A bunion or hallux abducto valgus (HAV) is present when the big toe deviates laterally (toward the baby toe). The diagnosis is made by a radiograph which is measured for the angle of the big to to the first metatarsal (greater than 15 degrees)
Heel spurs are the result of a long standing traction injury (pulling away) of plantar fascia from the heel, as occurs in plantar fasciitis (plantar calcaneal enthesopathy). This condition results in a painful heel. Orthotic insert therapy can alleviate the traction injury and result in relief of the pain.
A claw toe occurs when the toe is deviated upwards.An ulcer is a loss of the epidermis (skin) which can be shallow to very deep (into bone) and is slow to heal. People with nerve damage such as those with Diabetes or nerve diseases are at high risk to developing ulcers. Chiropody can help to prevent this debilitating lesion and treat existing ulcers.
An ingrown toenail is a painful and debilitating disorder. We routinely treat this problem in our clinic conservatively or surgically. The development of some ingrown toenails are related to poor biomechanics. Orthotic therapy can be beneficial here.