Our Services and Treatments

 Healthy, comfortable feet make a real difference to everyday life. Our general podiatry appointments provide assessment, treatment and advice for a wide range of common foot problems, including corns, callus, cracked heels, thickened or difficult-to-cut nails and painful skin or nail conditions. We don't just treat what we see on the day — where possible, we will also identify factors that may be contributing to the problem and advise you on how to keep your feet comfortable and healthy between appointments. 

 Pain in the foot or lower limb is not always caused by a problem at the exact point where it hurts. Our MSK and sports podiatry assessments take a wider look at how your feet and lower limbs function, considering joint movement, muscle strength, biomechanics, footwear, activity levels and the demands of your sport or daily life. We assess problems such as heel and arch pain, plantar heel pain, forefoot pain, tendon and soft-tissue injuries, recurring sports injuries and other musculoskeletal conditions. Following your assessment, we will explain our findings and create an individual management plan, which may include rehabilitation exercises, footwear advice, taping, orthoses, activity modification or other appropriate treatments 

 A biomechanical assessment looks at how your joints, muscles and lower limbs work together during standing, walking and other activities. It can be particularly useful when investigating persistent or recurring foot, ankle, knee or lower-limb pain, sports injuries or difficulties with movement. Your assessment may include examination of joint movement, muscle function, foot posture, footwear and gait. Rather than focusing solely on where you feel pain, we aim to understand the factors that may be contributing to your symptoms and use our findings to develop an appropriate treatment or rehabilitation plan. 

 When a clinical examination alone does not provide enough information, further investigation may help us better understand what is happening beneath the skin. Musculoskeletal ultrasound can provide real-time imaging of many soft-tissue structures within the foot and ankle and may be useful when assessing certain tendon, fascia, ligament and soft-tissue conditions. Where appropriate, ultrasound findings can be considered alongside your symptoms and clinical examination to help guide diagnosis, treatment planning or the need for further investigation or referral. 

 For some painful musculoskeletal conditions, injection therapy may be considered as part of a wider treatment plan. Before recommending an injection, we will assess your condition, discuss other appropriate treatment options and explain the potential benefits, limitations and risks. Where clinically indicated, corticosteroid injections may be used to help reduce pain and inflammation associated with certain foot and lower-limb conditions. Injection therapy is not suitable for every problem and is generally considered alongside rehabilitation, footwear modification, load management or other treatments rather than as a stand-alone solution. 

 Ingrown toenails can range from mild tenderness to significant pain, inflammation and infection. Treatment depends on the severity of the problem and whether it is a first episode or a recurring condition. Some ingrown nails can be managed conservatively during a routine appointment, while persistent or recurrent cases may benefit from nail surgery. Nail surgery is a minor procedure carried out under local anaesthetic in which part, or occasionally all, of the affected nail is removed. Where appropriate, phenol may be applied to the nail matrix to reduce the likelihood of the problematic section growing back. An assessment will help us determine the most suitable treatment for you. 

 Verrucae are caused by the human papillomavirus (HPV) and can vary considerably in size, appearance and discomfort. Many verrucae resolve naturally over time, but treatment may be considered when they become painful, persistent, spread or interfere with everyday activities. We offer assessment and a range of treatment options, with recommendations based on factors such as the location and size of the lesion, how long it has been present, previous treatments and your individual health circumstances. We will discuss the available options with you and help you decide whether treatment or monitoring is the most appropriate approach. 

 Diabetes and certain medical conditions can increase the risk of developing problems with the feet, particularly where circulation, sensation or the ability to heal is affected. Our diabetic and high-risk foot assessments can include examination of the skin and nails, circulation and sensation, alongside identification of factors that may increase the risk of ulceration or other complications. We provide individual advice on foot care, footwear and prevention and, where appropriate, recommend further medical assessment or referral. Regular podiatry care can play an important role in identifying changes early and helping you maintain healthy, comfortable feet. 

 Insoles and foot orthoses can be useful in the management of certain foot and lower-limb conditions by altering pressure, improving comfort or supporting a wider rehabilitation plan. We do not believe that everyone with foot pain automatically needs orthoses. Where they are appropriate, your prescription will be based on your individual assessment, symptoms, footwear, activities and treatment goals. We offer a range of options, from simple modifications and insoles to more customised devices, and will explain why a particular option has been recommended and how it fits into your overall treatment plan. 

