Treatments we offer:
We use the most effective and innovative treatments and diagnostics, such as 3D scanning, Shockwave therapy, ultra-sound, dermal fillers, Botox and Polygel tri-polymer hybrid technology.
- Warts (Verrucae), Corns and Callouses
- Nail Problems
- Cracked Heels and Hard Skin
- Medical Pedicure
- Pain under the ball of the foot and Bunions
- Heel Pain
- Diabetic Foot Assessment and Treatment
- Biomechanical and Gait Assessment
- Insole and Orthotic Therapy
- Sport Related Foot Problems
- Children’s Feet
- Cancer Screening
Warts (verrucae) Corns and Callouses
Verrucae, also known as plantar warts are caused by the Human Papilloma Virus. They can be painful, unsightly and highly contagious. We can treat warts with a variety of treatments including cryotherapy, needling, salicylic acid, electrocautery, dermojet and laser therapy.
Corns are a painful thickening of skin that present in a plug like form over a bony prominence, where there is local irritation and high pressure to the skin. They can develop anywhere on or underneath the foot. In some cases the can even be found underneath toenails.
Callouses are also caused by areas high pressure and friction. They can be very uncomfortable to walk on. If these are not treated, they may result in wounds and ulcers forming underneath. This can be potentially very dangerous for patients with diabetes due to the delay in healing and reduced immune system,
thereby increasing the risk of infection.
We provide all general nail care services, if you have trouble cutting your own nails or just want to keep your nails nice and tidy. Thickened toenails can easily be thinned down with our special drills and burrs. We also can provide conservative care for ingrown toe nails. With regular nail ‘packing’ we can help prevent painful ingrown nails.
In some cases, where the ingrowing toenail has become painful and infected, nail surgery has to be undertaken. It is a minor procedure that can be done in the clinic with local anesthetic. A small portion of the nail is permanently removed to prevent that area of ingrowing nail from recurring. In extreme cases where the nail is very curved, thickened or damaged, the whole toenail may need to be removed.
Fungal infections of the nail, commonly presents as thickened brittle nails that may be difficult to trim. The nail may turn yellow, brown or white depending on the colony of fungus affecting the nail. As the condition progresses untreated, the nail may break off or become deformed and the infection may spread to other nails or the skin. We can carry out a five minute fungal test in the clinic, that will determine if the nail is infected by fungus or not, before treating with anti-fungal medication and topical treatments. LASER therapy is currently the most effective available treatment for fungal nails. The treatment is fast, safe and effective.
and unsightly nails, or where there is no nail at all, we can create a nail by using a polygel tri-polymer hybrid technology, that has been developed to create the most natural nail reconstruction system to date. This system incorporates cross linking polymers for flexibility and close bonding molecular structure for strength and durability. This treatment is popular with sports men and women.
Cracked heels and hard skin
Thickened, cracked or fissuring skin on the heels and feet is also a very common condition especially in hot dry climates and where the feet are in open sandals and flip-flops. Not only do they feel uncomfortable and look unsightly, they can also allow infections to enter into the body. This extra callous and hard skin can be reduced and a treatment plan developed to keep your feet soft and smooth all year round.
This can be potentially very dangerous for people with diabetes who may
suffer from a lack of normal sensation so they often may not feel that there is wound on their feet.
We always start by cleansing your feet with a skin disinfectant spray. After the safe removal of corns, calluses, hard and dry skin, toenails are cut, filed and buffed. A medical pedicure is performed on dry feet so there is no risk of infection arising from a shared foot-bath and hard skin is more visible on dry skin thus easier to completely remove and ensuring a longer lasting results. The treatment is concluded with the application of a rich moisturiser.
The treatment leaves your feet looking and feeling healthy, attractive and revitalised. Medical pedicures are suitable for both men and women. Hygiene and sanitation standards cannot always be guaranteed in popular nail salons. With a higher turnover, standards tend to decrease and the likelihood of fungal infections (from shared nail polishes and foot-baths), cross-contamination or ingrown nails (due to poor cutting) increases.
In contrast to a regular pedicure, our Medical Pedicure uses specialised instruments that have been sterilised to 134 degrees for superior hygiene. Any scalpels, blades, buffers or emery discs used are disposed of after a single use. Any nail varnishes used contain anti-fungal ingredients. With our signature medical pedicure, we use steam to help exfoliate dead skin cells and aid absorption of our rich moisturisers.
