Podiatry - specialized foot care

Specialized foot care for people with skin and nail conditions

Basic podiatric treatment is dedicated to individuals with foot problems. In contrast to a classic pedicure, which is performed on healthy feet and focuses solely on symptomatic relief, achieving a purely aesthetic effect, podiatric treatment aims to reach the root cause of pathologies. Its main task is to alleviate or completely eliminate discomfort and prevent the recurrence of issues. Care involves not only the feet but the entire lower limbs, often carried out in collaboration with specialists such as doctors, physiotherapists, or orthopedic technicians.

Who is the treatment intended for?

• For individuals with calluses, excessive cornification, periungual cornification,
• For those with thickened, brittle, or pathologically altered nails,
• For patients experiencing pain or discomfort while walking,
• As a preventative measure for diabetes, psoriasis, atopy, circulatory diseases, and rheumatoid arthritis,
• For everyone wishing to care for the health and functionality of their feet - not just appearance.

Stages of podiatric treatment:

• Interview and Examination: The treatment begins with a detailed interview and a comprehensive examination of the feet to establish an accurate diagnosis.
• Development of Therapy and Home Care Plan: Based on the information obtained, an individualized therapy and care plan is discussed for the patient to continue at home.
• Execution of the Treatment and Observation of Effects: Subsequently, the actual treatment is carried out, involving procedures similar to a classic pedicure - trimming the nail plate, working on the area around the nail folds, and smoothing the soles of the feet. Only physiological calluses on the feet and toes are removed.
• Application of Preparations and Dressings: After the treatment, appropriate products are applied, and dressings are done if necessary.
• Selection of Products for Continued Home Care: Finally, the patient receives individually selected products enabling them to continue care at home. If there are no contraindications, a foot peel and nail polish can be applied after the treatment.

Effects and Benefits of the Treatment

• Noticeable improvement in walking comfort - by removing calluses, improving foot biomechanics, and reducing pressure points.
• Reduction of pain and irritation - elimination of pathological skin and nail changes restores natural foot functionality.
• Enhancement of skin condition - the skin becomes more elastic, moisturized, and resistant to cracking and abrasions.
• Healthier and more aesthetically pleasing nails - working on the nail plates improves their appearance and prevents infections.
• Strengthened prevention of recurrences - regular podiatric care prevents the worsening of problems and reduces the risk of complications (e.g., in patients with diabetes or vascular diseases).
• Better absorption of care products - well-prepared skin and nails respond more effectively to products applied at home.

Scope of Treatment and Additional Services

In our service, podiatric treatment can be performed in a basic or extended variant - depending on the number of changes, their extent, and advancement level.

• Basic treatment involves addressing physiological and mild changes, such as calluses, excessive cornification, or periungual cornification - without the need for specialized procedures.
• Extended treatment is suggested when skin and nail changes are numerous, extensive, or require longer and more intensive work - e.g., very strong calluses, minor corns, thickened and deformed nails.

The scope of the treatment is determined based on the interview and foot assessment during the visit. If necessary, the specialist may suggest expanding the scope or schedule the patient for separate podiatric procedures, such as removal of deep calluses, warts, treatment of cracked heels, trimming ingrown toenails, cleaning diseased nails, nail reconstruction, foot massage. If no contraindications exist, nail polish can be applied after the treatment. These services are additional and require prior reservation.

Frequency of Treatments

• It is recommended to perform basic podiatric treatment every 4-8 weeks.
• In cases requiring therapy, the visit frequency is determined individually according to the patient's needs.

By opting for basic podiatric treatment, you are investing in comprehensive care that not only enhances aesthetics but primarily eliminates discomfort, prevents problem recurrences, and cares for the health of your feet and entire lower limbs.

Safe, Therapeutic Treatment of Feet with Skin and Nail Problems

Basic therapeutic pedicure is a specialized podiatric treatment designed for individuals who have noticed concerning changes in the skin or nails of their feet - such as excessive calluses, corns, dryness, cracked skin, or alterations in the structure and appearance of the nail plate. It combines classic care techniques with a professional, medical therapeutic approach, impacting both the aesthetics and the health and functionality of the feet.

