lack of oxygen and blood flow to the feet, an individual may experience blistering, redness, discolouration or pain. These are the effects of Raynaud’s Phenomenon.

Skier’s Toe

If you’ve found yourself experiencing a black toenail, it may be a case of Skier’s toe. This dark shade is due to bleeding underneath the nail, which may also cause you to experience a painful ‘pulsing’ sensation due to the blood pressure.

By wearing shoes that fit well and also keep you warm throughout the winter, you should be all set to avoid these painful conditions. Remember, for the best advice, always visit your podiatrist!

How to Protect Against Athlete's Foot

0010000628 (Judith Sullivan) — Tue, 28 Mar 2017 15:53:05 GMT

Author/Blogger Reggie Simpson

02 Dec, 2015

Prevention is Best

Athlete’s Foot is a contagious fungal infection that primarily affects the skin on and around the feet. However, it may also affect heels, palms or the area between the fingers. Although known scientifically as Tinea Pedis, the infection is referred to as Athlete’s Foot due to the likelihood of catching it in public changing rooms, gyms or swimming pools.

The infection can result in burning and itching sensations, causing a significant level of discomfort for those who catch it.

Luckily, the condition is easily preventable by following a few simple guidelines:

Give your Feet a Thorough Wash

Ensure you wash your feet thoroughly each day, especially in between your toes. This will ensure any fungus is washed away before the infection develops.

Reduce Perspiration

To avoid or reduce foot perspiration, try using talcum powder on your feet to prevent sweat and moisture from becoming an issue. Remember, fungal infections are more likely to develop in warm, moist areas so it’s important to keep them dry.

Avoid Tight Shoes

Wearing tight shoes can cause an array of foot problems such as swelling or calluses, however, they will also encourage the feet to sweat, leading to the issues caused by perspiration.

Ensure your Feet are Dry before Wearing Socks

Avoid putting on any socks, stockings or tights before your feet have been thoroughly dried. The added moisture can heighten your risk of developing fungal infections such as Athlete’s Foot.

Change your Socks Regularly

Be sure to change your socks daily, or even more frequently if you take part in strenuous exercise or a long walk. Change your socks as you change out of your gym clothes, especially if you’re prone to excess perspiration.

Take Care in Changing Areas

As changing rooms, public pool areas and gyms are the most common places to pick up the infection, it’s especially important to take care whilst in such vicinities.

Pack a pair of slippers or flip-flops in your gym bag to wear instead of going barefoot. These are designed to be worn in public so don’t worry about looking out of place. Regardless of style, protecting your feet comes first!

Switch up your Footwear

If you wear the same shoes every day, they will begin to accumulate perspiration and dirt, especially if they’re worn for sports or running. Try to alternate between different pairs to ensure you have dry shoes each day.

Avoid Sharing Shoes

When borrowing someone else’s shoes, you may not know whether they have Athlete’s Foot or other fungal or bacterial infections. If you can’t be certain, it’s a good idea to stick to shoes of your own and eliminate the risk.

Wash Towels and Bedding Regularly

Fungus likes to hide out in towels or soft furnishings, so ensure they’re frequently cleaned to stop any accumulated fungus from spreading.

By taking these steps to prevent Athlete’s Foot, you’ll be at a much lower risk of developing the condition. After all, prevention is better than the cure!

The Risks of High Heels and How to Avoid Them

0010000628 (Judith Sullivan) — Tue, 28 Mar 2017 15:41:59 GMT

Author/Blogger Reggie Simpson

01 Dec 2015

'Tis the season ... don't suffer

Whether you work in a formal environment or just have an eye for high fashion, you probably have at least one pair of high heels in your wardrobe. But how often do you wear them?

Which conditions could high heels cause?

There are a number of conditions that could occur as a result of high heels. Here are a few of the most common!

Bunions

A bunion is a bone deformity located at the base of the big toe, causing the area to swell.

Muscle or joint ache

The human body was not designed for high heels, so when you wear them it has to compensate. This can often lead to aches and pains in the feet, legs and back.

With excessive wearing of high heels, women may even experience a shortened Achilles tendon, making it impossible to wear flats and causing more discomfort over time.

Foot pains

When you wear high heels, your weight will be balanced on the balls of your feet, putting an unnatural amount of pressure on the area – over seven times as much as when you’re wearing flat shoes!

This extra weight can result in inflammation or even neuroma, as well as corns or bent toes.

How to avoid these issues in the future

A sleek pair of black flats will do just the trick for work while a colourful or embellished pair will look great on the weekend.

As always, be sure to take care of your feet. Stretch and massage them as soon as you take off your high heels.

If you’re concerned about your footwear choices, get in touch with a podiatrist today. Beta Feet Podiatry will be able to give you professional advice on the best shoes for your feet.

