the-bell-practice

What is Metatarsalgia? Ball of Foot Pain Explained

Mon, 24 Aug 2026 09:36:05 GMT

What is Metatarsalgia?

Metatarsalgia is a term used to describe pain affecting the structures around the knuckles of your feet , usually around the ends of the five long bones called the metatarsals. These bones connect the middle of your foot to your toes and play an important role in supporting your body weight. It is not the name of any one specific condition but rather refers to the feeling of pain and inflammation with a wide range of causes.

There are numerous structures in this relatively small area, including bones, joints, tendons, ligaments, nerves and soft tissue. Pain can develop when excessive or uneven pressure is placed on these structures, following an injury, because of a change in foot shape or function, or as a result of another condition affecting the forefoot.

As skilled podiatrists who have been treating patients with metatarsalgia since 1986, The Bell Practice have outlined what might be causing your ball of foot pain and the most common treatments below.

Symptoms of metatarsalgia

Metatarsalgia symptoms can develop gradually and vary considerably in severity. You may initially notice a mild ache after a long walk or exercise session, before the discomfort starts appearing during everyday activities.

The pain may improve when you rest and take the weight off your foot, only to return when you become active again.

The sensation is often described as feeling as though there is a stone inside your shoe, burning sensation or a sock has become bunched up underneath your foot.

Other common symptoms include:

Aching or bruised feeling pain beneath the ball of the foot
Sharp or stabbing pain
Burning or shooting sensations
Tingling or pins and needles
Numbness extending towards the toes
Pain that becomes worse when standing, walking or running
Discomfort that is particularly noticeable when walking barefoot on a hard surface
Pain affecting one particular area beneath a toe joint or spreading across the forefoot

It is possible for the symptoms of metatarsalgia to overlap with other conditions, including Morton's neuroma, bursitis, stress fractures and problems affecting the joints or soft tissues of the forefoot. This is one reason why persistent ball of foot pain should not simply be assumed to be metatarsalgia.

What causes metatarsalgia?

There is no leading cause of metatarsalgia. Pain often develops because the structures at the front of the foot are exposed to more pressure than they can comfortably tolerate (forefoot over loading), but it can be caused by nerve impingements (Morton's neuroma), arthritis and atrophy of the protective fat pad under the ball of the foot.

This can happen after a sudden increase in activity, prolonged standing, wearing unsuitable footwear or because the natural structure and movement of your feet causes pressure to be concentrated in particular areas.

Structural issues with the foot

The shape and structure of your feet can have a significant influence on where pressure is distributed when you stand and walk.

For example, high arches can increase pressure through the forefoot, while certain flatter foot types can also alter the way weight is transferred through the foot. Toe issues such as bunions, hammer toes and claw toes can further change the mechanics of the forefoot and increase pressure around individual metatarsal heads.

This does not mean that having a particular foot shape automatically causes metatarsalgia; your individual foot structure can make certain areas more susceptible to overload, particularly when combined with other factors such as unsuitable footwear or increased activity. We can assess this in clinic with a 3D weightbearing scan of your feet to identify and offload the high pressure areas.

A sudden increase in exercise

High impact activities repeatedly load the forefoot. If you suddenly increase the intensity or frequency of exercise, your feet may not have enough time to adapt. This can result in repetitive stress and small amounts of tissue irritation around the metatarsal region that, over time, can develop into disruptive pain.

Unsuitable footwear

Your shoes can make a significant difference to the amount of pressure placed through the ball of your foot.

High heels shift more of your body weight towards the front of the foot. Narrow or pointed shoes can compress the toes and forefoot. Shoes with very thin or hard soles may also provide insufficient cushioning when your feet are repeatedly exposed to impact.

For someone already experiencing metatarsalgia, continuing to wear footwear that aggravates the forefoot can make it considerably harder for symptoms to settle.

Changes to the natural cushioning beneath your foot

There is a natural layer of fatty tissue beneath the ball of the foot that helps cushion the metatarsal heads and distribute pressure. As we get older, this cushioning can gradually become thinner. This can leave the structures underneath the foot more exposed to repetitive pressure and may contribute to discomfort, particularly during walking or prolonged standing.

Tight calf muscles

The calf muscles and Achilles tendon influence the way your ankle and foot move when you walk. If these structures are tight, they can contribute to increased pressure being transferred towards the front of the foot.

This is one reason why stretching and strengthening exercises can sometimes form part of a treatment plan for metatarsalgia.

Foot and toe conditions

Metatarsalgia can occur alongside, or as a result of, other problems affecting the foot. These can include:

Bunions
Hammer or claw toes
Arthritis
Morton’s neuroma
Bursitis
Plantar plate injuries
Previous foot injuries or surgery
Stress fractures
Inflammatory conditions such as rheumatoid arthritis or gout

Diabetes can also contribute to changes in foot structure or nerve function, which can alter how pressure is experienced through the foot.

How is metatarsalgia diagnosed?

A podiatrist will begin by asking about your symptoms, when they started, and what activities or footwear appear to make them worse.

They will then examine your feet and may assess how you stand and walk. Your foot shape, joint movement, muscle strength, areas of tenderness and the distribution of pressure through the foot can all provide useful information.

The purpose of this assessment is not simply to confirm that you have pain in the ball of your foot. It is to establish why that area is being placed under excessive or inappropriate stress.

Depending on your symptoms, further investigations may sometimes be necessary. For example, persistent or sudden pain accompanied by swelling can require assessment for injuries such as a stress fracture. Other symptoms, such as burning, shooting pain or numbness, may point towards a nerve related problem such as Morton's neuroma.

If your pain is severe, you cannot walk, your foot has changed shape, or the foot is hot, swollen and painful, seek urgent medical advice rather than attempting to diagnose or treat the problem yourself.

How to treat metatarsalgia

There is no single treatment for metatarsalgia because the most effective approach depends on what is causing the pain. The first step is to reduce the amount of pressure being placed through the forefoot and give irritated tissues an opportunity to settle.

Following a thorough assessment of your foot, your podiatrist may recommend,

Rest from activities that aggravate your symptoms

If running, jumping or another activity clearly makes your pain worse, temporarily reducing or modifying that activity can help.

This does not necessarily mean becoming completely inactive. Lower impact activities such as swimming may allow you to maintain some exercise without repeatedly loading the painful area.

The important thing is to avoid repeatedly pushing through pain and expecting the problem to disappear while the same source of pressure continues.

Choose more supportive footwear

Footwear is one of the simplest changes you can make when managing metatarsalgia.

