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26/Jul/2021

The disease of kings?! & Tips to prevent further attacks

Historically, Gout was called the “disease of kings” because they were more likely to have it, due to their eating habits!

So, what’s gout?

Gout is a common type of arthritis, in which small crystals of uric acid are formed in the body fluids, tissues & joints usually the big toe joint, these crystals are formed as a result of hyperuricemia (high uric acid level). Surprisingly, not all patients with hyperuricemia suffer from gout! Sometimes gout symptoms get worse suddenly & flares happen followed by a long period of remission.

Symptoms may include:

  • Severe pain
  • Swelling
  • Redness
  • Heat

Factors that increase the risk of getting gout

  • Obesity
  • Having certain health conditions such as high blood pressure, diabetes & poor kidney function
  • Taking certain medications, such as diuretics.
  • Eating or drinking high fructose foods or drinks.
  • Following high purines diet by eating too much red meat, salmon & tuna.

Treatment

Usually, there is no need to treat hyperuricemia if you don’t have gout symptoms. Treatment is used to relieve symptoms during gout attacks or to prevent further ones, treatment options may include:

  • Non-steroidal anti-inflammatory drugs
  • Corticosteroids
  • Colchicine
  • Medicines that help in lowering uric acid in the blood

How can you prevent further gout attacks?

Suddenly, lifestyle changes can help you manage the symptoms

  • Eat a healthy, balanced diet & avoid foods high in purines.
  • Exercise 150 minutes weekly including walking & cycling.
  • Visit your doctor regularly.
  • Weight loss, since achieving and maintaining weight may lead to weight loss.

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26/Jul/2021

Vitamin D and bone health… What is the relationship?!

You’ve probably heard a lot about vitamin D’s function in strengthening your immunity and protecting you from illnesses during the last year, but is that all it does? Actually, no, as vitamin D plays a role in promoting your overall health thus, vitamin D deficiency may affect your health & the activities you do since it protects you from many diseases & regulates calcium & phosphate in the body to maintain healthy bones, teeth & muscles.

Despite all of Vitamin D’s surprising benefits, we are going to focus on its role in maintaining healthy bone. Vitamin D is essential for good bone health. People with vitamin D deficiency have a higher risk of osteoporosis, therefore they are more likely to have bone fractures.

Are you vulnerable to vitamin D deficiency?

Vitamin D is known as the “sunshine vitamin”, which explains why you are more likely to have a vitamin D deficiency if you do not get enough sunlight, and of course, this possibility increased after working from home. However, it is recommended to take vitamin D daily throughout the year if you:

  • Spend most of your time at home.
  • Wear clothes that cover most of your skin when you go out.
  • Are African or South Asian, your body may not make enough vitamin D from sunlight.

Vitamin D sources

  • Exposure to sunlight, helps your body make vitamin D.
  • Eating foods rich in vitamin D such as red meat & salmon.
  • Taking vitamin D supplements daily such as Provita D 3 tablets.
  • Visiting Health and Style Medical Center where they offer free vitamin D injections.

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26/Jul/2021

Manage athlete’s foot & tips for prevention

Athlete’s foot or tinea pedis is a fungal infection of the feet, that can affect anyone! but athletes are more vulnerable to have it since their feet are usually sweety & damp which encourages tinea pedis to grow.
Symptoms of tinea pedis include:

  • Redness
  • Cracked skin
  • Stinging
  • Itching

Symptoms usually appear between the toes.

9 tips for athletes’ foot

  1. Dry your feet, especially between toes.
  2. Use a separate towel for your feet.
  3. Take your shoes off when you are at home.
  4. Wear cotton socks & change them every day.
  5. Avoid rubbing or scratching the affected skin to avoid transmission of infection.
  6. Don’t walk barefoot in public areas like swimming pools.
  7. Don’t share towels, socks, or shoes.
  8. Avoid wearing the same shoes for more than two days in a row.
  9. Wear breathable shoes.

Treatment

Tinea pedis treatment usually takes two weeks, and you can seek the help of a pharmacist to prescribe the appropriate medications. But you will need to see a doctor if:

  • You do not feel better after using the treatment prescribed by the pharmacist.
  • Your foot is red and painful.
  • You have diabetes.
  • You have had an organ transplant or are undergoing chemotherapy.