Verrucae: Causes and Treatments

0010000628 (Judith Sullivan) — Tue, 28 Mar 2017 15:05:51 GMT

By Author/Blogger Reggie Simpson

01 Dec 2015

Caused by the Human Papilloma Virus (HPV)

You may have experienced a verruca at some point during your life, or maybe you currently have one you’re looking to remove. If so, perhaps you’re wondering what exactly it is, why it occurred and how they can be easily treated. Read on to learn more about the causes and treatments of verrucae and when to seek further advice.

What exactly is a verruca?

A verruca, sometimes referred to as a ‘plantar wart’, is a wart that develops on the body’s plantar surfaces – the soles of your feet. It is often the case that the pressure of walking or standing for long periods pushes the warts into the skin, causing painful bumps on the surface. They can appear either alone, or in a cluster – which are known as mosaic warts.

What are the symptoms of verrucae?

The symptoms of verrucae are easy to spot. You’ll notice a small growth on the foot, which will often have small black or darkened dots on its surface. You may also feel pain whilst putting pressure on your feet.

How can a verruca be treated?

The treatment you choose for your verrucae will depend on their severity, as well as your own personal pain tolerance.

Verrucae will usually go away on their own as a result of the body’s natural immune system, so if you find them to be unnoticeable, you may consider simply waiting it out.

However, if verrucae are affecting your day to day life, it’s important to sort them. There are a number of over the counter remedies available; however, there is no single miracle cure that will work every time, so a little trial and error is to be expected.

How can verrucae be prevented?

Prevention is simpler than the cure, so it’s worth taking the steps to avoid their development:

• Keep your feet protected when visiting communal changing rooms or pools.

• Don’t touch other peoples’ verrucae.

• Don’t share towels with people who have verrucae.

• Don’t pick at your verruca as you may encourage the virus to spread.

• Wear clean socks daily and keep your feet dry.

When should I seek the advice of a professional?

Verrucae are viral in nature, so in most cases, the body will take care of it on its own. However, if you’re continuing to experience verrucae on a regular basis, it’s possible to have them treated with cryosurgery or needling. A professional will also be able to take a look at underlying issues that have made verrucae unresponsive to your previous at-home treatments.

If you’ve tried over the counter solutions only to find them to be ineffective, it may be time to visit a professional for further evaluation and treatment.

If you’re concerned about verrucae or any other foot-related issue, a trained podiatrist can help. Get in touch with Betafeet Podiatry and book an appointment today to ensure your foot problems are diagnosed and treated in good time.

Five common mistakes that could damage your feet

0010000628 (Judith Sullivan) — Tue, 28 Mar 2017 15:01:51 GMT

By Author/Blogger Reggie Simpson

30 Nov 2015

You may not be paying much attention to your feet, so it may come as a surprise that some of the seemingly normal things you do in your day to day life may be causing damage to their overall health.

Read on to discover five common mistakes that can contribute to damage and how to avoid them.

Running Incorrectly

As you run, you land on the supination (outside) of the foot, before rolling to the pronation (inside) of the foot and finally returning to the supination.

Those who over-pronate are affecting the way they land and push off from the ground, which can cause damage to the feet, shins, Achilles tendon, knees, hips and back.

To avoid over-pronating, try to place your foot correctly, buy better fitting running shoes or seek advice from a podiatrist.

Not Stretching your Feet

You may be used to stretching your body before or after a workout, but do you include your feet in the regime? It’s important to include foot stretches to prevent constriction and reverse the damage of wearing tight shoes on your toes.

Stretching will also strengthen your arches, which will lessen your risk of experiencing foot cramps.

Wearing the Wrong Socks

Socks are essential for working out as the foot has more sweat glands than anywhere else on the body. However, it’s important to ensure you’re wearing the correct kind. Choose a synthetic material over cotton as cotton socks are more likely to trap moisture which in turn could cause blisters or even encourage fungal infections.

Frequently Wearing High Heels

High heels can cause pain, bunions, corns or calluses when worn frequently. Try to explore other choices that will complement your wardrobe just as well – a great pair of flats can look just as stylish.

Putting Stress on your Feet

If you’re putting too much stress on a particular part of your foot, you will be at a much higher risk of developing calluses. Common areas include the big toe and the ball of the foot.

Try to avoid placing too much pressure on your feet by wearing comfortable shoes or cushioned inserts, or ask a podiatrist for further advice.

If you’ve been doing any of these without realising how they could affect you, try to consider the ways you could make simple changes and improve the health and condition of your feet.

How weight loss can result in healthier feet

0010000628 (Judith Sullivan) — Tue, 28 Mar 2017 14:45:21 GMT

Author/Blogger: Reggie Simpson

27 Nov, 2015

Losing weight is good for your whole body and mind

Your feet are essentially your body’s platform and are made to carry the weight of your entire body as you go about your day. Therefore, it should come as no surprise that being overweight could result in foot problems.

