PinPointe FootLaser
Family Foot Care is pleased to announce that we are now a proud certified provider of PinPointe, a leader in podiatric light based therapy and creators of the PinPointe FootLaser intended for use for the temporary increase of clear nails in patients with onychomycosis, or nail fungus. PinPointe FootLaser is the first & currently the only laser to receive clearance from the U.S. FDA to treat the symptoms of patients suffering from onychomycosis, and Family Foot Care is the only practice in Whatcom & Skagit Counties to offer this clinically proven treatment.
Fungal infection is estimated to affect more than 10% of the U.S. population, or 35 million Americans. The PinPointe FootLaser is designed specifically to meet the needs of the podiatric community. PinPointe FootLaser typically requires only a 30 minute treatment performed in the comfort & privacy of our office. Nail fungus, Onychomycosis, is an embarrassing chronic condition that impacts a person's quality of life and can lead to other health problems for patients with diabetes, poor ciculation or immune disorders. The treatment of nail infection is difficult because the infection is under & inside of the nail, which makes it hard for other treatments to reach & destroy the fungal organisms. treatments such as medicated liquids/creams or oral medications may be associated with side effects or serious drug interactions. Home remedies such as bleach, vinegar, Vicks Vapor Rub, mouthwash or household cleaners to resolve the problem are often tried but ultimately fail to resolve it. After a single treatment, between 78-88% of patients experienced an increase in clear nails at 6 and 12 months, and 81% of all patients sustained improvements at 12 months. If you would like to more about our exciting new treatment for toenail fungus or would like to make an appointment, please call us at (360) 738-9797.
Proper footwear is an important part of an overall treatment program for people with diabetes, even at the earliest stages of the disease. If there is any evidence of neuropathy, wearing the right footwear is crucial.
As a general rule, people with diabetes should choose shoes that:
- Accommodate, stabilize, and support deformities, such as Charcot Foot, loss of fatty tissue, hammertoes, and amputations. Many deformities need to be stabilized to relieve pain and avoid further damage. In addition, some deformities may need to be controlled or supported to decrease further progression of the deformity.
- Limit motion of joints. Limiting the motion of certain joints in the foot can decrease inflammation, relieve pain, and result in a more stable and functional foot.
- Reduce shock and shear. A reduction in the overall amount of vertical pressure, or shock, on the bottom of the foot is desirable, as well as a reduction of horizontal movement of the foot within the shoe, or shear.
- Relieve areas of excessive pressure. Any area where there is excessive pressure on the foot can lead to skin breakdown or ulcers. Footwear should help to relieve these high pressure areas, and therefore reduce the occurrence of related problems.
Prescription Footwear
Many diabetics need special prescription footwear. The various types include:
- Custom-made shoes. When extremely severe deformities are present, a custom-made shoe can be constructed from a cast or model of the patient's foot. With extensive modifications of in-depth shoes, even the most severe deformities can usually be accommodated.
- External shoe modifications. In these cases, the outside of the shoe is modified in some way, such as adjusting the shape of the sole or adding shock-absorbing or stabilizing materials.
- Healing shoes. Immediately following surgery or ulcer treatment, special shoes may be necessary before a regular shoe can be worn. These include custom sandals (open toe), heat-moldable healing shoes (closed toe), and post-operative shoes.
- In-depth shoes. An in-depth shoe is the basis for most footwear prescriptions. It is generally an oxford-type or athletic shoe with an additional 1/4-inch to 1/2-inch of depth throughout the shoe. This extra volume accommodates inserts, or orthotics, as well as deformities commonly associated with a diabetic foot. In-depth shoes are usually designed to be light in weight, have shock-absorbing soles, and come in a wide range of shapes and sizes to accommodate virtually any foot.
- Orthoses or shoe inserts. Also known as orthotics, an orthosis is a removable insole which provides pressure relief and shock absorption. Both pre-made and custom-made orthotics or shoe inserts are commonly recommended for patients with diabetes, including a special total contact orthosis, which is made from a model of the patient's foot and offers a high level of comfort and pressure relief.