Metatarsalgia (pain in the ball of the foot) and Bunions
Also known as pain in the metatarsal area under the ball of the foot. The pain can be sharp, aching or burning and it is usually made worse on standing, running or walking. There could also be numbness or tingling in the toes or the feeling of ‘walking on a pebble’. Sometimes the pain is accompanied by bruising and swelling or inflammation.
deal with bunions also known as Hallux Valgus, where the joint of the big toe causes the toe to deviate towards the outside of the foot. Pain associated with this can be either on top of or underneath the big toe joint.
Anyone can get metatarsalgia, although runners and others who take part in high impact sports or put a lot of pressure on their forefoot such as people with high arches, toe deformities such as hammertoes and bunions, those with a second longer toe and ladies that wear high-heels may experience more pain from metatarsalgia.
Heel pain can be caused by a number of things but most commonly, it is caused by strain being placed on the thick fascia which runs between the heel and the toes. Commonly known as ‘plantar fasciitis’. If left untreated, this can sometimes cause a bony growth at the heel, known as a heel spur. To treat this painful condition, a combination of orthotic therapy, footwear modification, night splints, strapping, shockwave therapy and in severe cases steroid injections can all be used.
Diabetic foot Assessment and Treatment
Diabetes can cause nerve damage which can lead to ‘diabetic neouropathy’ which means you may not feel heat, cold or pain. So any kind of injury to the feet could go undetected. In a diabetic foot assessment we utilise the most up to date techniques and testing procedures. We use monofilaments to test the nerve supply and the detection of sensation to the feet.
Diabetes can also affect the circulation and cause a reduction of blood flow to the feet, which can result in poor healing. We use a Doppler ultrasound machine to check the circulation to the feet. We also look for developing foot deformities, skin damage, swelling, decrease in sweating and changes in temperature. Any corns, calluses, cracked skin, ingrown toenails must be addressed immediately; in a person without diabetes these issues would not be so serious but in a diabetic they could all be potentially life threatening.
Because diabetes can cause muscle weakness, sometime the gait pattern changes and new areas of high pressure on the feet can develop. If left undetected, this could cause ulcerations and foot complications. Untreated or non-healing ulcers can lead to infection which can travel to the bone, gangrene, amputation (of part of the foot, the whole foot or lower limb) and sometimes can be fatal. Four out of five diabetic foot amputations are preventable with regular foot screening and treatment.
In Oman, about 50% of non-traumatic foot amputations are a result of diabetic foot ulcerations.
Biomechanical and Gait Assessment
A biomechanical foot assessment involves an examination of the feet and lower limbs, looking at their structure, alignment, strengths and weaknesses.
In a biomechanical assessment, the range of motion of certain joints will be observed and measured. Muscle strength and flexibility will be tested. Any misalignments in the feet, legs, pelvis, back and shoulders on standing and walking will be identified. In addition to this your footwear and lifestyle will be assessed in relation to the findings.
Gait analysis is a way to assess the dynamic posture in relation to the feet during walking. It can identify the underlying mechanical causes of common foot and lower limb problems. Biomechanical problems attributed to the foot, include heel and arch pain, ankle pain, leg cramps, knee pain, hip pain and lower back pain. This assessment allows us to identify and treat a number of gait issues, from injury rehabilitation, to improving sporting performance.
After the assessment a treatment plan is drawn up which may normally include prescription orthotics, footwear recommendations and modifications, exercise programs with stretching, strengthening, athletic taping, strapping, night splints and sometimes shockwave therapy.
Insole and Orthotic Therapy
Foot Orthotics are special insoles which help stabilise and correct poor foot posture. The aim of foot orthoses are to correct dysfunctional biomechanics of the feet and therefore, reduce pain, provide support and prevent or halt the development of foot deformities. Orthotics also relieve excessive pressure on certain areas of the foot by redistributing it evenly across other areas, to improve the overall biomechanical function of the foot.
Like prescription glasses, orthotics are uniquely, made for each individual to match the contours of their feet. No two feet, even in the same person are the same.
We are very excited to be the only clinic in Oman (and in fact the whole of the Middle East) to have exclusive use of the very latest 3D scanner new to the international market. This captures the complex contours of the foot in just a few minutes. We then design the orthotic by adding your unique prescription. The orthotic is 3D printed and then finished by hand. We also offer these state-of-the-art, orthotics in ‘carbon fibre’ famous for it’s super durable yet light-weight properties, used in racing-cars.