Having high body weight may lead to painful conditions such as inflammation of the foot tissue, osteoarthritis or tendon inflammation.

You do not necessarily have to be obese to experience these problems. Being as little as 25 pounds overweight could put you at higher risk of foot and ankle issues.

Obesity, however, could heighten the risk even further. When carrying too much weight, the body’s posture can change, shifting the body weight to the wrong parts of the feet.

In addition to pain, inflammation and discomfort, there are several specific health issues that show a link between poor foot health and being overweight.

Diabetes

People who are overweight are at much higher risk of developing diabetes – a condition that may lead to a decrease in foot sensation and a reduced blood flow. This makes the individual more likely to experience smaller injuries that may turn into serious problems if not treated effectively in good time.

According to the NHS and Diabetes UK, there are around 135 patients per week undergoing foot and leg amputations related to diabetes.

Gout

Gout can cause sharp foot pain, most commonly in the toes and joints. The condition occurs when uric acid becomes crystallised and accumulates in the joints. People who are overweight are at higher risk as their bodies produce higher levels of uric acid.

Peripheral Arterial Disease (PAD)

Peripheral arterial disease is caused by a build-up of plaque in the arteries, resulting in a lack of blood flow to the legs and feet. The plaque is caused by fatty deposits and is more likely to occur in those who are overweight.

Prevention

Staying active and eating a healthy, balanced diet will reduce your risk of developing the above conditions and keep your feet healthier in the process.

Many people don’t realise that simply moving around more counts as physical activity that can aid weight loss without putting them at risk of foot injuries.

For those who are significantly overweight, it’s important to begin with low-impact activities.

After taking the steps to improve your physical activities and working with a doctor to improve your overall health, try getting in touch with a podiatrist.

Beta Feet Podiatry can advise on the best shoes for your condition in addition to the correct sizing and support.

Choosing the best winter shoes for your feet

0010000628 (Judith Sullivan) — Tue, 28 Mar 2017 07:39:03 GMT

27 Nov, 2015

Keep your feet cosy but healthy

When choosing your winter footwear, it may be tempting to choose form over function or whichever you feel is the most stylish, but would that still be the case if you knew the risks you were taking?

Here are a few commonly known winter foot conditions that you may wish to avoid.

Blisters

Blisters are a result of friction or repeating rubbing, often when wearing brand new shoes that don’t fit properly.

Common remedies include soap and water, letting blisters heal with time and topical antiseptic on open wounds; however, a visit to the podiatrist’s clinic is always recommended.

Chilblains

Usually related to poor circulation, chilblains appear when the skin has been exposed to a cold, humid environment before being quickly moved to the warm.

These patches may turn into ulcers or lead to infection as the skin becomes dry or cracked.

Chilblains are most commonly found on the toes, especially if the feet already have bunions and/or callouses.

To avoid them, ensure your feet are kept warm throughout the winter and avoid direct heat. Allow your feet to warm up at a steady pace to allow your circulation to catch up.

Morton’s Neuroma

Morton’s neuroma is a result of footwear that’s too tight, causing the bones and tissues to become squeezed against the nerves of the feet.

These pinched nerves will lead to feelings of numbness, tingling or burning and is most commonly felt around the toes.

Raynaud’s Phenomenon

This condition is named after the French doctor, Raynaud, and is also caused by cold weather and its effects on blood vessels.

As with chilblains, the blood vessels in the feet will tighten when exposed to very cold temperatures, causing limited circulation to the hands and feet.

Due to this lack of oxygen and blood flow to the feet, an individual may experience blistering, redness, discolouration or pain. These are the effects of Raynaud’s Phenomenon.

Skier’s Toe

Skier’s toe may be brought on by shoes that are too tight and often Ski boots – hence its name! Ensure that the shoes you wear this winter are roomy enough for your toes, even when you’re wearing socks.

By wearing shoes that fit well and also keep you warm throughout the winter, you should be all set to avoid these painful conditions. Remember, for the best advice, always visit your podiatrist!

How to choose the best running shoes

0010000628 (Judith Sullivan) — Mon, 27 Mar 2017 10:21:39 GMT

Walk before you run

Running is an excellent workout for both the body and soul, helping to promote positivity, aid weight loss, strengthen your joints, keep your mind sharp and add years to your life.

However, before you start, you will need to ensure you have the best running shoes for your feet.

It's not as simple as throwing on any old trainers, as you will need to ensure your feet are healthy, supported and protected as you enjoy your work out.

Take your Biomechanics into Account

If you visit a local running store, you will be able to gain valuable advice from trained staff regarding your foot type, biomechanics and needs.

