Smart Choices for Healthy Feet - Springfield Clinic

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Smart Choices for Healthy Feet presented by Marten Sikorski DPM, Podiatry, Springfield Clinic

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Smart Choices for Healthy Feet - Springfield Clinic

  1. 1. Dr. Marten Sikorski Department Orthopedics and Podiatry Smart Choices for Healthy Feet
  2. 2. Smart Choices for Healthy Feet <ul><li>Toenails and Calluses </li></ul><ul><li>Nail fungus </li></ul><ul><li>Ingrown toenails </li></ul><ul><li>Pedicures </li></ul><ul><li>Moisturizer </li></ul><ul><li>Shoes </li></ul><ul><li>Sandals </li></ul><ul><li>Athletic Shoes </li></ul><ul><li>Work Place </li></ul>
  3. 3. <ul><li>Orthopedic Foot Problems </li></ul><ul><ul><li>Heel pain </li></ul></ul><ul><ul><li>Bunions </li></ul></ul><ul><ul><li>Hammertoes </li></ul></ul>Smart Choices for Healthy Feet
  4. 4. SHOES!
  5. 5. SHOES! <ul><li>Sandals </li></ul><ul><ul><li>What to look for? </li></ul></ul><ul><ul><ul><li>Support, foot bed, hygiene </li></ul></ul></ul><ul><ul><li>What to avoid? </li></ul></ul><ul><ul><ul><li>Higher heels, plastic, last year’s model </li></ul></ul></ul><ul><ul><li>Flip flop craze! </li></ul></ul><ul><ul><ul><li>Teens wearing them year round </li></ul></ul></ul><ul><ul><li>Crocs? </li></ul></ul>
  6. 6. SHOES! <ul><li>Work place </li></ul><ul><ul><li>Dress shoes that are sensible to spend the day in. </li></ul></ul><ul><ul><li>Concept of high heels to work? Flats come with issues as well. </li></ul></ul><ul><ul><li>Job appropriate </li></ul></ul>
  7. 9. TOENAILS <ul><li>Nail fungus </li></ul><ul><li>Ingrown toenail </li></ul><ul><li>Pedicures/nail polish </li></ul>
  8. 10. Toenail fungus (Onychomycosis) <ul><li>True fungus needs a source. </li></ul><ul><ul><li>Nail salon </li></ul></ul><ul><ul><li>Spouse/family </li></ul></ul><ul><ul><li>Athletes feet </li></ul></ul><ul><ul><li>Medical side effect </li></ul></ul><ul><li>Other sources of thick toenails </li></ul><ul><ul><li>Injury </li></ul></ul><ul><ul><li>Deformity </li></ul></ul><ul><ul><li>Non-fungus disease </li></ul></ul><ul><ul><ul><li>Yeast, mold, psoriasis </li></ul></ul></ul>
  9. 14. Ingrown toenail <ul><li>Pain </li></ul><ul><ul><li>Pressure, swelling, callusing, thickness </li></ul></ul><ul><li>Infection </li></ul><ul><ul><li>Redness, warmth, pus </li></ul></ul><ul><li>Source </li></ul><ul><ul><li>Injury, shoes, shape, immune system </li></ul></ul>
  10. 15. Ingrown toenail treatments <ul><li>Conservative </li></ul><ul><ul><li>Grow nail longer </li></ul></ul><ul><ul><li>Cut straight across </li></ul></ul><ul><ul><li>Avoid narrow shoes </li></ul></ul><ul><ul><li>Moisturize </li></ul></ul><ul><ul><li>“ Tape trick” </li></ul></ul><ul><ul><li>Soak </li></ul></ul><ul><li>Surgery </li></ul><ul><ul><li>Removal total nail </li></ul></ul><ul><ul><li>Partial nail removal </li></ul></ul><ul><ul><li>Chemical/ </li></ul></ul><ul><ul><li>permanent removal </li></ul></ul><ul><ul><li>Surgical/permanent removal </li></ul></ul>
  11. 16. Pedicures Do’s and Don’ts Relaxation Diabetics beware Callus care Nail polish/re polish Instrumentation and sterilization process Nail salon selection
  12. 17. Calluses, corns, heel cracks <ul><li>Abnormal pressure </li></ul><ul><ul><li>Shoes, deformity, gait, injury </li></ul></ul><ul><ul><ul><li>Diabetic ulcer site </li></ul></ul></ul><ul><li>Moisturize!! </li></ul><ul><li>Beware of medicated pads </li></ul>
  13. 18. <ul><li>Heel pain (plantar fasciitis) </li></ul><ul><ul><li>Pain after rest to bottom of heel, first thing in morning, stone bruise, pulling sensation </li></ul></ul><ul><ul><li>Bone spur??? </li></ul></ul><ul><ul><li>Treatments </li></ul></ul>Orthopedic Foot Problems
  14. 19. <ul><li>Bunions </li></ul><ul><ul><li>Bone growth at base of big toe causing pain with pressure or with motion </li></ul></ul><ul><ul><ul><li>Family history </li></ul></ul></ul><ul><ul><ul><li>Arthritis </li></ul></ul></ul><ul><ul><ul><li>Shoe pressure </li></ul></ul></ul><ul><ul><ul><li>Surgery </li></ul></ul></ul>Orthopedic Foot Problems
  15. 23. Orthopedic Foot Problems <ul><li>Hammertoes </li></ul><ul><ul><li>Weakness in foot structure </li></ul></ul><ul><ul><li>Shoe aggravation </li></ul></ul><ul><ul><li>Callus/wound source </li></ul></ul><ul><ul><li>Surgery </li></ul></ul>
  16. 26. GOOD NIGHT!

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