| The Foot and Ankle Clinic | | Specializes in biomechanics, geriatrics and diabetic foot care | Treatments include:  | Routine foot care | | Diabetic foot care | | Wound care | | Sport injuries. | | Gait assessments | | Custom made orthotics | | Ingrown toenails | | Treatment of plantar warts general foot pain and more | | | No physician referral is required in order to be seen by chiropodists. We do charge for our services however majority of private insurance plans cover chiropodial foot care. | | | | Our foot care services are provided by licensed chiropodists. | | | | Chiropodists and Podiatrists are members of Chiropody College and are the only health care providers educated exclusively in the assessment and treatment of foot disorders. | | | Routine foot care consists treatment of nails, corns, calluses. During initial visit, if indicated biomechanical, circulatory and neurological assessment will be performed. Depending on the foot presentation footwear advise is often part of proper chiropodial management. Often patient is also advised on daily foot care and proper shoes. Routine foot care involves ongoing monitoring for any foot changes that could lead to increased risk of any potential foot problems like muscoskeletal injury, skin breakdown, infections etc. Usually patient is seen every 6 to 8 weeks for routine foot care.
Routine foot care is especially important for patients with Diabetes, Rheumatoid Arthritis, poor circulation, poor sensation (neuropathy), poor vision, thick-difficult to treat toenails, recurrent corns and calluses. | | | | Diabetic foot care. Many diabetic patients have poor vision, poor flexibility, poor sensation, and poor circulation. Because of diabetes they are at much higher risk of developing foot complications then persons not suffering from it. Diabetic foot care consists routine treatments every 6 to 8 weeks, advise on daily foot care, shoes and if indicated, orthotics. Patients with diabetes are routinely assessed for quality of circulation, sensation and foot structure (every 9 to 12 months). | | | | Wound care. It is very important to establish etiology of the wound and to eliminate the causing factor. Often debridement of wound or peripheral hyperkeratosis is very important. Appropriate dressings and daily care can be very important in encouraging the wound to close. Visits are vary depending on individual cases. | | | | Sport injuries. Your chiropodist will perform assessment of your foot. Type of injury and proper protocol consisting protection of injured tissue, modalities encouraging healing and prevention should be established. Footwear modifications, taping, shoe inserts can be implemented in order to encourage healing processes by reducing stress on injured tissues. Often Physiotherapist becomes an important part of the team. | | | | Gait assessment allows to establish characteristic of biomechanical function of lower extremity during ambulation. Potential weaknesses of your gait exposing you to risk of certain injuries should be noticed. You should be educated on them and advised what is the best strategy to prevent potential injuries. | | | | Custom made orthotics.If you suffer from foot pain or if your biomechanical foot structure is deficient custom made foot orthosis may be indicated. | | | | Ingrown toenails. This condition can be very painful. It is often recurring, sometimes chronic. Ingrown toenails are caused by curved nails with ends imbedded deep in sulci, improper nail cutting or both. Often conservative treatment (reduction of offending nail, education on proper nail cutting) will resolve the problem however in many cases small surgical procedure could be very effective and permanent solution. | | | | Plantar warts. Plantar warts are caused by Human Papiloma Virus. Often they are difficult to treat. Depending on physical size and texture and also location chiropodist may suggest self-treatment with over the counter medication or can implement usage of strong acids or liquid nitrogen. | | | | General foot pain. There are many foot conditions that may affect a person that changed his/her activity level, gained weight, sometimes changed type of footwear. It could be arch pain, heel pain, forefoot pain, lower extremity pain, sometimes even knee or lower back pain. Chiropodist are trained to recognize particular foot problems and construct the best management plan that would address it. |
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