Treat Your Feet Podiatry

16/02/2026

🦶 Understanding the Role of the Advanced Podiatrist

Elizabeth Wythes BSc (Hons) Podiatry
HCPC Registered | Advanced Podiatrist
Treat Your Feet Podiatry

🔍 Lower Limb Vascular Assessment & Risk Stratification
Advanced podiatrists are trained in the clinical assessment of lower limb vascular status, including:
Peripheral pulse palpation
Doppler waveform interpretation
Recognition of abnormal arterial flow patterns
Risk stratification for Peripheral Arterial Disease (PAD)
Identification of Chronic Limb Threatening Ischaemia (CLTI)
Recognition of red-flag symptoms including rest pain, tissue loss and non-healing ulceration
Where clinically indicated, escalation is undertaken via established vascular referral pathways or urgent on-call services in accordance with local frameworks.

🦶 High-Risk Foot & Limb Preservation
Diabetic foot assessment
Ulcer risk screening
Wound assessment and management
Pressure redistribution and offloading strategies
Early detection of infection and ischaemia
Multidisciplinary collaboration
Community-based podiatric assessment plays a key role in reducing delayed presentation and preventable lower-limb complications.

💉 Injection Therapy & Musculoskeletal Management
Advanced podiatric scope includes:
Corticosteroid injections for inflammatory conditions and joint pathology
Viscosupplementation therapy for degenerative joint conditions
Plantar fasciitis management
Soft tissue pathology of the foot and ankle
All procedures undertaken within professional scope, training, and governance standards.

🩺 Minor Surgical Procedures
Nail surgery under local anaesthetic
Verruca needling
Local anaesthetic administration
Sterile technique and post-operative management
Clinical Governance & Professional Standards
Advanced podiatrists are:
HCPC registered
Degree qualified
Trained in lower limb pathology and differential diagnosis
Bound by professional and regulatory standards
Accountable for clinical decision-making within defined scope

The Importance of Early Detection
Timely identification of vascular compromise, high-risk foot pathology, and inflammatory conditions significantly improves patient outcomes and reduces delayed escalation.
Advanced podiatric assessment contributes to early recognition, appropriate referral, and limb preservation within community settings.

Book online with confidence at www.treatyourfeetpodiatry.co.uk

Call/message 07947409729

15/02/2026

*🦸‍♀️ Red Flag Spotter – Episode 3
“When Circulation Becomes Urgent”*

🥶 1️⃣ A Foot That Turns Cold, Pale or Blue
If your foot suddenly:
Feels ice cold
Looks pale, white or bluish
Becomes very painful
⚠️ This is not normal circulation.
It could mean the blood supply is reduced and needs urgent medical attention.
🔥 2️⃣ A Foot That Is Hot, Swollen & Red (Without Injury)
If one foot becomes:
Warm or hot to touch
Swollen
Red
Especially if you have diabetes
This needs checking quickly.
Sometimes it isn’t infection — it can be a serious bone or circulation issue that needs specialist care.
🩹 3️⃣ A Wound That Won’t Heal
If you notice:
A sore that doesn’t improve
Blackening skin
Increasing pain at night
That’s your body telling you something isn’t right.

💬 What Should You Do?
🛑 Don’t ignore it
🛑 Don’t just cover it with a plaster
🛑 Don’t wait weeks
If you’re unsure — get it checked.

At Treat Your Feet Podiatry, circulation assessment is part of safe foot care.
Sometimes reassurance is all that’s needed.
Sometimes early action prevents serious problems.

🦸‍♀️ Red Flag Spotter Reminder:
Your feet don’t suddenly change colour, temperature or swell for no reason.
If something looks different — trust that instinct.

📩 Book a circulation check if you're unsure.
Better safe than sorry 💚

13/02/2026

🚩 RED FLAG SPOTTER – EPISODE 3
COLOUR CHANGES

“Do your feet change colour when you lift or lower them?”
That’s not something to ignore.

🔹 What to Look For
⚠ Pale when elevated
⚠ Dusky or purple when dependent
⚠ Red when hanging down
⚠ Patchy discolouration
Your feet shouldn’t dramatically change colour with position.

🔹 Why It Happens
When circulation is compromised:
⬆ Elevation reduces arterial flow
⬇ Dependency increases venous congestion
This can reveal underlying arterial insufficiency.
Colour change is a clue.