 Taping and strapping can be a useful short-term addition to the management of certain sports injuries and musculoskeletal problems. Depending on the condition, it may be used to support an injured or painful structure, modify load, improve comfort during activity or help us assess whether a particular mechanical change could be beneficial. Taping is usually used alongside other measures such as rehabilitation exercises, footwear advice and activity modification rather than as a treatment in isolation. 

 Changes to the nails and skin can have many different causes, which is why an accurate assessment is important before deciding on treatment. We assess and manage a range of nail and skin concerns, including thickened or damaged nails, suspected fungal nail infections, painful nail conditions and areas of persistent hard skin. Depending on the problem, treatment may include routine podiatric care, specialist nail treatments, nail reconstruction, advice on topical treatments or further investigation. Where a condition falls outside the scope of podiatry or requires medical investigation, we will advise you on the appropriate next step. 

 Nail reconstruction can provide a temporary cosmetic and protective solution for nails that have been damaged, partially lost, misshapen or affected by certain nail conditions. A specialist flexible material is applied to the remaining nail and carefully shaped to create a more natural-looking nail. Unlike a standard cosmetic false nail, the materials and techniques used are designed specifically for use on toenails. We will first assess the nail and surrounding skin to determine whether reconstruction is suitable and discuss the results you can realistically expect. 

 Corns, hard skin and cracked heels can become uncomfortable and, in some cases, painful enough to affect walking and everyday activities. During your appointment, we can carefully reduce areas of excessive hard skin and treat painful corns, while also looking at factors that may be causing them to return. These can include footwear, pressure, foot shape, activity and the way weight is distributed across the foot. Where appropriate, we can recommend footwear changes, padding, moisturising treatments, insoles or other measures to help manage the underlying pressure and reduce recurrence. 

Duration up to 30 min Price from £60

Pressotherapy is a relaxing compression treatment that uses inflatable garments to apply gentle, sequential pressure to the legs. The rhythmic compression is designed to support circulation and fluid movement and can be particularly appealing for people experiencing tired or heavy legs, as well as those looking to support recovery following exercise or periods of prolonged standing or sitting.

At Midlothian Foot Care, pressotherapy can be offered as a stand-alone wellbeing and recovery treatment or, where appropriate, alongside other aspects of your podiatry or rehabilitation plan. Before treatment, we will check that pressotherapy is suitable for you and discuss any relevant medical conditions or contraindications.

 Laser therapy may be offered as part of the management of selected musculoskeletal and podiatric conditions. The treatment uses specific wavelengths of light delivered to the target area and may be considered alongside other treatments to help manage pain and support the rehabilitation process. Suitability depends on the condition being treated and your individual health circumstances, so laser therapy will only be recommended following an appropriate assessment. Where it is used, we will explain what the treatment involves, what you may expect and how it fits into your wider management plan. 

Heel pain is one of the most common reasons people seek podiatry treatment, but not every painful heel has the same cause. Symptoms can arise from a number of structures within and around the foot, which means an accurate assessment is important before deciding on treatment.

We assess both new and persistent heel pain, looking at your symptoms, activity, footwear, joint and muscle function and other factors that may be contributing to the problem. Where appropriate, further investigation may also be considered. Treatment is then tailored to the individual and may include rehabilitation exercises, load management, footwear advice, taping, orthoses or other treatment options based on the clinical findings.

 For people who experience a persistent, painful corn that repeatedly returns despite regular treatment, Curacorn® may offer another management option. The treatment is designed to address recurring corns by treating the localised area responsible for the painful lesion rather than simply reducing the hard skin each time it develops. Not every corn is suitable for this procedure, so a podiatric assessment is required first to confirm the diagnosis, consider why the corn is recurring and determine whether Curacorn® or another treatment would be most appropriate. 

As part of our commitment to continually developing the range of treatment options available at Midlothian Foot Care, further training in acupuncture is planned for later this year. Following completion of the appropriate training, acupuncture may be incorporated into the management of selected musculoskeletal and pain conditions where clinically appropriate.

More information will be available once this service is introduced.