Tuesday, November 27, 2018

Tuesday, August 14, 2018

Medical Pedicures


Potential Health Risks of Salon Pedicures You Should Know!

Salon Pedicure Risks in the News

Recently, CBS News reported a story about a woman who was at risk of losing her leg due to a pedicure she received at her local salon. 

While this extreme type of infection is not common, there are documented cases of severe bacterial infections as a result of non-sterile instrumentation.  Non-sterile instruments, foot soaks and even nail files can transmit bacteria and fungus from person to person... and from toe to toe.

This particular case involved a pedicurist utilizing a type of shaver to remove a callus.  In many states, it is actually illegal for pedicurists to perform any type of callus removal beyond filing the hardened/thickened area of skin.  Even nail technicians are often not permitted to utilize blades or shaving devices.  Medical assistants, working with a podiatrist, aren't allowed to either!
While some states have higher regulations than others, there are still limitations in “patrolling” salon compliance to cleanliness. 

Common Infections Caused by Salon Contamination
Our feet are highly susceptible to hosting fungus because they are “housed” in socks and shoes which create an ideal environment for fungus to thrive – dark and damp.  Once fungus is present on a single toenail, the transfer to multiple toenails is extremely probable. 
While the transmission of a limb-threatening bacterial infection as a result of a pedicure is not very common, the risk of spreading fungal matter is a far more frequent occurrence.  Improper or incomplete sterilization of previously used nail files is not uncommon at a large percentage of nail salons.
Nail salons simply do not have the standards for sterilization that one would find in a medical environment.
Benefits of Podiatric Medical Pedicures
Simply put – medical pedicures are safe.  Practices like InStride Family Foot Care utilize the medical standards that become physicians’ highest responsibility due to their training, education, and medical oath.
In addition to utilizing medical-grade instruments and sterilization techniques, single-use foot tub liners are used to decrease any chance of potential cross-contamination and infection.
For men and woman who do still want to get pedicures at a salon, there is the option of receiving an initial treatment from a podiatrist prior.  The podiatrist is not only trained in proper sterilization, but proper use of blades and shaver type instruments to minimize potential complications.

Extra precautions are especially important for those with diabetes, or anyone with compromised immune systems, due to the increased risk of infection and non-healing wounds.  The same precautions should be considered for individuals who have had a history of fungal infections.  Fungal infections are notorious for recurring.

Additionally, it is recommended that individuals do not shave the areas of the feet and legs that may be exposed to pedicure tub water or instruments.  By not shaving, you will reduce the chance of creating an open cut/wound (large or small) and reduce the chance of potential infection.

Podiatry offices like InStride Family Foot Care also provide polishes that are safer than salons.  These polishes are created with non-toxic chemicals and are infused with antifungal elements like tea tree oil.

Essentially, medical pedicures with a licensed podiatrist is the safe, sterile route for healthy looking feet!


Tuesday, July 10, 2018

Chilblains (cold feet)

Chilblains are caused by the skin's abnormal reaction to cold. Circulation is a determining factor for chilblains; people with poor circulation in the feet are more susceptible.

Chilblains are characterized by small itchy, red swellings on the skin, which become increasingly painful, swell, and dry out, leaving cracks in the skin and exposing the foot to the risk of infection. 

They occur on the edge of the toes, fingers, face (especially the nose), and the ear lobes. They can also occur on areas of the feet exposed to pressure, such as on a bunion or where the second toe is squeezed by tight shoes. Symptoms include burning and itching, swelling or redness, breaks in the skin, and ulcers.

Treatment includes keeping the body, legs, and feet warm, especially for individuals who have poor circulation and/or limited mobility.

Calamine lotion will take away most of the skin discomfort. If chilblains become ulcerated, application of an antiseptic dressing is the recommended form of treatment.

If you have any questions or concerns about your feet, please don't hesitate to contact our InStride Family Foot Care at 704-786-4482 or visit our website at http://www.familyfootcare.info/.

Tuesday, April 10, 2018


Capsulitis is an inflammation of the ligament on the bottom of the foot. It is usually caused by trauma or abnormal structural functioning, which overstretches the ligament that attaches one of the toe bones to a metatarsal bone. Wearing high heels or other poorly fitting footwear and performing repetitive activities that bend the toes, such as ladder climbing, are also known causes.
Pain in the forefront of the foot is the most common symptom of capsulitis. Capsulitis is often misdiagnosed as Morton's neuroma because of similar symptoms.

Noninvasive treatments are used to resolve capsulitis, including:
  • Wearing low-heeled shoes with firm soles that fit properly.
  • Decreasing or temporarily discontinuing the activity responsible for the onset of the inflammation.
  • A short course of oral anti-inflammatory medication. Note: Please consult your physician before taking any medications.
  • Cortisone injections.

If you have any questions regarding to your feet, please don't hesitate to contact our InStride Family Foot Care at 704-786-4482 or visit our website at http://www.familyfootcare.info/.

Tuesday, February 13, 2018

Ankle Sprains

Ankle Sprains from Officite on Vimeo.

If you experience pain in your ankle or foot, please do not hesitate to contact our InStride Family Foot Care at 704-786-4482.


Wednesday, January 17, 2018

What is the best kind of ankle brace to wear?

There are a number of different ankle braces that are available. The most simple, an ACE bandage or pull-on ankle brace provides minimal support. It can work, however, to provide some additional support after there is full recovery from an ankle sprain. There are pull-on ankle braces that also have additional support to provide more stability to the ankle and help prevent it from being twisted. There are also lace-up braces that provide the most stability of all braces that can be found in pharmacies or running stores.
There are ankle braces that are more durable and effective. We carry many of them in our InStride Family Food Care Office. For those who have a history of chronic ankle sprains, Dr. McDonald will make a custom ankle brace for maximum protection and prevention.

For additional questions, please contact our InStride Family Foot Care at 704-786-4482 or visit at https://www.familyfootcare.info/.

Wednesday, December 13, 2017

Athlete's Foot (tinea pedis)

Athlete's Foot, also known as tinea pedis, is a skin disease caused by a fungus that usually occurs between the toes. The fungus attacks the feet because shoes create a warm, dark, and humid environment that encourages fungus growth. Warm, damp areas around swimming pools, showers, and locker rooms are also breeding grounds for fungi.

Symptoms of Athlete's Foot include drying skin, itching, scaling, inflammation, and blisters on and between the toes. Athlete's Foot can spread to the soles of the feet and to the toenails as well as other parts of the body, which is why timely treatment is so important.

You can prevent Athlete's Foot by:

  •     Not walking barefoot, particularly in public pools and locker rooms.
  •     Reducing foot perspiration by using talcum powder.
  •     Wearing light and airy shoes.
  •     Wearing socks that keep your feet dry, and changing them frequently if you perspire heavily.

While fungicidal and fungistatic chemicals are usually used to treat Athlete's Foot problems, they often fail to contact the fungi in the lower layers of the skin. For persistent Athlete's Foot, a prescription topical or oral antifungal drug may be needed. 
Note: Please consult your physician before taking any medications.

If you have any questions or concerns about your feet, please don't hesitate to contact our InStride Family Foot Care at 704-786-4482 or visit our website at http://www.familyfootcare.info/.