{"id":537,"date":"2022-02-07T23:14:04","date_gmt":"2022-02-07T23:14:04","guid":{"rendered":"https:\/\/services.nhslothian.scot\/carehomes\/services\/services-podiatry\/"},"modified":"2023-02-08T10:57:51","modified_gmt":"2023-02-08T10:57:51","slug":"services-podiatry","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/carehomes\/services-podiatry\/","title":{"rendered":"Podiatry"},"content":{"rendered":"\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"who-are-we\">Who are we?<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">The podiatry team is made up of Podiatrists, Podiatry Assistants and Admin staff&nbsp;who are responsible for delivering podiatry services across Lothian.&nbsp; All our Podiatrists are registered by the Health and Care Professions council (HCPC).<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"we-aim-to-help-you-to\">We aim to help you to:<\/h2>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li>Relieve pain<\/li>\n\n\n\n<li>Maximise function and mobility<\/li>\n\n\n\n<li>Prevent or minimise deformity<\/li>\n\n\n\n<li>Reduce the risk of ulceration and amputation.<\/li>\n\n\n\n<li>Prevent future foot problems through health education<\/li>\n\n\n\n<li>Self care where appropriate<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"what-do-we-do\">What do we do?<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Podiatrists assess, diagnose and treat people with foot, ankle and lower limb problems to alleviate pain, maximise function and promote self management, to improve the overall quality of life and independence of our patients. We also aim to reduce complications associated with conditions affecting the feet.<\/p>\n\n\n\n<p>We assess and treat a range of foot, ankle and lower limb musculoskeletal conditions that cause pain, which include injuries caused by sport or other activities, bone and joint disorders.&nbsp; These include arthritis and soft tissue problems, for example, muscle strain.&nbsp; The treatment program may include an exercise regime, orthotic devices, footwear advice and steroid injection therapy.<\/p>\n\n\n\n<p>We provide podiatric management of foot problems for people who have complex conditions that put the foot at risk of ulceration and amputation. Some of these conditions include diabetes, vascular, rheumatology, neurological and renal disease.<\/p>\n\n\n\n<p>We provide wound management for non-healing foot wounds as part of the multi-disciplinary team.<\/p>\n\n\n\n<p>We provide assessment and treatment of painful nail conditions, for example, an in-growing toe nail. Treatment may include conservative treatment, self care advice, administration of local anaesthesia and nail surgery.<\/p>\n\n\n\n<p>We can aid the prevention of falls through podiatry care, which may include an exercise regime for foot and ankle weakness or reduced range of motion, footwear advice, orthotic devices and management of associated foot pain.<\/p>\n\n\n\n<p>For more information on the support that can be provided by the NHS Lothian Podiatry Service <a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/12\/Covering-letter-for-care-homes-private-and-Social-work-2023.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">please access this\u00a0letter\u00a0to care home managers<\/a>.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"how-do-i-make-a-referral\">How do I make a referral?<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Please access the&nbsp;<a href=\"https:\/\/services.nhslothian.scot\/carehomes\/supporting-residents-needs\/referral-pathways\/referral-pathways-podiatry\/\">Podiatry Referral Pathway&nbsp;<\/a>page&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-plum-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"what-do-we-not-do\">What do we not do?<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">NHS&nbsp;Lothian Podiatry Service&nbsp;<strong>does not&nbsp;<\/strong>offer:<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li>A simple nail cutting service.<\/li>\n\n\n\n<li>Fungal nail treatment (including taking clippings)<\/li>\n\n\n\n<li>Skin care (including corns and callous) in the absence of medical need.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">The Scottish Government&#8217;s Personal Footcare Guidance (2013) endorsed the removal of personal footcare from NHS Podiatry provision. The NHS Podiatry service now focuses on core podiatry provision and specialist Podiatry services. &nbsp;Please see the&nbsp;<a href=\"http:\/\/www.gov.scot\/Resource\/0043\/00433259.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Scotland Personal Footcare Guidance<\/a>&nbsp;for more information.<br><br><strong>Personal footcare is deemed as part of a personal hygiene routine for feet and covers a set of tasks that an individual, whatever their age, would normally do for themselves if they are able to.<\/strong><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"personal-foot-care-is-described-as-follows\">Personal foot care is described as follows:<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"toenail-care\">Toenail care<\/h3>\n\n\n\n<ul class=\"has-regular-font-size wp-block-list\">\n<li>Clipping and\/or filing toenails safely<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"skin-care\">Skin care<\/h3>\n\n\n\n<ul class=\"has-regular-font-size wp-block-list\">\n<li>Daily smoothing and moisturising dry and rough skin<\/li>\n\n\n\n<li>Keeping feet clean, dry, comfortable and warm at all times<\/li>\n\n\n\n<li>Daily checks for cracks and breaks in the skin<\/li>\n\n\n\n<li>Daily looking for signs of infection or other obvious early problems and seeking professional advice<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"footwear\">Footwear<\/h3>\n\n\n\n<ul class=\"has-regular-font-size wp-block-list\">\n<li>Checking footwear for comfort<\/li>\n\n\n\n<li>Making sure footwear is a good&nbsp;fit<\/li>\n\n\n\n<li>Footwear&nbsp;is in a good state of repair<\/li>\n\n\n\n<li>Making sure footwear is safe to wear<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"looking-after-your-resident-s-feet\">Looking after your resident&#8217;s feet<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Looking after your resident&#8217;s feet (foot care) and treating common foot problems &#8211; such as corns, callus is vitally important to aid mobility. Wearing footwear that&#8217;s safe, appropriate and in good repair can also keep your feet healthy as well as prevent falls.<\/p>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h3 class=\"wp-block-heading\" id=\"what-can-i-do\">What can I do?<\/h3>\n\n\n\n<ul class=\"has-regular-font-size wp-block-list\">\n<li>Check feet morning and night.<\/li>\n\n\n\n<li>Ensure the resident has appropriate footwear. Where possible shoes should be worn during the day and leave slippers until night time.<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading\" id=\"foot-care\">Foot care<\/h4>\n\n\n\n<p><strong>Good foot care is easy to do and it can include:<\/strong><\/p>\n\n\n\n<ul class=\"has-regular-font-size wp-block-list\">\n<li>Keeping feet clean and dry &#8211; especially between the toes.<\/li>\n\n\n\n<li>Checking them regularly for cuts or sores, redness, swelling or&nbsp;bruising. Get to know your resident&#8217;s feet well and know what&#8217;s normal.<\/li>\n\n\n\n<li>File nails weekly (when dry) to the pulp of the toe. File nails in length and thickness. If cutting nails cut after a bath when softer. Do not share any equipment between residents.<\/li>\n\n\n\n<li>Applying moisturiser to prevent the skin from cracking and improve its texture. Apply daily but not between the toes.<\/li>\n\n\n\n<li>Filing dry or hard skin using a foot file and apply moisturiser.<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading\"><strong>Resources<\/strong>:<\/h4>\n\n\n\n<ul class=\"has-regular-font-size wp-block-list\">\n<li>NHS Lothian Podiatry&nbsp;<a href=\"https:\/\/services.nhslothian.scot\/podiatry\/wp-content\/uploads\/sites\/14\/2022\/02\/BasicFootcareNailFiling.mp4\" target=\"_blank\" rel=\"noreferrer noopener\">Basic Footcare Nail Filing<\/a>&nbsp;(video)<\/li>\n\n\n\n<li>NHS Lothian Podiatry&nbsp;<a href=\"https:\/\/services.nhslothian.scot\/podiatry\/wp-content\/uploads\/sites\/14\/2022\/02\/BasicFootcareSkinCare.mp4\" target=\"_blank\" rel=\"noreferrer noopener\">Basic Footcare Skincare<\/a>&nbsp;(video)<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading\" id=\"footwear-1\">Footwear<\/h4>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Pay attention to your resident&#8217;s footwear as this can also affect their walking and balance.&nbsp;<\/p>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">A good shoe should support and protect the foot and allow natural movement during walking. Poorly&nbsp;fitting shoes can cause foot problems &#8211; such as corns, calluses,&nbsp;<a href=\"https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/muscle-bone-and-joints\/conditions\/bunion-hallux-valgus\" target=\"_blank\" rel=\"noreferrer noopener\">bunions<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/skin-hair-and-nails\/ingrown-toenail\" target=\"_blank\" rel=\"noreferrer noopener\">ingrown toenails.<\/a>&nbsp;<\/p>\n\n\n\n<p>When replacing shoes, look for:<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li>an upper made of leather or breathable natural or synthetic materials with seam-free linings.