ADVANCED FOOT CARE NURSE

and Wellness Centre

Foot Care Talk Blog



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Is It a Callus or a Corn?

Posted on 10 January, 2020 at 9:25 Comments comments (0)

 Corns and calluses are hard, painful areas of skin that often develop on the feet in response to pressure or friction.

They happen when the skin tries to protect an underlying area from injury, pressure, or rubbing.

They are more common among people who wear ill-fitting shoes, who wear no socks, have sweaty feet, and those who stand for long periods each day.

They come with the presence of foot and toe deformalities, there is almost always presence of a callus or corn if not offloaded properly. People with certain deformities of the foot, such as hammer toes, overlapping toes, and bunions are prone. 

They occur from have excessive pressure on feet from weight or high heels

They affect women more than men.

They can feel like your walking on a stone.

 

Facts about corns and calluses

Corns have a distinct, often hard, center, which may be surrounded by inflamed skin.

Corns can be painful when pressed, but calluses are not usually painful.

Calluses are usually larger than corns, and they vary in shape, while corns tend to be smaller, round and well-defined.

Lifestyle and clothing changes can help prevent corns and calluses.

Corns and calluses are not contagious but may become painful if they get too thick. In people with diabetes or decreased circulation, they can lead to more serious foot problems.

If a corn or callus becomes very inflamed or painful, the patient should seek medical advice.

Patients with poor circulation, fragile skin, or nerve problems and numbness in the feet should talk to their doctors before treating corns and calluses at home.

People with diabetes, peripheral neuropathy, and peripheral arterial disease need to be particularly watchful.


Corns and calluses are not the same thing

Corns are smaller than calluses and have a hard center surrounded by inflamed skin. Corns tend to develop on the top and sides, and even between your toes, and can be painful when pressed.

Calluses are rarely painful. They usually develop on the soles of your feet, especially under the heels or balls, on your palms, or on your knees.


Why does it keep coming back?

Clients often expect after one foot care treatment that the problem has been resolved. Then they notice at the 2 week mark it starts to come back. Why? Because we need to get a long term treatment plan to address THE CAUSE. In most cases this could be offloading the area daily with padding, getting a custom orthotic made to help correct the way you walk and pressure distributution.


How does Advanced Foot Care Nurse treat calluses and corns?

The nurse will examine the feet, ask the person about their lifestyle, and they will check their footwear. A gait analysis will be performed for future comparison. A 3D image of the foot structure will also be taken. 

 A nurse will remove some of the hard skin that surrounds the corn so that the center of it can be removed and provide immediate relief. A callus is painlessly removed by scalpel or podiatry burr. The underlying areas are assessed for concern of ulcer prevention. 

The nurse will refer the cleint to a physician or podiatrist when needed as part of the health team, for xrays and further testing if required.

A client centred plan is developed to reduce the return of the corn or callus. Onsite offloading, orthopedic shoes, or custom orthotics may be the answer. We also discuss using professional UREA based creams or foams to reduce the skin build up to the area safely.




How Compression Socks Work

Posted on 5 January, 2020 at 13:50 Comments comments (0)

How Compression Socks Work:

 

If you suffer from varicose veins and spider veins, you know firsthand the frustration of dealing with fatigue, swelling, itching, burning, and leg cramps. Compression socks help reduce the symptoms of painful varicose veins and when worn faithfully, they slow the progression of vein disease. However, compression alone does not correct the underlying vein problem.

 

Compression socks promote the venous blood flow from the feet back toward the heart overcoming the effects of gravity. Medical grade graduated compression is designed to be stronger in the feet and gradually diminish in pressure as they extend up the calf into the thigh. Properly designed and fitted compression legwear prevent venous blood pooling in the legs and feet, improve leg symptoms, and decrease the risk of blood clots.

 

The Time & Place For Compression Socks

 

If you have symptomatic vein disease, you should wear compression when you are up and about, except for bathing. There is no need to wear them when in bed, but you should put them on when you wake up in the morning before getting out of bed. If you wait until later in the morning to put on your socks, the blood will already begin to pool in the lower legs and feet making your symptoms worse.

 

Medical grade graduated compression comes in different prescriptive levels based on the degree of compression ranging 15-20, 20-30, and 30-40 mmHg. Our certified fitters will assist you in the proper care of your compression socks and the best way to put them on and take them off.

 

On the other hand, what about the folks who are lucky enough to not suffer from varicose veins? We believe that an ounce of prevention is worth a pound of cure. Wearing compression socks is one of our Healthy Legs for Life principles along with regular exercise, healthy weight management, elevation of your legs, and saving your high heels for special occasions. We recommend wearing compression even if you have no signs or symptoms of varicose or spider veins.

 

Not Just For Grandma Anymore!