🔹 Why It Matters
Persistent or exaggerated colour changes can indicate:
🚩 Peripheral arterial disease
🚩 Chronic limb-threatening ischaemia (CLTI)
Early recognition = better outcomes.

🔹 If you’ve noticed unusual colour changes:
🫀 Book a vascular assessment
📩 FHPs – structured referral pathway available via
Treat Your Feet Podiatry
Advanced Assessment | Early Escalation | Limb Awareness

12/02/2026

🚩 RED FLAG SPOTTER – EPISODE 2
REST PAIN
“When your foot hurts more at night…
and feels better when you hang it off the bed…”
That’s not normal.
🔹 What Is Rest Pain?
Rest pain is:
• Pain in the forefoot or toes
• Worse when lying flat
• Often wakes you at night
• Relieved by standing or dangling the leg
This can indicate reduced arterial blood flow.
🔹 Why It Happens
When lying flat, gravity is no longer helping blood reach the foot.
If circulation is already compromised,
oxygen supply drops further.
That pain is your tissues asking for blood.
🔹 Why It Matters
Rest pain is a possible sign of:
⚠ Chronic Limb Threatening Ischaemia (CLTI)
Early assessment matters.
Delayed assessment increases risk.
This is not “just cramp.”

🦸‍♀️ If this sounds familiar:
Don’t ignore it.
📍 Book a vascular assessment
📩 FHP referrals via structured pathway at
Treat Your Feet Podiatry
Advanced Assessment | Early Escalation | Limb Awareness

11/02/2026

🦸‍♀️ THE RED FLAG SPOTTER 🦸‍♀️
Mini series
(Yes… capes are optional. Dopplers are not 😉)

In podiatry, we don’t just treat nails and skin.
We assess circulation.
We screen for vascular compromise.
We identify early signs of ischaemia.
We escalate when something isn’t right.
Because sometimes a “simple foot problem” is actually a vascular red flag 🚩
🔎 Absent or reduced pulses
🔎 Rest pain
🔎 Delayed capillary refill
🔎 Colour change
🔎 Tissue loss
🔎 Non-healing wounds
Early recognition changes outcomes.
Delayed recognition changes lives.
At Treat Your Feet Podiatry, vascular assessment is part of clinical responsibility — not an afterthought.
Community-based detection.
Clear referral pathways.
Limb-saving awareness.
No actual flying involved…
Just structured assessment and the right escalation at the right time 🫀
If you’re concerned about circulation in your feet, don’t ignore it.
📍 Book an assessment
📩 FHPs – referral pathway available

10/02/2026

10/02/2026

10/02/2026

💉 Advanced Injection Therapy for Foot & Ankle Pain
Now available at Treat Your Feet Podiatry

If foot or ankle pain is stopping you walking comfortably, working, or enjoying daily life — and conservative treatments haven’t helped — targeted injection therapy may be an option.

I’m now offering advanced injection treatments, including steroid injections and viscosupplementation, as part of a fully governed, clinically led pathway.

👣 What conditions can this help?
Injection therapy may be considered for persistent pain linked to:
Chronic plantar heel pain / plantar fasciitis
Arthritic joints (such as the big toe joint)
Capsulitis or bursitis
Inflammatory soft-tissue pain around the foot or ankle
Selected cases of ongoing ankle or rearfoot inflammation
👉 Injection is not the first step — it’s considered when appropriate and only after a full assessment.
🧠 How the pathway works
✔ Thorough podiatric assessment
✔ Conservative care reviewed
✔ Treatment suitability checked
✔ Medication authorised via a Independant prescribing clinician
✔ Injection performed with full consent & aftercare
This approach ensures treatment is safe, appropriate, and tailored to you.
🤝 Why choose this route?
Community-based care (no unnecessary hospital delays)
Evidence-based decision making
Clear governance and clinical oversight
Focus on long-term function, not just short-term relief
📅 Thinking this might help?
If you’ve tried rest, footwear changes, insoles, or other treatments and pain is still limiting you, an assessment can help decide the next step.
📩 Book an assessment or get in touch to discuss suitability
(Injection is only offered if clinically appropriate.)

