PODOLOGIST

We invite you to a podiatry consultation, which enables a comprehensive assessment of the condition of your feet and the selection of individual preventive care therapy. During the visit, the podiatrist will conduct a detailed interview and examination, allowing for an accurate diagnosis. Subsequently, they will explain the stages of the proposed therapy and suggest appropriate home care.

The consultation is particularly recommended for individuals with chronic conditions such as diabetes, psoriasis, rheumatoid arthritis, atopic dermatitis, gout, as well as for patients with neurological, orthopedic, or circulatory system problems. The treatment is also recommended for physically active individuals or those who have had lower limb injuries – in such cases, specialized foot care is crucial.

The scope of the consultation includes assessment of the following problems:

• excessive skin callusing on the feet,
• corns and calluses,
• plantar warts,
• cracked heels,
• ingrown toenails,
• foot or nail fungus,
• excessively dry or sweaty foot skin.

It is worth noting that a podiatrist does not diagnose or treat diseases, but specializes in selecting appropriate foot care. For conditions requiring specialized care - such as diabetes, psoriasis, rheumatoid arthritis, atopic dermatitis, gout, or others - a podiatrist can help implement proper care procedures that support foot health.

Benefits of podiatry consultation:

• Thorough assessment of the condition of the skin and nails of the feet.
• Individually tailored care plan.
• Implementation of treatments supporting foot health in chronic conditions.
• Improvement in walking comfort and foot aesthetics.

By opting for a podiatry consultation, you are investing in professional care for your feet, which translates into their health, comfort, and better quality of life.

Basic podiatric treatment is dedicated to individuals with foot problems. Unlike classic pedicure, which is performed on healthy feet and focuses solely on symptomatic action, achieving a purely aesthetic effect, podiatric treatment aims to reach the cause of the pathology. Its main task is to alleviate or completely eliminate discomfort and prevent problems from recurring. Care includes not only the feet but the entire lower limbs and is often done in collaboration with specialists such as a doctor, physiotherapist, or orthopedic technician.

Stages of podiatric treatment:

• Interview and Examination: The treatment starts with a thorough interview and comprehensive examination of the feet, allowing for an accurate diagnosis.
• Development of Therapy Plan and Home Care: Based on the information obtained, an individual therapy and care plan is discussed, which the patient can continue at home.
• Execution of Treatment and Observation of Effects: Next, the treatment is carried out, during which procedures similar to a classic pedicure are performed – trimming the nail plate, working on the nail folds, and smoothing the soles of the feet. Only physiological calluses from the feet and toes are removed.
• Application of Preparations and Dressings: After the treatment, appropriate preparations are applied, and dressings are performed if necessary.
• Selection of Preparations for Home Care Continuation: Finally, the patient receives individually selected preparations to continue care at home. If there are no contraindications, a foot peel and nail painting with polish can be done after the treatment.

Additional Services

Basic podiatric treatment can be expanded with additional procedures such as: removal of calluses, warts, and heel cracks, cutting of ingrown toenails, cleansing of nails affected by disease, nail reconstruction, foot massage. If there are no contraindications, a foot peel and nail painting with polish can be done after the treatment. These services are extra and require prior reservation.

Treatment Frequency: It is recommended to have the basic podiatric treatment done 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 improves aesthetics but above all eliminates discomfort and prevents problems from recurring, taking care of the health of your feet and entire lower limbs.

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

• Cleansing: Thorough cleansing of the affected area, removal of dead cells and impurities to prepare the nail for further procedures and reduce the risk of infection.
• Trimming: Careful trimming of the separated or damaged part of the nail plate to eliminate the source of further damage and support the natural nail plate regeneration.
• Dressing: Applying the appropriate dressing to protect the cleansed and trimmed nail from external factors, support the healing process, and provide patient comfort.

Home Care Recommendations:

• Hygiene and Care: Regularly maintain foot hygiene, keeping them dry and clean. Avoid excessive soaking of the feet and use gentle cleansing products.
• Strengthening Preparations: Use dedicated creams and strengthening products for the natural nail plate, and if necessary, antifungal products, following the podiatrist's recommendations.
• Mechanical Protection: Wear comfortable footwear or insoles that better protect the feet from injuries and aggressive substances.
• Monitoring Nail Condition: Regularly check the condition of the nails, and in case of new symptoms or worsening onycholysis, promptly consult a podiatrist.
• Avoiding Aggressive Substances: Avoid using strong detergents and chemical products that can further irritate the skin and weaken the nails.

