Basic Services

Corns and Callusesenlarge_icon

Corns and calluses: A localized thickening of the outer layers of the skin. They are superficial in nature and do not extend into the dermis. These lesions develop when excessive pressure is applied to the skin…the body’s response is to create a protective covering. The only way to permanently remove the corn/callouses is to redistribute the pressure, or to increase the internal cushioning. Treatment can range from simple debridement (scraping away the thickened skin) to orthotic management (which will redistribute the excessive pressure) or by using a dermal filler (to increase the internal padding).

enlarge_iconPlantar Warts (also known as verrucae)

Plantar wart: Is a viral infection of the skin, typically occurring on the bottom of the foot. Though the virus itself is relatively fragile, once it infects the skin the virus is protected by an impressive arsenal of defenses making it very resistant to treatment. However, the virus only infects the outer epidermis; therefore treatment will generally involve separating the epidermis from the dermis. This separation is frequently achieved through the use of a topical agent, which will create a small water blister under the virus. Once the blister develops it allows the doctor to remove the wart without damaging the dermis. For more resistant plantar warts a combination of treatments may be employed, such as: LASER, autoimmune inoculation, immune regulating drugs or excision.

enlarge_iconIngrown Toenails

An ingrown toenail occurs when the toenail pierces the skin along the sides of the toe. An ingrown toenail is graded between 1 and 3 depending on the severity of the situation. Generally, an ingrown toenail will not resolve on its own and all cases the nail piece must be removed. In grade 1 cases this is a very simple process, and does not require any local anesthesia. In other cases (usually grade 3) the toe has become infected and the patient may require antibiotics. (It is important to remember that antibiotics will settle the inflammation and infection, but the toe nail will remain ingrown.) Grade 3 ingrown toenails will generally require nail surgery to correct the problem.

enlarge_iconThick Discoloured Toenails

Thickened, discoloured toenails typically develop when the growth plate of the nail has been damaged from either fungus or trauma. The most common form of trauma occurs when the growth plate at the base of the nail is repeatedly damaged. This can occur from constrictive footwear, such as from shoes or boots or sometimes from the protective steel cap found in safety shoes. In other instances the damage may be from a single, but traumatic event to the base of the toe, such as from a falling object. No matter what the cause is, the damage is usually permanent and therefore only palliative care can be provided.

enlarge_iconFungal Toenails

Fungal toenails: Occur when fungus or yeast infects the nail plate. Typically a yeast infection (most frequently Aspergillus) will present as a white powdery film on the nail plate and infects the surface of the nail plate. This type of infection is typically seen in women who use harsh nail polish which contain chemicals such as formaldehyde that can weaken the nail. A fungal infection on other hand (most frequently Trichophyton Rubrum) will begin at the end of the nail plate and progress inwards. The nail generally will become thickened and yellowish in color and will typically crumble away when filed. Treatment can include topical agents such as Formula 3, LASER, and removal of the nail.





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