Foot Care Services and Treatments

Nail Drill Procedure

Treatments and services we offer

Taking care of your feet is vital for your health, think about your feet like a foundation of a home, they keep us grounded and carry us through day by day life, foot injuries and other foot complications can make day-to-day life quite difficult. Making sure your feet are clean and healthy is a necessity


This is a 45 minute appointment which includes a comprehensive foot assessment and treatment plan as well as podiatric treatment. This gives us an opportunity to get to know you and provide you with the best outcomes for your foot health.


Podiatry and Chiropody are medical treatments to keep your feet healthy, whether you’re suffering from foot pain or even poor blood flow to your feet. Having a number of treatments can help with your overall foot health.

This might include toenail cutting, treating fungal nail infections, removing painful corns, hard skin or ingrown toenails. Regular appointments allow us to monitor your vascular and neurological status and overall foot health. 

It’s also encouraged to have a basic foot health check at least once every few years. 


Maintaining nails can be done at home, however if you suffer with hard or tough nails, our professional nail clipper and nail file will be able to smooth your nails and ensure healthy growing toenails. 

These shorter appointments are available after an initial consultation and just include a nail cut of normal nails.

Thick nails will require a longer treatment but this will be assessed on your initial consultation.


For people with diabetes, foot care is a known problem. Diabetic foot care is heavily encouraged for those with the illness. Diabetes can cause nerve damage to your feet, causing you to loose balance , loose feeling or even have trouble with circulation. Patients with diabetes should receive annual foot care checks for reassurance.

Need a little extra reassurance? NICE recommends annual foot checks for ALL Diabetic patients. Let us carry out a comprehensive diabetic foot check, including a Doppler ultrasound assessment with advice and recommendations.

For more information of diabetes-related foot disease, or diabetes-related foot problems, get in touch with your medical professional, or call a member of our team. 


Our experts in foot care are able to assess your feet and toes for verruca’s and blisters, identifying verruca’s and the best treatments. 

A consultation and risk assessment is required before any verruca treatment can be carried out. Treatment may be provided in the initial appointment if suitable.


A course of regular treatments is recommended for the best outcome. These treatments may be suitable for the under 10’s. Most chemical verruca treatment are used with salicylic acid.


This uses extreme low temperatures to ‘freeze’ a verruca. A course of regular treatments are recommended for the best outcome. The aim of Cryotherapy is for the cells of the virus and infection to ice and freeze, stopping them from continuing. 


This procedure is carried out under local anaesthetic and involves painlessly repeated puncturing of the verruca. This is usually one procedure with a short follow up appointment (included). This may suit busy people or those with verruca resistant to other treatments.


This minor surgical procedure is carried out under local anaesthetic. The whole nail , or just a small slither of nail is then removed and a chemical applied to prevent regrowth. This can be  permanent resolution to painful ingrowing toenails.

The price includes all dressings and follow up appointments.


This appointment with our specialist podiatrist may include a foot assessment, gait analysis, a diagnosis of the pathology and a treatment plan.

Foot Treatments

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We can carry out your care at our clinic or anywhere in the Cardiff area.

Love your feet and they will last your a lifetime - visit Step Podiatry.

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029 2169 0021

Most frequent questions and answers

There’s no one reason for getting a fungal infection, even those who are healthy with clean feet at susceptible to fungal infections. However, those with weaker immune systems are more likely to catch fungal infections as their bodies are not typically strong enough to fight off the infection. 

Fungal Nail Treatments

Once the nails have been drilled, the nails are then treated with Terbinifine. An anti-fungal spray. This anti-fungal spray is then able to directly access the infected nail bed which is the source of the infection via the drilled micro-holes.

Nail fenestration is a technique that works by drilling tiny micro holes into the infected nail plate through to the nail bed. (the skin under the nail).

Daily application of the anti-fungal spray to the nail will then be required to allow the infection in the nail bed to clear as the nail grows out.


Although most people find the procedure painless occasionally patients can experience a short lasting discomfort.

There is sometimes bleeding from beneath the nail where the holes are made. This is to be expected and a dressing will be applied if required.

There may be a stinging sensation on initial application of the anti-fungal agent.

This is not a “quick-fix” treatment and you will need to commit to applying the spray daily for at least 6 months.

You should return to have the nails cut back and have existing holes re-drilled and further holes drilled (if necessary) as the nail grows, approximately every 6 weeks.

Any fungal infection of the skin should also be treated.

No nail varnish should be worn for the duration of the treatment .

PLEASE NOTE: Lamisil spray (Terbinifine) is a treatment for fungal infections of the skin not the nail. Using it for the nail is considered as “off-license”. However, there have been several clinical trials using Lamisil and nail fenestration with good results

Whilst there’s no right or wrong answer, wearing socks to bed can help improve blood circulation and help you fall asleep faster. 

Cold weather can have a negative effect on your feet, in can slow down circulation to both your hands and feet and during winter/ colder weather your pre-existing foot conditions can become more discomforting than on  a regular basis. 

There’s a few things you can do to enhance your approach to foot care at home. From daily checks for cuts and sores, to cleaning with warm water and light soaps and finally a gentle moisturiser.