Injecting a filler under a painful corn to offload pressure.

 

The toe has been anaesthetised beforehand.

Fungus under a toenail.

 

Drugs such as Terbinafine tablets can be prescribed for this, an extended course is usually required

A single injection of local anaesthetic in the spot marked area above can freeze the sole of the foot and allow painless  injections of fillers and other medicines. An ultra fine dental needle ensures that the first injection is not unduly painful.

Injecting Restylane® dermal filler into nasolabial lines to plump up the underlying tissue. Either an anaesthetic cream can be supplied to put on an hour or so before hand or a dental nerve block injection can be given behind the lips to freeze the area entirely

All images on this page are personal copywrite© of Martin Harvey 2009

The kind of painful pressure area underneath a foot that may benefit from injecting medical filler underneath it.

 

The filler adds physical volume and also stimulates growth of tissue to add a padding effect and cushion nerve endings.

All medical or cosmetic fillers used in my practice come in single use sterile kit form for your total peace of mind. This is the excellent Innopad® medical silicone kit.

 

Such products cost a little more, naturally, but do you really want (or deserve) anything less?

This lesion on a patients leg raised my suspicions.  A fast referral to a Dermatologist proved it to be a type of skin cancer which was removed without delay.

The picture above left  is a special tube (again from a sterile kit) used  to collect a patients blood sample which is then processed in the surgery  in a pre-programmed centrifuge (above right) to separate the red cells from the clear liquid above (plasma) which contains a high dose of  the patients own healing cells called platelets. The platelet-rich plasma can be very effective when administered via injection  to sports injuries such as damaged ligaments and tendons. This process was hailed as ‘new and revolutionary’ in a full page article in the Daily Express, Oct 2009. It has been available at my surgery for over two years...........

The above tissue damage, when analysed, proved to be caused by a fungus.

 

It responded well to treatment with a topical fungicide cream.

This type of excessive tissue thickening can be caused by problems in the micro-circulation of the skin. A drug to improve the blood flow in the skin may help.

 

Paring-off with a scalpel only offers temporary improvement.

The Masterclass aesthetic training course is recognised by the UK’s leading insurers and is a very popular event held several times a year. My co-tutor Judith, a former Podiatrist, is now a teaching fellow at medical school but still enjoys coming back to help with training old colleagues.

The lower legs are one of the commonest sites of skin cancer in women. This shows a Basal Cell carcinoma anaesthetised and marked up for excision. Such operations to non-melanoma skin cancers can be safely performed in suitable primary care surgeries by appropriately trained Podiatrists such as myself.

This necrotising vasculitis was actually a reaction to a hair-dye.

The lower limbs can be a frequent site of surprising events including reactions to medications.

 

The patient eventually made a full recovery with suitable treatment.

This has all the signs of a malignant melanoma. These are the most aggressive type of skin cancer and require rapid treatment by a specialist department in hospital. Current guidelines state that such lesions should be seen by a secondary care specialist within fourteen days of being referred