Precision Plus Podiatry

25/09/2026

Forefoot Pain? It Could Be a Morton's Neuroma

A Morton's neuroma is a thickening of tissue surrounding a nerve in the forefoot, most commonly occurring between the third and fourth toes.

Common Symptoms

· Burning pain in the ball of the foot

· Sharp or electric shock-like pain

· Numbness or tingling in the toes

· Feeling like they are "walking on a pebble" or "a folded sock"

· Symptoms worsening in tight shoes and improving when shoes are removed

What can cause this?

· Tight or narrow footwear

· High-heeled shoes

· Forefoot overload

· Foot deformities (e.g. hallux valgus, flat feet, cavus feet)

· Repetitive sporting activities

· Instability of the adjacent metatarsals

How Is It Diagnosed?

Diagnosis typically involves a clinical examination and may be supported by imaging such as ultrasound or MRI.

Treatment Options

· Footwear modifications

· Padding and orthotic therapy

· Activity modification

· Anti-inflammatory measures

· Corticosteroid injections

· Surgical removal when conservative treatment fails

Not all forefoot pain is a Morton's neuroma. Other conditions such as metatarsalgia, bursitis, stress fractures, plantar plate injuries, arthritis, or nerve entrapment can produce similar symptoms. A thorough assessment is important to determine the correct diagnosis. If you're experiencing persistent forefoot pain, an assessment can help identify the cause and guide appropriate treatment.

15/09/2026

25/08/2026

Calluses vs Corns: What’s the Difference?

Calluses and corns are both areas of thickened skin that develop in response to repeated pressure, friction or mechanical stress. They are common, but they are not the same.





Why do they keep coming back?

Removing a corn or callus can provide relief, but it does not always address why it developed in the first place.

Footwear, foot structure, biomechanics and areas of increased pressure can all contribute. Identifying and addressing these factors can help reduce recurrence.

It is also important to remember that not every hard area of skin is a corn or callus. Plantar warts and other skin conditions can sometimes look similar.

If you have a painful, persistent or recurring area of hard skin, a podiatry assessment can help determine the cause and appropriate treatment

26/06/2026

Plantar warts
Plantar warts are often mistaken for corns because they can occasionally look very similar. However, they require different treatment to corns. Plantar warts are caused by the human papillomavirus (HPV), which enters the skin through tiny cuts or cracks on the soles of the feet. The virus thrives in warm, moist environments, so it's commonly picked up in places like public pools, gyms, and communal showers.

Signs it may be a plantar wart:
• Pain when squeezing the lesion from the sides
• Tiny black dots ("seed" dots) within the wart (small clotted blood vessels)
• Interruption of the normal skin lines over the lesion
• May occur as a single wart or in clusters (mosaic warts)

How do you catch them?
• HPV enters through tiny cuts or breaks in the skin
• Commonly picked up in warm, damp environments such as public pools, gym change rooms and communal showers
• More likely to develop if your immune system is unable to clear the virus

Diagnosis requires:
• Clinical examination by a podiatrist
• Careful assessment to distinguish it from a corn, callus or other skin lesion

Treatment options may include:
• Topical treatments
• Cryotherapy (freezing)
• Needling under local anaesthetic
• Swift microwave therapy

While some plantar warts disappear on their own, others can become painful, spread, or persist for months or even years. If you have a stubborn "corn" that isn't improving or is becoming painful, it may actually be a plantar wart. A proper assessment can help determine the correct diagnosis and the most appropriate treatment.

05/06/2026

When an “ingrown toenail” is not actually an ingrown toenail

Signs it may be more than an ingrown nail:
· Recurrent ingrown toenails affecting the same border despite treatment
· Elevation, distortion, or lifting of the nail plate
· Granulation tissue that persists or rapidly recurs
· Unilateral nail changes affecting a single toe only
· Tenderness directly under the nail

Diagnosis requires:
· X-ray imaging to confirm the presence of a bony outgrowth from the toe
· Clinical examination

What is a subungual exostosis?
A subungual exostosis is a benign bony growth that develops beneath the nail bed, typically because of irritation or trauma triggering abnormal localised bone formation. Although the exact cause is not always known, it is most associated with repetitive mechanical stress, acute injury, or chronic infection and inflammation.

Definitive treatment is usually:
• Surgical excision of the exostosis
• Removal of the bony prominence down to healthy bone to reduce recurrence risk
• Preservation of the nail bed, where possible, to minimise nail deformity

Treatment may involve surgical removal of the bony prominence to relieve pain and prevent recurrence. This can be done under local anaesthetic.
If you have a toenail issue that just isn’t improving, it may be worth getting it properly assessed.

01/06/2026

Why You Shouldn’t Ignore an Ingrown Toenail 👣
An ingrown toenail occurs when the edge of the nail grows into the surrounding skin — often causing pain, redness, swelling, and sometimes infection.

Common signs include:
• Tenderness along the nail edge
• Redness or swelling
• Pain when wearing shoes or while walking
• Discharge or infection in more severe cases

Ingrown toenails can happen due to:
✔ Tight footwear
✔ Incorrect nail trimming
✔ Trauma or sport
✔ Naturally curved nails
✔ Genetics

The good news? Early treatment is usually simple and can prevent ongoing pain or infection.

At Precision Plus Podiatry, we can help with:
• Gentle nail care and treatment
• Infection management advice
• Conservative treatment options
• Permanent nail procedures for recurring ingrown toenails

If your toe is painful, swollen, or becoming infected, don’t wait for it to worsen.

📞 Book an appointment with our podiatry team today.

26/04/2026

🚨 COMING SOON TO PRECISION PLUS PODIATRY 🚨

We’re raising the standard of vascular care 👣

Our clinic will soon be equipped with advanced vascular assessment technology — allowing us to assess blood flow to your feet and lower limbs with greater accuracy, speed, and comfort than ever before.

💡 Why does this matter?
Poor circulation often goes unnoticed until it becomes serious. Conditions like Peripheral Arterial Disease (PAD) can increase the risk of pain, delayed healing, infection, and even amputation — especially in patients with diabetes or a history of cardiovascular disease.

🔬 With this new system, we’ll be able to:
• Perform precise, non-invasive vascular assessments
• Detect circulation issues earlier
• Monitor changes over time with objective data
• Provide clearer reports for your GP or specialist
• Guide safer, more effective treatment plans

📊 This isn’t just a “check” — it’s a deeper insight into your vascular health.

Whether you have been diagnosed with diabetis, have a history of smoking, leg pain when walking, or just want peace of mind — this technology helps us catch problems earlier and manage them better.

📅 Launching soon — bookings will open shortly.

If you’ve never had your circulation properly assessed, now is the time.

👉 Stay tuned… your feet will thank you.

15/03/2026

FUNGAL NAILS
Fungal nail infections are a common condition that can cause nails to become thick, discoloured, and brittle over time.

Onychomycosis (fungal nail infection) often develops in warm, moist environments like sweaty shoes or communal areas.

Treatment options may include:
• Topical antifungal medications
• Prescription oral medication
• Medical nail thinning or debridement
• Laser treatment (in some clinics)
• Nail surgery in more severe or persistent cases

The sooner it’s treated, the easier it is to manage and prevent it from spreading to other nails.

If you’ve noticed changes in your nails, we can assess the infection and recommend the best treatment for you.

16/02/2026

SHOCKWAVE THERAPY

Tendon pain can seriously limit your movement and quality of life.

Shockwave therapy is a quick, non-invasive treatment designed to stimulate healing and restore function. It works by using high-pressure acoustic waves to boost collagen production, improve blood flow, break down calcium build-up, and reduce chronic inflammation.

In podiatry, it’s commonly used for heel and arch pain, including plantar fasciitis, Achilles tendonitis, shin splints, and some cases of arthritis.

We offer shockwave therapy at our clinic as part of a comprehensive treatment plan tailored to your needs.

Most people need 3–6 sessions for lasting results, with many noticing relief along the way.

⚠️ Not suitable for children, pregnant women, or those with blood clotting disorders, on blood thinners, or with infection or cancer at the treatment site.

If you’re struggling with ongoing foot or tendon pain, contact the clinic to discuss whether shockwave therapy is right for you.

02/02/2026

Did you know skin cancer can occur on the feet?

Skin cancers don’t only appear on the face or body, they can also develop on the feet, including the tops of the feet, soles, between the toes, and around or under the nails. Because these areas are often overlooked, changes can go unnoticed for a long time.

Keep an eye out for new spots, changes in colour or shape, dark patches, or sores that don’t heal.

Protect your feet by:
• Applying sunscreen to the tops of your feet when wearing sandals or open shoes
• Avoiding excessive sun exposure
• Checking your feet and skin regularly (yourself or by a dermatologist)
• Seeing your podiatrist or GP if you notice anything unusual

Your feet work hard every day. Don’t forget to protect their skin too.