Neuro vascular assessment

June  2018 is Foot Health Month and at the Theale Wellbeing Centre we take foot health very seriously and in order to ensure that we provide as thorough a service as possible we will be carrying out a Neuro vascular assessment on our patient’s blood and nerve supply to the feet.

From June all new podiatry/chiropody patients will have the quality of the blood supply in their feet assessed using ultrasound technology. This will help to ensure that the circulation to the feet is adequate. The nerve testing will check that the feet are experiencing normal sensations and respond appropriately to external stimulus.

All testing is completely pain free and may help to identify possible issues such as diabetes , an irregular heart beat, greater risk of falls etc so that appropriate action can be taken to ensure your continued wellbeing.

Lloyd Clark-Morris

Podiatrist / Director

What is the best treatment for a verruca in Reading?

What is the best treatment for a Verruca in Reading?

Most existing verruca treatments are painful and usually have a poor success rate.

Although there are many different proprietary brands for treating Verrucas  at The Theale Wellbeing Centre near Reading we use the SWIFT microwave treatment. This new treatment applies localised heat energy to help destroy infected tissue. With treatment times in seconds this method provides a precise and easy way of treating skin lesions. Follow this link for further information.

What is a Verruca or wart?

A verruca, or wart, is a virus that lies between the layers of your skin. At best they are inconvenient but they can become very painful and will often spread as they are highly contagious. They normally appear on the feet or around the toe area and appear as little black spots under hard skin. They are often painful like standing on a needle. There are a variety of verruca treatments as discussed below.

While some verrucas are painless and may go away on their own they can often become very painful and take months or years to go if they do at all.

What to do next

Call us now on 0118 930 3535 to make an appointment with one of our experienced prodiatrist for an assessment of your foot problem.

How can I get help with fungal nail infections in Reading?

What is a fungal nail infection?

Many people suffer from fungal nail infections (Onychomycosis) which can leave toenails discoloured, thickened or crumbling. While there is medication available to help fight the infection there can often be side effects that deter GP’s prescribing them. Over the counter solutions can be effective but are usually unable to get to the fungus which usually sits on the nail bed itself underneath the nail.

How can a fungal nail infection be treated?

The podiatry and chiropody team at The Theale Wellbeing Centre near Reading are excited to be adding yet another new and innovative treatment to their ever expanding suite of services – Clearanail Fungal Nail Treatment.

To overcome the problem of the infection being under the nail our team are using a system of Controlled Micro Penetration which safely and painlessly allows our podiatrists to get the anti-fungal agents under the nail and into direct contact with the fungus.

How many treatments will I need?

Typically the treatment will consist of three appointments. Treatments are carried out by one of our fully qualified and experienced podiatrists/chiropodists.

What happens at the appointments?

The three appointments:-

1st appointment

  • Initial assessment including confirmation of likely fungal infection of nail.
  • Nail sample taken to confirm fungal infection.
  • Nail preparation usually including gentle reduction of the nail
  • Photograph to help assess progress
  • Clearanail treatment involving painless drilling of tiny holes into infected nail
  • Instructions on daily treatment protocol for best results

2nd appointment (week 8)

  • Nail reduced
  • Photograph comparison
  • Drill further holes if necessary

3rd appointment (week 16)

  • Review with additional photo
  • Treatment ends.

How can I find out more?

For more information about the Clearanail system please contact us at the Theale Wellbeing Centre near Reading and speak to one of our podiatrists or follow this link to the Clearanail website and more detailed information.

Reading Bug Display Saturday 23rd June 2018

Even More Beasties

To celebrate National Insect Week we are holding another bug display – curtesy of our hypnotherapists, Ed Francis – with  beautiful beasties and incredible insects at Theale Wellbeing Centre.

EDUCATIONAL AND FUN FOR AGES!

With an even bigger variety of beasties for you to see, this popular event will be both educational and entertaining.
Most of the beasties can be handled and we certainly do encourage it as appropriate.

