How many podiatry treatments will I need?

Feet in sandals walking

Before you book a podiatry appointment, this is probably a question you’d like answered. It isn’t easy to answer, because the real answer is, “It depends.”

Here is an overview of what to expect when you call me for an appointment.

How many appointments for musculo-skeletal problems?

For muscular skeletal problems, you first come for an assessment. Then I decide whether you need orthotics. If so, I will book you in for a second visit for a gait analysis and a muscular skeletal assessment.

Or, if it is blatantly obvious that you don’t need all that on the first assessment, I will book you in for an hour and then I would scan your feet, do the gait analysis and the muscular skeletal assessment.

I will cast your feet and diagnose the problem and then make some orthotics which would be fitted two weeks later.

So, you would have two appointments, but I would usually see you three times, because I like to book an appointment with you a month later to see how you’re getting on.

How many appointments for verruca treatments?

Verruca is another thing that I specialise in. I have a specific treatment, which involves putting acid on the verrucae.

This takes two treatments so it’s two appointments. One is putting the chemical on the verruca. You keep the chemical on for one week so it eats away at the verruca and, a week later, you have an appointment where I give you a local anaesthetic and surgically remove the remainder of the verruca.

For routine treatments like corns, calluses – that could be a long term ongoing thing. Most patients with those problems come every eight to 12 weeks.

You can leave it longer and come, say, every three to six months but most of my patients come every eight to 12 weeks for that.

How many appointments to treat nails?

For ingrowing toenails, that would normally entail an initial consult followed by booking in for a nail surgery appointment, which would be about an hour and a half.

Then subsequent re-dressing appointments, of which there would be normally about four until the nail is completely healed.

The laser treatment for fungal nails is probably the most complicated to explain. The laser is not a silver bullet, one size fits all, because fungal nail treatment is an open-ended, variable one.

They vary from case to case, so I incorporate medical, pharmacological and scientific elements to my treatment protocol.

There are minor cases of fungal infection that the laser will treat successfully and then there are very advanced, ingrained, stubborn and very infected cases that the laser will struggle to treat on its own.

Part of my treatment includes advice to you about self-management. Each case needs to be assessed before I can decide how effective the treatment protocol is going to be. If I use the laser, it will be in combination with other things.