Foot Ulceration

An ulcer is defined as a breakdown in the skin that may extend to involve the subcutaneous tissue or even to the level of muscle or bone. These lesions are commonly associated with various medical conditions including diabetes, peripheral vascular disease and rheumatoid arthritis.

If left untreated a foot ulcer can have very serous consequences and therefore specialised treatment, as the earliest opportunity is essential.


Your podiatrist will carry out a thorough foot examination, including a neurovascular assessment of the foot. They will ask you about your medical history, lifestyle, footwear, hobbies and a description of the presenting problem to obtain an accurate diagnosis.


Initial treatment usually involves assessment of the ulcer to ascertain the cause and type of ulcer; this will then form the basis of the treatment plan, which includes:

  • Sharp debridement
  • Foot dressings
  • Off-loading
  • Wound swabbing
  • Anti-microbial therapy
  • Onward referral to NHS podiatry, vascular or orthopedic consultant where required.
If left untreated

An untreated foot ulceration can have the severest of complications, and in people with certain health conditions can lead to soft tissue and bone infections, these can lead to lower limb amputation.

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Achilles Tendonitis

Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel. The Achilles tendon is the largest tendon in the body. It connects your calf muscles to your heel bone and is used when you walk, run, and jump.

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Ingrown Toenails

An ingrown toenail (known as onychocryptosis) can be caused by various factors such as trauma, incorrect footwear, infection, poor nail cutting technique and can even be hereditary.

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Is a skin lesion cause by the human papillomavirus, which infects the outer layer of the skin (the epidermis). The virus is transmitted by contact and although most verrucas do typically go away on their own.

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