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SKIN CONDITIONS OF THE FEET

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Corns - Callous - Cracked Heels - Verrucas - Warts - Blisters - Rashes - Ulcers - Cysts

Verrucas and Warts

Verrucas are simply warts that occur on the sole of the foot and are squashed so they look a little different. They are caused by the human papilloma virus and are easily picked up off wet floors. They are commonly caught in the changing rooms at gyms and swimming baths. 

They are usually harmless and naturally resolve when your immune system realises they are there and this can provide long term immunity.

However sometimes they grow into hard lumps which can be painful to walk on or start to spread so they need treatment.

Thanks for treating my daughter’s verrucas. The verrucas were removed in just two sessions using the freezing method. The lady chiropodist was fantastic with my daughter. She put her at her ease and the treatment was very successful. We would highly recommend this practise
Lynda
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Treatments

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We have several methods of treating verrucae and warts.
Caustic chemicals and waterproof tape are the simplest methods of treatment but can take time and need to be consistently applied.

If it isn't too big or established freezing is usually effective. It normally requires three or four treatments. 

Some verrucae can be very resistant to treatment particularly if they have been growing for more than six months, had previous treatment or are more than 10mm in diameter. For these we use Needling or Swift Microwave.

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Needling is carried out under local anaesthetic and involves repeatedly pricking the verruca to introduce the virus to the immune system thereby stimulating an immune response.

Swift Microwave Technology is the latest method of treatment for resistant verucae and warts. Developed in Scotland it is highly effective at treating those lesions that have returned or resisted previous treatment. It not only destroys the infected skin but stimulates the immune system directly. Treatment is normally with a course of three applications four weeks apart. It can be painful but is very quick.

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FOR MORE INFORMATION ON HOW SWIFT WORKS CLICK HERE

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After having had a verruca for the last five years I have tried everything to get rid of it. I have tried having it frozen, I have tried depriving it of air by tape and nail varnish. 
By the time I visited Twickenham Health Care, the verruca now the size of a fifty pence piece was painful to walk on. 

I had Swift treatment on three occasions, it was painful but worth it. I am so delighted that I no longer have any sign of a verruca.

I cannot express my joy at finally being verruca free.

Congratulations to the Juriansz team.

Mrs C Boyle

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Corns and Callouses

Callouses are areas of hard skin. They form as a result of pressure and friction. The skin hardens to protect itself. Most people have a little callous on their feet which is harmless. It is only a problem if it gets too thick or cracks and starts to hurt.

Corns are small areas of concentrated callous. They form under or over pressure points; between the toes; on the toes; on the sole of the foot and even in the grooves of the toe nails. The pressure usually comes from footwear. They can be very painful and if untreated can breakdown underneath becoming an abcess and ulcerate.

Treatment involves straightforward removal of the hard skin down to the healthy skin. The concentrated core of the corn is cut away and relief should be almost immediate. Padding may be needed if the area is inflammed. Ideally the source of the pressure can be found and footwear changed appropriately or gait (walking assessed) and improved with exercises or supports if necessary. Otherwise the callous and corns will gradually regrow. 
Sometimes the best treatment is simply to regularly pare down the callous to keep it comfortable. 

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Cracked Heels

Cracked heels occur when heavy callous (hyperkeratosis) gets too thick and dry. It is often associated with open backed sandals which put a lot of stress on the skin on the back of the heels. They can split deeply causing bleeding and severe pain.

Treatment requires the callous to be removed as much as possible and the rough skin smoothed down. The edges of the fissures can be taped together and strong emollients applied to soften and sooth the skin.

Blisters


Blisters occur when there is too much friction on the skin. Badly fitting footwear or new shoes with hard inner surfaces can rub. The skin seperates forming fluid filled bubbles which can burst and if rubbing continues become sores. Socks can protect the skin and strapping can help it to heal.

Treatment if it is painful it usually means the fluid is under pressure. Using sterile equipment it can be drained and dressed safely to avoid infection allowing rapid healing.

Ulcers

Ulcers are breaks in the skin which are weeping fluid, inflammed and painful. If they are not healing there is often an underlying problem with blood circulation. 


Treatment tests for diabetes and a general assessment of circulation may be carried out. The ulcer can be cleared of dead tissue and dressed with special dressings to help healing. It will need regular redressing until healed.


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