Blog Layout

Podiatry's place in Stroke risk and prevention

Fiona Northing • Jan 24, 2024

How a routine visit to your Podiatrist can help you identify your Stroke Risk

A person is holding a tablet in front of a patient 's foot.

You might wonder what the link could be between Podiatry and stroke risk?!


Well, when visiting York Podiatry as a new patient, one of the initial tests that our Podiatrists will carry out (and at regular intervals thereafter) is a vascular assessment of the feet using a Doppler. A Doppler is an ultrasound device, that can hear the arterial supply of blood to your feet and enables the clinician to listen to the strength, quality and most importantly for stroke risk, regularity of your pulses.


A small amount of ultrasound gel is applied to the pulse points on the foot, to enable soundwaves from the Doppler to detect the blood supply. If an irregular heartbeat is detected, our podiatrists can then carry out a Kardia trace. 


A Kardia is a small EKG device (Echo Kardia Gram), fingers are placed on the sensors for 30 seconds, which gives a reading onto a computerised device within seconds, of the rhythm of the arterial supply. The podiatrist can make an onward referral to the GP, if there is an irregularity noted. The patient may be referred on for further investigations, such as an ECG (Echo Cardio Gram) within a hospital.


An irregular heartbeat, which can easily go unnoticed, may not be a cause for concern but it could be a sign of atrial fibrillation, potentially leading to serious health conditions. Stroke Prevention Day in the UK is being held on the 25th January this year, run by the Stroke Association, to try and make people more aware of Atrial Fibrillation.


The Stroke Association states ‘Atrial fibrillation is when your heart beats with an irregular rhythm. When this happens, your heart won't empty all of the blood out of its chambers with every beat. Then, if your heart chambers aren't empty, the leftover blood can form clots which travel from your heart into the brain, blocking off blood flow and causing a stroke. Because atrial fibrillation is a cause of 1 in 5 strokes, it's really important that you spread the message and encourage your family and friends to test for atrial fibrillation too’. Stroke Prevention Day | Stroke Association


Atrial fibrillation, like strokes, can happen at any stage of life but more commonly with age.  Strokes in some can be a short-lived occurrence with no lasting side effects, others can be very severe resulting in permanent life changing damage or even death.

A stroke happens in the brain, when the blood supply is either restricted or cut off, resulting in brain cells dying. This leads to brain injury, affecting the rest of bodily functions, both emotionally and physically.

Lifestyle factors and conditions that can increase the risk of having a stroke:

·      being overweight

·      smoking

·      drinking too much alcohol

·      lack of exercise

·      high blood pressure

·      diabetes

·      migraines

·      high cholesterol

·      irregular heartbeat (atrial fibrillation)

·      pregnancy

·      the combined contraceptive pill

·      sickle cell disease

·      family history of stroke

·      your ethnicity

 

So in essence, attending a podiatry assessment could potentially be live saving! Check out the reviews on our website, to read about a patient who was extremely grateful that he had had a Doppler assessment at our podiatry clinic. This resulted in the findings of an irregular heartbeat, he later learnt, following onward referral, he had atrial fibrillation that required hospital treatment.