If you have a phobia of of insects or even snakes then we would still encourage you to come along and have a chat to our very experienced therapist who would love to help you.

Bug Display

Suitable for 5 – adult.

ONLY £1 ENTRY FEE PER PERSON.
Stay all day or come and go as you please till we close!

Shiatsu (Japanese Acupressure Massage) – The Video

Shiatsu (Japanese Acupressure) Massage

Our Shiatsu therapist Fiona Carson MRSS asked us to post this video about Shiatsu (Japanese Acupressure) Massage. In the video you’ll hear from patients about their experience and see demonstrations of what is involved with this therapy.

Click here to view the video

This Japanese dynamic hands-on healing system uses the power of touch, pressure and gentle stretching techniques to balance the body’s energy system, our emotions and the functions of our internal organs. It is  based on Oriental Medicine Theory (like acupuncture), Shiatsu (or Japanese Acupressure) massage can help in a wide range of conditions – from specific injuries to more general symptoms of poor health. Shiatsu is a deeply relaxing, yet invigorating therapy and regular shiatsu can help to prevent the build up of stress in our daily lives. Shiatsu is a lovely nourishing therapy to have during pregnancy and can be performed in side-lying position. Many of the stretching techniques employed are very similar to Thai yoga massage.

Benefits of Shiatsu (Japanese Acupressure Massage)

  • Eases tension and stiffness
  • Improves breathing and posture
  • Restores and balances energy
  • Relaxes mind and body
  • Improves circulation
  • Enhances wellbeing

Common conditions helped by Shiatsu

  • Back pain
  • Headaches and migraines
  • Whiplash injuries and neck stiffness
  • Menstrual problems
  • Joint pain and reduced mobility
  • Sports injuries
  • Stress
  • Insomnia
  • Digestive problems
  • Depression/anixety

If you would like to book at appointment with Fiona call 0118 930 3535.

**NEW** Warm Wax Therapy Treatment

Our Podiatry team are delighted to announce a new therapy – Warm Wax Therapy Treatment

Paraffin warm wax heat therapy increases blood flow, tolerance for pain, relaxes muscles & increases hydration in the skin. Intended to moisturise & soften the skin while providing a therapeutic & healing effect to sore and aching joints. Making it particularly beneficial for those suffering from arthritis & rheumatic pain.

Conditions that can benefit from Therapeutic Wax Baths include:-

  • Scar tissue
  • Inflammation
  • Muscle spasm
  • Tendonitis
  • Sports injury
  • Scleroderma

Paraffin wax decreases calluses on the feet while deodorising and soothing the skin. The essential oils intensely moisturise and provide an antiseptic and anti inflammatory action.

Essential oils included in the Paraffin wax:-

  • Lavender
  • Frankincense
  • Myrrh
  • Sunflower Oil
  • Orange
  • Bay Leaf Oil

 

 

Dr.’s REMEDY, Enriched Nail Polish is a line of podiatrist formulated nail care, every bottle is free of formaldehyde, formaldehyde resin, toluene, parabens, and phthalates—all potential carcinogens.

The nail products contain a blend of organic ingredients that help strengthen nails and improve their natural color—without harsh chemicals. Sourced from the highest quality actives, our unique formulation contains nourishing vitamins, natural extracts and essential oils that work together to improve the health and vitality of your nails. Dr.’s Remedy appeals to: •Discoloured & brittle nails •Diabetic friendly •Safe for pregnant women looking to avoid harsh chemicals •Safe for children who wish to limit exposure to formaldehyde •A healthy alternative •Vegan friendly •Not tested on animals

Plantar Fasciitis

Plantar fasciitis is one of the most common injuries that presents to us at the Theale Wellbeing Centre. It is the most frequent cause of chronic  heel pain usually where the fascia under the foot inserts into the heel bone. It is thought to have a mechanical origin and is thought to be associated with increased body weight and lower limb biomechanical anomalies. Inflammation is only rarely observed and so anti-inflammatory agents (e.g. Ibuprofen) are unlikely to be of much help. The priority should be to speak to one of our podiatrists as soon as possible as an early intervention usually leads to a better outcome. When managing Plantar Fasciitis, the following should be considered: –

