Get in touch

Merriefield Podiatry Ferndown Clinic

Call today to book an appointment

t: 01202 855 872
e: merriefieldpodiatry@gmail.com

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

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£45

New Patient Assessment
To include initial treatment


This will include an in-depth consultation focused on your concerns. A medical history will be taken and your feet and ankles will be assessed. A treatment plan will be agreed with you and an initial treatment carried out.

£32

Nail Care and Maintenance


This appointment is for either thickened, fungal or problem nails. We recommend patients attend clinic either every 6 or 8 weeks so that this type of nail can be kept under control. Treatment will conclude with the application of emollient or moisturising spray.

£26

Nail Cutting


Ideal if you need help with cutting your nails. Your nails will be cut and filed. We recommend that nails should be cut every 6-8 weeks. The treatment will conclude with the application of emollient or moisturising spray as appropriate.

£38

Routine Chiropody


Nails will be cut, reduced and filed. Hard skin and corns will be painlessly removed. Heels will be sanded smooth as appropriate. The treatment is concluded with 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.

£45

Heavy Routine Chiropody


For those patients who have returned after a long period of absence or for those patients requiring extra time to maintain good foot health.

£50

Diabetic Assessment


Important for patients with Diabetes where a full vascular and neurological assessment is carried out. This includes a discussion regarding medication. Documentation and a letter with results will be sent to your GP.

£25

Dressing Change


£45

Initial Verruca Treatment
Follow up treatments from £26 (depending on number of verrucae to be treated)
Cryotherapy £50


Your feet will be assessed, treatrment options will be discussed and agreed.
Treatments provided - Salicyclic acid/Cryotherpy.

£48

Medical Pedicure


Do you fancy a bit of a pampering as well as routine chiropody? Then this treatment is for you!

Nails will be smoothed cut and filed. Hard skin and corns will be removed. Heels will be sanded smooth. Your toenails will receive a basecoat, two coats of coloured polish of your choice and one top coat. The treatment ends with a foot massage with luxury cream.

£25

Therapeutic Wax Treatment


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 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.

£17

File and Nail Painting


£12

Finger Nail Trim


£46

Toenail Reconstruction of damaged or fungal nails (Wilde-Pedique)


Choice of individual (or combination of)  reconstructions available:

One big toenail £46
Second toenail £35
Small toenail £10

First stage: This will be an assessment of the nail and will include preparation of the nail. Removal of any fungal element and smoothing of the nail bed.

Second stage: The second appointment will be the reconstruction. Please note that we need at least 25% of the nail to be able to bond the prosthetic nail. We guarantee the prosthetic nail will last a minimum of 6 weeks.

Orthotics/Insoles


Choices of orthotics range from: Off-the-shelf orthotics start from £25
Prescription and Plaster of Paris /Foam Box casting (necessary for the manufacture of bespoke orthotics) £50
Bespoke orthotics (deposit of £50 required)from £250

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.

From £250

Nail Surgery for Ingrowing Toenails


After conservative measures have not succeeded 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.

 

 

£25

Kinesiology Taping


KT taping helps reduce pressure and therefore reduces pain or discomfort.
KT taping can also help in the correction of a misaligned joint and act as a load sharing structure for the planta fascia during weight bearing activities

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

Book now on 01202 855872