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Contact dermatitis and plants

Contact dermatitis and plants

Summer certainly attracts more plants and visitor activity than other seasons. Yet, even as I write this article, I feel itchy. We need to know what to avoid and if we are unfortunate to have a contact rash, we should know what to do. One point about the 10 plants I have picked is that many originate outside the UK while others remain in North America. Given the serious concerns with Japanese Knotweed for example, demonstrates that boundaries do not guarantee that you will come across something that has a kick in its leaf, stem or sap. Skin and respiratory problems arise in some but not all.

read more
A dying healthcare system

A dying healthcare system

Consultants split their time between the NHS and the independent sector, although some remain loyal to the NHS alone. Surgeons often make up their salary in this system, taking away an essential NHS resource – experienced professionals. This was the deal that Bevan had to negotiate. It is true that junior consultants have found it harder to follow their senior colleagues into the independent sector but eventually they trim back their hours if they want to work this sector.

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Podiatry as a mature student

Podiatry as a mature student

Victoria did an access course to boost her school educational credentials as she did not have the appropriate ‘A’ Levels. And so she started her career in podiatry as a mother and mature student.

 “I had a five-year-old and a one-year-old. And I have to say it was the best three years studying I’ve ever had. It was fabulous. The course was great, the students that I was with are now fabulous colleagues all around the country and the world actually. And the lecturers were great. It was a really positive start.”

read more
Arthritis and the big toe

Arthritis and the big toe

I confess I am not keen on the word arthritis as it conjures up a disease of the worst kind. So let us use the phrase ‘arthrosis’ because the term means a condition associated with deterioration of any joint, not just the big toe. Severe forms of arthrosis come under a wonderful term – the arthritides (arth-rit-eedees), which sounds like a member of Jason and the Argonauts crew in Greek mythology. Rheumatoid arthritis and gout are two such conditions which are highly destructive. Already you can see Latin and Greek in our language. Medical people love to make everything sound complicated and a bit of old language helps!

read more
Morton’s Nerve Pain

Morton’s Nerve Pain

Nerves can recover but often start off because there is local inflammation. The symptoms of what we call neuritis can shoot back up the foot, are often short lived and occur when the foot is compressed initially. Most of the population consult someone between the ages of 40-60. However, there are some who experience the condition as early as 20-30. If caught young then recover can be encouraging. In 1995 Gordon Bennett looked at 115 patients and followed them for 2 years. Thirty-nine percent did well with insoles and footwear alterations. In other words altered their footwear.

read more
Podiatry and professional opportunity

Podiatry and professional opportunity

Ben’s story is not just about making good, but it illustrates that if you have a goal and are prepared to work hard, you can achieve respect and fulfil your dreams. Of course, as a professional, each of his experiences required him to develop an aptitude to learn. So he sought out those who could best influence his expertise. Still, by volunteering and making use of skills overseas, he ensured he was able to expand his podiatry career with confidence.

read more
Podiatric Sports Medicine in focus

Podiatric Sports Medicine in focus

The London 2012 Games changed the vision of what a podiatrist could offer overnight. Today Professor Padhiar’s personal clinical workload is around 80% with sports. This ranges from Sunday warrior to professional and elite sports. To be a podiatric sports medicine specialist he believes in total involvement.  He says of biomechanics, the study framework around musculoskeletal medicine and human movement  “ is like an investigation. You look at why athlete keeps getting recurrent or chronic injury to see what factors are playing a part in their biomechanics.”

read more
What Career to Choose After School?

What Career to Choose After School?

Read about podiatry and its various roles for students keen on a career in a medical profession, Why not chose Podiatry as a career choice? This article is aimed at school pupils, career teachers and schools in general where pupils are looking to the healthcare professions as a career choice. It’s tough to make that decision with so many options from the age of 13 onwards.

read more
Tennis player loses her toenails

Tennis player loses her toenails

Good foot care should be carried out for all sportspeople. They spend huge sums on their sport so they should invest in ensuring the foot is stable and the footgear is correct for their foot shape. Shoes should be fitted with care and the constituent materials should be considered equally important. Consultingfootpain is keen to ensure the public receives good advice so here is some self-help information

read more
The podiatrist that does hands & feet

The podiatrist that does hands & feet

“We can hide our toenails with our shoes and socks, but the hands like our faces are on display!” Podiatrists study nails a subject known as onychology and have to treat infections and growths that distort the nail bed often brought about by injury. Laser treatment has been developing over the past decades and can be used to deal with some unsightly discolouration brought about by a fungal infection. Psoriasis is another condition that commonly presents in hands. We saw the work of another podiatrist, Afni who manages post-cancer patients. The effects of chemotherapy can leave painful shedding nails.

