Foot Health Care

Detox Foot Pads

Detox foot patches are  adhesive foot pads that can be quickly strapped onto legs . it is practiced in east Asian medicine and is claimed to remove toxins from the body. Makers claim that it can remove toxins from the body and is made up of tree extract. But skin is not permeable and as such is not a conductive unit for the extraction of toxins. The most used ingredient of foot detox pads is distilled bamboo vinegar and cellulose of tree. The various brands include

1. Detox patches from Koyotakara.

2.Verseo Detox Foot Patch

3.Chikusaku Foot Detox Patches

4.The Takara Detox Foot Patch

5.Verseo Detox Foot Patch

6.Verseo Detox Foot Patch

7.Chikusaku Bamboo Vinegar Foot Detox etc

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Heel Bump Removal

Heel Bumps can be a constant source of pain. Wearing shoes can be painful and it requires surgical removal. Incisions are made to remove the bumps. these incisions are made directly over the bumps. the proces amy take just a day or but the healing can take a lot of time. Swelling after operation can be a major factor and can cause a lot of discomfort. The swelling eventually decreases. care has to be taken so that infection doesn’t occur. General anaesthetic supplemented by local anaesthetic is applied before the begining of the operation.

Post operation a bandage is applied. Complete weight can be beared upon successful operation . Doctor will suggest what is best for you. Bandages are changed as stipulated by the doctor until the wound completely heals. A temporary plaster cast or protective boot iss applied if a significant portion of the tendon has to be detached . the temporary plaster is removed once it heals.

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Diagnosis and Treatment of Stress Fractures

Dr Lee Cohen explains the diagnosis and treatment of stress fractures in this useful video.

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Gangrene

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Gangrene is the death of cells occuring as a result of thew decay of body tissues. the dead tissues become black and bad smelling. the disease is formed due to insufficient supply of blood to the tissues and is also seen in people with a history of diabetes and long term smoking. Lower limbs are the most affected region of this condition. Restoration of blood flow to the affected region is the most effective solution to combat this disease. Restoration of blood cannot completely reverse the effects of this disease but can to some extent restore the damaged tissues. Other form of treatment include removal of  affected tissues and amputation. The word gangrene means putrifaction of tissues and is of greek origin.  Gangrenes are of three types including wet gangrene,dry gangrene and gas gangrene. Wet gangrene occur in wet area like mouth,vulva ,lungs,bowels,cervix etc. The wet gangrenes are affected by saprogenic microorganisms , which cause tissue to swell and emit a foul smell. Dry gangrenes occur in usual in the lower extremities due to loss of blood flow. Hydrogen sulphide released by bacteria reacts with haemoglobin and produce the dark coloration. gas gangrenes produces gaases within tissues and is caused by the Clostridium perfringens bacteria. This form of grangene can be dangerous and should be treated at the earliest.

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Callus and Corn

Callus is tough area of the skin which has become so due to the constant wear ands tear of the skin.This happens after a very long duration and is usually a protective measure.Callus formation can be a blessing as it offers some level of protection. Too much rubbing of the corn causes blisters which may lead to infection and contamination. Corn may be prevented by wearing shoes with soft soles and less rubbing of the area. The chances of corn formation is very high in the legs as this is the place that is prone to more wear and tear than other parts of the body. Calluses and corns may go away as time progresses .Usage of salicyclic acid containing lotions,sanded down or parred down can remove it. Corn is a specially shaped callus which forms on smooth skin .Bleeding of callus is a symptom of diabetes. Because corn stiffens  the capillaries causing it to break.

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Athlete’s Foot

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Athletes foot is a disease caused by fungus. It is also called tinea pedis. The symptoms of this disease are scaling,flaking and itching of the affected areas. The reason why it is termed as athletes foot is because it was common among athletes who shared a common bath as this one way in which the disease spreads.  Moist floor and walking without shoes or other protective gears for the foot rapidly spreads the disease.

The disease can also spread to other parts of the body most noticeably the groin area. Maintenance of personal hygiene is  very important in preventing this disease. Besides scaling,flaking and itching blisters and crack occur which lead to the exposure of raw tissue causing pain, swelling and inflammation . In acute cases pus discharge accompanied by blood occurs. Fungal infection may be followed by bacterial infection.

Treatment is available  which can bring down the disease.  The disease  can be easily diagnosed with direct visual inspection . To eliminate the chances of other diseases like  eczema and psoriasis a KOH(pottasium hydroxide) test is done which contains skin scrapes of the affected area. A biopsy for histological examination can be done to remove any doubt. Athletes foot is a very communicable disease and the best way to prevent is to maintain hygeine. In public places usage of sandals and shower shoes are excellent for the prevention of  the disease. It is also advisable  to use one’s own toilet items.

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Ingrown Toe Nails

Ingrown  nail is a form of nail disease in which the toe nail cuts into one or both the sides of  the nail bed. It causes pain which is unbearable at times. It is called Onychocryptosis or Unguis incarnatus.One of the major causes is wearing shoes with less room. This pressurizes the toe from both the top and the sides causing the nail to cut into the nail bed.  Other causes include cutting the nails too short ,peeling of nails, straight cuts in place of round cuts .