Look for shoes with:

A wide, comfortable toe box
Plenty of room across the forefoot
A cushioned sole
Good overall support
A relatively low heel
Enough depth to accommodate your toes without pressure

Use insoles or orthotic support

Insoles can help to cushion the foot and redistribute pressure away from painful areas. For some people, an off the shelf insole or metatarsal pad may be sufficient. However, when pain is related to the way your feet are structured or how they function during walking, a more personalised approach is needed..

At The Bell Practice, our podiatrists assess your feet before creating custom 3D printed orthotics . To do this a weightbearing , 3D scan is used to create a fully bespoke orthotic designed around your individual foot contours. The aim is to adjust foot posture and redistribute pressure away from problematic areas, with the aim of making everyday movement more comfortable.

Once we have the scan of your foot we perform a detailed biomechanical assessment checking you for leg length discrepancies, imbalances and foot posture abnormalities. We then assess you in motion and standing. Finally we CAD CAM design the insole to fit your foot perfectly and build our prescription into into it. Once this is complete we use state of the art purpose built 3D Printer to print out your devices from amaterail specific to your needs.

We have 45 years experience of producing orthotics, investing in the latest technology and training, treating patients such as the England Rugby League Team,runners, hikers and elderly patients. We have had patients who travelled from as far as Hong Kong, Australia, Canada, Nigeria and the Middle East to see us.

Despite our experience with athletes and professional sports men and women our speciality is getting elderly people moving and walking, helping with balance, strength and mobility.

Stretching and strengthening

Exercises may be recommended to improve flexibility and strength around the foot and lower leg. In particular, addressing tight calf muscles can be useful because reduced ankle flexibility may contribute to greater pressure through the forefoot. Foot and ankle strengthening can also help improve how your foot handles load.

Exercises should be appropriate for your individual symptoms. If an exercise increases your pain significantly, stop and seek professional advice rather than continuing to push through it. We have followed many of the premiership football clubs and sports clubs by investing in Vald which allows us to strength test individual muscles and the range of motion at your joints. We can then monitor your progress and prescribe specific meaningful exercises.

Manage swelling and discomfort

Resting and elevating your foot can help when symptoms are aggravated, while an ice pack wrapped in a towel can be applied for up to 20 minutes at a time. Leave 2-3 hours between applications. We also offer corticosteroid injections for arthritic joint pain and soft tissue complaints like nerve impingements affecting the foot and ankle.

A pharmacist can also advise on appropriate pain relief if required.

Seek guidance from experienced podiatrists

At The Bell Practice , our focus is on understanding the cause of your discomfort and supporting you with solutions designed specifically for you. With the right care, many common foot issues can be effectively managed or prevented altogether allowing you to get back to doing what your painful symptom is preventing you doing. If you feel that your feet could benefit from additional support or you’re experiencing persistent, chronic pain in the balls of your feet, we are here to provide expert guidance and care tailored to you; we use 3D printed orthotics , fully bespoke to your feet with a 3 year warranty on the orthotic shell.

How Do You Treat an Infected Ingrown Toenail?

Mon, 13 Jul 2026 09:25:30 GMT

If you are experiencing the pain and disruption of an ingrowing toenail, then noticing the signs of infection can make the situation feel even more distressing. But, the good news is if you catch the infection early, treatment is simple and effective. Even when an infection is more advanced, there are treatments available to relieve the pressure, address the infection and help you get back to comfortable, healthy feet.

An infection is usually secondary to the ingrown toenail itself. When the nail grows into the surrounding skin, it can create a small wound which allows bacteria to enter. At The Bell Practice , our extensively trained Podiatrists have been treating ingrown toenails for 39 years, helping patients find relief from both the immediate pain and the underlying cause of the problem. We know exactly how to treat ingrown toenails at every stage, and have explained what you need to do when you notice the early signs of an infected ingrown toenail.

What causes ingrown toenails to become infected?

Ingrown toenails can become infected easily. When the nail punctures the toe, it creates an open wound on one of the areas of the body most likely to trap and accumulate dirt. This can be exacerbated when you pick or dig at the nail which can push harmful bacteria further into the wound.

Other reasons why an ingrown toenail may become infected include:

Poor foot hygiene: An ingrown toenail is more likely to become infected if you don’t prioritise foot hygiene. Always clean your toenails with warm soapy water, gently scrub them with a nail brush, and pat (don’t rub) dry with a clean towel.
Sweaty feet: Sweat keeps the skin around the wound damp and the wound itself open. This makes ingrown toenails particularly susceptible to infection. If your feet sweat heavily, changing socks regularly, avoiding artificial fibres and allowing footwear to dry between uses can help maintain healthier skin.
Active lifestyle: Being an active person increases your risk of both ingrown toenails and infections. Continued rubbing from shoes can keep the wound irritated and make it more difficult for the surrounding skin to settle. This is one reason why wearing wide, comfortable footwear can be helpful.
Diabetes: People with diabetes should take particular care with any foot wound or infection. Diabetes can increase the risk of serious foot complications, particularly when circulation or sensation is affected.
Health conditions that impact sensation: Conditions that affect sensation in the feet, like spina bifida, Diabetes, and deficiencies like vitamin B12 can make it more difficult to recognise how severe an ingrown toenail has become. Poor circulation can also affect the body's ability to heal wounds. This makes professional assessment particularly important if you have reduced sensation, circulation problems or another condition that affects your feet.

Regardless of the reason for infection, it is vital that you have it looked at by an experienced podiatrist.

Signs that an ingrown toenail is infected

An ingrown toenail can be incredibly painful and inflamed without necessarily being infected. As infection develops, however, you will notice changes around the nail.

Signs of an infected ingrown toenail can include:

Increasing redness around the nail
Swelling in the toe
Increasing tenderness or pain
The area feeling warm
Pus or other discharge from the edge of the nail
Bleeding around the nail
Redness spreading further across the toe
A worsening or throbbing pain
Feeling hot, cold or shivery, particularly if the infection is becoming more significant

Minor vs serious infections

Not every ingrown toenail requires the same level of treatment.

A mild ingrown toenail may cause localised tenderness, redness and discomfort without significant infection. If identified early, relieving pressure from the nail and allowing the area to settle may be enough.

A more advanced or infected ingrown toenail may involve considerable swelling, pus, bleeding or excessive tissue growing around the nail. In these cases, simply waiting for the nail to grow out will not resolve the underlying problem.

Repeated ingrown toenails also deserve professional attention. If the same nail continually grows into the skin, there may be an underlying issue that requires immediate attention.

Addressing the cause will be much more effective than repeatedly trying to manage the symptoms.

Can you treat an infected ingrown toenail at home?

If you have noticed the early signs of an ingrown toenail, there are some simple things you can do at home to keep the toe clean and make yourself more comfortable while you arrange an assessment.

