Podiatric care tailored to every patient

These are silicone orthoses molded directly on the patient’s foot.

When treated early, toe deformities such as:

* hallux valgus

* claw toes

* overlapping toes

* quintus varus

may be reducible with corrective orthoplasties, whose main purpose is to stop the deformity from progressing.

Over time, these deformities often cause pain, corns and increasing difficulty wearing shoes.

Through their protective role, orthoplasties can also help address all of these problems. They can:

. Separate two toes in cases of soft corns (interdigital orthosis)

. Prevent the formation of a dorsal corn on the top of a toe or a distal corn under the tip of a toe, generally caused by a claw toe

. Relieve pain over the bony prominence of hallux valgus (hallux valgus prominence protector) or quintus varus (quintus varus prominence protector)

What is it for?

To put an end to recurring ingrown nails caused by abnormal nail curvature.

What is it?

A nail orthosis made of a titanium wire attached to the nail with two composite anchors, which are bonded using a light-curing lamp in a painless procedure. Its purpose is to restore the nail’s natural shape.

How does it work?

The wire applies traction to the nail, which gradually regains a normal curvature as it grows.

How long does it take?

Treatment takes between 12 and 18 months, corresponding to the complete regrowth time of a toenail and depending on the degree of deformity.

It is a permanent treatment based on the same principle as orthodontic braces.

How does the treatment proceed?

The first fitting must be preceded by podiatric care. You will then need to return to the clinic regularly to have your nails trimmed and the wire checked, approximately every one to two months depending on how quickly your nails grow. You must not trim your nails yourself, as an incorrect cut could cause another ingrown nail. The wire will then need to be repositioned when it reaches the end of the nail if the deformity is still present.

A complete orthonyxia may sometimes need to be redone because: - as the nail straightens, the wire may become too short - a different wire diameter may be needed to apply more or less traction

Warnings:

Pain in the nail grooves will disappear only if the ingrown nail is caused by the nail’s curvature, such as a pincer nail, a laterally folded nail or a tile-shaped nail. If the problem is caused by incorrect nail trimming or a periungual corn, for example, the treatment may not be effective.

The podiatrist can advise you but is not responsible for the decision you make when committing to this treatment. This means that you will not receive a refund if the treatment is ineffective.

The podiatrist may decide to suspend treatment temporarily when necessary, particularly if there is a contraindication such as a broken or detached nail or a fungal infection.

Precautions:

You may wash normally while wearing the orthosis, but you must avoid impacts such as kicking a ball, as they can dislodge it. Repeated microtrauma to the nail, for example when an upturned toe repeatedly strikes the shoe, may also cause the orthonyxia to detach.

Avoid tight shoes and footwear made from hard materials.

Do not apply greasy products, oil or cream to the nail being treated.

Do not trim or file your nails yourself throughout the treatment.

What if the orthonyxia comes off?

If you lose it, you will need to pay the initial fitting fee again.

If it comes off the day after fitting due to a professional error, the podiatrist will replace the orthonyxia at no charge, provided that you contact the clinic as soon as it happens.

Custom resin splint for a reducible hallux valgus. To be worn only at night.

It is a nail prosthesis.

Its role is to support a nail that has fallen off when regrowth begins, helping prevent:

- detachment caused by hyperkeratosis building up on the nail bed and preventing the new nail from adhering

- an ingrown nail at the front, because without a guide the nail may regrow in an unpredictable direction

- blockage during regrowth if the raised skin at the tip of the toe obstructs the nail’s progress

- pain and sensitivity because the nail bed is exposed

- permanent damage to the nail bed due to the lack of protection normally provided by the nail

A plantar wart is a benign, contagious growth caused by a virus from the human papillomavirus family.

The virus can enter the skin when it is damp, for example at a swimming pool, or through a wound that has not been properly disinfected. The body does not recognize the virus and therefore does not trigger the expected immune response. Our role is to treat the wart area so that the body detects the problem and begins to respond. Several sessions are therefore often necessary.

A plantar wart may become painful over time because pressure from the body’s weight pushes it deeper into the sole. It is often round, dotted with small black points and painful when pinched from the sides.

Treatment of fungal infections, ingrown nails, pyogenic granulomas, corns, blisters, calluses and cracked heels. It also includes nail filing and trimming.

Care is provided using sterile instruments, single-use blades and French pharmaceutical products.

A pyogenic granuloma is a small benign, highly vascular inflammatory growth that bleeds easily. It often appears after a neglected ingrown nail becomes infected with Staphylococcus aureus. It does not disappear spontaneously and, without treatment, can cause repeated minor bleeding. Treatment consists of applying silver nitrate after removing the ingrown part of the nail.

Nail trimming and filing. Does not include treatment of fungal infections, onychogryphosis (thick nails), clearing nail grooves in case of ingrown or embedded nails, or removal of hyperkeratosis.

Some examples of how custom orthotic insoles can help:

1/ Lower-back pain

A pelvic tilt is often caused by:

* scoliosis, which should be detected as early as possible to prevent it from worsening during adolescence

* a difference in leg length, or more simply, one leg being longer than the other

> the body may compensate by creating other deformities in the knees or heels, which may eventually become problematic themselves

> this can cause abnormal curvature of the spine and compression of the vertebrae, potentially leading to early osteoarthritis or nerve pain such as sciatica or cruralgia

By realigning the lower limb, custom orthotic insoles can provide lasting correction of the pelvic alignment.

2/ Genu valgum/varum that can lead to knee osteoarthritis

3/ Calcaneal valgus/varus

4/ Flat/high-arched feet

5/ Heel spur

6/ Morton’s neuroma

7/ Plantar fasciitis

8/ Achilles tendinopathy

9/ Genu flexum/recurvatum

10/ Ankle instability with recurrent sprains

…

After a complete clinical assessment, including vascular, joint, muscular and neurological examinations while standing, lying down and walking, the podiatrist will be able to recommend custom orthotic insoles if appropriate. They may be traditional Lelièvre insoles or heat-molded insoles.