Following The Quadrant© Assessment, routine podiatry (formerly chiropody) treatments can be carried out. This treatment is suitable for all feet; young and old. Research indicates that 9 out of 10 people experienced a foot pathology before the age of 30.

❖  Routine Podiatry treatments are delivered by our podiatrists and when appropriate by the footcare assistant under the directive of a podiatrist.

Biomechanical assessments, gait analysis and tailored rehabilitation.

Bespoke functional foot orthoses.

Sports medicine specialises in preventing, diagnosing and treating injuries related to participating in sports and/or exercise, specifically the rotation or deformation of joints or muscles caused by engaging in such physical activities.

The foot's role is to support the body and enable locomotion.

Part of its natural function is to act as a shock absorber, afford support, adapt to terrain and enable propulsion.

Adequate and correct foot function is paramount for healthy feet and lower limbs, to remain active and comfortable, improve performance and minimise the risk of injury.

It is an essential tool for any athlete.

Specialist approach to the developing foot.

The target is the detection, treatment and correction of early foot deformity to ensure optimised Paediatric foot health and development.

Several musculoskeletal conditions could lead to lower limb pain and dysfunction which is associated to poor posture of the feet and legs (biomechanical dysfunction).

This may be effectively treated with the use of bespoke functional foot orthoses. Addressing the root cause of musculoskeletal conditions may facilitate the alleviation of symptoms and aid in the prompt resolution of these, as well as prevent recurrence and enable you to return to normal daily activities without delay.

Lower limb dysfunction may result in musculoskeletal pain - heel, arch, bunions, digital deformities, flat or high arched feet, knees, hips and lower back.

At The Foot Clinic, Marylebone we can perform biomechanical assessments, gait analysis and tailored rehabilitation.

Do you suffer from any of these conditions?

Lower back Pain Low back pain is a common disorder which can involve muscles, nerves and bones of the back. Mechanical back pain can be a result of altered gait as we get older with poorer core stability. This can be identified following a biomechanical assessment and gait analysis. Re-education and use of orthoses to improve stability and function achieves good results and improves quality of life for the individual.

Knee Pain Pain in the knee can result from an overuse injury which will lead to tendonitis. A sudden knee injury can cause a torn ligament or tendon. Arthritic changes and bursitis are common reasons for knee pain in the older adult and may be related to poor function.  A biomechanical assessment and gait analysis will identify whether any structural fault is the cause of the knee pain and orthoses can be used in the treatment. These will reduce the loading and the forces going through the knee by changing your walking pattern. Knee pain can also be the result of patella inadequate “tracking” where the knee cap does not run smoothly in the groves on the front of the knee. Muscle strengthening exercises and orthoses to reduce the forces and loading are the treatment of choice.

Shin Splints Also known as medial tibial stress syndrome, this is the term to describe pain along the inside of the shin. It is an overuse injury and can progress if left untreated. Poor mechanics, poor core stability and foot pronation (flat feet) are factors causing this condition. A full assessment and gait analysis will identify the main causes with recommended treatments including orthoses, physiotherapy and shock wave therapy.

Achilles tendonopathy The Achilles tendon is a large tendon located at the back of the heel and connecting your calf muscles to the heel. Achilles tendonitis is inflammation of the Achilles tendon, this may be acute or chronic, this large tendon is a common site for overuse injury in runners. A full assessment and gait analysis will identify any dysfunction and the most appropriate treatment such as orthoses. Other therapies that may be recommended include physiotherapy and shock wave therapy.

Ankle pain Acute ankle pain is usually caused by an injury such as a ligament strain. This may have occurred due to instability of the ankle and poor alignment of the foot and leg. A biomechanical assessment and gait analysis will identify any biomechanical dysfunction and orthoses may be advised to stabilise the foot and prevent future problems.

Heel pain A common cause of heel pain is Plantar Fasciitis (inflammation of the fascia that joins the heel to the ball of the foot). Symptoms will often present as a sharp pain in the heel, particularly first thing in the morning when you put your feet to the ground. Plantar Fasciitis may result from biomechanical dysfunction which can be diagnosed following gait analysis and assessment. Treatment may include orthoses to reduce the stress on the fascia and in more complex cases further investigations and referral for advanced technologies such as shock wave therapy may be recommended. However, there are many other reasons and conditions manifesting as heel pain. Thus, not all heel pain is plantar fasciitis.

There is ample and up to date evidence recommending podiatric involvement  to screen, protect, prevent and manage the foot health of people with chronic long-term conditions.

Is a minor operation carried out under local anaesthesia. It is the treatment of choice when conservative care has failed and recurrent pain and infection arises.

Your medical history, pharmacotherapy and special requirements would be evaluated to ensure the treatment is bespoke.

Following a thorough discussion regarding intended benefits, risks and possible complications associated with the surgery as well as the post-operative requirements a consent form will be signed.

A surgery date will be arranged and post-operative review appointments scheduled.

Written information will be provided to further read and reflect upon.

Are plantar warts that frequently manifest on the soles of the feet or around the toes- they look like a small cauliflower-type growth on the soles of the feet with tiny black dots. If the site is pinched it is painful. Verrucae are the result of a viral infection from the Human Papilloma Virus (HPV), which can be transmitted from direct contact  from person-to-person contact.

Verrucae are cases by the HPV virus which thrives in moist and damp environments such as swimming pools, changing room floors and communal shower areas. It is possible to contract verrucae simply by walking barefoot across the same floor area as someone with a verruca. Skin breaches or abrasions may be present and these could be small or invisible cuts and provide a portal of entry for the virus.

Verrucae are frequently seen in active individuals who use communal changing rooms such as children, teenagers and young adults.