However, once an ingrown toenail becomes infected, home treatment should be viewed as a way of caring for the area while you seek appropriate advice, rather than a replacement for professional treatment. An infection can continue to develop while the nail is still pressing into the skin, meaning the underlying cause needs to be addressed.

If the skin around your ingrown toenail has become increasingly red, swollen, painful or warm, or you notice pus or discharge, you may be dealing with an infection.

The most important thing is to keep the area clean and prevent further damage. You should:

1. Soak your foot in warm, salty water

A warm salt water foot bath can help to ease some of the inflammation and help keep the area clean.

After soaking your foot, make sure you dry it thoroughly, paying particular attention to the skin around the affected nail. Avoid leaving the toe damp inside socks or footwear, as prolonged moisture can make the skin more vulnerable.

2. Keep the toe covered if there is discharge

If the area is producing pus, blood or other discharge, cover it with a clean, sterile dressing to protect the wound and prevent further irritation. Change the dressing as necessary to keep the area clean and dry.

Try to avoid unnecessary contact with the wound between dressing changes. The less you disturb the area, the better chance the surrounding skin has to settle.

3. Reduce pressure on the toe

An infected ingrown toenail can become considerably more painful when it is repeatedly compressed by footwear.

For the time being, choose wide, comfortable shoes or sandals that give your toes plenty of room. Avoid narrow or pointed shoes that press against the sides of the nail.

If your usual activities involve running, long walks or other movements that put repeated pressure on the toe, it may be sensible to reduce these temporarily while the problem is assessed.

4. Keep your feet clean and dry

Wash your feet gently and dry them thoroughly afterwards. If your feet tend to sweat heavily, change your socks regularly and avoid wearing damp footwear by letting a pair of shoes dry out thoroughly before wearing them again (2-3 days).

This will not remove the nail that is causing the problem, but it can help prevent additional irritation while you arrange treatment.

5. Don't pick or dig at the nail

When an ingrown toenail is painful, it can be tempting to try to find the offending piece of nail and remove it yourself. You may also feel tempted to squeeze the area if you can see pus.

Picking, squeezing or digging around an infected ingrown toenail can cause further damage to already irritated skin and potentially introduce more bacteria into the wound.

6. Don't cut down the side of an infected toenail

Cutting into the affected side of an ingrown toenail yourself will not solve the problem. You may be able to remove the visible part of the nail, but there could still be a sharp section underneath the skin. As the nail continues to grow, this can cause the same problem to return or exacerbate the symptoms.

A podiatrist can safely identify and remove the offending section of nail when necessary, without you having to repeatedly injure the surrounding skin.

Should you contact a GP or a podiatrist for an infected ingrown toenail?

As a rule, an experienced podiatrist is always the most suitable medical professional to assess the condition of your toenail and prescribe the correct treatment plan. The only time we would recommend contacting your GP is if you have very early signs of an infection so you can seek antibiotic treatment while you wait for your appointment with a podiatry clinic.

Even if you have dealt with superficial infection in a minor case, it is best to book an appointment with an experienced podiatrist to address any underlying causes and prevent the likelihood of recurrence. Podiatrists deal with ingrowing toenails every single day.

For a serious, persistent or repeatedly infected ingrown toenail, go straight to a podiatrist. We can assess why the nail is continuing to grow into the skin and provide quick effective treatment. Depending on the severity, this may involve carefully removing the offending nail edge or considering nail surgery for recurrent cases.

At The Bell Practice , our podiatrists can assess the condition of your toe and determine the most appropriate treatment, helping you avoid repeatedly managing the same painful problem at home.

If you have a minor infection, contact your GP for advice. If your ingrown toenail is seriously infected, keeps coming back, or is causing persistent pain, contact a podiatrist for specialist assessment and treatment.

How do podiatrists treat infected ingrown toenails?

The treatment for an infected ingrown toenail depends on how far the problem has progressed. In some cases, the offending section of the nail can be carefully removed to relieve pressure and allow the toe to heal. This usually doesn’t require local anaesthetic, but we have it available if needed. More advanced or recurring ingrown toenails may require nail surgery to prevent the problem from continually returning.

The most important thing is to have the toe assessed before attempting to treat it yourself. An ingrown toenail can become increasingly painful when the nail continues to grow into the surrounding skin, while infection can cause further, more serious complications. Early treatment is simpler and more comfortable than waiting for the problem to become severe.

Treatment with a podiatrist may involve:

Assessment of the ingrown toenail

Before treatment begins, your podiatrist will examine the affected toe and assess how deeply the nail has grown into the surrounding skin. They will also look for signs of infection, swelling, inflammation or excess tissue around the nail. They will want to gain a better understanding of your medical history, as well as any details on previous ingrown toenails and how they were resolved.

This assessment helps determine whether the ingrown toenail can be managed with conservative treatment or whether a more advanced approach is appropriate.

At The Bell Practice, our podiatrists are highly qualified and HCPC registered, with extensive experience treating ingrown toenails and performing nail surgery. The practice places particular emphasis on providing treatment that is as pain free as possible, using local anaesthetic where required.

Early treatment for a mild ingrown toenail

If the ingrown toenail is identified early, it may be possible to carefully cut back and remove the offending nail spike.

This is very different from attempting to cut an ingrown toenail yourself. A podiatrist can identify exactly where the nail is penetrating the skin and remove the problematic section without unnecessarily damaging the surrounding tissue. The nail spike will be gently cut back to allow the nail to grow forwards rather than continuing to press into the skin. The toe can then be dressed with a strong antiseptic dressing to protect the area while it begins to heal.

Early intervention can prevent a relatively minor ingrown toenail from developing into a much more painful or recurring problem.

Treating an infected ingrown toenail

If infection has developed, simply removing the nail edge may not be the only consideration. Your podiatrist will assess the extent of the infection and the condition of the surrounding tissue. The offending section of nail may need to be removed so that it is no longer continually puncturing or irritating the skin.

Following treatment, the toe can be cleaned and protected with an antiseptic dressing. In some cases, antibiotics may also be required to treat the infection.

It is important to understand that antibiotics do not necessarily resolve the underlying cause of an ingrown toenail. If the nail continues to grow into the skin, the problem is likely to return once the course of antibiotics is completed, this is because the nail spike remains allowing bacteria to enter through the puncture site. Removing the offending nail section is therefore often an important part of the process.

More advanced ingrown toenails

If an ingrown toenail has been left untreated, the nail may have penetrated further into the skin, making it more difficult to remove safely without local anaesthetic.

In these circumstances, your podiatrist may recommend removing the nail spike under local anaesthetic. This numbs the toe so that the procedure can be carried out as comfortably as possible.

Once the offending section has been removed, the area can be cleaned and dressed appropriately. If infection was present, further treatment may be recommended depending on its severity.

For patients who are nervous about treatment, it is worth remembering that our podiatrists carry out these procedures on a daily basis. At The Bell Practice , ensuring treatment is as comfortable as possible is a core part of the practice's approach, and local anaesthetic can be used when required.

Nail surgery for severe or recurrent ingrown toenails

If your ingrown toenail is particularly advanced or continues to return despite previous treatment, your podiatrist may recommend nail surgery.

Rather than repeatedly cutting away the same section of nail as it grows back, nail surgery permanently removes the problematic side of the nail. Nail surgery is performed under local anaesthetic. The affected side of the nail is removed along with the offending nail spike and the area is treated to prevent that section of nail from growing back. This is sometimes called a wedge resection or a partial nail avulsion.

Nail surgery does not require stitches, although the toe will need to be dressed for approximately two weeks afterwards while it heals. For many patients who have experienced repeated ingrown toenails, this can be preferable to repeatedly treating the same painful nail as it grows back.

What happens after treatment?

After treatment, your podiatrist will provide advice on caring for the toe while it heals. Keeping the area clean and protected is important, particularly where there has been infection or the skin has been broken.

You may also be advised to avoid activities that place excessive pressure or friction on the toe for a period of time. Wearing comfortable, wide fitting footwear can help prevent unnecessary pressure while the area settles.

If you have had an ingrown toenail more than once, your podiatrist can also discuss ways to reduce the likelihood of recurrence.

Professional treatment at The Bell Practice

At The Bell Practice, our priority is always to make treatment for ingrown toenails as comfortable as possible while finding the most appropriate solution for your individual circumstances. We have a group of highly skilled, fully qualified, extensively trained and audited experienced personnel who are highly trained in performing nail surgery.

What’s Causing Your Heel Pain?

Tue, 30 Jun 2026 08:04:49 GMT

Heel pain is one of the most common reasons people visit a podiatrist. For some, heel pain appears suddenly after increasing their activity levels. For others, it develops gradually, becoming noticeable when getting out of bed in the morning or after spending long periods standing at work. Understanding what is causing your heel pain is the first step towards finding the right treatment. The challenge is that many heel conditions share similar symptoms, making it difficult to know exactly what is happening without a professional assessment.

At The Bell Practice , we regularly see patients who have spent months treating the wrong condition because they assumed their heel pain was a simple case of strain. Which is why we wanted to outline some of the most common causes of heel pain and why you should never ignore ongoing or recurring symptoms.

Why does heel pain occur?

The heel is subjected to enormous forces every day. Simply walking places pressure through the heel, while running can increase this load several times over.

The heel itself is a complex structure made up of the heel bone (calcaneus), ligaments and tendons, fat pads that absorb shock, nerves and blood vessels, and the plantar fascia.

When any of these structures become irritated, damaged, inflamed, or overloaded, heel pain can develop. The location and nature of your pain can often provide clues as to the underlying cause.

What is plantar fasciitis?

Plantar fasciitis is the most common cause of heel pain.

The plantar fascia is a thick band of connective tissue that runs from the heel bone to the toes. Its role is to support the arch of the foot and absorb the forces generated when walking and running.

When excessive strain is placed on this tissue, small areas of damage can develop. Over time, this can result in pain where the plantar fascia attaches to the heel.

Plantar fasciitis symptoms

Common plantar fasciitis symptoms include:

Sharp pain under the heel
Pain during the first few steps in the morning
Discomfort after sitting or resting
Pain that improves slightly with movement before returning later
Tenderness when pressing the underside of the heel
Tightness in the arch of the foot

What causes plantar fasciitis?

Several factors can increase the risk of developing plantar fasciitis:

Repetitive strain and overuse
Foot structure and biomechanics
Tight calf muscles and reduced flexibility
Inadequate or worn footwear
Sudden changes in activity

While plantar fasciitis is extremely common, it is important not to assume that every case of heel pain is caused by the plantar fascia.

Other causes of heel pain

Heel pad syndrome

Unlike plantar fasciitis, which affects the connective tissue running along the sole of the foot, heel pad syndrome involves the natural cushioning beneath the heel bone itself.

The heel contains a specialised layer of fatty tissue that acts as a shock absorber every time your foot strikes the ground. Over time, this protective fat pad can become thinner, displaced, or less effective at absorbing impact. This can occur naturally with age, following repeated stress on the feet, or after prolonged periods of standing and walking on hard surfaces.

People with heel pad syndrome often describe the sensation as walking on a bruise or feeling as though there is less cushioning beneath the heel than there used to be.

One of the key differences between heel pad syndrome and plantar fasciitis is the location of the pain. While plantar fasciitis usually causes discomfort towards the inside edge of the heel where the plantar fascia attaches, heel pad syndrome tends to cause pain directly beneath the centre of the heel.

Because both conditions can feel similar, they are often mistaken for one another. However, treatment approaches differ, making an accurate diagnosis important for long term relief.

Achilles tendinopathy

If your pain is located at the back of the heel, particularly where the Achilles tendon attaches to the heel bone, Achilles tendinopathy may be the cause.

The Achilles tendon is the largest tendon in the body and connects the calf muscles to the heel. It plays a vital role in walking, running, climbing stairs, and pushing off the ground during movement. Because it is subjected to significant forces every day, it can become irritated when overloaded.

Causes of achilles tendinopathy:

Sudden increases in exercise or training intensity
Tight calf muscles
Flat feet or altered foot mechanics
Poorly fitting footwear
Spending long periods on your feet
Increasing age, as tendons naturally become less flexible over time

Symptoms of achilles tendinopathy:

Pain or stiffness at the back of the heel
Discomfort that is worse first thing in the morning
Pain that improves slightly with movement before returning later
Tenderness when touching the tendon
Swelling or thickening of the tendon
Pain during activities such as running, climbing stairs, or walking uphill

Heel Spurs

A heel spur is a small bony growth that develops on the underside of the heel bone. These growths form gradually over time in response to repeated tension and stress where ligaments and soft tissues attach to the bone.

Many people assume that the spur itself is causing the pain, but this is not always the case. In fact, heel spurs are frequently found on X-rays of people who have no symptoms at all.

When pain does occur, it is often because the surrounding soft tissues have become irritated rather than the spur itself.

Symptoms may include:

Pain beneath the heel during walking or standing
Tenderness when pressure is applied to the heel
Discomfort after periods of inactivity
Symptoms that closely resemble plantar fasciitis

Baxter’s nerve entrapment

This condition occurs when the first branch of the lateral plantar nerve, commonly known as Baxter's nerve, becomes compressed or irritated as it travels through the foot. The compression can occur due to changes in foot mechanics, inflammation of surrounding tissues, muscle enlargement, or long standing plantar fasciitis.

Because the nerve runs close to the plantar fascia, the symptoms can closely mimic plantar fasciitis, making diagnosis challenging without a detailed clinical assessment.

Symptoms may include:

Pain along the inside of the heel
Burning, tingling, or electric shock like sensations
Pain that may spread into the arch of the foot
Discomfort that persists even at rest
Symptoms that do not improve with conventional plantar fasciitis treatments
Increased pain after prolonged standing or activity

Stress Fractures

A stress fracture is a small crack in the bone caused by repeated loading rather than a single traumatic event. This is more common in runners and people who suddenly increase physical activity.

Stress fractures require prompt diagnosis and should not be ignored.

Symptoms often include:

Pain that progressively worsens
Swelling around the heel
Pain during activity that eventually persists during rest

Arthritis

Several forms of arthritis can contribute to heel pain. Inflammatory conditions such as rheumatoid arthritis can affect the tissues surrounding the heel, while osteoarthritis may alter foot mechanics and increase strain on surrounding structures.

Signs that arthritis may be involved include:

Multiple painful joints
Morning stiffness lasting longer than 30 minutes
Swelling
Symptoms affecting both feet

Bursitis

Bursitis occurs when a small fluid filled sac known as a bursa becomes irritated and inflamed.

Bursae are found throughout the body and act as cushions between bones, tendons, muscles, and skin, helping structures move smoothly against one another. Around the heel, bursitis most commonly develops either at the back of the heel near the Achilles tendon or beneath the heel where repeated pressure and friction occur.

The condition can develop gradually through repetitive strain or result from prolonged pressure on the area.

Common causes of bursitis include:

Repetitive walking or running
Wearing poorly fitting footwear
Prolonged standing
Pressure from rigid shoes
Changes in activity levels
Underlying inflammatory conditions such as rheumatoid arthritis

Symptoms of bursitis include :

Localised pain around the heel
Swelling near the painful area
Tenderness when pressure is applied
Warmth or redness around the affected region
Increased discomfort during movement or when wearing certain shoes

What is the cause of foot heel pain in your case?

There is no definitive way to tell what is causing your heel pain without professional assessment and diagnosis. Two people can experience pain in a similar area of the heel while having entirely different underlying causes, and therefore require entirely different treatment plans.

How to reduce heel pain

While treatment depends on the diagnosis, several measures may help reduce heel pain in its early stages as you wait for your appointment. You should:

Avoid activities that aggravate symptoms
Wear supportive footwear
Avoid walking barefoot on hard surfaces
Stretch the calf muscles regularly
Apply ice to painful areas when appropriate
Reduce excessive loading where possible

Top Tips to Prevent Heel Pain .

Custom orthotics in heel pain treatment

Many cases of heel pain are linked to the way forces travel through the foot during walking and standing.

At The Bell Practice, we provide advanced 3D printed orthotics that are designed following a detailed physical assessment of your foot mechanics, a 3D laser scan of the structures, ultrasound scan investigation and potentially doppler ultrasound (to check the blood supply) Unlike generic insoles, our custom orthotics are tailored specifically to your feet and after CAD CAM design are 3D printed onsite. They can help:

Improve foot alignment
Reduce excessive strain on the plantar fascia
Redistribute pressure away from painful areas
Support flat feet and overpronation
Improve comfort during everyday activities
Be used to correct asymmetries such as a leg length discrepency

ASA Laser

For years we have been using one of the most advanced therapeutic treatments that can speed up healing dramatically. This powerful class 4 laser not only moves inflammation away from the area, it also speeds up cell metabolism which in turn speeds up the healing process.

ASA is the only company to offer a patented multi lock system, dramatically improving outcomes. Laser works extremely effectively in conjunction with orthotics particularly when patients want a rapid outcome.

Steroid Injections

Steroid Injections are utilised in chronic cases of plantar fasciitis that have not been acted on early enough. They often give complete relief very rapidly.

It’s important however to remember that as with all therapeutic treatments, until the underlying cause is resolved (the mechanical problem) symptoms will return. There are side effects to repeated corticosteroid injections, so at The Bell practice we see this treatment modality as a last resort.

When should you see a podiatrist?

The earlier heel pain is assessed, the easier it is to identify the cause and prevent the problem from becoming more persistent.

You should consider seeking professional advice if:

Heel pain has lasted more than a few weeks
Symptoms are worsening
Pain is affecting your ability to walk
There is swelling, numbness, or tingling
Home treatments have not helped
You are unsure what is causing your symptoms

With the right care, many common foot issues can be effectively managed or prevented altogether. If you feel that your feet could benefit from additional support or you’re experiencing persistent, chronic pain in your feet, The Bell Practice are here to provide expert guidance and care tailored to you.

Get in touch today .

Top Tips to Prevent Heel Pain: Plantar Fasciitis Explained

Tue, 19 May 2026 11:32:24 GMT

If you have recently started to notice discomfort in your heel, particularly first thing in the morning or after periods of rest, it may be an early sign of plantar fasciitis. Plantar fasciitis is one of the most common causes of heel pain and its earliest signs often consist of mild discomfort that comes and goes but worsens over time. These early stages, where it feels easy to ignore, are the most important when it comes to tackling what could become a recurring chronic problem. In its later stages plantar fasciitis can cause enough pain and discomfort to prevent, walking, running and partaking in sport. Many people come to us not just because of pain, but because of what it prevents them doing.

If you have found yourself here, then you have likely already noticed the early warning signs. Knowing how to prevent heel pain in the early stages can help reduce strain on the plantar fascia and prevent the condition from progressing. With guidance from the experienced podiatrists at The Bell Practice , you can reduce the strain placed on your heels before the condition requires more complex intervention.

What is plantar fasciitis?

Plantar fasciitis is a condition affecting the plantar fascia, a thick band of tissue that runs along the sole of your foot, connecting your heel bone to your toes. This structure plays a vital role in supporting your arch and absorbing the impact of walking.

When the plantar fascia is placed under repeated strain, it can develop small tears and areas of degeneration. Although often described as inflammation, plantar fasciitis is usually the result of ongoing stress over time rather than a single injury.

A key feature of plantar fasciitis is morning pain. Overnight, the plantar fascia tightens slightly, and when you first put weight on the foot, this tension can cause a sudden, sharp discomfort.

Common symptoms of plantar fasciitis include:

Sharp pain in the heel when taking your first steps in the morning
Discomfort after periods of rest, such as sitting or driving
Pain that may ease slightly with movement but returns after prolonged standing
Tenderness on the underside of the heel
Tightness through the arch of the foot

What causes plantar fasciitis?

Plantar fasciitis rarely has a single cause. In most cases, it develops due to a combination of factors that place repeated strain on the foot over time.

Common causes include:

Repetitive strain and overuse: Standing for long periods, walking on hard surfaces, or engaging in high impact exercise can all increase stress on the plantar fascia. Over time, this repeated loading can lead to irritation and pain.

Foot structure and biomechanics: The way your feet move plays a significant role. If your foot rolls inward excessively (often referred to as overpronation), or if you have particularly high arches, it can alter how pressure is distributed across the foot. This imbalance increases strain on the plantar fascia, particularly at the point where it attaches to the heel.

Tight calf muscles and reduced flexibility: Tightness in the calf muscles can limit ankle movement and increase tension through the plantar fascia. This is one of the reasons symptoms are often worse first thing in the morning or after periods of inactivity.

Inadequate or worn footwear: Shoes that lack proper support or cushioning fail to absorb impact effectively. Over time, this places additional stress on the heel and surrounding tissues. Worn out footwear can be just as problematic, as it no longer provides the support your feet need.

Sudden changes in activity: A rapid increase in activity levels, such as starting a new exercise routine or spending more time on your feet, can overload the plantar fascia before it has time to adapt.

Other contributing factors: Age, weight, and occupations that involve prolonged standing can all increase the likelihood of developing plantar fasciitis.

How to prevent plantar fasciitis

Wear proper footwear

The shoes you wear every day play a key role in how much strain is put on your heels. Poorly fitting shoes can increase stress across the foot, particularly during high impact exercise. Over time, you will begin to notice discomfort/pain after physical activity.

Wearing the wrong or ill fitting shoes is one of the most common reasons why people develop heel pain, but with a few adjustments, you could take a valuable step towards preventing plantar fasciitis in your future.

The best shoes to prevent plantar fasciitis should have:

A well fitting arch support that holds the foot and reduces overpronation (rolling in).
Firm ankle support that hugs the heel comfortably and reduces rolling at the ankle.
A wide toe box with sufficient room to allow the balls of your feet to expand naturally as you walk.
Heel support in the outsole. The insole should be firm at the heel while the outsole is cushioned for shock absorption.

Replace shoes when they lose their support

As soon as you notice any wear to the support in your shoes, you should look at replacing them. This is particularly important for trainers or any footwear you use when engaging in high impact exercise.

Even the most well made shoes will lose their effectiveness over time. As cushioning compresses and the structure begins to break down, they provide less protection for your feet.

Stretch your feet and legs

Tightness in the calves and the sole of the foot can increase tension on the plantar fascia, making it more susceptible to strain. Simple stretches can relieve plantar fasciitis symptoms, but stretching can likewise be used as a preventative measure.

If you exercise regularly then the following stretches can be incorporated into your cool down routine. If not, try practicing them daily:

Calf stretch

Lean forward against a wall with your palms placed flat against the surface.
Extend one leg should be fully behind you with the knee straight and your heel against the ground.
Position the other leg in front, bent at the knee.
Push your hips towards the wall until you feel a stretch in the calf of the extended leg.
Hold for 30 seconds.
Repeat the position on the other leg.

Plantar fascia stretch

Sit on a chair.
Place the foot of one leg flat on the floor.
Position the other leg so the ankle rests against your knee.
Push the knee of the elevated leg towards the ground to create a 4 position.
Using your hand, pull your toes back gently until you feel a stretch in the foot arch.
Use the other hand to gently massage the plantar fascia.
Hold for 10-15 seconds.
Repeat up to 10 times on each foot.

Stair stretch

Position both of your feet on the same step, slightly apart.
Hold the railing for support.
Reverse until your heels sit over the edge of the step.
Keeping your knees straight, gently lower your heels until you feel a stretch in the calves.
Hold for 30 seconds and then raise the heels.

Dynamic stretch

This exercise can be done while standing or sitting.

Find a foam roller, tennis ball or firm reusable water bottle.
Make sure you are well balanced and place the arch of your foot on your roller of choice.
Roll the foot backwards and forwards.
Repeat twice daily.

If you are experiencing ongoing pain in your plantar fascia or anywhere in your foot then you should always seek medical advice before attempting to treat it at home.

Use supportive indoor footwear

Walking barefoot on hard surfaces, such as wood or tiled floors, can increase the load placed directly on your heel. While it may feel comfortable in the moment, this lack of support can contribute to ongoing strain, particularly if you are already prone to heel pain.

Wearing supportive indoor footwear helps to provide consistent arch support and reduce repetitive impact throughout the day.

Build exercise levels gradually

A sudden increase in activity is one of the most common triggers for plantar fasciitis; the plantar fascia needs time to adapt to increased demand. When the foot is overloaded too quickly, the tissue can become irritated before it has had the chance to strengthen, leading to the development of heel pain.

To reduce this risk, it is important to:

Increase intensity and duration gradually over time
Introduce new activities in stages rather than all at once
Alternate high impact activities such as running, with lower impact options like cycling or swimming
Allow adequate rest between sessions to support recovery

Listening to your body is key. If you begin to notice early signs of discomfort, such as tightness in the arch or mild heel pain, it is important to adjust your activity levels before the condition progresses.

Warm up and cool down when exercising

Taking the time to properly prepare your body for exercise can significantly reduce the risk of strain on the plantar fascia.

A gentle warm up increases blood flow to the muscles and soft tissues, helping to improve flexibility and reduce stiffness. This is particularly important for the calves and the sole of the foot, both of which play a role in supporting the plantar fascia.

Weight management

The feet support your entire body weight. They are the foundations of your entire body. Maintaining a healthy weight will reduce the strain put on your plantar fascia. That being said, we understand that there are a number of reasons why this might not be manageable, and can recommend other options for treatment where necessary.

Support your feet with the right insoles

For many people, footwear alone does not provide enough support to fully protect the plantar fascia, especially if there are underlying issues with foot mechanics such as flat feet, high arches, or excessive rolling of the foot.

In these cases, additional support is often needed to reduce strain and improve how the foot functions.

At The Bell Practice , we provide advanced 3D Printed Orthotics, designed following a detailed assessment and laser guided 3D scan of your feet and pressure distribution. The aim is to offload structures like the plantar fascia , so that it can recover and heal. Our focus is on understanding the cause of your discomfort and supporting you with solutions designed specifically for you.

With the right care, many common foot issues can be effectively managed or prevented altogether. If you feel that your feet could benefit from additional support or you’re experiencing persistent, chronic pain in your feet, we are here to provide expert guidance and care tailored to you; we use 3D printed orthotics , fully bespoke to your feet with a 3 year warranty on the orthotic shell.

Sometimes orthotics aren’t the solution and we need to assess the body for weaknesses and imbalances in the feet, lower limb or pelvis. Once the structure is identified we give a series of stretches or exercises to establish the equilibrium and prevent the painful structure being overloaded.

The Benefits of Custom Orthotics

Mon, 30 Mar 2026 08:17:35 GMT

Living with foot pain can be both frustrating and limiting, particularly when it begins to affect your ability to move comfortably throughout the day or engage in activities that would otherwise come easily.

If you are experiencing ongoing foot discomfort, you may already have considered insoles as a solution. However, not all insoles provide the level of support your feet require. At The Bell Practice , we offer a more advanced approach through 3D Printed Orthotic s , designed specifically around your individual needs. But why should you invest in custom printed orthotics over shop bought insoles?

What are custom orthotics?

Custom orthotics are specially designed insoles that are made to match the exact shape and needs of your feet. Unlike standard insoles that are bought in shops and come in fixed sizes, custom orthotics are tailored to you.

Every foot is different. Variations in arch height, foot shape, medical history, pain levels, and walking pattern mean that a one size fits all approach rarely provides the support your body truly needs.

With custom orthotics, a full clinical assessment is carried out to understand:

The structure and alignment of your feet
How you walk and distribute pressure
Any areas of pain, discomfort, or instability

The benefits of custom orthotics

1. They provide targeted support for pain relief

One of the most immediate benefits of custom orthotics is their ability to relieve pain in the feet and legs, particularly in the arches, heels, forefoot, ankles, calves, and hips. .

Conditions such as plantar fasciitis, tendonitis, and general foot fatigue are often caused by poor foot mechanics or uneven pressure distribution. When certain areas of the foot are overloaded, it can quickly result in inflammation and ongoing discomfort.

Custom orthotics work by redistributing pressure more evenly across the foot and supporting areas that are under strain. This reduces stress on soft tissues and allows irritated structures to recover more effectively. Over time, this can lead to a noticeable reduction in pain and a greater sense of comfort during everyday activities.

2. Prevention of injury and long term strain

Custom orthotics, when used correctly, can be excellent at preventing pain rather than simply treating it. Most people will seek them once foot or leg pain has surfaced, but they are their most effective before the signs of muscle strain appear.

Even minor imbalances in the way your feet function can create repeated stress with every step you take. While this may not cause immediate discomfort, it can gradually contribute to:

Overuse injuries
Inflammation of tendons and ligaments
Increased pressure on joints such as the knees and hips

By correcting these imbalances early, orthotics help reduce the risk of injury. They support a more efficient walking pattern and minimise unnecessary strain on the body. This makes them particularly valuable for individuals who are active, spend long hours on their feet, or are prone to recurring issues.

However, not everyone requires orthotics and using arches in your shoes that aren’t suited to your lifestyle can cause you more damage. This is why the advice of a professional who understands foot anatomy is vital.

3. Support for flat feet

Flat feet are a common condition that can affect posture and overall comfort as well as lead to skeletal and muscular pain. While the structure of flat feet cannot be changed, the way they are supported can make a significant difference.

Without proper support, flat feet can lead to excessive inward rolling of the foot, placing strain on the ankles and lower limbs. Over time, this can cause preventable chronic pain.

Custom orthotics provide gentle arch support, helping to hold the foot in a more stable position.

4. Improved posture

The feet form the foundation of the body, and any imbalance at this level can have a knock on effect. When the feet are not properly supported, it can alter the way you hold yourself, impacting the muscles, nerves, joints, and bones in your ankles, calves, knees, hips, and lower back; every muscle in your body can be thrown by misalignment of the feet.

Custom orthotics help to realign the foot and ankle, creating a more stable base. This improved alignment can positively influence posture and reduce strain throughout the body.

Many patients notice improvements not only in foot comfort, but also in how they stand and move overall.

5. Reduced strain on pressure points

Custom orthotics are designed to distribute pressure more evenly, reducing excessive load on vulnerable areas of the foot. By cushioning and supporting the foot correctly, they help to prevent these minor issues from developing into more significant problems.

This is especially important for individuals who are on their feet for long periods of time or those with underlying health conditions that affect skin integrity.

6. Enhanced comfort in daily activities

One of the most valued benefits of custom orthotics is the improvement in everyday comfort.

Many people experience general foot fatigue without realising that it is linked to a lack of proper support. Over the course of a day, this can lead to tired, aching feet and reduced mobility.

With custom orthotics, patients often experience:

Greater comfort when walking or standing
Reduced fatigue at the end of the day
Increased confidence in movement
Better support in a range of footwear

7. Shaped to meet the needs of your feet

Off the shelf insoles can provide a degree of comfort, but they are ultimately designed for the average foot shape. In reality, there is no such thing as an ‘average’ foot.

Because of this, standard insoles may:

Fail to support key areas such as the arch
Place pressure where it is not needed
Wear down unevenly over time
Provide only short term relief

Custom orthotics take a different approach. They are shaped to the exact dimensions of your feet, ensuring that support is provided exactly where it is needed most.

No two patients are the same, and neither are their feet. That is why we take a tailored approach to every assessment and treatment we provide.

At The Bell Practice , our focus is on understanding the cause of your discomfort and supporting you with solutions designed specifically for you. With the right care, many common foot issues can be effectively managed or prevented altogether. If you feel that your feet could benefit from additional support or you’re experiencing persistent, chronic pain in your feet, we are here to provide expert guidance and care tailored to you; we use 3D printed orthotics , fully bespoke to your feet with a 3 year warranty on the orthotic shell.

What Causes Fungal Nail Infections and How Are They Treated?

Tue, 17 Feb 2026 09:32:45 GMT

Fungal nail infections impact 1 in 4 people over the span of their lifetime. Appearing as unsightly deterioration of the nails on both the hands and feet, they can be both embarrassing and uncomfortable to live with. Many people will endure fungal nail infections for longer than necessary because they are considered to be harmless, but the longer you go without treatment, the harder they are to cure.

The Bell Practice treats fungal nail infections on a daily basis and we have seen them in every stage of progression. For this reason, we have outlined exactly what causes fungal nail infections and how they can be treated in the most painless and convenient way.

What causes fungal nail infections?

Fungal nail infections are caused when fungus infects the nails. It is highly contagious, infecting the nail bed and nail itself. The fungus does not need to be transferred from skin to skin contact and can linger on surfaces, making it easier to catch in areas where you are likely to walk barefoot like spas, swimming pools, changing rooms, shower cubicles, drama studios in schools, and others.

You can be more susceptible to fungal nail infections if you have trauma to the nail, a weakened immune system, conditions that impact your circulation, or if you have diabetes.

The signs of fungal nail infections

Fungal nail symptoms aren’t always obvious at first, but can present as:

Hardening of the nail (sometimes to the point of pain)
Distortion to the shape of the nail
White or yellow lines, or complete yellowing
Brittle texture to the nails
Loss of natural shine
Nail coming loose from the skin
An unpleasant smell from the impacted toe(s)
Skin infections around the toenail
Discolouration at the sides of the nail or nail bed

Types of fungal nail infections

Fungal nail infections do not all present in the same way. The pattern of infection depends on how the fungus enters the nail and which part of the nail unit becomes affected. Recognising the type of infection helps guide the most appropriate treatment and gives an indication of how long recovery may take.

Distal subungual infection (most common)

This is the type of fungal nail infection most people experience. The fungus enters the nail from the skin at the tip or sides of the toe and spreads underneath the nail plate. Because the infection sits under the nail, it can be slower to treat and often requires sustained therapy while the nail grows out.

You may notice:

Yellow, brown, or whitish discolouration starting at the edge
Thickening of the nail over time
Crumbly debris beneath the nail
Gradual lifting of the nail from the nail bed

Superficial white infection

This form affects the surface of the nail rather than the deeper structures. As it is more superficial, this type can sometimes respond more quickly to treatment when identified early.

It often appears as:

Chalky white patches on the top of the nail
A rough or powdery texture
Nails that become soft and easier to scrape

Proximal subungual infection

Less common, this infection begins near the cuticle and spreads outward.

Signs may include:

Discolouration starting at the base of the nail
Progressive involvement of the entire nail
Possible association with lowered immunity

Because this type enters through the skin around the nail, it is important to assess any underlying health factors that may be contributing.

Total dystrophic infection (advanced stage)

This describes a more severe, long standing infection where the nail has become extensively damaged. At this stage, treatment focuses not only on clearing infection but also on improving comfort and supporting healthy regrowth.

The nail may be:

Markedly thickened and distorted
Fragile or broken down in structure
Darkened and separated from the nail bed
Difficult or uncomfortable to manage in footwear

Does the type of fungal infection you have matter?

Yes. Different patterns of infection respond differently to treatment. Early, surface level infections are generally easier to manage, whereas deeper or long standing infections require a more persistent approach. Assessment by a podiatrist ensures the correct diagnosis and helps prevent unnecessary delay in recovery.

Are fungal nail infections harmful?

Fungal nail infections are rarely harmful if treated early aside from the obvious damage that they cause your nail. However, if the infection is severe, you are pregnant, or you have diabetes, then it can lead to complications so it is vital that you see a professional podiatrist.

Neglecting treatment raises the risk of infection transmission to others and secondary bacterial infections. Emotional wellbeing can be impacted due to the visible effects of the infection, while difficulty walking might arise from thickened nails causing discomfort in shoes.

Are fungal nail infections painful?

Fungal nail infections aren’t initially painful but as they progress they can grow more uncomfortable for a wide range of reasons. It’s important to remember that it is an infection; inflammation and irritation to the surrounding skin can cause mild discomfort to severe pain. Thickening of the nails causes rubbing on the surrounding skin and other toes, and in some stages of infection, the nail can start to lift from the skin, leading to pain.

Pain can also be caused by a secondary infection.

How is a fungal nail infection diagnosed?

A podiatrist will conduct a thorough examination of the impacted toes, making note of your symptoms. In some cases, they may wish to send a sample for further assessment.

From this, a treatment plan can be created.

How are fungal nail infections treated?

Although fungal nail infections are common, they rarely clear up without treatment. Because nails grow slowly, improvement can take time and patience; a healthy nail will only become visible as it gradually replaces the damaged area.

Treatment is tailored to the severity of the infection, alongside your general health and how far the fungus has progressed.

Mild to moderate infections

In the earlier stages, treatment may focus on topical approaches recommended by a pharmacist or clinician. These can include anti fungal nail creams, which are applied regularly but may take many months to fully treat the infection.

Nail softening treatments are also used for a short period to soften the infected nail so that affected areas can be gently removed. Softening and reducing the diseased portion of the nail helps target the infection more directly, as fungal organisms often sit beneath the nail plate rather than just on the surface.

At The Bell Practice, we are proficient in providing Clearanail treatment. This involves drilling microscopic holes into the nail, allowing topical medicines to penetrate beyond the nail’s surface.

More advanced infections

If the infection is more established, your GP may recommend oral anti fungal medication, prescribed when topical treatments alone are unlikely to be effective.

In more persistent cases, chemical or surgical nail removal may be considered to allow healthy regrowth. Some patients may also be offered laser therapy as part of a treatment plan.

Why treatment takes time

Fungal nail infections can be stubborn. Nails grow slowly, so even when the fungus has been treated, it can take several months before a clearer nail replaces the damaged one. Early intervention generally makes the infection easier to manage and limits spread to other nails.

Can you treat a fungal nail infection at home?

Mild fungal nail infections can be treated at home with topical treatment provided by a pharmacist, but you should always have the nail assessed prior to proceeding with anti fungal nail creams.

How to prevent fungal nail infections

Fungal nail infections aren’t always preventable but there are precautions you can take to reduce your risk of catching one:

Keep toenails trimmed straight across and maintain good nail hygiene.
Avoid sharing nail clippers, files, towels, or footwear.
Choose well fitting footwear and avoid tight shoes that create a warm, moist environment where fungi thrive.
Treat conditions such as athlete’s foot promptly to prevent spread to the nails.
Wear protective footwear, such as flip flops, in communal areas like pools and changing rooms.
Wear clean socks every day.

When to see a podiatrist about fungal nail infections

You should visit a podiatrist or a GP as soon as you notice the signs of fungal nail infection. This way, you will be able to see results more quickly and prevent advancement of the infection before you need to have the nail removed.

At The Bell Practice , we provide the latest solutions to treat fungal nails with visible results in as little as 2-8 weeks. Our team of specialists are accomplished in both diagnosis and treatment of unsightly infections, assessing the previous health concerns of the patient and understanding which treatment plan works best for your condition and your circumstances. Whether you’ve noticed the signs of a f ungal nail infection or have been living with symptoms for an extended period of time and require more advanced treatment, contact our team of podiatrists who will guide you towards cleaner, healthier nails.