General Foot Care

Including nail disorders, dermatological pathologies, neurological issues.

Nail Disorders

Our chiropodist provides nail care for all types of patients, including:

1. Diabetic routine nail care helps to prevent most diabetic foot complications, provides diabetic foot care education, and treating wounds/ulcers. See diabetic footcare for more info.

2. Fungal toenails happens when the nails are infected by different types of fungal organisms. Treatments include drilling, cutting & filing, prescribing topical antifungal medications, Lacuna method, and Total Nail Avulsion [surgical procedure which involves removing the infected toenail(s), see soft tissue procedures for more info].

3. Routine Nail Care are available for all age range patients, helps preventing ingrown toenail, fungal infection, nail deformities, and patients who have difficulties reaching down to cut their own toenails.

4. Ingrown toenails happens when the nail grows into the sides of the sulcus, it could be from trauma to the toenail, trimming the toenails too short, tight and narrow footwear, congenital, and genetic. Routine nail care helps to manage the growth of the nail, relieves pain and discomfort, prevents wound and infection. For long term solutions, surgical options are available. See soft tissue surgeries for more info.

Callus and Corns

Callus and corns are thickened hard skin on the foot, due to repeating friction and pressure on certain areas. A biomechanical assessment and gait analysis from our chiropodist might be required to find out the cause of it.

In terms of treatment, debriding and enucleating all these thickened hard skin on the foot helps to reduce excessive pressure and friction on the foot, and hence reduce discomfort/pain while weight-bearing. This also helps diabetic patients to prevent wounds/ulcers.

After the removal, our chiropodist will also help offloading the pressure/friction on these areas by providing footwear advise, moisturizing cream or compounds application, padding & strapping, custom orthotics, orthopedic shoes. See medical products for more info.

Plantar Warts/Verrucae

Plantar Warts/Verrucae are HPV (viral) infection in the skin. The virus normally enters the skin from small cuts on the feet. They usually locate on highly weight-bearing areas.

In terms of treatments, our chiropodist will first debride the built up thickening skin on top of the warts, then there will be options of applying different types of topical chemicals, offloading, and surgical procedures such as Faulknor's Needling and excision. See soft tissue procedures for more info.

Other Dermatological Conditions

Our chiropodist will also assess and provide management plans for other skin problems such as dermatitis/eczema, Athlete's foot/fungal infection, psoriasis, anhidrotic skin and heel fissuring,...etc. Management plans including topical medication prescriptions, cream/compound application, debridement, wet wrap therapy, and referrals.

Circulation problems

1. Arterial problems such as blood flow, cold feet, blockages, chilblains, raynaud's, COVID toes, PAD could cause some serious complications to the feet. To prevent them, it is important to make management plans. Our chiropodist will assess the arterial supply on your feet by palpating the pulses and using an ultrasound vascular doppler to hear the pulses.

2. Venous insufficiency happens when the blood do not flow back up to the heart. Our chiropodist will assess and provide education, compression therapy/compression stockings (see medical products for more info), and make referrals.

Foot Joint Mobilization

Stiff joints can cause by previous trauma, age/degeneration, post surgery, and some certain medical conditions. Our chiropodist will first conduct a biomechanical assessment and gait analysis to check the range of motion in the joints of your foot. Regular subsequent visits for foot mobilization helps to increase the range of motion helps with stiff, and painful/discomfort joints.

Foot Neuropathy

Neuropathies affect the nerve fibers and the main types of neuropathy are sensory, motor, and autonomic neuropathy. There are many causes, including diabetes, trauma, hereditary, and some certain medical conditions.

It is important for our chiropodist to conduct a neurological assessment to find it out and prevent some serious complications. Management include education, and referral for nerve conduction test/medications/acupuncture.