NHS Foot / Ankle Service Providers in Cornwall

Specialist Podiatry Service

 

Aims of the Service

The Specialist Podiatry Service in Cornwall aims to diagnose and treat musculoskeletal conditions of the foot and ankle as well as musculoskeletal conditions in other parts of the body resulting from foot and ankle dysfunction. Biomechanical assessment and gait analysis are incorporated into the assessment process to identify mechanical abnormalities that could predispose to these conditions and affect their management..

Inclusion Criteria

Painful, benign musculoskeletal conditions related to the foot

• When pain occurs within the foot and ankle.
• Musculoskeletal pain proximal to the foot/ankle, if the pain is related to foot and ankle dysfunction.
• Fixed deformities: Referrals can be made when pressure redistribution techniques, shock attenuation and stability are required
• Neurological symptoms resulting from foot/ankle dysfunction
• Foot and ankle dysfunction resulting from neurological conditions

 

Exclusion Criteria

• Lumps or bumps eg ganglion/masses
• Acute traumatic conditions
• Severe unremitting pain
• Where serious pathology is suspected eg fracture, tendon rupture
• Where immediate surgery is indicated

 

Location of clinics and to whom to refer

Specialist clinics take place in all the larger podiatry clinics, throughout Cornwall. They are coordinated by the specialist musculoskeletal podiatrists within their respective regions whose contact details are listed in the below table along with the location of their clinics.

 

Specialist Podiatrist	Contact details	Location of clinic
Sarah Powlesland	Podiatry Department LiskeardHospital Clemo Road Liskeard PL14 3XA Tel:  01579 335203	-Liskeard Hospital -Bodmin Hospital -St Austell Community Hospital
David Haines	Podiatry Department TruroHealthPark, Infirmary Hill Truro TR1 2JA. Tel:  01872 354321	-FalmouthHealth Centre -Newquay Hospital -Truro Health Park
Beverly Bowring	Podiatry Department PenzanceHealth Office Bellair Alverton Penzance TR18 4TA Tel:  01736  575517	-Camborne Redruth Community Hospital -West Cornwall Hospital, Penzance

 

Link to referral form

 

 

Appliances department at RCHT

Provide custom made footwear, callipers and various braces. Patients should usually be referred to podiatry first for assessment and off-the-shelf footwear.

RCHT Radiology

• Perform X-ray and ultrasound guided injections to all joints

-Request on usual imaging forms

-If an injections fails to resolve symptoms a surgeon is likely to repeat the injection themselves before committing a patient to surgery

 

RCHT Orthopaedic Surgery clinics

Adults and children, multiple services at multiple locations including

• Complex paediatric foot and ankle clinic (held RCHT – Mr Parsons)
• Complex Adult Foot and Ankle Clinic (Mr Parsons and Mr Butler, Mr Walter- around the region, dealing mainly with ankle and hindfoot pathology)
• Foot Clinic (Mr Giurea- RCHT and St Michaels)
• Paediatric minor toes complaints (held at St.Michaels) Age 12 – 15

 

RCHT Specialist Foot & Ankle Physiotherapy Clinic

Conditions treated include:

• Achilles tendinopathy
• Plantar fasciitis
• Ligamental disruptions
• Osteoarthritis

Exclusions:

• Children
• Lumps and bumps
• Where imaging is required or diagnosis is uncertain

 

Recent local MSK Physiotherapy needs to have been undertaken prior to referral

Referrals will be returned if Physiotherapy has not been attempted

For patients who have been through the MSK physiotherapy service but specific Specialist Foot & Ankle Physiotherapy advice / treatment is being sought.

 

This clinic is accessed by eRS referral to Foot and Ankle Orthopaedics.  The referral will be triaged appropriately by the Foot and Ankle team.

 

RCHT Paediatric Orthopaedic Physiotherapy for Clubfoot

Refer by letter (not choose and book) to the paediatric orthopaedic physiotherapy team, therapy department, RCHT

 

Duchy

This is a surgical service and is not suitable for insole or orthosis referrals.

Exclusions

• Major co-morbidities or BMI> 40
• Under 18 years

 

 

Probus Surgery                    

• In-growing toe nails 

 

Date reviewed                     25/06/2019

Next review due                  25/06/2020

Sifter name                          Dr Rebecca Hopkins

 

 

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