Protection

Tinea pedis can be prevented by taking simple steps such as:

  • Wash your feet daily with soap & water then dry them well, especially between the toes.
  • Wear flip-flops in public bathrooms.
  • Use talcum powder to reduce sweating.
  • Wear breathable shoes.
  • Change shoes & socks regularly.

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26/Jul/2021

Do you need to see a podiatrist?

Your feet deserve special attention, & the podiatrist is the one who can take care of them properly. The
podiatrist is a medical professional who specializes in treating abnormal conditions of the feet and lower
limbs, as well as helps relieve pain, prevent deformities of the feet & correct them, finally gives the
patients tips about how to choose the right footwear.

He can also relieve foot pain & treat common foot problems, including:

  • Nail problems such as thickened toenails or ingrown toenails
  • Fractures and sprains
  • Bunion
  • Diabetic foot
  • Plantar fasciitis
  • Athlete’s foot
  • Feet aging
  • Gout & corns
  • Sports injuries of the feet
  • Warts

So, when do you see a podiatrist?

You can always see a podiatrist even if your feet are in a good condition! Because you may need a
treatment session to remove the hard skin or cut your toenails or advice about the shoes you use – you
can bring your shoes- or to make sure that you take care of your feet properly.
For sure, you should consult a specialist if you suffer from any problem related to the feet, such as the
examples mentioned above. The specialist also provides orthopedic devices, which are specially
designed to relieve arch or heel pain & to make your shoes more comfortable.
Podiatrists can also help with more complex foot problems, including preventing, diagnosing & treating
sports and exercise-related injuries.

Now you know when to go to a podiatrist, you just need to book your medical visit by calling 026330515
or 0555116072 at the Health & Style Medical Center in Abu Dhabi.


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26/Jul/2021

An ankle sprain is a common injury that occurs when one or more ligaments on your ankle are overstretched or twisted. Any awkward twists or turns may lead to abnormal joint stresses that may cause a sprain or ligament damage as severe as a tear. The ligaments that surround your ankle hold your bones together.

Why Ankle Sprain?

It is most common in people who perform sports activities. All ligaments in your ankle have a certain extent up to which they can move to protect your joints. It causes a sprain when those ligaments are forced to move out of their limits.

The major ligaments of the ankle are the anterior tibiofibular ligament, the lateral collateral ligaments, and the deltoid ligaments. There are mainly two types of ankle sprain such as medial ligament injury and lateral ligament injury. A medial ankle sprain occurs when the deltoid ligament on the inside of the ankle joint is stretched too far. The medial ankle ligaments are sturdy structures on the side of the ankle joint. Based on the severity of the twists or injury, sprains have been classified as mild, moderate, and severe. It is a rare type of ankle injury as the medial ligaments are strong. However, it will take more time to heal than other ankle sprains.

The majority of the ankle sprains are lateral ligament injuries, also known as inversion injuries. Your foot forcefully twists inward and the ligaments are torn due to the rapid shift. This type of injury is most common in sports stars, athletes, and martial artists. They are also prone to chronic ankle sprains as the history of previous injuries and poor care are the main risk factors.

Other risk factors include:

  • Repeated stretching of ligaments due to daily activities
  • Sports activities
  • Poor or incorrectly fitted footwear
  • High Heels
  • Walking through risky surfaces
  • Poor physical strength
  • Any actions or falls that causes your ankle to move out of its normal position

When to see the doctor? : Signs & Symptoms

The primary symptom of an ankle sprain is obvious pain and swelling in the ankle. Putting pressure on your ankle with movement or placing weight will be painful and it may spread around the whole ankle. The signs and symptoms include:

  • Tenderness and bruising
  • Difficulty or uneasiness in movements
  • Stiffness on the affected foot
  • Instability in walking

How can I treat Ankle Sprain? : Treatment options

Treatment options need to be decided on the basis of the severity of injuries on your ankle. Surgeries are not required in most cases unless ligaments are torn completely.

Initial Assessment – In this step, the doctor will conduct a physical examination to study the signs and symptoms. It will be helpful in understanding the severity of the symptoms and injury. The doctor may also use an X-Ray, MRI Scan, or Ultrasound Scan during the initial assessment.