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The Footballer’s Podiatrist

The Footballer’s Podiatrist

Before the inception of podiatric biomechanics as a core subject and long before the term musculoskeletal podiatrist entered the vernacular, there was some mystery about the subject. Approaching one lecturer at his Paddington college in London (no longer in existence) he asked, “ this biomechanics lark, are you going to teach it one afternoon? I’m going to need that.” And he went – no, I can’t teach you that in an afternoon!”

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Podiatrist goes to prison

Podiatrist goes to prison

He recalls, “the vascular surgeon walked in, took one look and said, “we’ll just chop those off above the knee, and walked out.  I was left with the patient who was gobsmacked as we both were and had to pick up the pieces. That was the delivery of the care pathway for this patient. Being in my 20s at the time it was quite a shock to deal with a 60-year-old patient being told that he’s going to have both legs amputated above the knee!”

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Clinical Podiatrist to Business Manager

Clinical Podiatrist to Business Manager

She started looking for an established practice to buy into and found Dulwich where she still practises. As a mother to young children, Debbie had to factor flexibility into the equation– ‘being flexible’, but not just being flexibile around working hours important as a woman or a mother – but flexibility to choose what direction she wanted to take career and development toward

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From Knitting Needles to Heading an NHS Service

From Knitting Needles to Heading an NHS Service

As part of her teaching role, she quickly realised that if you don’t want people to struggle, and you wanted staff retention, as there was a shortage of podiatrists at that time – that you had to nurture them. Her early experiences as a junior had revealed the benefit of having more experienced podiatrists to offer clinical supervision when starting out. Very soon the agency started sending all the new graduates to Bromley before they then went on to other London Trusts.

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Tarsal Tunnel Pain

Tarsal Tunnel Pain

I want to introduce you to the condition called tarsal tunnel syndrome as a cause of heel pain but with the distinctive quality that the pain burns. The second feature that gives the condition away is that feeling of fullness, a sort of exploding sensation when exercising worsening with standing walking or running. Sometimes this type of problem pain is called referred. This means that the source of pain and location may not match. The pain may be in front of the foot but is related to the structures in the hind part of the foot.

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Podiatrist Outside his Comfort Zone

Podiatrist Outside his Comfort Zone

Jai confesses his approach comes back to that Canary mentality; he probes and tests. He says he has a habit of going off at a tangent when thinking about things, it’s just the way I am..  He says his best developments come from non-podiatrists. This might appear strange but in fact it is the norm if you want to progress your knowledge.. You know the view of your professional teaching, but when you step outside your comfort zone and add another dimension, that’s when your horizon widens.

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More about heel problems

More about heel problems

The most common types of heel pain problems arise from general overuse or repetitive heel pad strain but heel pain is complex and if left can resist treatment. In this article, there are four key subjects that you need to know about. The first relates to children while the other conditions are adult related. There are conditions such as rheumatoid arthritis, gout and ankylosing spondylitis that may affect the heel as well as rarer conditions and of course fractures. If the pain does not subside with self-help remedies recommended after several weeks, then seek professional medical help from a podiatrist or medical practitioner. 

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The Medico-Legal Podiatrist

The Medico-Legal Podiatrist

“I was up against a very senior consultant and his registrar, who since had become a consultant. Unfortunately, it turned out that the consultant had been at Cambridge with the judge, which worried me somewhat more than it would someone. I was cross-examined the whole day by a barrister. At the end of that day, I felt as if I’d been through a wringer. However, the case went on for several days. To my astonishment, we won and the patient received damages of £28,000.”

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Contact dermatitis and plants

Contact dermatitis and plants

Summer certainly attracts more plants and visitor activity than other seasons. Yet, even as I write this article, I feel itchy. We need to know what to avoid and if we are unfortunate to have a contact rash, we should know what to do. One point about the 10 plants I have picked is that many originate outside the UK while others remain in North America. Given the serious concerns with Japanese Knotweed for example, demonstrates that boundaries do not guarantee that you will come across something that has a kick in its leaf, stem or sap. Skin and respiratory problems arise in some but not all.

read more
A dying healthcare system

A dying healthcare system

Consultants split their time between the NHS and the independent sector, although some remain loyal to the NHS alone. Surgeons often make up their salary in this system, taking away an essential NHS resource – experienced professionals. This was the deal that Bevan had to negotiate. It is true that junior consultants have found it harder to follow their senior colleagues into the independent sector but eventually they trim back their hours if they want to work this sector.

read more
Podiatry as a mature student

Podiatry as a mature student

Victoria did an access course to boost her school educational credentials as she did not have the appropriate ‘A’ Levels. And so she started her career in podiatry as a mother and mature student.

