Mr. David Tollafield

Mr David R Tollafield FCPodS, FCPM, MSc, BSc(Hons), DPodM

Consultant Podiatric Surgeon, Spire Little Aston Hospital, West Midlands, UK

Born Hitchin, Hertfordshire, England 1956. Qualified 1978 University College Hospital (London Foot Hospital). Various clinical posts Northampton, Stoke-on-Trent, Derby 1978-1985

Non clinical career: Director Curtis Orthotic Laboratories, Cheadle, Staffordshire 1981-85 Director of Busypencilcase Communications Ltd Est. 2015

Academic career: Senior Lecturer & Deputy Head of School of Podiatry, Northampton (University) 1985-1993

National Health Service: Consultant to Walsall Community and later Walsall Manor Hospital, West Midlands 1993-2013. Also Honorary lecturer to University Central England 2000-2005

Also advisory Consultant to Sandwell and Dudley NHS Podiatry Departments, West Midlands 1994-2005

Private Hospitals; Nuffield (Birmingham) 1993-1997, Ramsay (Halesowen) 1994-2010. Spire Hospital 1998-current

Clinical tutor in podiatric surgery 1988-2013

Examiner 1986 – current for College of Podiatry, London, Directorate of Podiatric Surgery

Dean of Faculty of Podiatric Surgery 2012-14, College of Podiatry, London

Awards and external studies. Studied in San Francisco (CCPM) 1981 Biomechanics through Churchill Fellowship and Jubilee Awards, Seattle 5^th Avenue Hospital 1990/1997. Meritorious Award; The Society of Chiropodists & Podiatrists 2003

International lectures; United States: Seattle, Chicago; New Zealand: Wellington; South Africa: Johannesburg

Has published widely on podiatry and podiatric surgery. First paper Microbia and Disinfection in the Foot (1979) and last paper, Investigation into the Effects of Blood Pressure with IV sedation in Day Case Foot Surgery (2014). Established PASCOM audit database system in 1997 for podiatry. Research interests audit, outcomes and corns/callus, foot pain management. Published two academic texts in podiatry 1995,1997.

Married to Jill Tollafield. Four children. Lives in South West near the ‘English Riviera’.

Hobbies, travel, military history 1815-1945, classic guitar, minor acting, cycling, writing.

Fictional children story under pseudonym Rob C Blyth; The Story of Crystal Rouge.

Mr. David Tollafield

Under the Microscope: Corns, Callus and Keratoma

The aetiology of callus and corns is not straight forward. Considerable research has been conducted on foot pressures but some clinical features remain obscurred. Several hypotheses are proposed which revolve around sub-epidermal changes associated within the plantar ‘soft tissue envelope’. The close relationship with fibrous based tissue is currently understated within the formation of the Type 4 keratin lesion, where the skin becomes hypertrophic, and the underlying tissue is represented by deeper tissue changes. New material is presented alongside the importance of keratin tissue classification.

Case History

A 69-year old female patient presents with a type 4 plantar keratoma. Adipofasciocutaneous coverage is performed (Schrudde transpositional flap) and case reviewed over 6 months. Critical outcome performance is measured using PASCOM-10; PSQ-10 and MOXFQ scores.

Myths, Facts, Fables and the Foot

While the basis of our learning comes from college, we must reflect from our own clinical experience. How far do feet truly walk in a lifetime? Does a Greek foot have any bearing on Morton’s neuroma? Are calcaneal spurs associated with heel pain? Can we select fact from myth or empiricism, and does it matter? The lecture may improve debate, understanding and personal thought processes and intended to be of general interest.