We also offer a selection of insoles and orthotics that are ready made from the U.K
to which we can add modifications. Some can be semi-moulded with heat to capture your arch and rear foot.
Overuse problems from acute to long term chronic conditions can all be common for the sports-persons. In most chronic injuries, it can be very worrying to the sports person with the slowly developing onset of the symptoms with no obvious reason.
In most of theses cases it is caused by the forces involved in high impact activities can cause undetected micro-damage to the tissue. Pain occurs when repetitive training or sport, exceeds the healing process leading to the breakdown of tissues involved. This bio-mechanical overload leads to the classic over-use type injuries often seen in runners and sports persons.
In order to diagnose and treat the condition, normally a biomechanical assessment is carried out (see section on biomechanical assessments and treatments above). This helps us look at the way bones, muscles and tendons are aligned and interact during standing, walking and certain movements. Body posture, stability, muscle strength, range of motion of certain joints and other musculoskeletal factors maybe looked at before a treatment plan is prescribed.
Most commonly treated sports related injuries.
- Heel pain
- Turf toe
- Plantar plate tears
- Plantar fasciitis
- Shin splints
- Morton’s Neuroma
- Ankle pain
- Knee pain
- Stress fracture
Pain in children’s feet is common. Their bones are developing from the soft pliable compound to hardened adult bone and they are continuously growing at a rapid rate. There are many causes of foot pain in children, which range from birth abnormalities, over use injuries, accidents, growing pains, poorly fitting and unsuitable footwear, illnesses, and many more.
We will help identify and treat the underlying cause of your child’s foot pain, and develop a comprehensive management plan to maintain healthy growth for the future. It is essential that parents and children understand and embrace healthy foot care habits from a qualified podiatrist early on in life.
We treat the following common conditions:
- Flat Feet- Where there is little or no arch in the foot, and the feet appear to be ‘rolling in’.
- Excessive Pronation and Supination- Excessive inwards and outwards rolling of the feet.
- Bow Legs (Genu Varum)- Where the legs are bowed outwards on standing.
- Knocked Knees (Genu Valgum)- Where the legs are turned in on standing.
- In-toeing (Pigeon toe)- Where the child walks with the big toes turning inwards.
- Out-toeing (Duck Foot)- Where the child walks with the big toes turned outwards.
- Heel Pain (Sever’s Disease)- It is an inflammation of the growth plate in the heel.
- Toe Walking (walking on tiptoes)- Where the child walks on the balls or toes of their feet all the time.
- Knee Pain (Osgood Schlatter’s Syndrome)- Where there is a painful lump at the base of the knee.
- Limb Length Discrepancy- When the legs are of different lengths.
It is essential to continue with ongoing monitoring to make sure your child develops normally through their milestones of growth. Treatments may include orthotic devices, braces, night splints, taping, strapping, special footwear, specific exercises and stretches to correct the bio-mechanical abnormalities of the feet and lower limbs. Corrective surgery is only recommended in extreme and rare cases.
is the most serious type of skin cancer that can appear anywhere in the feet including under the toenail, it is often diagnosed late because people do not notice it, but it is treatable in the early stages. It develops on skin that gets too much sun, even in places where sun rarely shines such as the feet which are often covered up by shoes and socks. People of all races and colours can get melanoma, in fact the feet and hands are the most common places for melanomas to first appear in people from African, Arab and Asian ethnicity. The late Bob Marley died from a melanoma that had been growing under his toenail. He thought it was a football injury so he ignored it, until it was too late.
The two main types of injectables are Botulinum Toxin (commonly referred to as Botox) and dermal fillers, made from Hyalaronic acid (which is a naturally occuring substance in the human body. Yes, these are the same two injectables more commonly used in the face to smooth fine lines and plump up lips. Botox can be injected into the soles of the feet (hands and armpits too) to help combat excessive sweating (hyperhydrosis).
Dermal fillers can be injected into bony areas of the feet such as the tops of the toes to create a barrier between the small joints an the shoes which normally rub and can cause discomfort. It can also be injected under the balls of the feet to plump up the fat pads, which degenerates as we grow older. This provides an internal cushioning and gives relief when wearing high heeled shoes. It is nicknamed the ‘Loub job’ after the famous red soled footwear designer, Christian Louboutin, who created the first eight-inch heels.