  • Taping may help in the early stage. If this proves beneficial in terms of pain relief and improved function, shoe inserts (orthotics) should be considered as part of a longer term solution.
  • Calf and plantar fascia stretching should be undertaken regularly.
  • Footwear should be assessed to ensure that it is appropriate for you.
  • If the pain in the heel has been present for a prolonged period e.g. 6 months. Shockwave therapy should be considered.
  • The pain associated with Plantar fasciitis usually encourages sufferers to become more sedentary. As increased body weight predisposes someone to have plantar fasciitis it is important to have a plan that helps to maintain a healthy body weight.

Beautiful Feet for the Summer Holidays

A Recent Nail Reconstruction Service Comment

With his holiday looming and one of his feet recovering from a nasty fungal nail treatment our patient looked for help so that his flip flops wouldn’t be left at home. He booked an appointment to see one of our podiatrists who recommended our nail reconstruction service. He was delighted with the results. Here are his before and after pictures:-

nail reconstruction service

Before the nail reconstruction treatment

 

 

 

nail reconstruction service

Pefect Flip Flop Feet

LCN Nail Reconstruction Service

The Theale Wellbeing Podiatry team are able to provide a Nail Reconstruction Service. This is a technique which involves the application of Wilde Pedique UV gel which is specially designed for toe nails.

Wilde Pedique gel is an elastic gel resin which bonds well with the existing nail and also contains micro silver which has anti-fungal properties. It can be used to disguise nail discolouration, deformity or splitting caused by damage or fungal infection. The finished gel nail is light, flexible and long lasting. It can be left natural or painted with nail varnish.

The Treatments

 

Two appointments may be required. One to prepare the nail and the second to apply the gel. A total of between 60 and 90 minutes will be required to complete the treatment.

Our team offering this treatment include Ali and Mandy to read more about them follow this link to our team page.

Greater Trochanteric Pain Syndrome

What is Greater Trochanteric Pain Syndrome ?

Greater Trochanteric Pain Syndrome (GTPS) is a chronic condition potentially affecting a number of structures around the hip. It is characterised by pain and tenderness over the outside of the buttock and thigh. The pain usually arises from a tendinopathy (tendon injury) in the gluteal muscles. Previously it was thought that the pain was caused by inflammation of a bursa; known as trochanteric bursitis (a bursa is a fluid filled sac which reduces friction between bone and soft tissue). However, recent studies have shown that injury to the gluteal tendons is often the cause of pain.1,2

Who does Great Trochanteric Pain Syndrom Effect?

GTPS has been reported to affect between 10 and 25% of the population with a greater prevalence amongst women.

What cause GTPS?

There are a number of possible causes for GTPS, these include:

  • Trauma e.g. a fall onto the hip or contact sports
  • Overuse of the muscles e.g. repetitive movements such as running/walking
  • Standing with weight on one leg for long periods
  • Ongoing lower back pain
  • Obesity

How does it manifest itself?

GTPS tends to come on quite gradually and usually manifests itself as pain over the lateral part of the hip. Over time the symptoms can build up to the point where it becomes painful to walk, run or climb stairs. It can also interfere with sleep as it may become uncomfortable to lie on the affected side.

How is GTPS diagnosed?

GTPS is normally diagnosed by your osteopath or physiotherapist in the clinic but, on rare occasions, MRI or ultrasound scans may be required.

What are the treatment options?

Treatment of GTPS is aimed at reducing/eliminating the pain and restoring full function. Treatment options include ice, rest, anti-inflammatory medications, stretching, strengthening and flexibility exercises. Your therapist can advise on the appropriate course of action. If symptoms persist despite conservative treatment it is possible to alleviate the pain by using steroid injections, surgery or Shockwave Therapy.