 

Gone are the days of Grandma’s ugly rubber compression hose. New fabric designs have revolutionized the compression market. They now come in great colors and styles including sheer fabric, different flesh tones, open-toe and closed-toe styles, knee high, thigh high, and panty hose.

 

With advances in weaving mechanisms, the leading medical grade compression hose manufacturers have introduced a number of new products. There are now compression socks for most any occasion: work, sports, and an evening out.

 

We offer Certified Fitting appointments In office and Home Appointments. We also bill Greenshield directly. We will also offer a instore credit while you wait for your insurance compnay to reimburse you. No money out of pocket!

 

Give your certifed compression fitter a call!

 

 

"What is being used on my feet?"

Posted on 8 November, 2019 at 10:35 Comments comments (0)

One of the most important questions we should be asking ourselves is "What is bing used on my feet?" and "How is that being cleaned?"

 

We love our spas and our nail techs... But.... Are they following best practice guidelines for foot care tools?

 

Have you ever been soaking in your comfy massage chair, while soaking your feet in a tub that has just sprayed in between clients and your now sharing whatever was in the tubes of that system. Not Fun and scary for your foot health! We call that "FUNGAL SOUP" yummy...

 

How about talking to the lovely lady sitting beside, then happening to look down and see her giant yellow thick fungal nails. You start to breath heavy... Then you see the nail tech place the tools used on her in some quick liquid soak and under some weird microwave machine with led lights. Oh Boy!

 

These are all things that you should be concerned about. Infections of the skin and nail can easily be transmitted to others or YOU!

 

We at AFCN follow the stricted gold standards and Public Health guideleines. We have a sterilization room. All our tools are precleaned, go thru a ultrasonic cleaner, then individually packaged into a Autoclave. We test our autoclave daily with Biological Indicators. We also use Level 5 indicators with each load every time. We have policies and procedure manuals and directives in place. ALL FOR YOU. We want your feet and health safe.

 

Its very costly to follow the rules for tools set out by Public Health. It requires a very expensive autoclave, packaging, indicators and pilicies as well as the dedicated time to process. ALL of our staff has taken the reprocessing course. We also have A diploma Reprocessing Technician on staff.

 

Aot of places or even other foot care nurses or clininc may therefore not be doing what they are supposed to. I urge you to ask to see the logs and evidence of a clean room to sterilize their tools. Ask them their employment history. 5 Foot care clinic in Windsor/Essex County were shutdown, those foot nurse contracted providers are out there somewhere lol.

 

Cheers to healthy and safe feet.

 

 

OMG it hurts, cut off that toe!

Posted on 1 November, 2019 at 16:15 Comments comments (0)

It is the DREADED ingrown nail. The one that hurts even if the sheets just barely come across it. It throbs. It is its own entity lol.

There are just so many options out there.

First and foremost, see a physician! Especially if its infected or oozing... It may be time for a antibiotic and then we can start.

Our business uses steam sterilized and individually packaged tools, ALWAYS. Why? because why in the hell would you ever want to risk your toe, foot or ebven your life!!! Dont let unqualified spa, beauty or your mom or spouse to start digging away.

At our office we assess, and non invasively treat ingrowns. We have a special method using some of the best products and a nurses gentle touch.

We use a special expoxy resin system to cast the toe to maintain healthy, normal growth pattern and stop the nai from growing inward. Once it grows out..Magic, its perfect!

If we feel that this system or care plan will not work for you then we refer you for surgery to a podiatrist. But thats our last resort. The surgery can be painful recovering and costly.

We are very good with our foot care tools, tehniques and podiatry burrs to maintain a professionally cut nail and thinned down sides to maintain a good cut that works for you. Its all about the "technique"

 


Orthotics??? Really?

Posted on 27 October, 2019 at 16:45 Comments comments (0)

Hi everyone,

We are excited to offer a really great custom orthotic in our office. 

How?

We see our clients feet every 6 weeks, socks off, for 45 minutes. We complete a very thourough lower limb assessmnet and then " the nurse experience" steps in... WE TALK TO OUR CLIENTS lol. You heard me, thats right. We listen to our clients genuinely describe what is going on with their feet and we dont rush them. There is no 10 minute appt window they are given. We bring together all the information, plus what we see and include our treatment plan we have been following for their foot care in the art of these orthotics. As foot nurses we see the offloading that needs to happen. We treat the calluses, corns and tissue damge resulting from poorly aligned feet!

We happily book them with our resident Chiropracter who has a different skill set to add to the best orthotics we can produce! Over 2 appts they are assessed and fit with our wonderful and compassionate DR. Stephanie. DR. Stef handles all the billing and fun stuff, making it easier for our clients The Nurse is included in all aspects of helping to create these orthotics for their clients. Who better to help than the ACTUAL provider of the foot care.

