Therapeutic Foot Care Certificate Program Part I: Online Home Study Program

Size: px

Start display at page:

Download "Therapeutic Foot Care Certificate Program Part I: Online Home Study Program"

Laurence Nelson
6 years ago
Views:

1 Therapeutic Foot Care Certificate Program Part I: Online Home Study Program 1

2 Common Foot Disorders Justin Wernick, DPM, C.Ped. NY College of Podiatric Medicine Orthopedic Department, New York, NY 2

3 Common Foot Disorders Learning Objectives At the Conclusion of this Program, Participants Should be able to: 1. Describe Foot Disorders Commonly Encountered by Pharmacists 2. Identify Varus/Valgus Deformities 3. Determine How Foot Deformities and Disorders Affect Gait 4. Differentiate Between Calluses, Corns, and Plantar Warts 5. Learn Conservative Foot Disorder Management Options 3

4 Common Foot Disorders Common Foot Disorders Description Effect of Foot Deformities and Disorders on Gait Conservative Management Options 4

5 Common Foot Disorders Hallux Valgus/Bunion Bunionette Callus Claw Foot/Toe Hammer Toe Crossover Toe Morton s oto Toe Ingrown Toenail Metatarsalgia Corn Ulcer Osteoarthritis Genu Valgum-Varum Pes Planus-Cavus Plantar Wart Talipes Equinovarus Amputation Edema 5

6 Hallux Valgus/Bunion Angulation of the Great Toe away from the Midline of the Body, or toward the Other Toes The Great Toe May Ride under or over the Other Toes 6

7 Bunionette/Tailor s Bunion Enlargement of the Lateral Aspect of the Fifth Metatarsal Head 7

8 Callus Localized Hyperplasia p of the Horny Layer of the Epidermis Due to Pressure or Friction 8

9 Claw Foot / Toe A High Arched Foot: Toes Hyperextended at the Metatarsophalangeal Joint; Flexed at the Distal Joints Imbalance Between Muscle Groups Inserting into the Toe 9

10 Hammertoe Claw-like like Toe Resembling the Head of a Hammer Usually Affects the Second Toe; Sometimes the Third Toe Tendon on the Top of the Toe is over-extended While the Tendon Beneath the Toe is Permanently Taut Very Painful as a Result of the Top of the Bent Toe Rubbing against the Top Surface of the Shoe 10

11 Crossover Toe Joint Instablility of the Second Toe Leading to Misalignment and Drift Individuals with Hammertoes, or Bunions are the Most Susceptible to Developing Crossover Toe 11

12 Morton s Toe The First Metatarsal Is Shorter than the Others, Leading to the Appearance of a Longer Second Toe 12

13 Ingrown Toenails The Inner Side of the Toe Becomes Inflamed, Swollen and dvery Painful Caused by a Steady Squeezing Together of the Toes, or Cutting of the Nail too Short 13

14 Pain or Tenderness in the Metatarsal t Region Many Conditions Can Cause Metatarsal Pain Including: Hallux Valgus Claw/Hammer Toe Pes Cavus Flat Feet Metatarsalgia 14

15 Corn A Horny Induration and Thickening of the Stratum Corneum of the Skin of the Toes Caused by Friction or Pressure from Ill-fitting Shoes or Stockings Two Types: Heloma Durum (Hard Corns) Heloma Molle (Soft Corns) 15

16 Ulcer A Local Sore Most Commonly Found on the Surface of a Toe or Foot Area Produced by the Sloughing of Inflammatory Necrotic Tissue Commonly Seen in Diabetic Patients Refer Patients Presenting with an Ulcer Immediately to a Foot Care Specialist 16

17 Non-inflammatory Degenerative Joint Disease Commonly Known as Wear and Tear Arthritis Accompanied by Pain and Stiffness in the Joints Osteoarthritis 17

18 Non-inflammatory Degenerative Joint Disease Commonly Known as Wear and Tear Arthritis Accompanied by Pain and Stiffness in the Joints Osteoarthritis 18

19 Genu Valgum Valgus Deformity Limbs Distal to the Deformity Point Away from the Midline Knees are Abnormally Close Together Space between the Ankles is Increased 19

20 Genu Varum Varus Deformity Limbs Distal to the Deformity Point Toward the Midline Knees are Abnormally Separated The Lower Extremities are Bowed Inwardly 20

21 Pes Planus Also Known as Flat Foot Position of the Bones Relative to each other has been Altered, with Lowering of the Longitudinal Arch 21

22 Pes Cavus Also Known as High Foot Arch Exaggerated Height of the Longitudinal Arch of the Foot High Arch (Pes Cavus) Normal Arch Low Arch (Pes Planus) 22

23 Plantar Wart Painful Epidermal Tumor(s) on the Plantar Surface of the Foot Under Examination Reveal Tiny Black Dots (Capillaries) Sometimes Mistaken as Calluses or Corns Believed to be Caused by a Virus Similar in Structure to an Iceberg 23

24 Talipes Equinovarus Deformity A Complex Deformity Involving Many Bones, Articulations, and Softtissue Structures Heel Is Elevated and Turned Outward from the Midline of the Body Talipes Equinovarus Primarily Consists of: Hindfoot Equinus Hindfoot Varus Forefoot Varus (Inversion or Supination) 24

25 Amputation Removal of a Toe or Portion of the Foot Due to Extreme Foot Complication 25

26 Edema Large Amounts of Fluid in the Intercellular Tissue Spaces of the Foot, Ankle and Lower Leg 26

Localized collection of pus in a cavity

Localized collection of pus in a cavity Loss of feeling or sensation induced to permit surgery Common example: Injection given to numb up the toe prior to performing an ingrown toenail procedure Mechanical