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Podiatry



ORTHOTICS


Orthotics are a speciality in the medical field which deals with the design, manufacture ande application of orthosis. Orthotics are used to control, guide, limit and/or immobilize an extremityjoint or body segment for a particular reason. They also restrict movement in a given direction, assist movement generally and reduce weight bearing forces for a particular purpose or to reduce pain.

 

Orthotics combines knowledge of anatomy and physiology, pathophysiologybiomechanics and engineering. Foot orthotics comprise a custom made insert which is fitted into a shoe. They provide support for the foot by redistributing ground reaction forces as well as realigning foot joints while standing, walking or running. Thus, they correct conditions revolving around the flat foot or high arched foot or correct the foot which have areas of higher pressures resulting in abnormalities.

 

Orthotics can be used by everyone from athletes to the elderly to accommodate biomechanical deformities and a variety of soft tissue inflammatory conditions such as plantar fasciitis. They may also be used in conjunction with properly fitted orthopaedic footwear in the prevention of foot ulcers in the at-risk diabetic foot.

 

 

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BUNIONS

A bunion is when an enlargement at the base of the big toe (hallux) is seen. It is caused by misalignment of the joint. It may be swollen, tender and painful with the wearing of footwear.

Causes:
Heredity, inflammatory joint disease (arthritis), biomechanical abnormalities, neuromuscular disorders, trauma, congenital deformities.

Podiatrist’s treatment plan:
Perform a physical exam of the foot and order X-ray evaluation, padding or taping, prescribe orthotics or aids and silicone devices, advice on surgery if indicated.
 
CORNS AND CALLUSES

A callus or corn is a buildup of skin that forms at points of pressure or over boney prominences. Calluses form on the bottom side of the foot, corns form on the top of the foot and between the toes. Some calluses are also seen at the borders of the foot.

Causes:
Repeated friction and pressure from skin rubbing against boney areas or against an irregularity in a shoe, as well as hereditary disorders. It can also form by barefoot walking.

Podiatrist’s treatment plan:
Perform a physical examination and diagnose the reason for this buildup of skin, perform debridement, enucleation or padding of the lesions, adv ice for orthotics, supports or cushioning and refer for X-ray evaluation if needed.  
 
 
NEUROMA

Neuroma is a painful condition that is often referred to as a pinched nerve, swollen nerve, or nerve tumor at the plantar area (base) of the foot. It is defined more specifically as a benign growth of nerve tissue frequently found between the third and fourth toes. This may result in pain, burning, tingling, or numbness between the toes and in the ball of the foot.

Causes:
Improper or ill-fitting shoes, trauma, high heeled shoes, heredity.

Podiatrist’s treatment plan:
A physical examination, X-ray evaluation to rule out other causes, padding and taping, custom orthotics, and advice on inflammatory medication, advice and referral for cortisone injections or surgery as needed. 
 
PLANTAR FASCIITIS / HEEL PAIN?

Plantar fasciitis is characterized by an inflammation of the long band of connective tissue running from the heel to the ball of the foot whilst the heel spur syndrome is a boney overgrowth on the heel bone. The bottom of the foot and arch can become more painful.

Causes:
Stretching the long band of tissue that connects the heel and the ball of the foot, muscle imbalance, bone deformity, obesity, trauma, tightness of the muscles on the back of the leg.

Podiatrist’s treatment plan:
Perform a physical examination, refer for X-ray evaluation, recommend taping, prescribe orthotics devices, and refer for prescription of appropriate medication, administration of injections or possible surgery as needed.

 FUNGAL NAIL


Nail Fungus is a chronic condition with implications that can go beyond the nail. If untreated, a fungal nail can affect physical and psychological wellbeing for many years. Fungal nail condition may cause discoloration, nail thickening, scaling, and/or detachment of the nail plate from the nail bed. Although, the cosmetic aspect of a fungal nail may be a concern, the problems induced may go much deeper. Patients may experience pain and discomfort

Podiatrist’s treatment plan:
When a fungal nail is diagnosed it should be treated with appropriate drug regimens to achieve a cure whether topically (cream, soaks, or nail lacquer) for the mild to moderate conditions and orally for moderate to severe nail conditions. Your podiatrist will choose the proper treatment for you and refer for possible medications. Test could be performed on nail clippings to detect the type of fungal to combine the best treatment. 
 
 ATHLETE'S FOOT

Athlete's foot is a common infection of the skin resulting in itching, scaling, redness, and the formation of small blisters on the skin. In general these lesions start between the toes and can extend to the borders and bottom of the foot. The fungus has the potential to spread to the toenails, causing them to become thickened, discolored and painful.

