The most frequent consultations in podiatry
Podriatic consultations

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Why do our feet smell?

The perspiration or hyperhydrosis suffered by 25% of the population is odorless but is increased by the presence of detritus of bacterial proteins that rest in the interdigital joints producing the characteristic fetid odor. The presence of isobutyric and isovaleric acids determine the characteristic perspiration odor and the species Brevibacterium settled on our skin produces the metanodiol gas that originates the smell .

Advice: An adequate hygiene means a good dry up of the interdigital joints , as well as cotton socks and stockings which are absorbent enough , fungistatic and bacteriostatic . It is also necessary to change footwear at midday , as well as socks and stockings , ventilate feet adequately and trying to wash feet with neutral soap, and the use of synthetic stockings and shoes is not recommended, because injuries of contact dermatitis will develop. The use of astringent powder may be a recommended alternative. . If the smell persists, you should consult with the specialist.

During the year I have problems with the great toenail , often developing infections. I was adviced to undergo an operation , meaning the total excision of the nail.
What should I do?

We must not forget that nails represent a vital element of hands and feet. Their lack makes the capacity of doing certain actions difficult , like seizing objects, use of a needle, play guitar, begin the walk’s take off, the, protection of phalanges , etc. The excision of a nail not considering the after effects of onychodactylar excision is risky. If the nail is infected or ingrown , it should be treated with antibiotic therapy , and if possible, recommend the treatment of the direct cause, by a partial bilateral onychocectomy , but always trying to maintain the residual natural joints of the toenail.
Nowadays podiatry offers various alternatives of treatment and correction of those recurrent alterations.

During summertime little vesicles filled with liquid appear at my foot plant that split and dry afterwards. Why does it happen and what should I do?

Advice: Do not mash the vesicles and maintain an adequate care of the vesicles if they smash with an antiseptic lotion like the derivatives of iodine (Betadine – Povidone-iodine).

Lastly my feet show heel fissures and they hurt. What can I do to eliminate them?

It is necessary to understand that there exists a predisposition for heel fissures, such as obesity, alterations of the heel’s structure (calcaneovalgus and other) The hyperkeratosis (calluses) , the autonomic neuropathy, the use of footwear without heel reinforcement, the lack of hydration and the lack of care of the skin will be its cause.

Advice: Skincare and hydration , the use of exfoliating creams, the cleaning of calluses are important If possible, the advice of a podiatrist would help to a better manage of your problem .If those fissures persist it’s necessary to find its cause and its solution would be easier if done by a proper specialist.

My feet show injuries between its toes and now I have a corn between the smallest toe and the fourth. What can I do?

The affections between the interdigital spaces (between the toes) may be associated with tissue maceration with light asymthomatical desquamation . Smell may appear, as well as the presence of dermatophytosis (fungi), nothing strange due to the characteristics of the zone. We must not forget that the lasting maceration between the toes multiplies the microbial flora of the dermatophytes producing antibiotics in order to eliminate the susceptible opponent bacterial flora of the dermatophytes permitting the dominion of the population resilient to antibiotics.
Its presence between the toes may be determined by friction originated between these toes , accompanied by a persistent humidity. An exostosis of the phalanx should be considered if the injury persists , even if the maceration and the corn were treated.

Advice: Visit the podiatrist as soon as possible ; meanwhile it is necessary to keep the zone between the toes dry, to clean it with a sterilized gauze, applying an disinfectant astringent like Povidone-iodine and not apply corn remover. Avoid the friction between the toes applying a clean gauze, changing it twice a day.

I got a wound on my foot plant and I have tried to eliminate it rasping it. Sometimes it bleeds when I get deeper. It is like a callous and sometimes it hurts when I walk barefoot. What can I do?

It is important to know if this injurie is a callous or a plantar wart because it may be hidden under a callous forming a hyperkeratosic tissue around it. When cut off ,it normally bleeds and if so, an excition is necessary. (using liquid nitrogen, electrocauterie etc.) If the papilloma or wart is in a pressure zone, an orthoic insize is recommended for discharge. The incidence of warts has grown this last years..
Warts are rare in children under 5 years, they increase during puberty and adolescence, but they may appear at any age.

Advice: Do not manipulate the zone because you risk auto inoculation. Do consult with the specialist and wear sandals in public bathing-places

 

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