<\/li>\n\n\n\n<li>a deep roomy toe-box at the front of the shoe to prevent pressure on the toes and joints on the side of the foot<\/li>\n\n\n\n<li>a cushioned and flexible light rubber sole with a good grip<\/li>\n\n\n\n<li>laces or Velcro strap fastenings that hold the shoe comfortably and securely on the foot. Avoid slip on shoes and always tie laces.<\/li>\n<\/ul>\n\n\n\n<p>You can use this monthly&nbsp;<a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2022\/03\/checklist-footwear-190613.docx\" target=\"_blank\" rel=\"noreferrer noopener\">Footwear Checklist<\/a>&nbsp;developed by NHS Lothian Podiatry to assess individual residents.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-plum-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading has-text-align-center\" id=\"foot-problems\">Foot Problems<\/h4>\n\n\n\n<p class=\"has-text-align-center has-regular-font-size\" style=\"font-style:normal;font-weight:400\">If you experience&nbsp;any problems with your&nbsp;resident&#8217;s feet &#8211; such as cuts or sores or fluid\/blood leaking from&nbsp;any area \u2013 cover the affected area with a dry sterile dressing and contact the Podiatry Department.&nbsp;&nbsp;&nbsp;<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"other-useful-resources\">Other Useful Resources<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\"><strong>NHS Inform<\/strong>&nbsp;<a href=\"https:\/\/www.nhsinform.scot\/healthy-living\/preventing-falls\/keeping-well\/looking-after-your-feet\" target=\"_blank\" rel=\"noreferrer noopener\">Looking After Your Feet<\/a>&nbsp;&#8211; a range of resource made available to the general public<\/p>\n\n\n\n<p class=\"has-regular-font-size\"><strong>Diabetes UK<\/strong>&nbsp;&#8211; useful&nbsp;<a href=\"https:\/\/www.diabetesinscotland.org.uk\/publications\/#leaflet-docs\" target=\"_blank\" rel=\"noreferrer noopener\">diabetes information and advice leaflets<\/a>&nbsp;from the Foot Action Group for people with a low to high risk of developing foot ulcers.<\/p>\n\n\n\n<p class=\"has-regular-font-size\"><strong>Foot Risk Awareness and Management Education (FRAME)&nbsp;Project &#8211;&nbsp;<\/strong><a href=\"http:\/\/www.diabetesframe.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">A range of&nbsp;resources&nbsp;to support foot care for people with diabetes<\/a>.&nbsp; It includes training materials and competencies.&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Further information<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">For information on the podiatry referral process and training materials please see the following webpages.<br><br><a rel=\"noreferrer noopener\" href=\"https:\/\/services.nhslothian.scot\/carehomes\/info\/supporting-residents-needs\/physical-conditions-treatments\/referral-pathways-podiatry\/\" target=\"_blank\">Podiatry: Referral Pathway<\/a><br><a rel=\"noreferrer noopener\" href=\"https:\/\/services.nhslothian.scot\/carehomes\/info__trashed\/education-and-training\/podiatry-training-material\/\" target=\"_blank\">Podiatry: Training Material<\/a><\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Who are we? The podiatry team is made up of Podiatrists, Podiatry Assistants and Admin staff&nbsp;who are responsible for delivering podiatry services across Lothian.&nbsp; All our Podiatrists are registered by the Health and Care Professions council (HCPC). We aim to help you to: What do we do? Podiatrists assess, diagnose and treat people with foot,<\/p>\n","protected":false},"author":35,"featured_media":0,"parent":0,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"page-templates\/mainmenuvertical.php","meta":{"footnotes":""},"categories":[],"class_list":["post-537","page","type-page","status-publish","hentry"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"","author_link":"https:\/\/services.nhslothian.scot\/carehomes\/author\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"Who are we? The podiatry team is made up of Podiatrists, Podiatry Assistants and Admin staff&nbsp;who are responsible for delivering podiatry services across Lothian.&nbsp; All our Podiatrists are registered by the Health and Care Professions council (HCPC). We aim to help you to: What do we do? Podiatrists assess, diagnose and treat people with foot,","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/537","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/users\/35"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/comments?post=537"}],"version-history":[{"count":10,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/537\/revisions"}],"predecessor-version":[{"id":8861,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/537\/revisions\/8861"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/media?parent=537"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/categories?post=537"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}