07/02/2026

Verruca Needling – when stubborn verrucae won’t budge 🦶✨
Verrucae (plantar warts) can be painful, persistent, and frustrating — especially when they’ve been there for months or even years despite creams, acids, or freezing.
One advanced option we offer is verruca needling.
What is verruca needling?
This is a minor clinical procedure carried out under local anaesthetic.
The verruca is gently punctured with a fine sterile needle to introduce the virus to your immune system — encouraging your body to finally recognise and clear it.
Why is it effective?
✔ Targets the cause of the verruca, not just the surface
✔ Often effective for long-standing or painful verrucae
✔ Can help clear clusters and satellite verrucae
✔ Usually one treatment only

Success rates
Clinical studies and podiatry experience show success rates of around 70–80% after a single treatment, with higher rates in well-selected cases.
What to expect afterwards
• Temporary soreness (usually 24–72 hours)
• The area heals naturally as the immune response does the work
• Gradual resolution over the following weeks
📸 The image shown is from a real procedure (shared with patient consent) to help explain the treatment.
If you’ve tried everything and your verruca just isn’t going away, an assessment will help decide whether needling is the right option for you.
📲 Appointments available via online booking or message the page for advice.

04/02/2026

Why see a podiatrist first for foot wounds? 👣
Podiatrists are trained specifically in foot health — including skin problems, circulation, pressure points and wound care.

If you notice a sore, broken skin or an area that isn’t healing, seeing a podiatrist early means:
✔️ Your foot can be properly assessed
✔️ We can check pressure, footwear and circulation
✔️ Any signs of infection or poor healing are picked up early with access to first line antibiotics through there POM -S certificate.

✔️ You’re guided quickly to the right care if further treatment is needed
Foot wounds don’t always hurt, especially if you have diabetes or reduced sensation — so waiting to “see how it goes” can allow small problems to become bigger ones.

Seeing a podiatrist early doesn’t mean something is wrong — it means you’re taking the right first step.

If needed, we work closely with GPs, community services and specialists to make sure you get the right care at the right time.

What does this photo show? 👣
This image shows blood trapped under thickened skin, sometimes called bleeding under callus.
This can happen when there is too much pressure on one area of the foot. The skin stays intact on top, but the tissue underneath becomes damaged and starts to bleed.
While it may not look like an open wound, this can be an early warning sign. Without pressure relief and proper assessment, the skin can break down and turn into an ulcer.

Book an assessment online at
www.treatyourfeetpodiatry.co.uk

01/02/2026

Difficult nail surgery today both big toes with localised infection. Took some time to get numb, but with abit of patience and listening to the patient who was nervous we managed to complete surgery to both.

30/01/2026

🦶 Fungal nails: how we decide between K-Laser, medication, and nail surgery

Fungal nail infections don’t all respond to the same treatment. The best results often come from combining therapies, especially in more severe cases.
Here’s how we decide 👇
⚡ K-Laser therapy is often suitable when:
✔️ The nail is thickened or discoloured but still attached
✔️ Infection is mild to moderate
✔️ No ongoing pain or repeated infection
✔️ The nail has potential to regrow clear
Laser works best when combined with:
• Professional nail reduction
• Topical antifungal treatment such as amorolfine
• Ongoing podiatry review
This combination targets fungal organisms within the nail and nail bed, while preserving the nail where possible.

💊 What about antifungal tablets?
In more severe or resistant infections, a short course of oral antifungal medication may be appropriate alongside laser and topical treatment.
This approach can:
• Improve clearance in advanced infections
• Reduce fungal load more effectively
• Support healthier nail regrowth
(Only used following assessment and where clinically appropriate.)

🔪 When is nail surgery the better option?
Nail surgery may be recommended when:
✔️ The nail is very thick, distorted or lifting
✔️ Infection is long-standing or recurrent
✔️ Pain, pressure or repeated inflammation is present
✔️ The nail is unlikely to recover
💡 Importantly:
Nail removal doesn’t mean doing nothing afterwards.
After surgery, we may use:
• K-Laser therapy to the nail bed
• A short course of antifungal medication (e.g. terbinafine) where appropriate
This helps eliminate remaining fungal infection and reduce recurrence as the nail regrows.
🧠 The key message

👉 Laser preserves nails that still have a future
👉 Medication supports more severe cases
👉 Surgery removes nails that won’t recover — but regrowth is actively protected

A proper assessment ensures the right combination is chosen — not a one-size-fits-all approach.

📅 Online booking available via The foot clinic Rowley Regis B650EU

📩 Professional referrals welcome
WWW.treatyourfeetpodiatry.co.uk