The treatment is preventive and care-oriented, constituting one of the fundamental pillars of foot health - especially for individuals prone to callus formation, foot deformities, gait biomechanics disorders, or systemic diseases (e.g., diabetes, eczema, psoriasis).

The procedure commences with a detailed assessment of the condition of the skin and nails conducted by a qualified podiatrist. Based on the diagnosis, an individualized action plan is devised - tailored to the current needs of the skin and the existing structural and epidermal issues.

Scope of Basic Therapeutic Pedicure:

• Trimming and shaping of the nail plate → using a medical drill with appropriately selected tips to shape, smooth the surface, and cleanse the nail plate from overgrowing epidermis.
• Removal of calluses from nail folds and soles of the feet → delicate treatment of the epidermis around the nails and in the areas of the forefoot, heels, and edges of the foot.
• Precise treatment of corns and mild hyperkeratosis → removal of superficial, flat epidermal thickening (corns) using a scalpel and drill.
• Peeling or smoothing of the skin → improving microcirculation, epidermal structure, and its regenerative capacity.
• Application of therapeutic products → antiseptic, antifungal, and regenerating - individually selected according to the skin condition and its needs.
• Home care recommendations → the podiatrist provides guidance on care, hygiene, selection of appropriate footwear, and - if necessary - recommends continuing the therapy.

When is it Worth Opting for Therapeutic Pedicure?

• When there are excessive calluses, corns or dryness on the feet causing discomfort.
• When changes in the nail area appear (e.g., thickening, layering, dullness) which may indicate biomechanical or microbiological irregularities.
• When standard cosmetic pedicure fails to deliver expected results, and problematic areas require specialized treatment.
• When you value professional diagnostics and preventive care, even in the absence of clear symptoms - to prevent the development of more serious changes.
• When the specialist recommends therapeutic pedicure as part of broader therapy - e.g., after treating calluses, warts, or cracked heels.

Effects of Basic Therapeutic Pedicure:

• Visible improvement in the structure and appearance of the skin of the feet - the skin becomes soft, smooth, and more resistant to micro-injuries.
• Reduction of corns and superficial calluses - translating into greater mobility comfort and reduced risk of cracks.
• Increased flexibility of the epidermis - especially in critical areas, such as heels and forefoot.
• Enhancement of nail condition - the plates are cleansed, nurtured, and less susceptible to ingrowth or infections.
• Preventive and antiseptic action - by using appropriate products, we reduce the risk of fungal, bacterial, and viral infections.
• Improved well-being and increased self-confidence - well-groomed feet not only contribute to health but also aesthetics, impacting daily comfort.

How Often Should Therapeutic Pedicure be Performed?

• Preventively: every 4-6 weeks - to maintain the proper condition of the skin and nails and prevent the emergence of new issues.
• In case of recurring problems: every 3-4 weeks - especially in individuals with bone deformities, skin conditions, or a tendency to excessive callusing.
• After specialized therapy: as a means to sustain treatment outcomes and maintain proper gait biomechanics.

Regular visits enhance the therapeutic effectiveness and significantly improve the quality of life - alleviating pain, discomfort, and aesthetic concerns.

Organizational Information

Basic therapeutic pedicure includes standard care and treatment of physiological and pathological calluses (corns, mild hyperkeratosis) without the presence of inflammatory changes.

The following procedures are not included in the treatment:

• removal of calluses or viral warts,
• treatment of deep, cracked heels with inflammation,
• trimming of ingrown toenails,
• reconstruction of damaged nail plates,
• application of orthonyxial braces,
• foot massage or reflexology therapy.

Take care of your feet with the attention they truly need. Basic therapeutic pedicure is not just care - it's a safe and effective step towards health, comfort, and well-being in daily life.

Safe therapy for detached nail plate

Onycholysis is a condition in which the nail plate separates from the nail bed. It can be caused by trauma, fungal infections, exposure to aggressive chemicals, excessive moisture, or allergic reactions. It is essential to determine the cause of nail separation to choose the appropriate treatment and prevent the problem from worsening. In a podiatry office, onycholysis therapy involves a comprehensive procedure consisting of three key stages:

• Cleansing: Thoroughly cleaning the affected area, removing dead cells and impurities, preparing the nail for further treatment, and reducing the risk of infection.
• Trimming: Carefully trimming the detached or damaged part of the nail plate, eliminating the source of further damage, and supporting the natural nail plate regeneration.
• Dressing: Applying suitable dressing to protect the cleansed and trimmed nail from external factors, supporting the healing process, and ensuring patient comfort.