A person is holding a tablet in front of a patient 's foot.
By Fiona Northing 01 May, 2024
The Benefits of Using Laser Therapy
A woman in a green scrub is posing for a picture with a young girl.
By Rebecca Hargreaves 22 Mar, 2024
York Podiatry Ltd - Keeping Young Athletes on Their Feet!
A close up of a foot with a wart on it.
By Rebecca Hargreaves 14 Feb, 2024
Verruca - Some need to know information about these troublesome Lesions!
A person wearing black shoes and white socks is standing on a wooden floor.
By Fiona Northing 18 Sep, 2023
‘Back to school’ shoes
By Rebecca Hargreaves 13 Aug, 2023
Melanoma and the Feet - Author Fiona Northing
By Rebecca Hargreaves 02 Jun, 2023
This month our blog is raising awareness of the condition known as Clubfoot, as it’s World Clubfoot Day on the 3 rd of June, this date marks the birthday of Dr Ignacio Ponseti who developed a successful treatment for Talipes/Clubfoot known as the Ponseti Method. Clubfoot, also known as Talipes (meaning ankle and foot), is a congenital foot abnormality present at birth, where the foot is twisted and points inwards. The Achilles tendon will be tight and the bones in the foot and ankle will be misaligned. Clubfoot can sometimes be detected during an ultrasound scan during pregnancy but often not noticed until birth. The condition occurs in 1 in 1000 births in the UK, is more prevalent in boys than girls, it can affect both feet but half the cases it only affects one foot. Clubfoot will affect the ability to stand and walk, so it’s necessary for the condition to be treated from birth. Left untreated it can cause Arthritis, the inability to walk properly, prevent normal growth of muscles and bones resulting in an abnormal gait. It involves the gentle manipulation and stretching of the baby’s foot into a better position via casting. This casting process is repeated weekly for up to 5-8 weeks, and once a better position is achieved a minor operation to loosen the Achilles tendon is carried out to create a more natural foot shape. Boots, fixed together with a metal plate, are then worn for up to 3 months and then further worn just at night up to the age of 4­ to 5 years. The process is not always smooth sailing and alternatives to the above sometimes need to be sought. We have been treating the nails of a little super star at our York branch since he was just 3 months old, when he presented with nail problems as a result of the casting process. Rupert has been a regular at our clinic ever since and we have been able to keep him pain and infection free. During Rupert's treatment, an early operation went tragically wrong and he was unable to tolerate the boots and bar process. As such he has been undergoing pioneering treatment at the Chelsea and Westminster Hospital using the ‘Cunningham Brace’ method. These braces are custom made in America by the specialist prosthetist Jerald Cunningham and following the expert care he has received from his Specialist team at Chelsea and Westminster Hospital, Rupert is making fantastic progress and now only has to wear these braces at night. During this process Ruperts parents have been supported by the worldwide charity Steps. Steps is the leading charity for those affected by childhood lower limb conditions and their families. Rupert's mum Kay Bradley, a well-known and multi award-winning Jeweller based in our beautiful city of York, wanted to give back to the community that has supported them and approached Steps Charity Worldwide with an exciting proposal. Her plan was to create a capsule collection of precious jewellery pieces – named Twinkle Toes – inspired by the journey her son and many others are on. She used all her connections and skills as a bespoke jeweller to bring each creation to life and part of the proceeds from the sale of these designs will go to Steps Charity Worldwide and to The Miscarriage Association. Kay states “It was important to me that this be a non-profit, charitable collection that really comes from my heart and home to yours. I have created a disc pendant, heart-shaped locket, and a foot-shaped charm set with diamonds and multicoloured stones. These are lovely and personal pieces for everyday and I hope you will feel inspired and comforted when you wear them.” Excitingly, Kay is also currently also in the process of penning a children’s story that seeks to address the small daily trials and tribulations that can come with lower limb conditions. “I want to raise awareness and help other parents and families alike. I feel the emotional struggle is sometimes not recognised. In my children’s book, I share Rupert’s clubfoot journey so far. The book is designed to help children and families alike, assure them that following guidelines and wearing night time bracing is essential to overcoming treatment for clubfoot. The book will be illustrated and printed by local York artists. We added to our uniform at YPL this year when our director Rebecca purchased each team member one of the pendants and we wear them with pride every day. This stunning collection can be viewed and purchased either online via Kay’s website or in person visiting her beautiful shop in York. Bradley's Jewellers York | Diamond Rings & Luxury Jewellery In York (bradleysjewellersyork.com)
By Fiona Northing 03 May, 2023
We may not use Lightsabers at YPL but we do use amazing Lasers!!
By Fiona Northing 05 Apr, 2023
Taking Care of Your Feet for Long Distance Running
By Fiona Northing 17 Feb, 2023
Ski Boot fit for Hitting the Slopes
By Fiona Northing 10 Jan, 2023
Hints and Tips to Avoid those Trips
More Posts
Share by: