Get in touch

Merriefield Podiatry Ferndown Clinic

Call today to book an appointment

t: 01202 855 872
e: mail@merriefieldpodiatry.co.uk

Located in Ferndown,
Serving Ferndown, Wimborne and Bournemouth
from Monday to Saturday

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£22

Nail Cutting - 20 mins
for normal nails


Ideal if you need a little help with cutting your nails. Your nails will be cut and filed. We recommend that nails should be cut every 6 – 8 weeks.

Please note: This appointment is not suitable as a first appointment for new patients as we need to assess your feet, take a note of your medical history and any medication. The first appointment will be £42 and will last 45 mins.

£32

Nail Cutting (extended) - 30 mins
For thickened, fungal, curved, or ingrowing nails


Nails requiring more attention.

Nails will be reduced in thickness as required. Any hard skin and debris will be cleared from the sulcus and under the nail. The nail can be cut away from the edge to relieve any pain if necessary. To finish there will be a foot massage with luxury cream.

£37

Routine Chiropody - 30 mins


Nails will be cut and filed. Any thickness will be reduced as required. Hard skin and corns will be painlessly removed. Heels will be sanded smooth. To finish there will be a foot massage with luxury cream.

This appointment is suitable for patients who have one or two corns, some hard skin and require straight-forward nail and foot care.

£42

Extended Routine Chiropody - 45 mins


As above but for patients whose feet require more attention, especially for those returning after a long period of absence.

For these patients, we recommend regular appointments every 6 – 8 weeks.

£42

Verruca Treatment
Follow up treatments:
20 mins + from £20 depending on number


The initial appointment will be 45 mins as your feet need to be assessed. Treatment will either be by salicylic acid from £20, or liquid nitrogen (freezing) for £50.

£47

Medical Pedicure - 60 mins


Do you fancy a bit of pampering as well as routine chiropody? Then this treatment is for you! Your feet will be soaked and scrubbed. Corns and hard skin will be painlessly removed. Heels will be sanded smooth. The toenails will be cut and filed and painted from a choice of colours from the Dr Remedy professional nail care range. The treatment concludes with a foot massage using luxury cream.

£50

Musculoskeletal Assessment - 60 mins


This appointment is suitable for patients who are experiencing foot pain or who are finding it difficult to walk. There will be a primary footwear examination. This can reveal from patterns of sole wear, abnormal walking/running. Observations will be made standing and sitting. The joints will be assessed for their quality and range of motion.

Treatment plans can include stretching exercises, changes to footwear as well as off-the-shelf and custom made insoles/orthotics.

£17

Therapeutic Wax Treatment - 20 mins


A luxurious treatment incorporating vitamin rich essential oils (benzoin, chamomile, frankincense and lavender). This wax treatment is innovative as individual pods of wax are used. The warm wax increases circulation so that skin texture and colour is improved. Muscles are relaxed and joint pain relieved. This treatment is particularly beneficial for patients with Rheumatoid Arthritis, Raynauds, cold feet or dry skin, and nail conditions. The treatment concludes with a foot massage using luxury cream.

£50

Gel Pedicure


£10

Nail Painting


 

Toenail Reconstruction
one big toe nail: £35
Second toe nail: £25 
Small toe nail: £7


A cosmetic procedure to improve the appearance of damaged or fungal nails.
Wilde Pedique is a gel resin which has the ability to bond to a nail to add strength but it is also exible and able to adapt to the movements of the toe.
The nail bed will need to be sanded smooth and where fungal as much of the fungus removed as possible. In some cases it will be necessary to treat the nail bed with an anti- fungal spray before the gel resin can be applied. The prosthetic nail will last approximately 6 weeks depending on underlying conditions. It can be cut, led and varnished as a normal nail. Full aftercare instructions will be provided.

Orthotics/Insoles


An orthotic is an in-shoe device which is designed to redistribute the body’s weight across the whole of the sole of the foot and therefore correct irregular walking patterns. The wearing of an orthotic is a commitment in same way glasses are worn to correct vision. They are effective in reducing pain and often reduce the amount of hard skin formation. Orthotics are manufactured from a range of materials including EVA and polypropylene. The wearing of an orthotic is a commitment in same way glasses are worn to correct vision. Off-theshelf orthotics start at £25 to £40. Custom orthotics are approximately £300+. Patients’ feet are usually cast in plaster of Paris for which we charge a £35 fee. We also require a £50 deposit before the casts are sent to the laboratory for manufacture of the orthotics.

£200+

Nail Surgery for Ingrowing Toenails - 60 mins


After conservative measures have not succeed in resolving this problem, a more permanent solution is available. The toe is numbed using local anaesthetic and either part or all of the toenail is removed. A chemical is then applied to prevent the nail from growing back in the same way.

All patients require assessment prior to surgery. There will be a minimum of two dressing appointments and a review at 6 weeks. The patient will be responsible for keeping clean and redressing the wound site.

Toenail Surgery (Partial/Total Nail Avulsion)

Nail surgery is usually performed for ingrowing nails (IGTN). An ingrowing toenail occurs when a spike of nail penetrates the skin at the edge of the nail. These are often very painful and become infected. Nail spikes can develop through incorrect nail cutting (cut too short), previous injury or fungal infection. Sometimes a wide nail plate may cause the toe nail to in-grow.

toe reconstruction

The Operation

A partial nail avulsion (PNA) procedure involves removing the offending piece or pieces of nail that are in-growing. Typically the nail bed will be treated with a chemical called phenol to prevent the removed piece(s) of nail from reforming. A total nail avulsion (TNA) is when the whole nail is removed. Again, the nail bed is often treated with phenol. These nail procedures are performed under a local anaesthetic given around the base of the toe. The surgery takes about ten minutes but you will be in with us for about an hour for pre and post-surgical procedures before you are permitted to leave. The initial dressing is often quite ‘bulky’ and you will need to bring a suitable shoe or sandal to accommodate this (open toed). You will not be able to drive (due to the anaesthetic) after the procedure and will need someone to assist you home.

As a legal requirement, children (Under 18 years old) who are receiving the operation must be accompanied by a parent/carer or legal guardian with power of attorney.

The first 24 hours after the operation

You will be able to stand and bear weight carefully on your foot after surgery but you should rest with your feet up for the remainder of the day.

Time off work/school

As weight-bearing post-operation is acceptable, it is not compulsory to take extended leave of absence. Therefore, you may return to work the next day.

Please refrain from consuming alcohol during this time as it has a ‘blood-thinning’ effect which may cause the wound to excessively bleed (increased likelihood of regrowth).

A painful throbbing is expected once the local anaesthetic has worn off. Pain relief through a safe dose of Paracetamol is an effective treatment.

After 2-3 days

The first redressing with us is necessary within 48-72 hours’ post-operation. The wound will be examined, redressed and you will be given advice on increasing activity and looking after the wound(s) yourself. This may include a minimal supply of appropriate dressings and how to apply them. Salt-water bathing (see appropriate handout – ‘post-operative care’) is advised in all cases in-between your dressing changes.

All Physical activity including swimming is not advised until your podiatrist says otherwise. This is due to a great risk of delaying the healing process. Please bear in mind that this may complicate holiday arrangements.

We will ask you to carry out salt water bathing every 2-3 days. The wound site should be covered with a dressing until a scab has formed.

After 4 weeks

Over the four to six weeks after nail surgery the wound(s) usually heals. A scab forms over the nail bed which will come off in its own time.

How nail surgery can help

• Alleviation of pain from the ingrowing or deformed nail.
• You will feel more comfortable when wearing shoes.
• Prevents infection associated to IGTN (no need for anti-biotics anymore!)

Problems/risk associated with nail surgery

• Regrowth of the removed piece or whole nail requiring further treatment.
• Infection (sudden increase in pain and swelling at two to three days after surgery, or later).
• Loosening of the remaining nail. Usually grows out over several months.
• Complex regional pain syndrome (very rare). An abnormal pain reflex causing the foot to remain painful beyond normal healing. Necessitates referral to a pain clinic.
• Anaphylaxis – an extreme allergic reaction to the anaesthetic (scandonest plain 3%). This is extremely rare but must always be taken into consideration. Any complications with previous local anaesthetic injections (i.e dental) should be reported (you will be formally asked prior to surgery).

Alternative treatments to nail surgery Repetitive conservative treatment through chiropody/podiatry.

 

 

Please note that we do not carry out nail surgery on diabetic patients.

Book now on 01202 855872