Who is the onycholysis therapy for?

• Individuals with visible nail detachment (often starting from the free edge).
• Patients with chronic fungal or bacterial infections.
• Individuals after nail trauma or improperly performed aesthetic procedures.
• Athletes, runners, individuals working in tight or moist footwear environments.
• Patients with systemic diseases affecting the nail plate condition.
• Women after hybrid or gel nails where nail plate detachment occurred.

Effects of onycholysis therapy

• Halting the progression of nail detachment.
• Reducing inflammation and eliminating the risk of secondary infections.
• Improving the appearance and comfort of the nail plate.
• Supporting the natural regeneration of the nail bed and healthy nail growth.
• Enhanced functional comfort, including in closed-toe shoes.
• Increased safety for chronically ill patients (e.g., diabetic individuals).

Home recommendations - key to maintaining therapy effects

The effectiveness of the procedure also depends on home care. Therefore, the patient receives individual recommendations, which may include:

• Hygiene and care: Regularly maintain foot hygiene, keeping them dry and clean. Avoid excessive foot soaking and use gentle cleansing products.
• Strengthening preparations: Use dedicated creams and products to strengthen the natural nail plate and, if necessary, antifungal products as advised by the podiatrist.
• Mechanical protection: Wear comfortable footwear or insoles that better protect the feet from injuries and aggressive substances.
• Monitoring nail condition: Regularly check the nail condition, and in case of new symptoms or worsening onycholysis, promptly consult a podiatrist.
• Avoiding aggressive agents: Avoid using strong detergents and chemical products that can further irritate the skin and weaken the nails.

Thanks to comprehensive onycholysis therapy in a podiatry office and adherence to home care recommendations, it is possible to halt nail detachment progression, improve nail condition, prevent infections, and contribute to the health and aesthetics of the feet.

Visit frequency

• In most cases, one therapeutic treatment and 1-2 follow-up visits every 2-4 weeks are sufficient, depending on the healing rate and the extent of the condition.
• For patients with advanced onycholysis or concomitant fungal infection, therapy may require cyclic treatment combined with pharmacotherapy or dermatological control.

Why act now?

The sooner you start therapy, the greater the chance of full nail plate regeneration without the need for prolonged treatment. Onycholysis does not disappear on its own, but in the right hands, you can stop its progression, restore nail health and aesthetics, and avoid future complications.

Effective therapy for viral skin lesions - without pain and relapses

Viral warts (verrucas) are skin changes caused by the human papillomavirus (HPV), which most often appear on the soles of the feet. They have a rough surface, skin color, sometimes small points (clotted blood vessels). They can occur singly or in clusters (known as mosaic warts) and over time can make walking difficult, cause pain, or lead to inflammation. It is not just an aesthetic defect - it is a highly contagious viral change that spreads through contact with surfaces, shared surfaces (pools, gyms, showers), and... to other parts of your body.

Why should warts be removed?

• They are highly contagious - easily spread to other areas of the foot and other people.
• They can grow and merge into clusters, forming extensive changes that are more difficult to remove.
• Increase the risk of inflammation and infection when overinfected or injured.
• Make walking difficult, leading to pain and overloading other parts of the foot.
• It happens that after removing one wart, the remaining ones disappear spontaneously - that's why quick action is important.

Course of the procedure

• Diagnosis of the lesion - a podiatrist carefully assesses the type, depth, and location of the wart, differentiating it from other skin changes (e.g., callus, corn).
• Method selection - electrocoagulation is most commonly used - a safe, effective, and almost painless technique in which infected virus cells are destroyed using ultrashort electrical impulses. In the case of more superficial, extensive, or numerous warts, as well as in individuals with sensitive skin, organic acid therapy may be used, based on controlled exfoliation of the changed tissue. Both methods can also be combined if the skin condition requires it.
• Therapy plan - individually established, taking into account the number of changes, the technique of the procedure, the expected healing time, and any follow-up visits.
• Wart removal procedure - precise, sterile, and controlled processing of viral changes, according to the chosen method (electrocoagulation or acid application).
• Application of wart preparations - regenerating and antiseptic preparations support the healing process, protect the skin from secondary infection, and promote the regeneration of the epidermis.
• Post-procedure recommendations - the patient receives clear guidelines on wound care, securing the treatment site, and avoiding further spread of the virus.

