Reflexology

Reflexology is an effective way of improving mental and physical wellbeing. Each session usually lasts just under an hour and the process couldn’t be easier.

Set in our Carryduff clinic, you’ll start your treatment by filling out a quick form. To get the most out of the experience, be sure to note down any problem areas or aches and pains you’ve had lately.

You’ll then head to a private room where you remove your shoes and get ready for your reflexology treatment to begin.

The initial aim is to search for any signs of imbalance. Your therapist will gently apply pressure to key points on your feet with their thumb. Reflexologists believe that certain points on the soles of your feet are connected to your organs, glands and energy pathways.

By applying healing energy to specific areas on your feet – known as reflexes – reflexology sends signals through the body which, in turn, release positive chemicals, like endorphins. The result? Reduced stress and pain. The treatment is also said to decrease toxins and increase blood supply, easing tension and inflammation.

IS IT FOR ME?

Reflexology can help ease conditions including arthritis, headaches, migraines, PMS and even fertility issues. Plus, the number of sessions you choose to have is entirely up to you. Many people find themselves feeling healthier and more energetic after just a few. So if you’re sore, stressed out or simply run down, give reflexology a go. Book a reflexology session or two at Head2toepractice, and start investing in your wellbeing.

*Please note that Reflexology is available from our Carryduff clinic only. Thank you.


Physiotherapy

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Biomechanics

LOWER LIMB BIOMECHANICAL ASSESSMENT INVOLVES IDENTIFYING THE SPECIFIC ANATOMICAL STRUCTURE IN QUESTION AND FINDING THE UNDERLYING RISK FACTORS CONTRIBUTING TO INJURY.

Our Lisburn road clinic is one of the most advanced biomechanics labs in Ireland. We are big believers in using the latest technology to aid our diagnosis and management. The days of getting a patient to walk up a hallway as an assessment are gone!

Our biomechanics assessment is a one hour in depth look your gait cycle, we can find imperfections with everyones gait. However the skill is in deciding whether or not its contributing to your symptoms or a red-flag for future injury.

We will then email you your report with any recommended interventions. These may be a simple stretch and strengthening program, footwear change, soft tissue massage or custom carbon fibre orthotics.

3D Footscanning

If you do need custom orthotics we can provide 3d foot scanning as part of the assessment. You will be getting the most advanced orthotic available, they are totally custom made and have a life-time warranty. We design our orthotics using carbon fibre materials, making them super thin and light. We recently have designed orthotics for professional footballers and cyclists.

 


Podiatry

Find yourself a bit embarrassed by your feet?  Or are you in pain because of thickened skin or corns? Please don’t worry our Podiatrists are more than capable to sort your foot flaws out!

Most patients get relief after just one treatment, we can provide you with prevention tips so that the problem never arrises again!

Podiatry treatments include:

  • Thick skin and nails
  • Corns
  • Fungal nails
  • Damaged and or weakened nails
  • Dry skin
  • Warts; plantar warts; verrucae
  • Blisters
  • Callous
  • Tinea; athletes foot
  • Splinters
  • Ingrown toe nails
  • Yellow nails
  • Cracked heels

Orthotics

At Head2toepractice we pride ourselves on our strong clinical knowledge of custom orthotics, their design and manufacture. Our orthotics are CAD-CAM manufactured, ensuring design accuracy and high quality.

If you are interested in getting orthotics, please have a look at our biomechanics section in the services list. A biomechanical assessment must be completed before orthotics can be prescribed.

We are one of the few podiatry clinics in the country to offer carbon fibre orthotics, this choice of material offered a premium solution to your foot pain. The advantages are the accuracy of the design process, thin material and energy return properties of carbon fibre.

The most common conditions which we treat orthotics with are;

  • Plantar faciitis
  • Achilles tenopathy
  • Medial knee osteoarthritis
  • Patello-femoral pain
  • Tibialis posteror dysfunction
  • Peroneal tendonopathy
  • Lateral ankle instability
  • Leg length discrepancy
  • Morton’s neuroma
  • Plantar plate tear
  • Hallux limitus
  • Bunion
  • Shin splints
  • Metatarsal stress fracture
  • Mid-foot arthritis

ShockWave Therapy

We are currently the only private podiatry and physiotherapy clinic in Northern Ireland offering EMS Swiss DolorClast, Shockwave Therapy.

Extracorporeal Shockwave Therapy (ESWT) is the name given to a treatment which involves shockwaves being passed through the skin to the injured part of the body. ESWT has been approved by the National Institute for Health and Clinical Excellence (NICE) in the UK and has been approved by the Food and Drug Administration (FDA) in the USA. Previously ESWT was used with varying degrees of success. This was because the shockwaves lost energy as they made contact with the skin. This is where the Swiss DolorClast method is unique. 100% of the shockwave power generated by the EMS master machine will travel through your injured cells.

How does the treatment work?

Passing radial shockwaves through the surface of the skin with the Swiss DolorClast initiates an inflammation-like response in the injured tissue that is being treated. This prompts the body to respond naturally by increasing blood circulation, the number of blood vessels and therefore metabolism in the injured tissue. This accelerates the body’s natural healing process by increasing cell generation.

What are the benefits?

  • No need for surgery or medication
  • Treatment sessions last for an average of only 15 minutes
  • No hospital admission
  • Transient analgesic effect after treatment
  • No lengthy rehabilitation, loss of mobility or time away from work
  • Minimal complications
  • Strong clinical results

What conditions can be treated?

In the foot / ankle, NICE have recognised the use of shockwave therapy for:

  • Plantar fasciitis
  • Insertional Achilles tendonopathy / posterior heel spur
  • Achilles tendonopathy

However, it has also been successfully used for shin pain (shin splints / medial tibial stress syndrome) and there is  evidence for its use on stress fractures. Please visit our page on physiotherapy for information on its uses on the upper body.

How successful is the treatment?

Clinical trials, conducted by some of the world’s leading medical professionals, have shown the Swiss DolorClast to be successful in treating the conditions recognised by NICE.

However, as with all treatments, this is not a fix all for every patient. Our experience suggests that it tends to work better in patients who have implemented the common / standard treatments for the condition and then use this treatment to effectively kick start the healing process.

How do I book treatment?

You will need a new patient consultation to confirm the diagnosis, and be assessed for your suitability for the treatment and any appropriate investigations. A course of treatment, generally once per week for three weeks is required.  Please contact the clinic for more information or if you are intending to use your medical insurance cover to fund treatment.


Verruca Treatments

A verruca is a viral infection that effects the plantar surface of the feet. Many verruca can be treated at home. However if the verruca is painful or spreading, we recommend a clinic visit to have it assessed. There are many different strains of the verruca virus that can act quite aggressively.


What we offer

The gold standard treatment for verruca is needling. It is a well researched, safe and effective treatment that can get rid of even the most stubborn verruca. We pick the largest verruca to needle. Local anaesthetic is then used to numb the whole sole of the foot and we use a small needle to penetrate the verruca. This causes an immune response. Results are regularly seen from 4 weeks, some may take longer, but our success rate is approx 80% after one treatment. Please book in as a new patient so we can assess your suitability for this procedure.

We can also use more conservative treatments such as liquid nitrogen and acids however the outcome of these treatments is less predictable.


Nail Surgery

Nail surgery is the process of permanently removing a problem nail using a chemical called phenol, whether it be ingrown and infected or dystrophic and thickened. We can partially remove a small section of nail or totally remove it in more severe cases. Nail surgery isn’t always the most appropriate option; we can however offer pain free solutions without permanently removing the nail bed.

All options / pros and cons will be discussed with your podiatrist at the initial consultation. You will then be provided with an individual treatment plan.

FAQs

What is the process after nail surgery?

Following Nail surgery you will wear a dry dressing and be reviewed within 5 days. At your review appointment, the toe is cleansed with sterile saline and a thin antiseptic dressing is then applied. This dressing must be kept in place and dry for 3 days. You will be shown how to simply dress your own toe beyond this point. It can take up to 6 weeks for complete healing, however the majority of patients are pain free within a couple of weeks.

Are there any side effects?

With any surgical procedure there are risks. Mainly infection. We do all we can to minimise these risks. Your suitability will be assessed prior to your procedure and you will be given time to consider your options. Please bring a list of any medications and known allergies to your appointments.

I am pregnant or breastfeeding can you still do it?

Although the risk is minimal and a growing body of research to say there is none. Our clinical policy is that even with the slightest chance we would not take the risk. We advise managing the problem conservatively until a later stage.

Will it ever come back?

Once the ingrown section of nail is removed and phenolised there is a 95% success rate. Regrowth is extremely rare.

How do i book?

All nail surgery patients must first be assessed. Please book in using our online facility, select “New patient” enter your details and check for your confirmation email. Once suitable, an appointment can be made that suits best. If you have any concerns please contact the clinic directly.

 

 

 


Home Visits

We are able to provide domiciliary appointments for you or a relative in the comfort of your own home or accommodation.

We regularly treat patients who for whatever reason are unable to visit us in clinic. Unfortunately we are unable to cater for hospital visits. If you are interested in booking this service, please contact the clinic. Minimum charge for a home visit is £35