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

Cracked heel is a condition which in addition to its aesthetic aspect, can cause pain and discomfort. Untreated and neglected cracked heel can lead to inflammation and infection. If the treatments that you can do yourself at home, such as: skin abrasion, peeling, moisturizing of the skin does not help, consult a good podiatrist, who will evaluate the hydro-lipid balance of our skin, define the cause of the disease and prescribe appropriate treatment. During the procedure, calluses will be painlessly removed, thereby softening the tension on the skin, leading to the formation of clefts. Heel will be smoothen out and, if necessary, a dressing material will be applied on deep cracks. Podiatrist will prescribe special preparations to maintain proper foot care, tell you what kind of shoes should be worn and will also teach you simple methods to accelerate the regeneration of the epidermis.

Corns are formed as a result of excessive keratinization of the epidermis in response to pressure. They usually occur on the toes of the feet, where the bones are more prominent and cause rubbing of the skin against shoes, the ground, or other bones. The thickening callus increases pressure on the inner layers of the skin. Sometimes, the keratinized layer, which cannot separate, causes the formation of a core that penetrates the skin, increasing pain. If a corn becomes inflamed, pain, itching, and redness may occur.

Corns should be removed because if left untreated, they can be pressed/pushed deeper, causing increasing pain. They can penetrate beyond the proper skin and be the cause of inflammatory conditions.

The procedure includes identifying the corn, selecting the best method, presenting a detailed therapy plan, performing the procedure, applying appropriate preparations, and providing post-procedural recommendations. The price is 100 PLN for the first corn and 30 PLN for each subsequent corn.

Callus is a hyperkeratotic skin or excessive keratosis which are usually formed on the sole of the foot under one of the heads of the metatarsal bones. Calluses are formed usually on bony prominences, mainly on the sole of the foot (on the heads of the metatarsal bones) and heel.

Calluses be removed because in addition to the unsightly appearance, with time, it can cause pain and loss of skin elasticity and the resulting cracks can cause fungal infections, viral or bacterial infections.

Foot warts are caused by viral infection and develop on the plantar surface of the foot. They have a roughened surface and have the same color as the skin. Warts may be small or round in shape but they can also occupy a large area of skin with mingles in clusters forming the so-called mosaic warts.

Warts absolutely must be removed because it can spread, may hinder walking, will undergo inflammation and are highly infectious. There are many methods of treatment. Our office removes warts by electrocoagulation. Cells infected with the virus are destroyed and removed by ultra-short electrical impulses. The procedure is almost painless. Usually after just removing one or two, the remaining warts will disappear spontaneously.

Modern technology and podiatric knowledge allows the reconstruction of the nail plate or effectively hide its shortcomings. Nail reconstruction can be performed in many cases such as: due to occurrence of mechanical trauma or disease, when we want to protect the exposed nail bed (tissue which grows the nail) or as a treatment of ingrown nails.

To rebuild damaged nails, we use a special mass or hardening gel. Both contain clotrimazol which is a substance that has antifungal activity. Therefore, it is suitable for the reconstruction of nails damaged by the course of ringworm. Onychomycosis is cured by appropriate removal of the sick part of the nail and protecting the healthy nail. Using the appropriate diamond cutter, we will delicately remove the nail damaged by fungal infection. Then, we put the right amount of gel or mass to reconstruct the nail. When the nail prosthesis achieve the appropriate thickness, we shape the appearance of the nail by means of suitable ceramic cutters.

Many diseases lead to abnormal changes in the nails, with fungal and bacterial infections being the most common. In such cases, a podiatrist performs a cleansing procedure, which involves the precise removal of the altered, diseased parts of the nail plate. This procedure can be used independently or combined with nail reconstruction to restore its natural appearance and functionality. 

Therapeutic pedicure is dedicated to people who saw some alarming changes on the feet that appear on the skin or nails. During the therapeutic pedicure, we will follow the classic pedicure steps with particular emphasis on pathological lesions after a specialized analysis of the problem.

The treatment involves a corresponding reduction and development of nails with the help of milling, local shaft cleaning, skin smoothening and removal of hyperkeratosis. It ends with a refreshing foot peeling and application of appropriate antiseptic and antifungal treatments and it can be proceeded with normal activities at home.

Therapeutic pedicure can be extended to other procedures such as removal of corns, calluses, cracks on the heels, ingrown nail trim, nail reconstruction and massage. They will be available with an additional cost and require booking in advance.

A dressing is a procedure aimed at protecting the postoperative site from infection and supporting the healing process. After podiatric procedures, such as removing skin lesions or reconstructing a nail, it is crucial to properly protect the treated area. The dressing procedure involves:

• Thoroughly cleaning and disinfecting the area to remove any contaminants.
• Using high-quality, sterile materials such as sterile gauze, bandages, adhesive dressings, as well as sponges and foams.
• Individually adapting the type of dressing to the patient's needs, which is particularly important for individuals with slow-healing wounds, such as in diabetic foot cases.

The dressing not only protects the treated area from infections but also supports skin regeneration, accelerates healing, and minimizes the risk of complications. Patients are advised to follow care instructions and attend regular check-ups to maintain optimal healing conditions.

For ailing and deformed feet, we recommend soft, silicone orthoses that provide comfort while walking. Due to their flexibility, orthoses correct deformities in the toe area and protect sensitive areas from friction and pressure caused by footwear. Orthoses made of polymer gel are gentle and skin-friendly – they do not cause allergic reactions or irritation, provide stability (they do not shift in the shoe), and are resistant to gentle stretching.

Indications for Using Podiatric Orthoses:

• Protection after procedures: Using orthoses after removing a corn or callus protects irritated areas, prevents recurrence of changes, and reduces the risk of infection.
• Protection of inflamed areas: Orthoses reduce pressure on inflamed areas, especially around the nail folds, helping to reduce pain and lower the risk of further infections.
• Offloading cracked heels: In cases of heels with fissures, offloading orthoses minimize pressure, aiding in the healing and regeneration of the skin.
• Even distribution of pressure: For individuals with interdigital corns caused by tight toe alignment, orthoses help evenly distribute the forces acting on the foot, reducing discomfort.
• Reducing discomfort of hammer toes: Reducing pressure on the tips of the toes in cases of hammer toe discomfort improves walking comfort and reduces pain.
• Protection of the big toe joint with hallux valgus: In situations where the big toe joint is enlarged or inflamed, offloading orthoses reduce pressure, relieving discomfort.
• Support in foot overloads: Individuals with pain in the midfoot and heel bones, such as athletes or those working standing up, benefit from an even distribution of pressure, reducing discomfort from excessive loading.
• Reducing risk in patients with diabetic neuropathy: For patients with diabetic foot conditions, orthoses are crucial in preventing difficult-to-heal wounds and infections.
• Protection after injuries and in cases of deformities: For individuals who have experienced injuries or have chronic foot deformities, orthoses support the regeneration process and protect sensitive areas from further damage.

Types of Orthoses:

In podiatry, several types of orthoses are distinguished based on the material, function, and fitting method for the foot. The most commonly used types include:

• Silicone orthoses: Soft, flexible devices made of polymer gel that effectively cushion pressure, protect sensitive areas, and correct minor toe deformities. They are skin-friendly, do not cause irritation, and work well for diabetic foot conditions or issues resulting from chronic inflammatory conditions.
• Gel orthoses: Similar to silicone orthoses, they focus on pressure reduction and cushioning, often used as insole forms to provide walking comfort.
• Hard orthoses (custom-made): Made to order, using materials such as thermoplastics, these orthoses are designed based on foot molds. They provide greater support and stability, correcting more serious deformities.
• Dynamic orthoses: Designs allowing gradual correction of foot and toe alignment, adjustable as therapy progresses.
• Additional supportive accessories: While not strictly orthoses, items like pressure-relief cushions, protective rings, or toe straighteners are used in conjunction with orthoses to better tailor therapy to the patient's individual needs.

Each type of orthosis is selected individually, depending on the foot's health condition, type of deformity, and patient's needs, to provide optimal support, protection, and comfort.