PrimaryFoot CarePrimary
Foot Care
Common Nail ProblemsCommon Nail Problems
When toRefer?
When toRefer?
Fungal NailsFungal Nails
Fungal Nails - Treatment
⢠Routine Debridement
⢠Topical Agents
⢠Oral Agents
⢠Routine Debridement
⢠Topical Agents
⢠Oral Agents
Oral AgentsOral Agents⢠Fluconazole (Diflucan)
⢠Itraconazole (Sporanox)
⢠Ketoconazole (Nizoral)
⢠Griseofulvin (Gris-peg)
⢠Terbinafine (Lamisil)
⢠Fluconazole (Diflucan)
⢠Itraconazole (Sporanox)
⢠Ketoconazole (Nizoral)
⢠Griseofulvin (Gris-peg)
⢠Terbinafine (Lamisil)
Fungal Nails - TreatmentFungal Nails - Treatment
When toRefer?
When toRefer?
Pedal Skin ProblemsPedal Skin Problems
⢠Tinea Pedis
⢠Verrucae
⢠Corns & Callouses
⢠Tinea Pedis
⢠Verrucae
⢠Corns & Callouses
Tinea PedisTinea Pedis
Tinea Pedis - Etiology
⢠Dermatophytesâ Trichophyton
â Epidermophyton
â Microsporum
⢠Saprophytes and Yeast
⢠Bacteria
Tinea Pedis - Treatment⢠Topical Agents
â Imidazoles: miconazole, clotrimazole, sulconazole, etc.
â Others: undecylenic acid, tolnaftate
⢠Oral Agentsâ Used in severe/resistant casesâ Griseofulvin, ketoconazoleâ Fluconazole, itraconazole, terbinafine
⢠Local Care
When toRefer?
When toRefer?
VerrucaeVerrucae
When toRefer?
When toRefer?
Corns & CallousesCorns & Callouses
Corns - When to Refer?Corns - When to Refer?
⢠Multiple Lesions
⢠Multiple Digital Deformities as Cause
⢠Rigid Digital Contractures
⢠Ulcerative Lesionâ Immediateâ Definitive
⢠Diabetics, PVD, Neuropathic
⢠Multiple Lesions
⢠Multiple Digital Deformities as Cause
⢠Rigid Digital Contractures
⢠Ulcerative Lesionâ Immediateâ Definitive
⢠Diabetics, PVD, Neuropathic
Mortonâs Neuroma - EtiologyMortonâs Neuroma - Etiology⢠Narrow Shoes (Primary Cause)⢠High Heels⢠Biomechanical (Functional) Abnormalities
â Excessive pronationâ Flatfootâ Hammertoes
⢠Traumatic ⢠Anatomic
⢠Narrow Shoes (Primary Cause)⢠High Heels⢠Biomechanical (Functional) Abnormalities
â Excessive pronationâ Flatfootâ Hammertoes
⢠Traumatic ⢠Anatomic
Interosseous TendonsInterosseous Tendons
IntermetatarsalSpace
IntermetatarsalSpace
Dorsal DigitalNerves
Dorsal DigitalNerves
MortonâsNeuromaMortonâsNeuroma Deep Transverse
IntermetatarsalLigament
Deep TransverseIntermetatarsalLigament
Plantar DigitalNervesPlantar DigitalNerves
Flexor DigitorumLongus TendonFlexor DigitorumLongus Tendon
Mortonâs Neuroma - Symptoms⢠Burning
⢠Tingling
⢠Numbness (Usually only Subjective)
⢠Radiating Pain into the Involved Toes
⢠Feeling as Though âWalking on a Peaâ or âSock is Bunched Upâ
⢠Strong Desire to Stop, Remove Shoe, and Massage Forefoot
⢠Burning
⢠Tingling
⢠Numbness (Usually only Subjective)
⢠Radiating Pain into the Involved Toes
⢠Feeling as Though âWalking on a Peaâ or âSock is Bunched Upâ
⢠Strong Desire to Stop, Remove Shoe, and Massage Forefoot
When toRefer?
When toRefer?
Hammertoes -Conservative TreatmentHammertoes -Conservative Treatment⢠Treat Only the Symptoms
⢠Aperature Pads
⢠Splints
⢠Extra-depth Shoes
⢠Caution When Using Acid Plasters In:â Diabeticsâ PVDâ Neuropathic
⢠Treat Only the Symptoms
⢠Aperature Pads
⢠Splints
⢠Extra-depth Shoes
⢠Caution When Using Acid Plasters In:â Diabeticsâ PVDâ Neuropathic
Pre-OpPre-Op
Post-OpPost-Op
Pre-OpPre-Op
Post-OpPost-Op
Hammertoes - When to Refer?Hammertoes - When to Refer?
⢠Rigid Deformities
⢠Recurrent Ulceration
⢠Chronic Pain in All Types of Shoes
⢠Other Associated/Contributing Deformities
⢠Patient No Longer Satisfied with Conservative Therapy
⢠Rigid Deformities
⢠Recurrent Ulceration
⢠Chronic Pain in All Types of Shoes
⢠Other Associated/Contributing Deformities
⢠Patient No Longer Satisfied with Conservative Therapy
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When toRefer?
When toRefer?
Heel PainHeel Pain
Heel Pain - EtiologyHeel Pain - Etiology
⢠Plantar Fasciitis/Heel Spur Syndrome
⢠Heel Bursitis
⢠Nerve Entrapment
⢠Stress Fracture
⢠Systemic Arthritides
⢠Biomechanical
⢠Obesity
⢠Plantar Fasciitis/Heel Spur Syndrome
⢠Heel Bursitis
⢠Nerve Entrapment
⢠Stress Fracture
⢠Systemic Arthritides
⢠Biomechanical
⢠Obesity
Heel Spur Syndrome/Plantar FasciitisHeel Spur Syndrome/Plantar Fasciitis
⢠Rest Strap⢠OTC Arch Support⢠Custom Orthotic⢠NSAIDs⢠Injections - Cortisone⢠Stretching Exercises⢠Physical Therapy
⢠Rest Strap⢠OTC Arch Support⢠Custom Orthotic⢠NSAIDs⢠Injections - Cortisone⢠Stretching Exercises⢠Physical Therapy
Conservative TreatmentConservative Treatment
FlatfootFlatfoot
When toRefer?
When toRefer?
Flatfoot - Why Treat?
⢠Bunion Deformity
⢠Hammer Digit Syndrome
⢠Metatarsalgia
⢠Chronic Plantar Fasciitis/HSS
⢠Postural Pains in Legs, Knees, Back
⢠Arthritis of Involved Joints (AJ,STJ,MTJ)
⢠Bunion Deformity
⢠Hammer Digit Syndrome
⢠Metatarsalgia
⢠Chronic Plantar Fasciitis/HSS
⢠Postural Pains in Legs, Knees, Back
⢠Arthritis of Involved Joints (AJ,STJ,MTJ)
Conditions Associated with Untreated Flatfoot:
When toRefer?
When toRefer?
ConclusionConclusion