Shockwave Therapy

Shockwave Therapy has been shown to be more effective in the long-term than steroid injections with a 74% success rate for Shockwave Therapy fifteen months after treatment as opposed to 48% for steroid injections.3 Shockwave Therapy involves delivering acoustic shockwaves to the injured tissues to provide rapid pain relief and stimulate a healing reaction. Most patients require between 3 and 6 treatments over a 12 week period alongside a bespoke exercise programme to experience a significant improvement in their symptoms although pain relief can occur almost immediately after the first session.

Michael Palfrey, PRINCIPAL OSTEOPATH / DIRECTOR

 

 

 

 

1 Klauser AS, Martinoli C, Tagliafico A, et al (2013). Greater trochanteric pain syndrome. Seminars in Musculoskeletal Radiology, 17(1).

2 Reid, Diane. The Management of Greater Trochanteric Pain Syndrome: A Systematic Literature Review. Journal of Orthopaedics 13.1 (2016): 15–28. PMC. Web. 20 Mar. 2018.

3 Rompe JDSegal NACacchio AFuria JPMorral AMaffulli N. Home training, local corticosteroid injection, or radial shock wave therapy  or greater trochanter pain syndrome. Am J Sports Med. 2009 Oct;37(10):1981-90. doi: 10.1177/0363546509334374. Epub 2009 May 13.

Jumper’s Knee – Patella Tendinopathy

What is Patella Tendinopathy ( jumper’s knee )?

Patella tendinopathy (commonly referred to as “Jumper’s knee”) is characterised by localised pain just below the kneecap. This area can be very tender to touch, painful during sporting activity and stiff and achy after exercise. Jumper’s knee is an over-use injury associated with lots of running, kicking or jumping, especially if there are associated problems with the quadriceps muscles, foot biomechanics or training techniques. Patella tendinopathy is associated with lots of strain on the tendon over a prolonged period which leads to degeneration of the collagen fibres which form the tendon. This is slightly different from patella tendinitis which infers a more acute inflammation of the tendon and can often settle with anti-inflammatory medication, the application of ice and a short period of rest.

What are the treatments available for this condition?

In extreme cases patella tendinopathy can require surgery to remove any “abnormal tissue” within the tendon but this is often a last resort. In most cases, patella tendinopathy can successfully be treated using a much less invasive approach. In the first instance, non-steroidal anti-inflammatories (NSAIDs) and the R.I.C.E. (rest, ice, compression, elevation) protocol can help to alleviate the discomfort although NSAIDs have been reported to impede healing. If the symptoms are becoming more persistent or severe it is worth consulting a physiotherapist or osteopath who can provide hands-on treatment as well as advice on exercise and training regimes.

If the symptoms don’t respond to these measures there are a number of other options available, these include cortico-steroid injections (these can also have a negative impact on the healing process), a programme of eccentric-concentric loading exercises and extracorporeal shockwave therapy (ESWT)1.

Shockwave Therapy

Shockwave Therapy involves delivering acoustic shockwaves to the injured tissues to provide rapid pain relief and stimulate a healing reaction. Most patients require between 3 and 6 treatments over a 12 week period alongside a bespoke exercise programme to experience a significant improvement in their symptoms although pain relief can occur almost immediately after the first session.

Will I make a full recovery?

The vast majority of patients who suffer from patella tendinopathy are able to return to their previous activity levels once they have recovered from their symptoms but it is often worthwhile continuing with a programme of exercise to protect the area and prevent a reoccurrence of the injury.

Michael Palfrey, PRINCIPAL OSTEOPATH / DIRECTOR

 

 

 

 

 

1 van Leeuwen MT, Zwerver J, van den Akker-Scheek I
Extracorporeal shockwave therapy for patellar tendinopathy: a review of the literature
British Journal of Sports Medicine 2009;43:163-168.

 

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