The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of...
Transcript of The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of...
![Page 1: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/1.jpg)
The Nitty Gritty of Foot and Toenails care in the Elderly
Brown Bag 4/15/2020 Presented by Dr. Alia Khoja
Internal Medicine, Hospice and Palliative and Geriatrics
![Page 2: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/2.jpg)
We will cover the following:
• Anatomy of the foot
• Disorders, deformities and Injuries that affect feet, ankles and nails.
• Home care Tips.
• Medical evaluation and care.
![Page 3: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/3.jpg)
Adapted from: https://www.sportsmedalabama.com/patient-education/ankle-conditions-a-injuries.html
![Page 4: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/4.jpg)
Reasons why senior citizens experience common foot problems includes:
• Years of walking, working and healing from injuries
• Low quality, too small or uncomfortable footwear; pointy-toed and high heels
• Poor circulation
• Increased risk of diabetes, gout, heart disease, osteoporosis, obesity and other diseases causing foot problems.
• Difficulty properly trimming toenails due to impaired vision or mobility. 1:3 older adults can’t trim their toenails
![Page 5: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/5.jpg)
How Aging Changes Your Feet ?
![Page 6: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/6.jpg)
- Your feet can get bigger
- You can lose range of motion
- Feet & ankles can be more prone to swelling
![Page 7: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/7.jpg)
- Dry and itchy feet
- Toenails can get thicker
- Increased pain in the feet and ankles
![Page 8: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/8.jpg)
Diseases of Toenails
![Page 9: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/9.jpg)
Onychogryphosis, Ram’s Horn
![Page 10: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/10.jpg)
Onychomycosis
![Page 11: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/11.jpg)
![Page 12: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/12.jpg)
Ingrown toenails
![Page 13: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/13.jpg)
Forefoot
![Page 14: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/14.jpg)
Bunion
![Page 15: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/15.jpg)
Hallux limitus and rigidus
![Page 16: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/16.jpg)
![Page 17: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/17.jpg)
Tailor’s Bunion
![Page 18: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/18.jpg)
Hammertoe
![Page 19: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/19.jpg)
Hammertoe
![Page 20: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/20.jpg)
Hammertoe
![Page 21: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/21.jpg)
![Page 22: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/22.jpg)
Callus
![Page 23: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/23.jpg)
Corn
![Page 24: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/24.jpg)
Treatment of Corn and Callus
![Page 25: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/25.jpg)
Posterior tibialis dysfunction
![Page 26: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/26.jpg)
![Page 27: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/27.jpg)
Flat Foot
![Page 28: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/28.jpg)
Flat Foot
![Page 29: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/29.jpg)
Haglund’s deformity
![Page 30: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/30.jpg)
Tarsal Tunnel Syndrome
![Page 31: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/31.jpg)
Plantar Fasciitis
![Page 32: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/32.jpg)
![Page 33: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/33.jpg)
Heel Spur
![Page 34: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/34.jpg)
Heel Spur on X-RAY
![Page 35: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/35.jpg)
Treatment
• Analgesics
• Stretching
• Ice
• Proper footwear
![Page 36: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/36.jpg)
![Page 37: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/37.jpg)
Home Care
• Wash your legs and dry them daily
• Inspect your toes and feet
• Change socks daily
• Apply moisturizer daily
• Regular toenails trim
![Page 38: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/38.jpg)
• Stretching exercise
• Wears appropriate fitted shoes and Padding.
• Trial of Over the counter Tylenol or Non-steroidal anti-inflammatory NSAID
• Have your doctor inspect your feet at least once per year.
![Page 39: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/39.jpg)
When to seek medical attention ?
- Persistent pain not relieved with the routine home care
- Persistent pain after trauma or fall
- Recurrent falls
- If you have heart disease or diabetes and have wounds that aren’t healing in your legs or feet.
![Page 40: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/40.jpg)
• https://www.youtube.com/watch?v=AXSj_5pBAKw
• https://www.youtube.com/watch?v=He8GYNuCKh8
![Page 41: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/41.jpg)
![Page 42: The Nitty Gritty of Foot and Toenails care in the Elderly · 2020-04-28 · The Nitty Gritty of Foot and Toenails care in the Elderly Brown Bag 4/15/2020 Presented by Dr. Alia Khoja](https://reader034.fdocuments.in/reader034/viewer/2022042802/5f38aa5eb1324b25dc574da2/html5/thumbnails/42.jpg)