What is a Podiatrist?
A Podiatrist (the modern word for Chiropodist) diagnoses and treats conditions relating to the foot and lower limb. Both titles are "protected" by the Health Professions Council (HPC), who ensure practitioners have the necessary credentials to practice.
To become a Podiatrist In the UK a practitioner must complete a three or four year full time course that leads to a Bachelor of Science Degree in Podiatry BSc (honours).
At the Biomechanix Clinic we offer a number of podiatry services and treatments, including:
- Nail Surgery
- Dry Needling for Verrucas
Contact us for more information.
Mitesh Mistry- Podiatrist BSc (Hons), MChS
- Degree from the Birmingham School of Podiatry
- Registered member of the Health and Care Professions Council (HCPC) as well as the College of Podiatry.
- Was employed by Derbyshire NHS trust after graduating as a Community Podiatrist where he treated patients with a wide range of foot conditions which included managing foot ulcerations, routine podiatry and biomechanical issues.
- Moved onto becoming a Specialist Podiatrist for Northamptonshire NHS trust where he was responsible for the Diabetic and High Risk foot service.
- Attended many courses on Biomechanics & Sports injuries and keeps up to date on the most recent and effective treatment methods.
- Mitesh’s passion and expertise for biomechanics means that he gives his patients one of the best levels of podiatric care with a treatment plan to attain outstanding results, which enables his patients to return to their normal quality of life.
- He states “My main goal for any patient I see, whether it be for biomechanical issues or general podiatry is to identify the main cause through acquiring a thorough medical history. I firmly believe once this is outlined, I can develop a detailed treatment plan with the symptoms presented which will attain the best results."
- Mitesh provides specialised treatment plans for biomechanical concerns such as heel pain, plantar fasciitis, Achilles tendonitis, knee pain, painful bunions and general foot pain which include the provision of customised orthotics, an exercise plan and the provision of specialist footwear.
Mitesh concludes that “Most of the foot problems seem minor at the time and we tend to ignore it. However, our body has a method of compensating and altering the position of our joints and muscles which causes pain in our ankles, knees and hips.”
Nail surgery is the removal of a problematic piece of nail using a local anaesthesia so that you will feel no pain during the procedure. The nail will be cut back to reduce its width, which will allow the toe to heal (see picture below). A chemical (phenol) will be used to prevent the nail regrowing. Healing normally takes four to eight weeks.
Advantages of Nail Surgery
- You will get less discomfort from the toe.
- You will have less risk of toe infection once you have healed from the surgery.
- You will be able to wear a wider choice of footwear.
Risks and Possible Complications
Every eﬀort is made to minimise the risk of complications. Although they are rare, some of the following may occur:
- Delayed healing or prolonged weeping of the wound.
- Infection may develop after the operation, although removal of the sharp nail portion normally reduces any pre-existing infection.
- Some patients can have adverse reaction to phenol (phenol ﬂare). This occurs in less than 1% of cases.
- Re-growth of the nail occurs in approximately 5% of patients undergoing nail surgery and 10% of those whose whole nail has been removed. The re-growth is often less troublesome than the original problem, but it may be necessary to repeat the procedure.
- Hypersensitivity reaction to the local anaesthetic.
It is a procedure which is widely used for the treatment of verrucae and other skin lesions. The procedure takes approximately one hour to complete, and you will need to return in 1-3 days to have your dressing changed.
Healing usually takes between 10-14 days, depending on how much rest you are able to take.
What are the Possible Complications or Risk of Electrosurgery?
In rare cases, a reaction may occur to the local anaesthetic. In a small number of cases the following problems may occur:
- A delay in healing due to infection or other factors, although good hygiene and rest will reduce the chance of this happening.
- A temporary change of sensation or feeling at the place where the injection is given.
- Some scarring after the procedure.
Dry Needling for Verrucas
Dry needling is carried out painlessly under local anaesthetic. A sterile needle is then used to cause a localised trauma to the verruca itself.
The purpose of this is to disrupt the papilli in the verruca and by implanting the virus in the dermal layer allows the bodies immune system to recognise the virus. This stimulates a cellmediated immune response and thus attack the lesion directly. This can result in spontaneous regression in some/all satellite verrucae. By using this technique, instead of many treatments involving chemical cautery or cryotherapy, it may only require one dry needling.
At the moment at the last audit the success rate is about 73%, which in terms of verrucas, some of which may have been around for years, is very good. Do not expect this treatment to work overnight, as it can take up to 2 months to show signs of resolution.
Will it be Painful Afterwards?
Some patients may experience slight discomfort after the anaesthetic has worn oﬀ. If this occurs, routine doses of your usual painkiller are normally suﬃcient to reduce the discomfort.