Chiropody, Podiatry & Nail Surgery

Even if you do not have any specific foot problems, it is a good idea to see a Chiropodist once in a while.

The Chiropodist will give you advice on many aspects of foot care and how to prevent problems arising in the future.

What can Chiropody at The Tonbridge Clinic offer you?

We treat patients with foot problems associated with conditions such as:

  • Rheumatoid Arthritis
  • Diabetes
  • Circulatory Disorders

and those suffering from:

  • Ingrowing Toenails
  • Corns
  • Callosities (Hard skin)
  • Verrucae
  • Toe deformities
  • Nail infections

We undertake

  • Gait Analysis
  • Nail Surgery
  • Diabetic Assessments

We are able to carry out procedures such as total & partial nail surgery and the manufacture of prescription insoles following a computerised gait analysis. For more information on these services please see the relevant sections listed under Podiatry.

Tim Veysey-Smith

  • Podiatry

    The Tonbridge Clinic

    What is Sports Podiatry?

    Podiatrists undergo a 3 year degree course and are trained in the general management of medical conditions affecting the foot and ankle. Sports Podiatrists are extended scope practitioners who have undertaken additional post graduate qualifications in Sports Injury management and prevention, with a particular emphasis on the biomechanics of injuries affecting the lower limbs.

    Tim Veysey-Smith has a Masters degree in Sports Therapy and Rehabilitation and a post graduate Diploma in Biomechanics. He is also trained in soft tissue and joint mobilisations of the foot and ankle. He has a particular interest in the diagnosis and treatment of injuries affecting runners and has worked at a number of athletic events, including the London Marathon.

  • Nail Surgery

    Nail Surgery

    The partial or total removal of a toenail under local anaesthetic is a highly successful technique which has been used by Podiatrists for many years to treat all different types of painful nail condition.

    We can treat nails which have become infected and septic or nails which are painful or troublesome due to their abnormal shape. Most commonly, these are referred to as “ingrowing toenails”.

    What can I expect during nail surgery?
    Before the procedure is carried out, a full pre-operative assessment is carried out to ensure that the procedure is safe to be performed. This assessment involves taking a full medical history and an evaluation of vascular and neurological function. The procedure will also be discussed in detail with you and you will have the opportunity to ask any questions ahead of the surgery.

    How will the toenail be removed?
    There are 3 stages to the operation

    1. Local anaesthetic injection to numb the toe.
    2. Removal of all or part of the nail and application of a chemical to destroy the exposed nail bed. This is to ensure that the nail does not grow back.
    3. A dressing is applied to the toe.

    A follow up visit will be necessary for a dressing change after 2 or 3 days.

    All surgical procedures are carried out using single use, disposable instruments to ensure a safe and clean environment. A qualified medical assistant is also present during the surgery.

  • Biomechanics

    Biomechanics and Orthotics

    What isa Biomechanical Assessment?
    Biomechanics is the name given to the scientific study of human movement. In terms of Podiatry a Biomechanical Assessment involves a full assessment of lower limb function and efficiency in standing and walking. The aim of the assessment is to identify the cause of painful symptoms and instigate a treatment plan to accelerate recovery and reduce the risk of the same problem occurring again in the future.

    What is a Gait Analysis?
    Gait Analysis is, very simply, an analysis of how you walk. Very few injuries occur when standing still, but rather when the forces acting on our bodies as we move around overcome the ability of those body systems to repair themselves. Therefore a comprehensive Gait Analysis is essential in arriving at an accurate diagnosis of the problem.

    At The Tonbridge Clinic patients are assessed using a variety of techniques including Slow Motion Video analysis and Computerised Pressure Mapping. This is a pressure mat placed on the floor and connected to a laptop computer which picks up data as the patient walks across it. This records important information such as the speed and angle of gait, any high pressure areas and excessive forces acting on the foot, and variations in gait which may cause stress and strain in the musculo-skeletal system. The use of these special tools alongside regular analysis techniques enables a more accurate diagnosis to be made.

     What are Orthotics?
    Orthotics, or Orthoses, are specialised inserts that fit into the shoe and work by reducing the magnitude of excessive damaging forces acting on structures in the lower limb, thereby relieving pain and improving efficiency in balance, stability and movement. Where injury has occurred as a direct or indirect result of these excessive forces, properly prescribed orthoses can accelerate healing and reduce the risk of the same injury recurring.

    Orthoses fall broadly into two categories, Custom and Pre-moulded.

    Custom Orthoses
    These are made from a plaster or bio-foam mould of the feet and are made to a specific prescription, similar in concept to prescription glasses. They are usually constructed from very light, strong materials such as Carbon Fibre and Polyprolene and are often sports or activity specific. Because they are precision made by hand and therefore cannot be mass produced, they are relatively expensive. Whilst not necessary in all cases, they are generally stronger and longer lasting and therefore can be more cost effective in the long term. They are generally more successful in addressing complex foot pathologies.

    Pre-moulded Orthoses
    These come in a range of pre-formed shapes and sizes which are designed to fit a broad range of foot and shoe types. As they are not custom made they can be made in greater numbers and this makes them relatively inexpensive. Although they can be modified on a basic level, the general nature of their design means they may not be suitable for more complex foot pathologies.

    There are many pros and cons to the various different types of orthoses available, and no single approach will work in every case. Orthoses are just one component of a well rounded treatment plan and are not the answer to everything, contrary to some ‘marketing’ claims out there. Our aim is to give clear and objective advice, with the aim of helping you to recover from your injury as quickly as possible.

    Some common musculoskeletal conditions orthoses can help in the treatment of are:

    Heel Pain (sometimes called ‘Policeman’s Heel)
    Arch Pain
    Runners Knee
    Medial Tibial Stress Syndrome (also known as Shin Splints)
    Plantar Fasciitis
    Metatarsalgia, or forefoot pain.
    Achilles Tendinopathy

    If you are struggling with a debilitating injury which is not responding to treatment, it may be worth considering whether orthoses can help you.