Available Treatments
Treatments by Rachael Meecham Podiatrist and Louise Garigan Foot Heath Practitioner
- Nail care (toes and fingernails)
- Diabetic foot checks
- Foot health assessment
- Ingrown toenail – conservative treatment with louise surgery option available with Rachael Podiatrist.
- Fungal nails - thickened/fungal nail reduction
- Corn and callus - removal and protection
- Cracked heels - reduction and future care advice
- Doppler test
- Footwear advice
- Relieving pressure areas with making silicon props
Treatments by Rachael Meecham Podiatrist
- Skin surgery (surgical removal of growths, moles, verrucas on the foot)
- Map my mole (checking moles service)
- Nail surgery (including Frost, Fowlers, Winograd, Labiaplasty Bose and Vandenbose procedures.
- Foot pain including education and treatment
- Insoles
- Nail reconstruction
- Curacorn (dermal filler treatment to prevent painful corns, callus and fat pad atrophy)
- Domatoscope
- Verruca treatment faulkners needling, verrutop or surgical removal.
- Provided antibiotics
- Onyfix nail straightening
S. R Foot and Ankle Clinic
Common pathologies treated by Richard and Sean are foot, knee and ankle pain. Plantar Fasciitis, Achilles Tendonopathy, Neuromas, Bunions, Tibialis Posterior Dysfunction, Sports injuries, and many more.
- Bio-mechanical Assessment
- Insole and orthotic prescriptions including 3D printed
- Rehabilitation and stretching programs
- Gait Analysis
- Strength and Conditioning Programmes
- Foot wear advice.
- Sports rehabilitation
Assessment up to an hour appointment £100
Curacorn
What is Curacorn®
Curacorn is dermal filler product originate in the UK which was first used with footballers to give longer-term relief from painful lesions. It’s made from highly viscous form of Hyaluronic Acid. This established aesthetic procedure uses specialist dermal filler specifically tailored for the foot. The hyaluronic acid filler provides a cushion inside the skin between the joint and the skin immediately under a painful pressure lesion such as corns and callus. This creates a reduction in pressure over these areas and decreases the production of callus and corns caused by friction. Therefore, Curacorn can be effective with people with diabetes and rheumatoid arthritis from foot ulceration. It’s found success in providing lasting relief, restoring comfort and reduce the need for regular treatments.
Hyaluronic Acid how does it work
Hyaluronic Acid is a naturally occurring substance found in the body. Once administered into the foot, it provokes the formation of collagen and draws fluid to the area, creating a natural cushion. The Curacorn product uses the highest viscous formation of hyaluronic Acid. Which has been tried and tested as an injectable into the foot and proven not to disperse under the pressure of walking or forces impacted on our feet from footwear. This comfortable natural cushion effect can last up to 18 months before the body will naturally dissolve the product.
Who might benefit from Curacorn®
Curacorn® works best in areas where there is some laxity of skin around the lesion.
Patient who can benefit from Curacorn include;
- Those with painful callus
- Patient with thinning of the natural fatty padding area in the ball of the foot, which has exposed the joints to high pressures when walking, patients often say it feel like you are walking on pebbles.
- Those with painful corns in-between the toes, on top of the toes or the outside of the little toe.
- Those with heel pain due to loss of fatty padding, which unfortunately is naturally occurring as we age.
- Those who play sports, including high-impact sports, such as running and football.
- Those who spend many hours on their feet through hobbies or work suffer from painful pressure areas foot.
Contraindication (is it safe?)
Curacorn should only be administered by an HCPC registered podiatrist who has completed the training.
Hyaluronic Acid is a naturally occurring sugar that is present extensively under the skin giving our skin that ‘plumpness’. it has very few side effects and is very safe to use, even on patients with Diabetes and Rheumatoid Arthritis.
Dermal filler used is FDA-authorised and approved.
Dermal Fillers are low-risk and minimally invasive Side effects are rare but can include:
- Reaction to mepivacaine, the local anaesthetic used. Please advise if you have a sensitivity.
- Post-operative pain lasting a 4-7 days
- redness, swelling in the area of administration
- reaction to the filler is very rare.
Not suitable for and cautions
This treatment is not suitable for:
- Transplant patients
- Pregnancy, planning a pregnancy or breastfeeding
- Under 18 years olds
- Patients on cancer treatment
- Sports person have to be alerted to the fact this product contains an active compound which may lead to a positive reaction to doping test.
- Previous injection of permanent products (silicone, acrylic polymers, dextran)
- Unsealed skin
Cautions
- History of autoimmune disease
- Pathology (herpes,acne,rosacea)
- On anticoagulants
What to expect
Appointment 1: Patients will be assessed during a new patient appointment or in the case of an existing patient their routine appointment, where we will take a full medical history, and assess your suitability for treatment. This will also include a full Vascular and Neurological assessment.
If you are a suitable patient a consent form will need to be signed
- the lesion will be photographed
- debrided
- A small amount of local anaesthetic is injected prior to the area to make the procedure as comfortabe as possible for you. We will then administer the Curacorn®️
You can not walk on the treated foot for 24hours you cannot drive or drink alcohol for 24 hours
Appointment 2: 2-3 weeks later you need to return to re-assess and if required a top up treatment will be administered the same procedure.
Appointment 3: 1 month on after the 2nd appointment we will see you again to further assess and top up if required.
Cost
Small corns on the toes £100 per treatment per site
larger corns/ callus/ fat pad atrophy on the forefoot or heels £130 per treatment per site.
