**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.

 

Calcific Tendinitis of the Shoulder & Shockwave Therapy

Calcific tendinitis of the shoulder

Calcific tendinitis of the shoulder occurs when deposits of calcium build up in one of the tendons of the rotator cuff muscles, specifically supraspinatus. This deposit can lead to irritation and inflammation of the tendon which causes pain and alters the function of the rotator cuff. The pain from calcific tendinitis can be extremely unpleasant. In some circumstances the calcium build-up and subsequent inflammation is sufficient to cause a “subacromial impingement” between the deposit and one of the bones (the acromion) when the arm is moved in certain directions. There is no known cause for this calcification process, it occurs most commonly between 30 and 60 years of age and can, eventually resolve of its own accord; although this can take some years.

How is Calcific tendinitis diagnosed?

Calcific tendinitis is usually diagnosed via x-ray or ultrasound; ultrasound is a more useful diagnostic tool as it is more likely to show smaller deposits and gives a clearer indication of the size of larger deposits. Your GP can refer you for x-ray whereas osteopaths and physiotherapists can refer for ultrasound scans.

Treatment Options

There are a number of possible treatment options for calcific tendinitis of the shoulder. These include painkillers and non-steroidal anti-inflammatory medication; physiotherapy or osteopathy to keep the shoulder strong and mobile; steroid injections to reduce the inflammation, Barbotage to break down and “wash out” the calcium deposit, surgical excision and Extracorporeal Shockwave Therapy (ESWT). Research has shown ESWT to be a “safe and effective non-invasive treatment for people with calcific tendinitis of the shoulder”.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.

Michael Palfrey, PRINCIPAL OSTEOPATH / DIRECTOR

 

 

 

 

 

1Shock Wave Therapy for Calcific Tendinitis of the Shoulder: A Prospective Clinical Study with Two-Year Follow-up
Ching-Jen Wang, MD, Kuender D. Yang, MD, PhD, Feng-Sheng Wang, PhD, Han-Hsiang Chen, MD, Jun-Wen Wang, MD The American Journal of Sports Medicine Vol 31,
Issue 3, pp. 425 – 430 First Published March 1, 2003

Marthon Running & Blisters

Marathon Running Season – blisters on your feet

We are now into the marathon running season and one of the potential blights on your running experience and performance are blisters on the feet.

What causes blisters?

Blisters are caused by shearing stress of the skin and can be painful or even dangerous so should not be ignored.

How to prevent them

If you know you are prone to blistering in a certain area of your foot you should at least tape the area to help reduce shearing forces and prevent blistering before it starts.

What to look for

A sign that a blister is about to form is sometimes referred to as a ‘hot spot’ and immediate action should be taken to prevent it developing into a blister. Strategies that offload the painful area will help prevent any deterioration and include felt ‘donut pads’, gel toe caps and even offloading materials added to your trainers.

Don’t pop a blister

When a blister has already formed “popping” should be avoided as once the seal is broken bacteria can get in and cause infection. Even if the blister has “popped” the roof should be left in place. Ideally the area should be cleaned with antiseptic and a sterile dressing applied with offloading and taped in place.

Where the roof of the blister has come away hydrocolloid dressings such as Compeed should be used.

Signs of infection and what to do if you spot them

Always look out for signs of infection i.e. increased pain, Redness, heat (local to blister or spreading) and swelling. If you have some or all of these see a healthcare professional for advice.

If you have any concerns about your feet contact us on 0118 930 3535 to make an appointment with one of our podiatrists.

Lloyd Clark-Morris, PODIATRIST / DIRECTOR

Slimmers Club at Theale Wellbeing Centre

NEW Slimmers Club

Do you want to loose weight but struggle with fad diets? Ed Francis our Hypnotherapist is launching a new type of slimming club that explores why diets might not work for new and will introduce techniques to help you to approach your eating habits differently.

A brand new meeting group to help with weight loss and weight management.
• Weekly meetings
• Weekly weigh-ins (optional)
• Private Member’s area
• Private Facebook support group
• Discounted products for members
• Come and go as you please
• Coping technique for emotional eating

The first meeting will be held on 9th April at Theale Wellbeing Centre 6pm-8pm
This launch day is FREE with NO joining fee. (Meetings there after are £5) To take advantage of this opportunity and find out more visit Ed’s website.

 

 

Chilblains Weather

It is likely that we will be experiencing a significant drop in temperature locally over the next few days. One of the foot problems with this sudden change in temperature is chilblains so we wanted to share some information and advice to reduce the chances of you suffering from this, often painful, condition.

What are they?

ChilblainsChilblains are common and usually found on the toes and present as small red or purple bumps on the toes. They can be painful and itchy. They can break open and become ulcers which can lead to infection. They will usually go within one or two weeks.

 

 

Cause

Chilblains are caused by sudden drops in temperature causing the small capillaries to constrict and prevent blood flow getting to the tips of the toes. Problems often occur when feet are warmed too quickly after being chilled.

Individuals most likely to be affected include:-

  • The young or elderly
  • Those with poor circulation
  • People working in cold environments
  • Those that are not very active
  • Individuals who have anaemia

Management

It is important not to scratch chilblains even though they may be itchy. This will increase the risk of the chilblains breaking open and becoming infected.

Unsurprisingly the best way of avoiding chilblains in the first place is to keep the toes, feet and legs warm and if they do become chilled, warm them gradually.

Try to avoid wearing anything that constricts the feet and will therefore reduce the blood supply. Quality hosiery rather than quantity is the better approach.

Lotions such as witch hazel and calamine can be soothing and creams like lanolin can help insulate the feet at night.

If the chilblains have broken causing a wound, antiseptic ointment should be used together with a sterile dressing. If you have a condition such as diabetes you may be more at risk of infection. If in doubt see your GP or podiatrist.

Lloyd Clark-Morris, Senior Podiatrist

Therapists Working Together, Podiatry & Hypnotherapy

Hypnotherapy and Podiatry – Therapists Working in Harmony

Last summer a mother and daughter visited Lloyd (Senior Podiatrist) at the Theale Wellbeing Centre with a problem. The problem was in the form of verrucas on the right heel and a wart on her hand.

While the cluster of verrucas was a little uncomfortable it was the sight of the wart on her hand that gave the daughter the most concern.

This 13 year old and her mother were convinced that the new SWIFT microwave was the best option for treating the verrucas, they had heard that the treatment was likely to be painful. Despite assurances that any pain would be very short lived i.e. a couple of seconds with no lingering pain, this patient got very anxious at the thought of treatment.

To help her deal with her anxiety Lloyd ask Ed our Hypnotherapist to assist. Ed used his skills as a hypnotherapist to distract her so that a full course of treatment could be performed.

We are pleased to announce that all verrucas treated have now gone and most importantly, the wart on her hand has also disappeared. The young women has gained skills from Ed in helping her to deal with stressful situations in the future.

This was a wonderful result gained through the determination of the patient and the teamwork of Lloyd and Ed.

Call us if you have a similar problem on 0118 930 3535.

Lloyd Clark-Morris, Podiatrist

Ed Francis, Hypnotherapist

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