 “I had a five-year-old and a one-year-old. And I have to say it was the best three years studying I’ve ever had. It was fabulous. The course was great, the students that I was with are now fabulous colleagues all around the country and the world actually. And the lecturers were great. It was a really positive start.”

read more
Arthritis and the big toe

Arthritis and the big toe

I confess I am not keen on the word arthritis as it conjures up a disease of the worst kind. So let us use the phrase ‘arthrosis’ because the term means a condition associated with deterioration of any joint, not just the big toe. Severe forms of arthrosis come under a wonderful term – the arthritides (arth-rit-eedees), which sounds like a member of Jason and the Argonauts crew in Greek mythology. Rheumatoid arthritis and gout are two such conditions which are highly destructive. Already you can see Latin and Greek in our language. Medical people love to make everything sound complicated and a bit of old language helps!

read more
Morton’s Nerve Pain

Morton’s Nerve Pain

Nerves can recover but often start off because there is local inflammation. The symptoms of what we call neuritis can shoot back up the foot, are often short lived and occur when the foot is compressed initially. Most of the population consult someone between the ages of 40-60. However, there are some who experience the condition as early as 20-30. If caught young then recover can be encouraging. In 1995 Gordon Bennett looked at 115 patients and followed them for 2 years. Thirty-nine percent did well with insoles and footwear alterations. In other words altered their footwear.

read more
Podiatry and professional opportunity

Podiatry and professional opportunity

Ben’s story is not just about making good, but it illustrates that if you have a goal and are prepared to work hard, you can achieve respect and fulfil your dreams. Of course, as a professional, each of his experiences required him to develop an aptitude to learn. So he sought out those who could best influence his expertise. Still, by volunteering and making use of skills overseas, he ensured he was able to expand his podiatry career with confidence.

read more
Podiatric Sports Medicine in focus

Podiatric Sports Medicine in focus

The London 2012 Games changed the vision of what a podiatrist could offer overnight. Today Professor Padhiar’s personal clinical workload is around 80% with sports. This ranges from Sunday warrior to professional and elite sports. To be a podiatric sports medicine specialist he believes in total involvement.  He says of biomechanics, the study framework around musculoskeletal medicine and human movement  “ is like an investigation. You look at why athlete keeps getting recurrent or chronic injury to see what factors are playing a part in their biomechanics.”

read more
What Career to Choose After School?

What Career to Choose After School?

Read about podiatry and its various roles for students keen on a career in a medical profession, Why not chose Podiatry as a career choice? This article is aimed at school pupils, career teachers and schools in general where pupils are looking to the healthcare professions as a career choice. It’s tough to make that decision with so many options from the age of 13 onwards.

read more
Tennis player loses her toenails

Tennis player loses her toenails

Good foot care should be carried out for all sportspeople. They spend huge sums on their sport so they should invest in ensuring the foot is stable and the footgear is correct for their foot shape. Shoes should be fitted with care and the constituent materials should be considered equally important. Consultingfootpain is keen to ensure the public receives good advice so here is some self-help information

read more

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Old shoe new shoe

Old shoe new shoe

 Let’s look at the everyday shoe. When should our old shoes be replaced for new shoes? If you are like me shoes last a long time, but then we all have our favourites which might wear down faster. My blue trainers looked sad as the outer coat (the Uppers) were speckled with garden shed paint having been replaced as my best friend.  Conversion to a workhorse is economically sound as you can keep shoes going for longer even if they are past their best. When should you chuck them out? How can you keep them lasting longer? This is the subject of my article this month.

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The Irritating Little Toe

The Irritating Little Toe

In this self-help article, the irritating little toe problem is discussed. Usually the problem will settle within a week of self prescribed care. I have chosen this subject as the condition is slightly different from the usual fungal infection affecting the toe. Before panicking and thinking you are unclean read this article from ConsultingFootPain.

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What should you ask from a fact sheet?

What should you ask from a fact sheet?

If you have read my short article Getting the best from clinical information here is the follow-up article offering a little more meat. What should you ask from a fact sheet?  The answer must be equally simple. Factsheets should be well written, have few spelling mistakes and be easy to read. They should be laid out well and ideally not photocopied to death. Well, presented factsheets show the clinician cares as much about you as the information that is offered. 

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