It is possible to develop an immunity against the virus over time but most people remain susceptible, although some more than others.

Verruca can grow to 1cm in diameter and may proliferate into a cluster of small warts.

Verrucae are harmless but can be uncomfortable and painful if they develop on a weight bearing part of the foot. In addition, hard skin (callus) can form over the top of the verruca, increasing the discomfort in this area. There are also some strains of the virus that spread very quickly and can look unsightly.

Treatment

In the first instance, avoid touching or scratching a verruca as it may spread into a cluster of warts. Instead, cover it up with a plaster. In many cases, evidence suggests that verrucae will disappear of their own accord within six months for children but longer for adults (up to two years). This is because the body’s immune system recognises the presence of the virus and fights the infection naturally but it can take many months for this to happen. If it is painless, no treatment may be required as some treatments can be painful especially for children and can cause side-effects.

For painful and/or unsightly verrucae or ones that are spreading, you can self-treat using ointments and gels from your local pharmacist following the instructions carefully. Sometimes, merely by rubbing away the dry skin over a verruca and applying a plaster helps to stimulate the body’s immune system to fight the infection. However, if your verruca becomes unusually painful or the surrounding skin area goes red, stop treatment immediately and see a podiatrist. This is because if the healthy tissue around a verruca is damaged, you could hamper further treatment.

Treatments provided by a podiatrist involve an assessment of your general well-being and foot health before deciding on a treatment plan. This may include:

Acid-based treatments, which are stronger than regular ‘over the counter’ (OTC) treatments from your local pharmacy
Cryotherapy, which involves freezing the verruca with liquid nitrogen or nitrous oxide gas
Electrosurgery, which requires a local anaesthetic to be given
Excisional surgery, which is similar to the above
Laser surgery, particularly for larger areas of verrucae.

Two newer treatments that your podiatrist may offer are:

Microwave therapy, where the verruca has a microwave pulse sent through it
Needling, where the entire area of the verruca is pricked with a needle to stimulate the body's immune system.

You should see a podiatrist for the management of verrucae if you have diabetes or poor circulation, are pregnant or have any other condition affecting your feet (or your immune system), it is important never to treat a verruca yourself and instead visit a podiatrist. 
If you are worried about your verruca and/or self-treatment is not working and/or the verruca appears to be getting larger or more painful, visit 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.

Our podiatrists are registered with the Health and Care Professionals Council (HCPC).

Local anaesthesia could be administer to selectively numb area and aid in differential diagnosis.

Steroid injections could be  beneficial to alleviate pain and inflammation from degenerative joint disease amongst other conditions.

Intra-articular hylouronate injection-OSTENIL® is a solution that may be injected into the space in the joint that contains synovial fluid and works by restoring the normal balance between the breakdown and production of sodium hyaluronate.

OSTENIL® is usually given as a course of 3 injections over a period of 3 weeks.

Investigations such as x-rays, scans, swabs and blood test may be required as part of your treatment.

A: The Marylebone Foot Clinic

31 Harcourt Street, W1H 4HU

T: 020 7046 7824

M: 0795 7621 480  |   0777 1962 431

E: info@themarylebonefootclinic.co.uk

At The Marylebone Foot Clinic, the health and safety of our people and patients is of the utmost importance.

What we are doing to keep you safe:

We are continuously monitoring developments in respect of COVID-19 and are following the advice and guidance of Public Health England, the Government and The College of Podiatry.

We have ensured all patient’s are pre-screened before attending appointments, which have been scheduled in advance.

The questions include:

Your age, medical history and pharmacotherapy.

Do you have a continuous cough?

Do you have a high fever?

Do you have a loss of tase and smell?

Have you had diarrhoea?

Have you been in contact with anyone who has the above mentioned symptoms?

Have you travelled in the last 14 days?

When your appointment is booked, upon arrival to our premises we will ask you to:

Use the provided hand sanitiser, put a face mask on and wash your hands.

We will take your temperature, which should be 36.5 - 37.5 degrees Celsius / 97.7 - 99.5 degrees Fahrenheit (on average). To prevent disappointment it is also recommeneded you take your temperature before leaving home. Patients found to have an elevated temperature will be asked to go home monitor temperture for the next 48 hours and self-isolate.

All appointments are scheduled with at least 30 minutes between each patient- this aims to promote and facilitate social distancing and reduce any bioburden and risk of transmission.

The clinic floors and surfaces will be cleaned and disinfected between appointments.

Appointments can be scheduled following a telephone or live video consultation and questions pertaining to the corona virus will be asked as well as those pertaining to your foot ailment before the appointment can be booked.

You will be asked to sign a consent form for receiving face-to-face treatment during the Corona Virus Pandemic Period. Please note and be aware that privacy and confidenciality is of the utmost importance to The Foot Clinic. However, in the event that a patient attending the premises came into contact with someone who has developed Covid-19 during their visit- including the clinician, their information would have to be disclosed to the test and trace service and this may require a compulsory 14 day isolation period.  

What we would like you to do to help us reduce the risk: Communicate openly during your telephone consultation (prior to attending the clinic).

Use a tissue when coughing and sneezing. discard the tissue.

Wear a face mask or face covering as per Goverment and Public Health England recommendations. A face mask will be dispensed upon arrival to the clinic, this should be worn during your treatment.

Use the hand sanitiser or washing your hands regularly and thoroughly with soap and hot water or using a sanitiser gel.

If you feel unwell, stay at home, contact us and avoid coming to the clinic.

We encourage all patients to continue to follow advice from Public Health England and to go online to 111.nhs.ukor call NHS 111 if you think you may have the virus.

Conditions

High Risk Feet

Self-care

Footwear