Podiatric surgeons are podiatrists who have had extensive post-graduate training in the assessment, diagnosis and surgical management of foot and ankle problems.

CLCH's podiatric surgery department in Barnet includes outpatient contacts at Edgeware Community Hospital and day case surgery at Whittington Hospital. 

The surgery undertaken at Whittington Hospital is under local anaesthesia and the focus for this service is forefoot surgery. A full outpatient clinic is managed by the consultant podiatric surgeon and specialist podiatrist. 

There is a network of support for the service providing pathology (histology, microbiology) and radiology.

For patient enquiries related to Barnet, email CLCHT.BarnetPodiatricSurgery@nhs.net

The service eligibility info (including any exclusions) 

Foot conditions which would benefit from a referral to the community podiatric surgery team:

1. ASA1,2 and stable ASA3 patients who present with a foot problem for which podiatric surgery would be an appropriate first line treatment.
2. Patients who have received conservative podiatry care with limited or no improvement of symptoms and for which podiatric surgery/Injection therapy may be of benefit.

Eligibility Criteria

Inclusions

Forefoot conditions:

• hallux valgus (HAV)
• reconstructive forefoot surgery (e.g. Rheumatoid foot)
• revision forefoot surgery (e.g. failed HAV surgery)
• lesser metatarsal surgery
  • tailor's bunion
  • metatarsalgia
• hallux limitus/rigidus (HR)
• toe deformities – hammer, claw, mallet, dislocated and subungual exostoses.
• intractable plantar and interdigital corns
• complex forefoot deformities (e.g. metatarsus adductus)

Mid foot & Rearfoot conditions:

• acquired adult flatfoot (e.g. Tibialis posterior tendon dysfunction)
• osteoarthritis of the midfoot joints
• cavoid foot (high arch)
• tendinopathy (e.g. Achilles tendonitis, tendinopathy; Peroneal tendinopathy)
• ankle instability
• heel bumps

General conditions:

• benign soft tissue lesions – See CLCH guidelines (e.g. ganglion)
• nail conditions – recalcitrant ingrown toenails/subungual exostosis.
• injection therapy
  • morton's neuroma
  • heel pain recalcitrant
  • trigger point injections

Exclusions

Contra-indications for day case surgery (we defer to BADS guidelines for elective foot surgery):

• unstable systemic diseases
• peripheral vascular disease – affecting tissue viability
• lack of postoperative support/homecare
• unstable Psychiatric disorders
• learning disabilities without appropriate support
• severe or acute anxiety
• recent or unpredictable drug or alcohol abuse
• anti-coagulant therapy with INR>3
• high risk of thrombosis
• currently pregnant or breastfeeding (acceptable if can express for 48 hours)
• MI/CVA/DVT or PE in the last 6/12
• BMI > 30
• blood pressure > 160/90mmHg
• patients under 16yrs

How to Refer

Referral are welcomed from healthcare professionals

Locations

Outpatient

Day Case