Assessment
A full history and a thorough examination of the skin, nails, circulation and, where relevant, your gait. You leave with a working diagnosis you understand and a plan agreed with you, not handed to you.
Onychomycosis, a fungal nail infection, changes the colour of the nail to yellow, brown or beige, thickens it and leaves it brittle and crumbly, and left untreated the fungus can spread to more nails and to the surrounding skin. But not every thick or discoloured nail is fungal, and treating one that is not wastes months. Fungal nail treatment in Canary Wharf, London with our HCPC-registered podiatrists starts by confirming the diagnosis, often with a nail sample, then plans realistic care. We are clear that treatment is slow and a cure is not guaranteed.
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Christine is the feet whisperer, she is marvellous! I should have gone to her before I actually did. If you have any issues with your feet, do not hesitate — book an appointment to see her. Highly recommended!
Had been in pain for many weeks. As soon as I went to Canary Wharf Podiatry I was taken care of excellently and sorted out, by the kindest staff. This was my best ever medical experience. Thank you so much!
Had a great experience with Hinson the podiatrist — extremely patient and thorough in explaining the different treatment options. I really appreciated how professional and reassuring he was throughout the appointment.
Christine was very gentle and took the time to answer all of our questions. She explained everything clearly and educated us with so much patience. We will definitely be coming back.
Onychomycosis is the technical term for a fungal nail infection, but not every thick or discoloured nail is fungal. Trauma, psoriasis and ageing look similar, so we confirm the diagnosis, sometimes by sending a nail sample for testing, before you commit to months of treatment.
Where the nail is thickened, brittle and crumbly, careful reduction and debridement relieves pressure, actively removes infected material and improves comfort and appearance while a healthy nail slowly grows out underneath.
Oral antifungals are the most effective option, but they need a healthy nail to grow out over six to twelve months and regular blood tests to monitor the liver. Topical lacquers work poorly on thick nails. We set out the trade-offs plainly so you can choose.
We offer laser, but we will not oversell it. The evidence is limited and mixed: laser may improve a nail's appearance, yet high-quality trials proving a reliable cure are lacking. We tell you what it can and cannot offer rather than guaranteeing a result.
Fungus often spreads from athlete's foot in the surrounding skin, so we treat that too and advise on footwear, drying thoroughly between the toes and hygiene. Recurrence is common, so reducing the reservoir of fungus matters as much as the nail itself.
Why it happens
Your initial consultation covers a full history and a thorough examination of the skin, nails, circulation and, where relevant, the way you walk. We explain what we find in plain English and agree a working diagnosis with you.
Where it is safe to do so, treatment starts the same day, and you leave understanding the plan and the options in front of you.
"I wish I had known about you sooner." We hear it constantly. Feet are easy to ignore until they hurt, so we treat podiatry the way a dentist treats teeth: a regular check and a little maintenance keeps small problems from becoming big ones.
You can self-refer and book online, with no GP referral needed. Many patients claim treatment back through private health insurance: cover varies by policy, and some insurers ask for a GP or consultant referral first, so please check your plan before booking.
Everything starts with an accurate diagnosis. We find what is really causing the problem, treat it, and help you keep it from coming back, so you can stand, walk and train on comfortable feet.
A full history and a thorough examination of the skin, nails, circulation and, where relevant, your gait. You leave with a working diagnosis you understand and a plan agreed with you, not handed to you.
The care your foot problem actually needs, from painless skin and nail work to nail surgery under local anaesthetic, using sterile technique. Where a procedure carries real risk, we talk you through it and take consent first.
Where it helps, we draw on on-site MRI and X-ray, custom orthotics made in our own lab, and treatments such as laser and shockwave, so the right tool is matched to the right problem rather than a one-size-fits-all fix.
We address the underlying cause, footwear, pressure or load, so the problem is less likely to return, and offer routine reviews and medical pedicures so your feet are looked after before there is a problem, not only once there is one.
Treatment approach
We confirm the diagnosis (a nail sample can be sent for testing where the picture is unclear), then reduce and debride the thickened, crumbly nail to relieve pressure and actively remove infected material while a healthy nail slowly grows out. We discuss realistic options plainly: the limits of topical lacquers and laser, and when oral antifungals with blood-test monitoring are more appropriate.
See treatment detail →New patients start here. A first assessment lets our HCPC-registered podiatrists confirm whether the nail change is truly fungal rather than trauma, psoriasis or ageing, review your circulation and medical history, and agree a sensible plan before any treatment begins.
See treatment detail →FAQ
Sometimes, but it is not guaranteed. Oral antifungal medicines give the best chance, though they need regular blood tests to monitor the liver, and the infected nail must still grow out over six to twelve months. Topical treatments work poorly on thick nails. The NHS notes treatment is slow and recurrence is common, so we confirm the diagnosis first and set realistic expectations before you commit.
The reality is that the evidence is limited and mixed. Laser may improve a nail's appearance, but high-quality trials proving a reliable cure are lacking. It is not routinely offered on the NHS, and the evidence is too limited to promise a cure. We tell you plainly what laser can and cannot offer rather than guaranteeing a result.
You often cannot tell by looking alone. Thickened, discoloured, brittle or crumbly nails can be caused by trauma, psoriasis or ageing as well as fungus. NICE CKS recommends confirming the diagnosis, sometimes by sending a nail clipping for laboratory testing, before starting long courses of treatment. We assess the nail and arrange testing where the picture is unclear.
No. If you have diabetes, peripheral arterial disease or reduced feeling in your feet, do not self-treat or use over-the-counter remedies, and do not cut or file the nail aggressively. These conditions raise the risk of ulceration and infection. See an HCPC-registered podiatrist for assessment and safe, supervised care.
Seek same-day medical advice if the skin around the nail becomes red, hot, swollen, increasingly painful or starts leaking pus, or if you develop a fever: these can signal a spreading bacterial infection. If you have diabetes or poor circulation, treat any new foot redness, pain or breakdown as urgent and contact a clinician promptly.
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Canary Wharf Podiatry • 1 Westferry Circus, Canary Wharf, London E14 4HD
BookAppointments typically available within 1–2 weeks