Treatment – The doctor will first educate you on your particular injury and how to manage this. He uses conservative treatments methods include:

  • Ice treatment – helps to reduce inflammation in the affected area.
  • Complete foot care measures – educate you about home treatments and care.
  • Suggest the best shoes and suitable Moon Boots as per your condition.
  • Help with physiotherapy
  • Prescribe non-steroidal and anti-inflammatory drugs to reduce pain.
  • Other options to reduce activity and limit motions
  • Do the regular assessment

According to studies, more than 90% of ankle sprains are treated without surgery. However, the duration of the treatments may vary depends on the type of symptoms and injury.

WE HELP YOU STAND ON YOUR FEET

Health & Style Medical Centre, the first private podiatry practice in Abu Dhabi, aspire to provide the most up to date knowledge and understanding of the lower limb whilst delivering world-class service to our patients with the aid of state of the art Podiatry equipment.

HSMC will do the most effective and advanced treatment for ankle sprains.

Click – https://hsmc.me/                 


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26/Jul/2021

Flat Feet: Types, Symptoms, assessment and Treatment

Flat feet is typically a painless condition or postural deformity in which the arches of your feet are flattening and completely in contact with the ground.

What happens if you have Flat Feet?

The arch of your foot helps to support your body weight and provides stability and balance. People with flat feet condition have a very little arch or no arch as their feet are flattened on the floor. Although it is painless, it can cause pain on your ankles and foot when your leg muscles are overburdened to carry out the functions of the foot arch.

You need to be aware of the fact that not all flat feet are deformities. Some with flat feet condition may not have problems in their lives and daily activities. However, there are some other conditions that are related to flat feet. It could be a reason for the growth of bunions and hammertoes. It can also cause pain in your heel, arch, ankle, knee, hip, and ultimately your lower back.

What causes Flat Feet?

Genetic factors are the most common cause of flat foot as children can have this condition by hereditary. Flat foot caused due to genetic condition cannot be prevented, but we can prevent it from being worse.

According to the studies, the condition of flat feet or fallen arches is most common in infants and children. However, arches can become high or normal as children grow. Your foot arches usually develop during the infant and childhood stages.

Some people have birth deformities like the tarsal coalition that cause flat foot. A tarsal coalition is an unusual connection that grows between two bones within the back of the foot, known as the tarsal bones. This may lead to restricted movement and fallen arches.  Some other rare causes include:

  • Abnormalities in fetal development.
  • Damage to the plantar fascia, the thick tissue that protects foot bones.
  • Wear and tear and getting older
  • Obesity

When to see the doctor? : Signs & Symptoms

The important thing for most people to understand is that not all flat feet need to be treated as long as the condition is not causing any problems for you. But it is strongly recommended to see the doctor if you have flat feet and you are suffering with:

  • Pain in the ankle, knee, or hip.
  • Trouble in walking or body balance
  • Numbness and tingling

How can I treat Flat Feet? : Treatment options

Treatment options need to be decided on the basis of what type of flat feet you have. There are usually two types of fallen arches: functional and structural. In the case of a functional flat foot, your foot is flexible and the arch is visible when it is not on the ground. It becomes flat when you stand and in contact with the ground. Structural flat foot is more complicated as it is a condition due to abnormal foot structure or deformities like a tarsal coalition.

Initial Assessment – The first and most important part of treatment is to decide the need and type of treatment.  In this step, the podiatrist will find whether your condition is a functional flat foot or a structural flat foot. The doctor will:

  • Observe your stance
  • Assess different foot positions
  • Ask questions on signs & symptoms and conditional problems
  • Measurement of feet can be done using a variety of instruments such as Pedoscope, Goniometer (to measure foot angles), and computerized pressure analysis mapping.
  • refer X-Ray or Ultrasound scan

Treatment – The podiatrist will first educate you on your particular condition and how to manage this. Being aware of the abnormality and following conservative care prescribed by the doctor will help you to manage the flat feet and prevent it from getting worse. Podiatrist will:

  • Help you with complete foot care
  • Prescribe strengthening and stretching exercises.
  • Suggest best shoes, insoles orthotics, and other shoe inserts that provides anatomical arch support.
  • Help with physiotherapy
  • Prescribe non-steroidal and anti-inflammatory drugs to reduce pain.
  • Do regular assessment

In severe abnormalities and structural deformities, the podiatrist will recommend surgery. It is rarely needed and will be helpful if conservative care is not worked well. Surgery can be effective if the problem is with your bones, tissues, or muscles. However, a combination of both surgery and conservative foot care can assure you better support to live well with flat feet.

WE HELP YOU STAND ON YOUR FEET

Health & Style Medical Centre, the first private podiatry practice in Abu Dhabi, aspire to provide the most up to date knowledge and understanding of the lower limb whilst delivering world class service to our patients with the aid of state of the art Podiatry equipment.

HSMC will do most effective and advanced treatment for Flat Feet.

Click – https://hsmc.me/


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26/Jul/2021

Comprehensive diabetic foot screening and foot care

Foot problems are a critical cause of morbidity in patients with diabetes. Research shows the lifetime chance of a foot ulcer for patients with type 1 or 2 diabetes is very high. A possibly preventable starting event, most regularly minor injury that causes cutaneous damage, can frequently be identified. These perceptions outline the significance of frequent assessment of the feet in patients with diabetes to recognize those at risk for foot ulceration. According to studies, efficient screening examinations for neuropathic and vascular involvement of the lower limits and cautious review of feet may considerably diminish morbidity from foot problems.

Risk Factors

Screening of foot in diabetes is a fundamental portion of the examination carried out by the Podiatry Division. The point of this examination is to decide any risk factors as early as possible. The risk of ulcers or amputations is increased in individuals who have the following risk factors:

  • Previous amputation
  • Previous incident of foot ulcer
  • Peripheral neuropathy
  • Foot deformities
  • Poor glycemic control
  • Cigarette smoking
  • Diabetic kidney disease (especially patients on dialysis)
  • Visual impairment
  • Peripheral vascular disease (PVD)
  • Pre-ulcerative callus or corn

 

How does diabetic foot screening work?

A diabetic foot exam thoroughly examines the foot health issues in diabetic patients. The issues incorporate infection, injury, and bone abnormalities. Nerve damage and poor blood circulation are the most common causes of diabetic foot issues. It is strongly recommended that individuals with diabetes must do a foot exam at least once a year. You’ll require an exam more regularly in the event that your feet have any of the indications like Tingling, Numbness, Pain, Burning sensation, Swelling, and walking difficulty.

A diabetic foot exam is usually being done by a podiatrist. A foot doctor who specializes in keeping feet healthy and treating diseases of the feet is known as a podiatrist. The exam usually includes a few step-by-step assessments.

General assessment: Try to know your health history and any problems you’ve had with your feet in the past. Ask questions about your footwear as shoes that don’t fit well or uncomfortable can lead to foot health problems.

Dermatological assessment: This is mainly to check for various skin problems such as dry skin, cracking, calluses, blisters, and ulcers. Examines cracked toenail or fungal infection and a thorough fungal infection check will be done between the toes.

Neurological assessments:  Consist of four other tests such as Monofilament test, Tuning fork and visual perception test (VPT), Pinprick test, and Ankle reflexes test. Monofilament test will check the touch sensitivity of your foot whereas VPT uses a tuning fork against your foot to see if you can feel the vibration. Pinprick test uses a small pin to poke the bottom of your foot to see if you can feel it. During Ankle reflexes test, your reflexes will be tested by tapping your foot with a small reflex hammer.

Musculoskeletal assessment: Examines the shape and structure of your foot and it helps in identifying any abnormalities.

Vascular assessment: It aims to check the proper blood circulation. Doppler ultrasound imaging technology is used to test the blood flow if you have symptoms of poor circulation.

Is there anything more to know?

You don’t require any exclusive preparations for a diabetic foot screening. It is always risk-free to have a diabetic foot exam. If a problem is found, the podiatrist will likely recommend more frequent testing. Other treatments may include antibiotics for foot infections and surgery to help with bone deformities. Though there is no treatment for foot nerve damage, there are treatments that can relieve pain and improve function like skincare creams and physiotherapy.

Diabetic patients are always prone to a serious risk of foot health. However, you can keep your feet healthy to some extend with caring. Always take care of your diabetes and try to keep your blood sugar normal level. It is strongly recommended to do a foot exam at least once a year and increase the frequency of screening if you or your doctor finds a problem. Observe your feet every day to check for any new issues like wounds, sores, ulcers, toenail cracks, and other changes in your feet. This is always helpful to find and address problems early. Keep your feet neat and clean and wearing shoes and socks at all times is advisable. Do not use shoes that are uncomfortable and unfit. Trim your toenails regularly and gently smooth nail edges. Keep your feet away from excess heat and cold. Aware of good blood circulation and let the blood flowing to your feet. You can choose to put your feet up when sitting. Say a big NO to cigarette smoking as it reduces blood flow to the feet and causes slow healing of wounds.

All patients with diabetes and particularly those with high-risk foot conditions and their families should be provided general education about risk factors and appropriate management.

Always remember:

  • Inspect and wash your feet daily
  • Carefully trim nails
  • Wear properly fitting shoes and don’t go barefoot
  • Manage diabetics by having good diet, right exercising, monitoring blood sugar and regularly taking your medications.
  • If you do notice any sores on your feet, see your health care provider as soon as possible.

WE HELP YOU STAND ON YOUR FEET

Health & Style Medical Centre, the first private podiatry practice in Abu Dhabi, aspire to provide the most up to date knowledge and understanding of the lower limb whilst delivering world class service to our patients with the aid of state of the art Podiatry equipment.

HSMC will do most effective and advanced diabetic foot screening.

Click – https://hsmc.me/    

https://hsmc.me/contact-us/

 


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26/Jul/2021

What is Gout?

Gout is one kind on inflammatory arthritis which is caused by a buildup of uric acid crystals in the joints which is caused by too much uric acid in the blood. It causes a sudden burning sensation with pain, stiffness and swelling in a joint. These attacks may keep reoccurring until and unless it is treated.

Causes of Gout

As mentioned above, Gout is mainly caused because of excessive uric acid in the blood. Uric acid comes from purines, a chemical compound found mainly in high protein foods, such as meat, poultry and seafood. Uric acid generally is dissolved in blood and is excreted from the body in urine via the kidneys. But if too much uric acid is produced and blood is not able to dissolve it or if not enough uric acid is excreted from the body, it can build up needle like crystals which sometimes is found in joints.

There are few factors which increase the probability of Gout, these are,
Age and Gender: Since men produce more uric acid than women, it is more likely to be seen in men. However after menopause women also might reach the same level of uric acid.

Genetics: A family which has a history of Gout is more likely to reappear in future generation.

Food and Beverage choice: Too much alcohol consumption disrupts the excretion of uric acid from the body. Also consumption of food which have more purine might also increase the amount of uric acid in the body.

Lead Exposure: Chronic lead exposure might also be linked to Gout sometimes.

Medication: There are few medicines which increases the level of uric acid in the body. Therefore consult with your doctor before taking any medicine.

Weight: More the weight, more is the production of uric acid in the body and thus more is the probability of having a Gout.

Kidney problems: Sometimes because of some kidney problems there can be a disruption in the excretion of uric acid.

Treatment of Gout

As they always say, prevention is better than cure, here we will first discuss about preventive measures and then talk about Treatment.

Prevention of Gout:

Water consumption: Maintain a high fluid intake and consume at least 2-4 liters of water every day.
Food and beverage: Don’t consume too much alcohol regularly. Also consume meat, poultry and seafood only to a certain extent. Here’s a list of food which contain high purine.

 Anchovies
 Asparagus
 Beef kidneys
 Brains
 Dried beans and peas
 Game meats
 Gravy
 Herring
 Liver
 Mackerel
 Mushrooms
 Sardines
 Scallops
 Sweetbreads.

Weight: Maintain a healthy body weight and automatically that will control your uric acid production in the body.

Gout Pain Relief Treatment:

In case if you are already attacked by Gout, there’s no other way but to go through proper treatment.
Most common medicines are NSAIDs, colchicine or corticosteroids. These medicines are taken to reduce inflammation and reduce pain. These medicines are taken orally.