This is a great collaboration of different field of expertiese coming together for our clients health!

If its too good to be true....

Posted on 20 October, 2019 at 9:00 Comments comments (0)

Hi everyone, Its been awhile. As a foot care professional who is very busy Im always looking for new products, techniques and contacts. I absolutely love learning new things. Im so passionate about what I do. Thats a good and a BAD thing... Sometimes my blinders are not on to the not so good people and opportunities around me. 

If its to good to be true...it is....If you get an uneasy or creepy feeling with people trying to get you to buy their technology stuff or get you to endorse what ever new item they are peddling to the foot nurses... beware...run fast.

Its unfortunate to say but there is a lot of "sketchy and weird" so called sales professionals out there. They may even be at the conferences or apart of the things you ar at. Makes no difference, makes it worse they have such easy access to us. I have actually learned there is probably a reason they are not apart of a big company or any of the wellknown and prospering companies that are nationally recognized. Go with the trusted things...I unfortunately got involved , thank god for a limited while. The result, disaster, no follow thru, unreliable service, crappy products, lying, no help, broken promises and lose of money. They just move on to peddle to the next available person who is guillable enough...

Now the good... I have also run into and met so many people along this journey that have given the time to show up, educate and follow up. I have brought my clinic and staff to a whole new level. I use many national suppliers who are amazing, return calls, follow up and care about you and your business. Thank you to Fatima at Gehwol. Vanessa at The Orthotic Group, Cathy at CPC, Mike at Medical Mart, Alexandria at Biotime. This is just a short list of great people who have always followed thru.

We all make mistakes. I made one in being so excited and trusting. A very wise supplier and friend of mine once said to me

"You dont need any of them  to be successful" Thanks Cathy you were always right. The whole time they need people like us...


Ingrown Nail Pain?

Posted on 23 July, 2019 at 11:00 Comments comments (0)

Our foot Care Team has been offering a resin NAIL CORRECTION SYSTEM since early this year and have seen amazing reults. This techniqe has been in use for a very long time in Europe. With the application of a resin and the use of a curing light.

A new way to retrain your nail to have a proper growth pattern instead of being turned in and digging in!

The procedure take less than 10 minutes and is painless!

This is so revolutionary in fixing those painful ingrowns. Training for my nurses was quick and efficient. All reported it was so very easy to perform.

We here at Advanced Foot Care Nurse and Wellness Centre is always proud to bring you the best!

Sandal TIME

Posted on 15 April, 2019 at 13:10 Comments comments (0)

Not just a great looking sandal! But a comfortable one. I love them. I already have 3 of the styles. It is true you pay for what you get.  Biotime sandals arent overly expensive( 50.00-110.00), but they are not your dime store sandal either. As foot professional we have to look at the sole of a shoe. ASK YOURSELF??? Does this actually support my foot? This is the time of year I cringe looking at the cheap sandals peope are wearing causing damage in the long term to their feet!

There are so many reputable brands out there. 

Another thing!!! Get sized. Our feet change a lot over time. There are a large number of us wearing incorrectly fit shoes.

Always make sure they are well fitted but not too tight.

Visiting the ONE and ONLY "The Toe Bro"

Posted on 19 January, 2019 at 22:55 Comments comments (1)

Such an exciting time visiting Toronto!

I was welcomed into the office of Jonathan aka "The Toe Bro"

He is a top Chiropodist in Canda and also created a very successful UTUBE channel, viewed by almost 90 million viewers.

His office was so warm and welcoming. He was in the middle of filming for his new show coming out on the A&E network. He was a great foot specialist to speak with and pass back and forth ideas and enjoy the connection.

He has his own line of foot care tools that surpasses any others I have used!

It reminded me that we should all be working together! no matter where our discipline is in this foot care world. We are all needed and loved by our patients. Working together can only benefit those who come through our door for help!

Happy weekend,

The Foot Goddess




"You Don't Have to be Embarrassed"

Posted on 6 January, 2019 at 0:55 Comments comments (0)

We see ALL types and conditions of feet.

All to often its really sad :( We have so many clients express that they have lived for years with unsightly or painful feet as they were embarrassed and did not know who could help them. We have had many people leave our offices in tears as the miraculous makover. Sometimes we laugh and notice they couold probably go a whole shoe size smaller now.

"NO NAIL TO THICK" is our motto. We have amazing podiatry equipment to tackle anything and we all too aften LOVE the challenge of tough feet.

One thing thats awesome... Nurses are very caring by nature, so theres nothing to be afraidd of or embarrassed. We are always here to help you, Take a holistic and caring approac to our care.

If you know someone, or have looked down and seeen a family or friends feet in desperate need of care, perhaps let them know we would love to to see them in our offices or in the comfort of their home.

Happy Saturday Everybody, from our team!



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