Causes:
Shoes commonly create a warm, dark and humid environment that encourages fungal growth. It may be contracted in dressing rooms, hotel and locker room showers and swimming pool locker rooms where bare feet may come in contact with the fungus.

Podiatrist’s treatment plan:
Prescribe topical or oral anti-fungal medication, and advice on keeping shoes and socks dry as a preventive measure. Good foot hygiene is a must,  including daily washing of the feet with soap and water; drying feet carefully, especially between the toes. Change shoes regularly and wear cotton soaks. Astringents may be advised in patients at risk of developing such infection.
    

FLAT FOOT / FALLEN ARCHES?

Pes planus or flat foot is a structural deformity resulting in the lowering of the arch of the foot. This is usually due to hyperpronation. In layman’s terms we refer to this as fallen arches or flat foot. People with flat feet may have other foot related problems such as ankle, knee, hip or lower back pain.

Causes:

The main causes of flat feet or fallen arches are, heredity, arthritis, trauma, musculoskeletal disorders.

Podiatrist’s treatment plan:
The podiatrist will perform a physical examination including biomechanical and gait analysis, take foot scans and prescribe custom orthotics. Advice on appropriate shoes and stretching. 
 
HAMMER / RETRACTED TOE

A hammer toe is a contraction deformity of the toes, especially the lesser ones, resulting in a  boney prominence on top of or in between the toes of the feet. These bony prominences can lead to skin build up forming calluses and corns and pain.
 
Causes:
Hammer toe can be caused by: improper, ill-fitting or high heel shoes, trauma or heredity..

 Podiatrist’s treatment plan:

A podiatrist will perform a physical examination, order X-rays and evaluate. Recommend padding and taping, prescribe orthotics and anti-inflammatory medication. The podiatrist may also advice on administration of cortisone injections, advice on surgery if needed or on injecting a collagen filler. A podiatrist would also advice a change to shoes with lower heels, wear supportive shoes with a roomy toe box and soak and ice your toe.

 

PLANTAR WARTS (VERRUCA PEDIS)

Warts are one of several soft tissue condition of the foot that can be quite painful. They are caused by a virus, which generally invades the skin through small or invisible cuts and abrasions. They can appear anywhere but mostly on the sole of the foot. Most warts are harmless, even though they may be painful. They are often mistaken for corns or calluses. The wart, however, is a viral infection. 

It is wise to consult a podiatrist when any suspicious growth or eruption is detected on the skin of the foot in order to ensure a correct diagnosis. Plantar warts tend to be hard and flat with a rough surface and well-defined boundaries; warts are generally raised and fleshier when they appear on the top of the foot or on the toes. Plantar warts are often gray or brown (but the color may vary), with a center that appears as one or more pinpoints of black. It is important to note that warts can be very resistant to treatment and have tendency to reoccur.


The virus thrives in warm, moist environments, making infection a common occurrence in communal bathing facilities. If left untreated, warts can grow to an inch or more in circumference and can spread into clusters of several warts; these are often called mosaic warts.

 Like any other infectious lesion, plantar warts are spread by touching, scratching, or even by contact with skin shed from another wart. The wart may also bleed - another route for spreading. Occasionally, warts can spontaneously disappear after a short time, and, just as frequently, they can recur in the same location. When plantar warts develop on the weight-bearing areas of the foot – the ball of the foot, or the heel, for example – they can be the source of sharp, burning pain. Pain occurs when weight is brought to bear directly on the wart, although pressure on the side of a wart can create equally intense pain.

 

Podiatrist’s treatment plan:

It is possible that your podiatrist will prescribe and supervise your use of a wart-removal preparation. A procedure known as C02 laser cautery could be performed under local anesthesia either in your podiatrist’s office surgical setting or an outpatient surgery facility.

A podiatrist should suggest the patient to avoid walking barefoot, except on the sandy beaches, change shoes and socks daily, keep feet clean and dry.

 

ACHILLES TENDONITIS

 Achilles tendonitis may occur in athletes who over train or don't do warm-up exercises as well as in individuals who may have had a sprain or strain while working or just going for a walk.  As a result of this condition one may experience an irritation and inflammation of the tendon that attaches to the back of the heel bone. Initially it can be treated with ice, rest, aspirin and anti-inflammatory medication. When the pain becomes chronic it should be professionally evaluated.

Your foot health specialist can provide treatment options that include one or a combination of treatments such as: stretching programs, ultrasound and laser therapies, cortisone injections, prescription anti-inflammatories, heel lifts and /or orthotics .
 
 

 Consultation & Treatment Fee :€ 15