Ill fitting shoes which impairs the feet during the developmental stages which causes the the nail to grow inwards as a result of this. Excessive use of force, dropping of hard objects,wear and tear of the foot especially in athletes which causes the flesh  to become too soft and certain diseases which infect the feet also contributes to the ingrowth of toe nails. Genetics is also considered to be a contributing factor to this disease as deformities inherited can aid  in the development of this disease.

Pain along the margin of the nail, pain while wearing shoes , redness of the surrounding area are all symptoms of the disease. Sometimes overgrowth of tissue around the nails can also be mistaken for this disease. Treatment include surgery for very acute cases . Soaking the toe in cold water etc can also mitigate the effects of this disease.

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List of Foot Disorders 2

Disorders of the bones:

  • Fracture: A break in the bone caused due to stress or high impact.
  • Jones Fracture: Fracture of the fifth metatarsal of the foot.
  • Dupuytren fracture: It is also known as Pott’s fracture. The term is used to indicate a variety of ankle fractures.
  • Osteomyelitis: An infection of the bone or the bone marrow  caused by phylogenetic bacteria or mycobacteria.

Disorders of the nerves:

  • Tarsal tunnel syndrome: A very painful condition in which  the tibial nerve is impinged and compressed as it travels through the tarsal tunnel. it is also called posterior tibial neuralgia.
  • Neuroma: this refers to the nerve tumours.
  • Metatarsalgia: It is commonly called stone bruise  and refers to any painful condition affecting the metatarsal region of the foot.
  • Nerve entrapment: Nerves get compressed  and entraped leading to pain and loss of sense etc.

Combined disorders:

  • Pes cavus:  It means cavus foot and it causes the foot to arch caused due to fixed plantor fixon.
  • Club foot: It is a birth dfect giving the appearance of walking on ankles.

Genetic disorders:

  • Polydactyly: a genetic defect which causes an increase in number of  toes or fingers.

Specific manifestations of systemic disease:

  • Diabetic foot: It is a term which refers to a group of foot related problems of pople suffering fromdiabetes mellitus.
  • Rheumatoid foot : Problems in which the inflamation of  the ankles occur.
  • Neuropathy:  disorders of he nerves of the peripheral nervous system.

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List of Foot Disorders Part 1

Each of our feet is made up of 26 bones, 33 joints, and tendons,muscles and ligaments numbering up to 100. The disorders of the foot and ankle can be listed as

1. Disorders of the skin

2. Disorders of the joints

3. Disorders of the bones

4. Disorders of the nerves

5. Combined disorders

6. Genetic disorders

7. Specific manifestations of systemic disease

Disorders of the skins:

  • Athlete’s foot: A disease caused due to fungal infection also called tinea pedis. The infection can mitigate to other areas of  the body.
  • Callus and Corns of the Skin: A toughened area of  the skin formed due to high wear and tear and friction which helps in the protection of tissues inside it.
  • Onychocryptosis (Ingrown Toenail): A very painful condition usually seen in the toe nail in which the nail cuts into one or both the sides of the nail bed.
  • Keratosis palmaris et plantaris: formation of thick ,scaly and hard patches of skin.

Disorders of the joint:

  • Hallux valgus (bunion): It is a structural deformity of  the bones ,the surrounding tissues and the joint connecting the foot with the big toe which can be very painful.The surrounding tissues may be swollen and the big toe nail may turn to the second toe nail.
  • Hallux varus: t is caused due to the deformity of the great toe joint.
  • Diabetic Arthropathy (Charcot Foot): It is caused due to the degeneration of the weight bearing joint causing bone and tissue damage and excess pain.
  • Rheumatoid arthritis: An inflamatory disorder attacking  the jointswhich produces an inflammatory synovitis.
  • Osteoarthritis: It is a degenerative disease causing the degeneration of the joints.

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A Podiatrist

A podiatrist is also known as a chiropodist and specializes in the study,diagnosis and treatment of the foot,ankle and the lower part of the leg. Podiatry is know to have been practiced since ancient times. Ancient Egypt is said to have been the birth place of podiatry. Napoleon is believed to have employed a professional podiatrist and so did the American President Abraham Lincoln. Both podiatrist and chiropodist are used interchangeably but the term podiatrist is preferred in most parts of the world.

In America a Podiatrist is a Doctor of Podiatric Medicine. The study of foot known as Podology was instrumental in gaining more knowledge in the art of foot care. Podiatry is an allied health care profession in many countries like Australia.The duration of the course varies from three to four years followed by compulsory internship, the duration of which may vary according to region. Podiatrists may specialize in surgery and also the reconstruction of ankles and lower parts of the foot.

A podiatrist may also work in conjunction with an Orthopaedic Surgeon to perform critical surgeries on the lower part of the foot. The prescription rights of a podiatrist may from region. Some maybe allowed to perform minor surgeries while others may allow surgeries involving anaesthesias local and complete. The Alpha Gamma fraternity and the American Podiatric Medical Association are the worlds leading professional bodies and societies in the filed of podiatry.

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