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Criteria for Podiatry Treatment during COVID-19

Catagory Red:    Acute Conditions / Limb Threatening
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• Ulceration/ non-healing foot wounds of any type

• Previous amputations (non-traumatic)

• Epidermolysis bullosa

• Critical limb ischaemia   

• History of or an active Charcot foot

• People with diabetes or conditions that reduce tissue viability in addition to redness, heat or
swelling in the foot or leg
 
• Severe acute MSK problems suffered by key workers and affecting their ability to work who
cannot be treated by remote consultation

• Foot infection which requires or has required antibiotic treatment (excluding fungal nails)

Category Red:    Acute Conditions / Limb Threatening
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• Ulceration/ non-healing foot wounds of any type

• Previous amputations (non-traumatic)

• Epidermolysis bullosa

• Critical limb ischaemia   

• History of or an active Charcot foot

• People with diabetes or conditions that reduce tissue viability in addition to redness, heat or
swelling in the foot or leg
 
• Severe acute MSK problems suffered by key workers and affecting their ability to work who
cannot be treated by remote consultation

• Foot infection which requires or has required antibiotic treatment (excluding fungal nails)

Category Amber:    Debilitating or Life Affecting Conditions
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•   People with CKD 3 or above and foot pathology

 

•   Key/Essential workers with foot/ankle pain that prevents them from working

 

•   In-growing toenail with infection / inflammation

 

•   People with neuropathy and significant foot deformity

 

•   People with peripheral arterial disease and foot pathology

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•    People with inflammatory/rheumatic diseases, or connective tissue disorders and associated foot pathology

 

•   People with diabetes (moderate/high risk foot) with foot pathology

 

•   Severe foot deformities with a long-term condition and or pain that may require surgery

 

•    People with poor tissue viability related to immunosuppressant/chemotherapy and associated foot pathology

 

•   Neurological conditions with related foot pathology

 

•    Vulnerable groups where mental health /congenital conditions require professional input as limited care is available from carers or family. If the feet are not cared for, this may lead to distress and or self-harm

 

•   Painful corns and/or large area of a painful callus

 

•    Adult and or paediatric MSK conditions with acute pain, where a delay of treatment may lead to worse outcomes e.g. bilateral foot/limb pains, severe foot/ankle sprains, tendon pathology, worsening foot/ankle or lower leg pain despite optimal self-management and

or rest

 

•   Palliative care / end of life care where foot care is needed

 

 

•    Dermatological conditions other than verrucae which are infected, inflamed or has the risk of breakdown or cancer

 

•   Podiatric conditions exacerbating/causing falls


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Here at the Cannon Hill Clinic, we are now open to see and treat some podiatry patients.
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We still have to limit this service to urgent treatments and are not offering non-urgent or routine care at this time.
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