Podiatrist and professional nurse

17/05/2023

15/05/2023

12/09/2022

Plantar digital Neuroma: General Surg/Conser

Morton’s neuralgia

Morton's neuralgia is a painful nerve disease of the foot due to chronic compression, which is caused by swelling and nodular thickening of the interdigital nerves (neuroma) mainly in the area of the metatarsal heads III and IV, more rarely between II and III.
Additional compression can also be generated by an inflammatory altered and enlarged bursa, which is also located between the heads of the metatarsals and can form a conglomerate with the nerve node.

Other foot deformities such as splayfoot and hallux valgus, which can also be caused by wearing unsuitable shoes that are too tight, are particularly conducive to the development of Morton's neuroma.

Symptoms are severe pain in the area of the metatarsus heads up to the toes especially after longer walking distances due to the rolling of the foot and can be detected by the compression of the Metatarsal heads, the “squeeze test”, which is very painful in Morton´s neuralgia.
At the same time, there is usually numbness of the toes in the shoe, requiring patients to remove their shoes and massage their feet. These intermittent paraesthesia and pain in the forefoot are caused by sclerosing thickening of the nerves digitales plantares communes.

Conservative treatment may consist of padding and spreading the anterior transverse arch, also with orthosis, to widen the spaces between and straighten the toes and thereby relieve the neuroma. Also, temporary pain management with local anaesthesia or infiltration of a local anaesthetic may be performed.
Surgical removal of the neuroma may be necessary.


References:
Fleischner, Dr. Gerhard, Der schmerzende Fuß, Monographie, Ein Kompendium der medizinischen Fußpflege Band II, Verlag Neuer Merkur München, ISBN 3-921280-745, 1991 (The aching foot, monograph, A Compendium of Medical Foot Care Volume II)

Grünewald, Klaus, et al GmbH, ISBN 978-3-95409-027-3, 3. Auflage 2015 und ISBN 3-929360-52-7, 1. Auflage 2001 (Theory of medical foot care, Volume 2, Picture Orthosis)

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05/09/2022

Verrucae and warts

Verrucae are plantar warts, located on the sole or toes of the foot and are caused by the human papillomavirus (HPV) infection of keratinocytes, the most dominant cell type in the epidermis, which results in development of epidermal thickening and hyperkeratinisation. HPV infection is acquired from direct contact, which may be person-to-person or from the environment (e.g. showers and swimming pools; skin pe*******on increases if the skin is broken or wet). Around half of verrucae in children disappear on their own within a year, and two-thirds resolve within two years, but they can take many years to resolve in adults and thus this risk of cross infection would be greater if not treated.

• Dinulos JGH. Warts (verrucae vulgaris). Available at: http://www.merckmanuals.com/professional/dermatologic-disorders/viral-skin-diseases/warts (accessed June 2022)
• Sterling JC. Virus infections. In: Burns T, Breathnach S, Cox N et al. (eds.) Rook’s Textbook of Dermatology. 8th ed. Chichester: Wiley-Blackwell. 2010;33.1–33.81
• National Institute for Health and Care Excellence. Warts and verrucae. Clinical Knowledge Summaries. Available at:http://cks.nice.org.uk/warts-and-verrucae #!topicsummary (accessed June 2022)
• Dinulos JGH. Warts (verrucae vulgaris). Available at: http://www.merckmanuals.com/professional/dermatologic-disorders/viral-skin-diseases/warts (accessed June 2022)

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16/07/2022

A Free, Comprehensive Limb Preservation Owner’s Manual For Patients (and their docs) From – in 10 Languages – DF Blog https://diabeticfootonline.com/2021/01/06/a-free-comprehensive-limb-preservation-owners-manual-for-patients-and-their-docs-from-nealbarshes-bcm_surgery-in-10-languages/?utm_source=facebook&utm_medium=social&utm_campaign=davidgarmstrong&utm_content=ownblogposts

25/04/2022

Podiatrist can save both limbs and lives.

Regular foot assessments is crucial for chronic disease sufferers to prevent painful complications that affect mobility and independence.

Visit your local Podiatrist for a full foot workup!

08/04/2022

https://www.instagram.com/p/CcFO3TnKV20/?igshid=MDJmNzVkMjY=

12/12/2021

Peripheral neuropathy is independently associated with early mortality https://bitly.com/3Dzq8sM

14/10/2021

Peripheral Neuropathy and All-Cause and Cardiovascular Mortality in U.S. Adults : A Prospective Cohort Study https://bitly.com/3sxiASZ

08/10/2021

To Diagnose Critical Limb Ischemia, Look to the Toe as Well as the Ankle https://bitly.com/2VYOtrC