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Verruca needling is an innovative and successful treatment for verruca, which are nonthreatening types of the Human Papilloma Virus (HPV) group. During the treatment the verruca tissue is broken down to create a controlled inflammatory response which encourages the body’s immune system to identify the virus and destroy it.


Once the area is numbed with a local anaesthetic the verruca tissue is punctured with a sterile needle pushing the tissue below the skin, this way the verruca virus is exposed to the fatty tissue beneath the skin where the body is rich in immune regulators. Once this is achieved the immune system can identify and destroy the virus. Successfully it has been shown that treatment of only one verruca is required even where there are many lesions as spontaneous remission can occur in all, or most, verruca at the same time


  1. You will be given an injection of local anaesthetic which will make your verruca and surrounding area numb
  2. Once the verruca tissue is numb, a needle will be used to implant the virus into the lower dermal layer of the skin. It is then that the body’s immune system can come into contact and eliminate the virus.
  3. A dry dressing will be applied to the verruca once the procedure is completed. 

For more info call Paul on 07583279101 or email at This email address is being protected from spambots. You need JavaScript enabled to view it.

Many men and women, from office-based jobs, building workers, athlete’s, dancers and more are discovering that having a regular pedicure is an outstanding way to unwind and regenerate painful and tired feet. What about you?

Do you enjoy sport’s, take regular walks or just spend most of your day on your feet at work or in the home, you would benefit from a medical pedicure. Medical pedicures are also great for men and women who have trouble cutting their own nails or find it difficult to care for their feet. 

A Medical Pedicure it is performed by a HCPC registered podiatrist and is entirely different from a salon pedicure. In the first instance, you will have a compete foot, nail and skin analysis which includes advice on how to maintain between appointments. The most common findings are rough skin on the heels, corns, ingrown nails or thick and hard nails.

A scalpel is used to efficiently remove any hard skin and corns and yournails will be shaped and re-hydrated. Then a foot cream will be massaged into your skin that will aid skin cell regeneration and dermal hydration, keeping feet supple and improving skin texture. By the time the treatment is finished, the skin on your feet will feel pain free and yourfeet will be left soft revitalised and glowing.

A medical pedicure combined with a foot massage can increase blood flow, decrease pain, and make your feet feel revitalised. Eliminating areas of pain and hard skin can reduce areas of pressure while correctly cutting nails can prevent ingrown toenails.

When Should I See a Podiatrist (Chiropodist)?


Many people don’t know when to visit a Podiatrist or Chiropodist, and I have noticed that many of my patients have waited longer than they need to before they come in to see me. Any type of Foot pain or heel pain is not normal, and you should see a Podiatrist as soon as possible. 

Here are some examples:

  1. Corns and Callus.

Thick skin is known as Callus and is usually found on areas that have higher forces acting on them. Corns are usually found on the hard skin on the ball of the foot, the sides and top of the toes.  Footwear is one of the biggest causes and it can be very painful when it builds up. A Podiatrist will gently remove the hard skin and corns and give advice on how to prevent it from happening again. 

Book an appointment at one of my clinics to have smooth, pain free feet, or for a real foot transformation book in for a "medical pedicure."

  1. Fungal Toenails

Thickened and discolored toenails (usually a yellow/brown colour) can be painlessly thinned down by a podiatrist on a regular basis to reduce the amount of fungal infection which will allow the treatments to get to the nail bed. You can also have the infected toe nail removed with a painless surgery (local anaesthetic will be used). 

A fungal nail is caused by a fungal skin infection similar to athlete’s foot. So, any of the treatments need to get to the nail bed to be effective. Therefore, the affected nail needs to be broken down and the infected nail needs to be removed. This will take a number of sessions as the nail grows out.

At home I would advise regular filing and cutting back of the nail to help reduce the fungal infection. You can also use an Anti-Bac Soap with an old toothbrush. This in addition to this you need to get a Podiatrist to drill down the nail on a regular basis to help the treatment reach the nail bed.

Lamisil Cream (terbinafine) is then applied to nail and nail bed and slowly but surely the new nail will grow, and the fungal infection will grow out. This can take up to a year. 

  1. Ingrown Toenails

Ingrown toenails are caused when the nail grows into the skin at the side of the nail. The toenail can quickly get infected (some call this a poisoned toe). It is important to see a podiatrist (foot specialist) as soon as possible. 

Management is either non-surgical (dealt with in one visit) or you may need antibiotics (I can arrange these) which means that you would need to come back in 1 week once they have started to reduce the pain and swelling. Or it can be surgical (I use local anaesthetic). Whatever the choice I will look after you and make it as painless as possible.  

  1. Numbness or Swelling 

 Do you have pain and swelling (oedema) in one foot and not the other? This could be due to a circulation problem and you should see a podiatrist or GP as soon as possible. There could be many things causing this to happen. The swelling for example could be caused by a broken bone, infection or tendonitis. Whatever the cause I would recommend seeing a podiatrist, so they can diagnose and treat the problem before it gets worse. 

  1. Sore or painful Toes or Forefoot pain/Pain in the ball of the Foot

Pain in your toes or forefoot pain can be caused by footwear, sport or by certain conditions such as Diabetes or Arthritis. Seeing a podiatrist can help reduce or alleviate the pain. This can be achieved in clinic by eliminating the hard skin or corns in combination with footwear advice and/or insoles can be fitted to your shoes to alleviate the foot pain. 

  1. A Wound or Cut on your foot

If you have a wound or Cut on your foot or ankle that will not get better, you should get yourself booked into see a Podiatrist. If you have a condition such as diabetes this can be even more important as this can caused delayed healing. A Podiatrist will look to eliminate the cause of the delayed healing (taking out the ingrown nail/removing any foreign bodies) and if there is an infection I can organize antibiotics for you if needed to save you a trip to the GP. 

  1. A Pain While Walking

When you walk, stand for long periods or exercise your body will compensate for any painful joints or muscles. When compensation occurs your muscles, joints, ligaments and tendons are put under a higher force and strain which can cause the problem to become inflamed or injured.

A Musculoskeletal assessment is an investigation into how your Muscles and skeleton function. During the assessment I will look closely at the range of motion at each joint and will test the strength of your muscles looking out for any abnormalities and compensations. Knowing this information can help diagnose the possible causes of heel pain, knee pain and even back pain.

Once I have identified the causes of your pain I can develop a tailor-made treatment plan to improve your symptoms. This may involve one or more of the following:

  • Exercises to stretch or strengthen muscles
  • Insoles – specially made devices for you to wear inside your shoe to control, realign or cushion the abnormalities.
  • Footwear advice

Referral will be made on to other healthcare professionals if further specialist advice is needed.


Did you know foot pain can be caused by your footwear? 

Get yourself booked in for a foot, ankle and footwear assessment to check out if your footwear could be causing your foot pain! 

#FootHealthMonth2018 #PodsFixFeet #Podiatry #Dunfermline #Podiatrist #Footpain


Systemic diseases affect the whole body and involve one or more body system. Consequently, these types of diseases can have detrimental effects on patient’s health, quality of life and can increase the chance of cardiovascular disease and kidney failure (Venkataraman et al. 2013, Wright 2013). There are numerous systemic pathologies that can cause local neurological and vascular problems within the lower limbs, one of these being diabetes mellitus (DM). It has been documented that poorly controlled diabetes mellitus (i.e hyperglycemia) in conjunction with Peripheral Neuropathy and Peripheral Arterial Disease can lead to an increased risk of foot ulceration, infection and amputation (Aston 2013). which explains in a nutshell why assessing the foot is essential! 

To begin to understand how Diabetes Mellitus (DM) affects our feet you need to have an understanding of what happens in general within the body. Watch this video to gain a brief understanding of how it affects the body:

Diabetes mellitus (DM) is a growing epidemic and one of the most challenging economical difficulties for the UK. It was reported that 268, 154 people were diagnosed with diabetes on local registers in Scotland by the end of 2013, with approximately 65% of the population over the age of 65, with DM related complications (DIABETES IN SCOTLAND 2013). More recently it has been noted that the amount of people being diagnosed with diabetes is again on the rise and will have a notable impact on the NHS. More information on this in the link below to the News bulitin:

Lower extremity ulcerations are common in patients with DM and have become a major public health concern in Scotland. It has been stated that ulceration is the most prevalent and most common cause of hospitalisation in the UK(Moakes 2012, Brownrigg et al. 2013). Consequently, national recommendations state that a foot screening and risk assessment should be performed on an annual basis.

Appointments will be availble in June at the Keavil House Health Spa, Crossford, Fife! 


Mobile Chiropodist and Podiatrist. Home Visits available in Dunfermline, fife Get in touch now