To prevent future attack, your doctor might also prescribe some medicines which will reduce uric acid build up in your blood.

Read More:
Heel Pain Causes & Treatments
Neuroma: Symptoms, Causes & Treatment
Heel Spur Feet – Causes and Treatment


26/Jul/2021

Ageing has many effects on our body and that is true for our feet as well. As we get older, we tend to develop more problems with our feet.

Few Changes to our Feet

Fat reduction

As we grow older, we lose fat from fat pads from our feet. Which is why older person feel more pain while walking or standing. Less fat means less cushioning and therefore more pain.

Arthritis

Feet has more than 30 joints which degenerate with age resulting pain and stiffness.

Toes curl up

This is more common with women than men. Women, who have been wearing high heels might face this problem as they get older.

Circulation slows

Aging might also affect the blood flow to your feet which results in less healing power for any cut and a damaged nervous system, which is why sometimes older people are not even aware of any infection to their feet.

Ligaments stretch

With age ligaments sometime stretches which results in arch pain and flat foot.

Skin dryness

And this is the most common problem faced by old people. With age their feet skin get dried out.

How to prevent these problems

Exercise

Keeping active and doing some light exercise for your feet keeps your feet healthy.

Footwear

A good footwear keeps your feet healthy. While choosing your footwear few things should be kept in mind:
• Don’t wear high heel shoes
• Avoid Plastic easy clean uppers. These kind of footwear don’t let your feet breathe.
• Wear shoes which have cushioning or shock absorber soles
• Check if your heel is firmly held inside your shoes
• Wear shoes which have a fastening system

Treating Ageing Feet

If you are suffering from any diseases like diabetics or vein diseases or any other disease which is more common with older people, don’t ignore and consult with doctor and take proper medications.

If you are suffering from any of the problems mentioned above or anything else not covered here but related with ageing feet, do consult with our podiatrist or feel free to reach us. Many a times feet related issues would not just go away on its own, and it is not a good idea to ignore them. You should take proper treatment to resolve them.


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26/Jul/2021

What is Neuroma?

A neuroma is mostly benign i.e non-cancerous in nature. A neuroma is an overgrowth of tumor or nerve tissue, however it is often painful and occurs mostly between third and the fourth toes. Neuroma is more painful while walking and the only way to stop the pain at that moment is to stop walking at that time. This means that a neuroma can be major hindrance while walking. The pain felt is often described by patients as having a stone in between their feet. The pain is accompanied by a burning sensation or mere numbness in the area.

Causes of Neuroma:

Neuromas are commonly found in women. The exact cause for this condition is unknown. Yet the major factors contributing to the formation of a neuroma can be:

  • Pressure, stress or trauma can lead to inflammation of a nerve tissue.
  • Improper shoes like pointed toe shoes and high heels can increase the pressure at the forefoot area. Pointed shoes can squeeze the toes in a problematic fashion.
  • Natural deformities like flat foot or high arched foot again can lead to the formation of a neuroma.

How to Treat Neuroma:

The best way to never develop a neuroma is to wear proper shoes. It is always a good idea to wear roomy shoes. Avoid high heels. Actually shoes that are flat should be a choice for you to avoid not only the growth of neuromas but it can actually keep many other hoot problems at bay. It’s best to see your podiatrist immediately, if you are already affected with a neuroma. Neuromas can cause excruciating pain if left untreated. Wearing orthotic insoles and over the counter shoe pads always prove helpful. To relieve the pain immediately try massaging the area gently and put an ice pack. Never ever use a heating pad, this might alleviate the swelling.

The severity of the neuroma determines the mode of treatment. If detected early, then there is low chance that surgery will be done. But if has turned into a full-fledged tumor then surgical removal of it is the only way out. When detected early chances are that the problem will get resolved on its own provided pressure is relieved from the affected area. Anti-inflammatory drugs and cortisone injections are prescribed to relieve the acute pain. Surgery entails removal of inflamed and enlarged nerve. It may take a few weeks to completely recover post the operation.

If these neuroma foot solution can’t help you, talk to our podiatric surgeon. We can assure the best treatment for you in UAE!


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