Podiatry

Mr Julian Pavier

Consultant Podiatric Surgeon

FCPodS, MPodA, MChS

What is Podiatry?

 

Podiatry is health-science of the feet addressing and treating foot pain caused by joint problems, nerve dysfunction, soft tissue injuries or hard corny lesions. Some common conditions include Plantar-Fasciitis, Mortons Neuroma, Hallux Rigidus, Achilles Tendonitis and more.

Podiatist undergo a 3 or 4 year honours degree in podiatric medicine and are registered with HCPC.

Podiatrists are also experts in evaluating how you walk and stand – known as the science of biomechanics – sometimes using computer or video aids in such assessments. If problems are revealed (which can often be the cause of pain in ankles, knees, hips and lower back) then exercises, footwear modification or discreet customised supports can be prescribed to help the symptoms and correct the underlying problem.

Shockwave Therapy

Shockwave Therapy

It is a series of high energy impulses to the painful or injured site. Along with other treatment modalities, it stimulates the body’s own natural healing processes. The treatment increases the metabolic activity and accelerates the healing process, whilst breaking down scar tissue possible calcification.

Shockwave Therapy stimulates the body’s own natural healing process, there is an immediate reduction in pain and improved ease of movement. Secondary effects are minor.

SHOCKWAVE THERAPY REDUCES THE CHANCE OF SURGERY.

Steroid Injections

Steroid Injections

Steroid injections have been used for many decades to treat tendonitis in conditions such as tennis elbow, Achilles tendinitis and plantar fasciitis. They are thought to have very powerful anti-inflammatory properties that can ease and settle the pain and symptoms you maybe experiencing.

Platelet-Rich Plasma (PRP) Treatment

Platelet-Rich Plasma (PRP) Therapy

This is an effective and well-researched procedure that’s a potential alternative to surgery. It takes advantage of the blood’s natural healing properties to reduce pain and improve joint function. It uses a specially concentrated dosage of platelets prepared from your own blood to repair damaged cartilage, tendons, ligaments, muscle and bone. Treatment is administered via an injection and depending on the injury two to six injections may be required, performed at weekly intervals. Patients usually see their symptoms improve within four to six weeks of having the injections. PRP is a safe treatment option which, because your own blood is used, carries no risk of allergic reaction.

Call 01623 709942 or click to make an appointment.

Mr Julian Pavier

Consultant Podiatric Surgeon

FCPodS, MPodA, MChS

 

I have been an NHS Consultant Podiatric surgeon since 2001. My NHS practice has been based at Newark Hospital and over this period of time I have established a busy foot surgery service with multiple trainees successfully passing through the department.

I have had operating privileges at BMI The Park Hospital since 2007 and have recently obtained privileges at BMI Lincoln Hospital. I have an interest in pathology of the 1st MTP joint (big toe joint) including Hallux Valgus (bunion) and Hallux Rigidus (arthritis of big toe joint) as well as performing many revision surgeries for previously failed Hallux Valgus surgeries. I also have an interest in injection therapy for painful joints and Morton’s Neuroma and also offer surgical excision or decompression surgery for this extremely painful condition.

My clinics at The Park Hospital are held on Tuesday and Friday mornings with a regular theatre session on Friday afternoons. My clinics at BMI Lincoln are on Monday mornings with a theatre session on Saturday mornings.

I obtained my Fellowship at Solihull Hospital and subsequently worked at Solihull and Buxton Hospitals as a registrar. I have attended training seminars worldwide including USA, Belgium and Germany. I am independent prescriber following completion of the course at Huddersfield University and I am also on the HCPC register as an annotated Podiatric Surgeon.

I like to think that I place the patient at the centre of any care and always discuss the risks and benefits of any treatment I recommend and am happy to discuss any concerns patients may have prior to surgery. It is my belief that “it takes as long as it takes” and no patient will ever be rushed out of my consulting room if they have any queries or concerns, they wish to discuss. During this difficult pandemic I have commenced offering Telephone consultations to all patients but of course this does not replace face to face examinations which are crucial to surgical planning.

I have always had a desire to give back to the profession and have been an active surgical tutor for many years and have acted as examiner and been a member of the examinations board of the College of Podiatry. I was a faculty board member for 7 years and acted as Vice Dean of the Faculty of Surgery as well as held the position of Chair of the Northern Deanery for 3 years. 

I enjoy teaching and have lectured both Nationally and Internationally on various subjects including Morton’s Neuroma and Hallux Valgus correction, most recently I lectured in Toronto Canada to the Canadian Federation of Podiatric Medicine.  I like to invest my time in training junior Podiatric Surgeons and have lectured at the National Podiatry Conference over the last five years on Hallux Valgus and have lead workshops on Osteotomy techniques for Hallux Valgus and skin suturing workshops. I have been a visiting lecturer at Glasgow Caledonian University where I led on the Anatomy dissection module on the MSc in Theory of Podiatric Surgery and was also a visiting lecturer and examiner for Huddersfield University on the MSc in Theory of podiatric Surgery on the anatomy and radiology modules.

Recently I have undertaken training as an expert witness and have attended training by Bond Solon in report writing and now undertake expert witness work as part of my practice. 

My practice at BMI hospitals consists of seeing both privately insured patients and self-funding patients. I am registered with all of the major health insurance providers and well as benevolent funds. I also offer NHS appointments which can be accessed by GPs using Choose and Book.

On a personal note, I have a keen interest in fly fishing by way of relaxation and have been lucky enough to enjoy this hobby all over the world from Christmas Island in the Pacific Ocean to Bahamas in the Caribbean. I am also a keen triathlete having completed a half iron man distance event in 2020, and am also a keen master’s swimmer, winning a silver medal in the Welsh National master’s championships in 2019. Open water swimming is my target for 2021 …. weather and Covid permitting. 

Appointments Available Now

Who we help

 

Our patients at BTST  include athletes with sports injuries, desk workers with long-term back pain or headaches, mums who have recently given birth and people suffering from long-term health conditions. Some of our clients experience acute or chronic pain and others have ongoing areas of tension, aches or ‘niggles’ which they want to alleviate. Whatever your situation, we are here to help you.

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Friendly and caring

We know that it can be a daunting prospect to see a health professional for the first time, especially if your condition causes you pain and you feel nervous about hands-on treatment. When you visit our clinic you will feel at ease from the moment you walk through the door! We spend time getting to understand your condition and symptoms before recommending a plan of action that is entirely built around your needs.

Your first step to recovery

The first step towards your recovery journey begins with an appointment at our clinic. At this initial assessment, we will take a thorough history of your condition, health history and assessment. You will find the experience supportive and relaxing and our highly knowledgeable team are here to answer any questions that you might have.

Our guarantee

We will always offer you the finest treatment in a caring, professional and supportive environment where you are treated as an individual. Every treatment is delivered by a highly trained and accredited professional who is passionate about what they do and continues to develop their skills and learn the latest techniques through continual professional development. Our clinic is comfortable, welcoming and here for you – and we never go for the hard sell; recognising that everyone is different.

Get In Touch

 

Please contact us today to arrange your initial consultation at a time to suit. We look forward to welcoming you to our clinic and to helping you move away from pain, towards a healthier and happy future.

Call 01623 709942 or click to make an appointment.