Our aim at Premier Podiatry is to determine a diagnosis and treatment plan to resolve your problem and allow you to return to normal activity as quickly and as easily as possible. In order to achieve this we take a structured approach to your assessment and review.
- New patient assessment
- Conservative treatment
- Post-operative review
At your first consultation, a detailed history of your problem, medical history and personal circumstances will be taken. A detailed examination of your feet and legs will be made to determine the nature of your problem and possible contributing factors. This will also include assessment of your shoe style and fit.
This information is used to provide a diagnosis and detailed treatment plan. The condition and treatment options will be explained in detail and any investigations required to help with diagnosis discussed. You will have the opportunity to ask questions and the implications and complications of any potential surgery will be discussed and appropriate information sheets provided.
Where necessary a referral to another specialist and a suitable review period will be recommended.
The foot is a uniquely complex structure and some problems can be quite difficult to diagnose as there may be more than one possible cause. Where necessary appropriate investigations will be requested which include x-rays, bone scans, MRI and CT scan’s, ultrasound scans, blood tests and nerve studies.
The majority of foot problems can be managed conservatively and a range of treatment options are available. These can be viewed at our Advice Centre.
A review appointment will be necessary to assess your progress or the results of any investigations. Some patients require more than one review appointment but this will be discussed and will depend upon the nature of your condition and treatment plan.
Patients requiring surgery will undergo a preoperative examination, including the detailed medical history questionnaire to assess their suitability for surgery. The nature of the surgery and your understanding will be discussed and the appropriate informed consent obtained. You will be provided with a copy of the consent form.
The majority of foot procedures can be performed under local anaesthetic. However, some patients prefer either sedation or general anaesthetic and this can be arranged. This will be discussed with you prior to your operation.
The majority of foot surgery can be performed on a day care basis. This means that you will be admitted to the hospital for one day and allowed to go home once you have recovered adequately from your operation. However, you will require appropriate home support as you will need to rest your foot following the operation. The length of time required will vary depending on the operation. When necessary, patients are admitted for longer periods but again, this will be discussed preoperatively. You will be given emergency contact numbers should they be required and it is our policy to contact patients the day after surgery.
Generally, most patients are reviewed at one week post operatively to ensure healing is progressing as planned. Stitches (sutures) are removed at two weeks postoperatively. A further review is undertaken at six to eight weeks postoperatively to ensure you are progressing appropriately with a final review at six months. However, further reviews are undertaken should you be having any difficulty or require further advice.