These professionals will be able to recommend a range of shoes that will work the best for your feet. There are three main types of foot: flat, neutral or high arched. All of these determine the runner's pronation level (the inward rolling of the foot) which is important to take into account whilst running.

Choose the Comfort Level that Suits You

When you are running, ask yourself whether you prefer to feel the responsiveness of the ground beneath you, or a more cushioned experience. These are important factors when deciding which shoes you wish to purchase, as you will need to ensure comfort to get the best out of your run.

Leave Space at the End of your Shoe

As a general rule, you should leave around a thumbnail's length between the end of your big toe and the end of the shoe. This may require you to go up half a size from your usual to allow for the extra space.

The space is necessary due to the tendency of the feet to swell during exercise or running. By sizing up, your feet will still be comfortable and able to breathe despite any swelling that occurs.

Run Around the Store

Don't worry about looking ridiculous -- they are used to seeing it! The best way to 'try before you buy' is to take a little jog around the shop and see how the shoes feel. If they don't feel right, try a few more pairs as different makes vary. If they are comfortable and meet your needs, go right ahead and make the purchase!

Replace your Shoes every 300 - 500 Miles

Buying new shoes frequently may seem excessive, however it's necessary to protect your feet. Worn down running shoes are often a cause of running injuries due to the lack of stability, shock absorption and cushioning.

If you are starting to feel aches and pains after your run, it's probably time to invest in a new pair.

Remember, there is no universal 'best running shoe', so it may take a little time to find your perfect match. Take this advice into account and head off to your local sports store to try on a variety of models.

Once equipped with your ideal shoe, you'll be ready to go!

240920db

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The Diabetic Foot

Diabetes and How It Affects Your Feet

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We want to reassure both staff and patients that their safety is paramount, and, in line with our colleagues in England, Scotland and Wales, we support the use of PPE when carrying out face-to-face consultations with patients.

The Challenge of Seamless Care for the Aged in a Pandemic World

We are treating in our practice

We have been advised that we can now ease our restrictions on the type of patients that we are treating in our practice

Open

New guidelines from the College of Podiatry

How do I do a video consultation with my Podiatrist?

How it works: Your practice will let you know that they would like you to do a video consultation Your Podiatrist will then send you a text message with a link to load your video consultation. It will look something like this:

Podiatry Home Visits for those Self-Isolating

General foot and nail care at home

We remain open for business, and here for you!

Following advice from the College of Podiatry

Coronavirus

What should I know or do?

Spreading the word about foot health with National Feet Week 9th – 15th March 2020

Encouraging people of all ages to prioritise foot health.

Footcare for those living with diabetes

Recall Guidelines and NICE Guidance

RAYNAUD'S AWARENESS MONTH 2020

HOW PODIATRY CAN HELP

SWIFT MICROWAVE THERAPY FOR VERRUCAE SWIFT MICROWAVE THERAPY FOR VERRUCAE

Exciting New Treatment at Betafeet Podiatry Exciting New Treatment at Betafeet Podiatry

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Caring for your feet

Follow these tips to keep your feet in great condition.

Accredited Podiatry Practice

International Podiatry Day - A Celebration of Podiatrists All Around The World

Walking

How walking impacts on the foot

Baby First Shoes

Sweaty Feet

Athlete's Foot

What is athlete’s foot?

Blisters

What are blisters and what causes them?

Corns & Callus

What are corns and callus and what causes them?

Understanding Rheumatoid Athritis

Mental Health Awareness Week

13-19 May 2019

National Bunion Day 25 April

Sponsored by Bliss Shoes

Foot Health Awareness

Put your best foot forward this Foot Health Month (April)

Podiatry and Type 2 Diabetes

NHS Diabetes Prevention Week 1-7 April 2019

World Cancer Day 4th February 2019

(Cancer and the Feet)

Healthy Feet and Nutrition ...

… a New Year’s Resolution you can stand by!

Give the gift of happy feet ...

no, not the film!

Foot Health Research Survey

Informing the future of foot health care provision

Name Changer - Game Changer

Society of Chiropodists and Podiatrists Becomes College of Podiatry

World Diabetes Day

Home Visits

Focus on Betafeet treatments

Focus on Betafeet Treatments …

… nail surgery revisited

The Diet Rollercoaster …

... are we being taken for a ride?

Chronic Diseases

Mind your feet

Feet accompli

Betafeet wins website blog award

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Your feet are amazing

Foot Health Month

Local podiatrist supports UK’s Foot Health Month

UK data privacy law is changing …

… and you are the beneficiary!

'Toes-ty tidings ... and mistle-toe'!

How it works:

Your practice will let you know that they would like you to do a video consultation

Your Podiatrist will then send you a text message with a link to load your video consultation. It will look something like this: