How can Podiatry help me?

Podiatry deals with any painful conditions of the foot and ankle, as well as the mechanics of the foot, which may have a knock on effect to the knees, hips and lower back. Chiropody is a term that is only used in Britain and refers specifically to issues with the skin and nails of the feet.

Conditions that Podiatry can treat

Podiatrists are able to treat a wide range of conditions effecting the foot and ankle, as well as the knees, hips and lower back if there is a mechanical element to the issue. The most common injuries treated are sports and overuse injuries such as Plantar Fasciitis and Achilles Tendon issues, as well as bony problems such as Osteoarthritis.

Chiropody deals with the skin and nails of the feet – the most common issues encountered are corns and callus as well as problematic nails.

Chiropody in Chippenham

James Derosa BSc (Hons) CMA HCPC

Podiatry Treatment available at CK Clinic

– Musculoskeletal and Biomechanical Assessment using a range of tools from clinical orthopaedic testing and gait analysis to state-of-the-art pressure analysis software

– Bespoke and Semi-Bespoke Orthotics

– Strapping / Taping

– Footwear Advice

– Comprehensive home exercise planning and training advice


Chiropody Treatment available at CK Clinic

  • Nail Cutting
  • Treatment of Corns and Calluses
  • Verruca treatment treated by debridement or salicylic acid, including minor surgery – needling
  • Surgical or conservative treatment of ingrown toenails

James Derosa – Podiatrist BSc (Hons) CMA HCPC

James qualified in 2015 at Aston University in Birmingham. He has experience in both the NHS and private practice. James adopts a patient centred approach at each appointment and strives to achieve optimum comfort for everyone. From biomechanics to regular toenail cutting James is passionate about sharing his podiatry knowledge to help you remain pain free. James can also assess and treat children. James is a keen golfer, runner and likes to play football regularly. For more information head to our podiatry page on the website or call us to see how we can help.

Nail Surgery Information

Nail Surgery is removal of part or all of a nail for therapeutic benefit.

We offer two Nail Surgery Procedures – a Partial Nail Ablation – which involves removal of part of a nail and a Total Nail Ablation – which is removal of a whole nail.

The Procedure –

The toe will first be numbed with local anaesthetic. A tourniquet will be applied to the toe so that it does not bleed. The nail or section of nail will be removed and a chemical (phenol) will then be applied to prevent regrowth.

Dressings –

On the day of the procedure a large dressing will be applied to the toe, which must be kept on and dry for 48 hours. Beyond this you can change the dressing for a smaller, non adhesive dressing daily. Dressings must be kept dry – if it gets wet, change it.

Due to the chemical applied to the toe, the wound will likely not dry out for around 4 weeks. It should be covered with a dressing until the wound is completely dry. Complete healing may take 8 weeks or longer.

You will need to provide your own dressings for redressing at home.

Risks –

• Regrowth of the nail – Nail Surgery is >90% successful
• Infection – as with any wound there is a risk of infection
• Bleeding post surgery – if this occurs apply additional sterile gauze over the existing
dressing and elevate your foot
• Pain
• Numbness
• Phenol burn
• Weakened nail plate
• Allergic reaction

Benefits –

• Long term solution to a painful or problematic nail
• You can usually resume normal activities and wear your usual footwear shortly after the
• Once healed there will be no ongoing need for antibiotics or pain relief
On the Day of the Procedure –
• The procedure is likely to take between 20-40 minutes
• Remove any nail polish before the procedure
• Bring suitable footwear to accommodate the initial bulky dressing e.g flip flop / sandal –
you can return to your normal footwear once this initial dressing is removed (after 48hrs)
• While your toe is numb your car insurance may be invalid – please arrange for a lift home
• Do not have any other local anaesthetic 24 hours before or after the procedure – e.g at
the Dentist
• If you are asthmatic or require any other acute medication please bring this with you
• Rest for the remainder of the day after the procedure
• Avoid Aspirin for 24 hours after the procedure as this may encourage bleeding
• Avoid contact sports and swimming until the wound has dried out

Usually follow up appointments are at 4 and 8 weeks. Should you experience any concerns before this time though, please inform us and we will see you as soon as possible.

Please feel free to ask any questions before the procedure.