Who is the procedure for?

• For individuals who have noticed hard, rough changes on the soles of their feet or between their toes.
• For patients with painful spots on their feet that do not disappear despite care.
• For children, adolescents, adults - warts affect all age groups.
• For active individuals - using gyms, pools, sports facilities.
• For anyone who wants to effectively get rid of warts without the risk of relapse.

Therapy effects

• Removal of viral changes while preserving healthy skin.
• Halting the spread of warts.
• Reducing pain and restoring walking comfort.
• Reducing the risk of infecting others (e.g., household members).
• Better appearance of the feet, greater confidence in daily life.
• Strengthening the local skin immunity through the use of preparations and preventive measures.

Frequency of procedures

• In many cases, one procedure is sufficient, especially when the change is fresh and well-localized.
• For mosaic warts or deep warts - therapy may require 2-3 follow-up visits every 2-4 weeks.
• Regular monitoring of changes and appropriate preventive actions reduce the risk of recurrence.

Why it's not worth waiting?

Because the sooner you start treatment, the greater the chance of completely removing the changes without relapses. Warts do not disappear on their own - but in the right conditions, they can be removed quickly, painlessly, and safely.

Modern technology and advanced podiatric knowledge enable effective reconstruction of the nail plate or aesthetic concealment of its imperfections. This procedure is used for individuals who have lost part of the nail due to mechanical injury, dermatological conditions, onycholysis, fungal infections, or as part of ingrown nail therapy - especially when it is necessary to protect the exposed nail bed from further injuries and infections.

Who is recommended for the procedure?

The procedure is intended for individuals of all ages who struggle with defects in the nail plate resulting from injuries, diseases, fungal infections, inflammatory conditions of the nail fold, or nail deformities. It is also recommended for patients after nail surgery or during corrective therapy for ingrown nails.

Stages of nail reconstruction procedure:

• Preparation: Removal of diseased, calloused, and damaged nail fragments using diamond burs, allowing for thorough cleansing and preparation of the nail bed.
• Application of the product: A special gel or reconstructive material containing clotrimazole - a substance with antifungal properties - is applied to the prepared defect.
• Hardening: The applied material is cured with UV light, creating a durable and aesthetically pleasing layer of nail prosthesis.
• Shaping: The nail is shaped using ceramic burs to achieve the appropriate shape, ensuring aesthetics, comfort, and durability.

Cleansing a diseased nail

For nails affected by fungus, onycholysis, psoriasis, or other pathological changes, the first step is thorough and safe cleansing of the nail plate and nail bed. The procedure involves mechanical preparation of the affected areas using specialized burs and tools, which helps remove dead or infected tissues. This not only limits the further progression of the disease but also prepares a healthy base for reconstruction. Subsequently, preparations containing antifungal substances (e.g., clotrimazole) are applied to enhance the therapeutic effect and protect against reinfection. Only on such prepared surface is the reconstructive layer applied, restoring the appearance and function of the nail.

Effects of nail reconstruction procedure:

• Reconstruction of the nail's structure and restoration of its aesthetic appearance,
• Protection of the nail bed from damage and pathogens,
• Support for the natural regeneration process of the nail plate,
• Improved walking comfort and reduced risk of pain or further deformities,
• Masking of permanent nail plate damage.

Nail reconstruction is not only an aesthetic improvement but also an important element of podiatric therapy - it supports regeneration and protects against further damage.

Frequency:

• Nail reconstruction typically lasts from several weeks to several months, depending on the nail's growth rate and daily strain.
• Follow-up visits every 4-6 weeks are recommended to assess the status of the reconstruction and for possible correction or renewal of the gel/material layer.

With nail reconstruction, you can restore the natural appearance and functionality of a damaged nail plate, as well as protect the nail from further damage. The procedure is an ideal solution for individuals post-injury, undergoing ingrown nail therapy, or treating nails affected by fungal infections.