To get the full desired effect from Curacorn 3 treatments are typically required over a 2 month period.
Onyfix
THE ONYFIX NAIL CORRECTION SYSTEM
The Onyfix nail correction system is a versatile and innovative product that enables completely painless treatment of almost all forms of involuted and ingrown toenails.
Onyfix fixes it to your nail, which is then brought back into its natural shape as it grows. The whole process is pain-free, during application and throughout the entire treatment!
How it works
The principle of the Onyfix nail correction system is to bring an involuted or ingrown nail back into a natural shape through normal growth without any tension or pain, following more or less proximal application of the Onyfix nail correction system using a hardened composite. First Rachael will prepare the nail prior to application. The Onyfix composite is then spread on the nail and shaped correctly. After the composite has hardened, the nail correction system fixes the nail in its proximal shape without any tension.
The Onyfix nail correction system ensures that this shape is retained as the nail grows naturally. When the treatment reaches the end of the nail Rachael will remove it a process that is also pain-free. This process can be repeated if required and up to 4 bands can be used.
The benefits of Onyfix
The benefits of Onyfix
The benefits of Onyfix
- Pain-free treatment
- Rapid pain alleviation
- Corrects the nail through physiological nail growth
- Effective without exerting force on the nail
- Combinable and individually adaptable system
- Effectiveness confirmed by a study
- Particularly suitable for those with diabetes
- No restrictions on patient activities (incl. swimming/sauna)
- Nail polish can still be used
The benefits of Onyfix
The benefits of Onyfix
It can not be used
If a haematoma is present
If exudate is present
If there is an open wound.
Cost (for treatment in your own home)
£25 PER BAND plus your appointment time.
Standard appointment cost 30min appointment plus £25 per band
New patient initial assessment 1 hour appointment including standard treatment/assessment plus £25 per band
Extra bands at the same appointment on different nails £25 each.
Nail reconstruction
Medical Nail Reconstuction
Toe nail reconstruction is a cosmetic procedure where as a Podiatrist I can create a new non permanent gel nail over your existing nail.
Toe nail reconstruction is suitable for those that have:
thickened nails
damaged nails
fungal nails
split or cracked nail or if your not happy with the appearance of your fingernails or toenails.
The product used is LCN Wilde-Pedique Silver Plus as it is especially designed for toenails due to its high occlusion ability and its flexibility; it contains an anti-fungal agent and is ideal for cosmetically treating fungal, damaged and unsightly nails. Available in 4 colours, to build a very natural looking nail. Your be amazed at how great your nails look.
What to expect
First of all the original nail needs to be prepared. Rachael will trim and thin down the nail as much as its safe to do so.
The nail is then cleaned ready for application
The first layer applied is a fungal treatment
Then second layer is a bonding agent to help the new nail stick to the original nail and nail plate.
Then multiple layers of the gel is applied to get to a shape and appearance that pleasing to look at. Each layer is cured with a LED light to harden.
The new nail is then filed and trimmed to a suitable thickness. Once your happy with its appearance the final layer is applied to make it strong and last.
How to treat your new nail
You can treat the new nail the same as your original nail it can be cut and filed.
You can paint your new nail with nail varnish and use nail varnish remover but make sure its not one that contains acetone.
FAQ
It may need reapplying every 4-6 weeks depending on nail growth.
Acetone removes the gel.
I don’t recommend going into a hot tub or swimming for too long as may reduce the products durability.
Costs
£60 plus £5 per toe nail that needs reconstruction.
to come clinic appointments
nAIL RECONSTRUCTION PICTURES
verruca treatment
Verrutop
Verrutop is a new treatment in the UK and is a Class 2A Healthcare Product, which should only be used by a qualified medical professional.
It is a topical solution based on a unique combination of three organic acids, lactic, acetic, and oxalic, which are combined with copper and zinc salts plus nitric acid to produce “Nitric Zinc Complex”.
How does it work?
Verrutop in a unique combination of three organic acids, namely lactic, acetic and oxalic which are combined with copper and zinc salts (accelerants) plus nitric acid to produce “Nitic Zinc Complex”. Verrutop is not a caustic agent, instead its combination acts together to produce nitrites, which denature viral proteins and desiccate the verruca, leaving intact epithelium behind as if the verruca had not been there.
The Research
A study involving 200 patients with 766 verrucae demonstrated an 89.3% clearance rate within 6 treatment sessions.
The average amout of treatments needed is 3
What can I expect if I have Verrutop treatment?
Patients will always be booked in for an assessment by Rachael where the treatment plan will be discussed. The surrounding tissue will covered in a barrier cream (Vasiline) an devitalised tissue will be debrided to aid absorption.
Verrutop is applied to verruca via a small capillary tube. The surface of the verruca is covered in the solution. The verruca may change colour and appear a white/yellow colour. Patients will be advised to apply surgical spirit to the verruca twice a day between treatments to aid the process. The process will be repeated every two weeks up to a maximum of six sessions.
Is the treatment painful?
The treatment in the vast majority of cases is painless. Some patients may experience a slight tingling or burning sensation. If this is the case, it is short term.
Verrutop is a safe topical treatment.
VERRUTOP SHOULD NOT BE USED ON
- On healthy skin
- On tumours, keloids or flat warts
- On children under the age of 6 years
- On women who are pregnant or breast feeding
- On patients with impaired circulation or sensation
- On patients already using other topical treatments
- On patients already undergoing other skin treatments, e.g. skin cancer
cost £65 per treatment
