Services

Complex podiatric treatment typically includes

1. assessment and planning

• Visual inspection of the feet and nails
• Palpation and, if necessary, testing of sensitive reactions
• Selection of suitable treatment techniques

2. hygienic preparation

• Cleaning, disinfection of the feet
• Softening of nail material/skin if necessary

3. nail processing

• Removal of thickened nails (onychauxis)
• Cutting and milling of nails
• Treatment of ingrown nails

4. skin treatment

• Removal of hyperkeratosis (e.g. calluses, corns)
• Treatment of rhagades
• Wound care for diabetic foot syndrome

5. therapeutic follow-up

• Skin care with medical preparations
• Instructions for home care
• Documentation for the doctor if necessary

⚠️ Differentiation from cosmetic foot care
Podiatry treatment pursues medical-therapeutic goals, while cosmetic foot care is aesthetically oriented.

1. anamnesis & visual findings

• Recording of complaints (pressure, pain, inflammation)
• Check for contraindications (e.g. open lesions, inflammation, diabetes complications)

2. hygienic preparation

• Hand disinfection
• Cleaning and disinfection of the skin areas to be treated

3. removal of the cornea

• Mechanically with a scalpel or milling cutter
• Milling of the edges for smoothing

4. treatment of the chicken eye (clavus)

• Palpation of the clavus
• Removal of the central core with a scalpel
• Gentle technique, especially in sensitive areas

5. aftercare & pressure protection

• Smooth the treated areas (e.g. with a sanding cap or polisher)
• Local care with regenerating foot cream (e.g. with urea, panthenol)
• Pressure relief

6. advice & prevention

📌 Service: Orthonyxia - nail clasp treatment

The treatment with nail braces is used to treat ingrown or curled nails, in particular for:

• Pain relief
• Correction of nail growth
• Avoidance of surgical interventions
• Prevention of inflammation and consequential damage

🔧 Service contents of the nail clasp restoration

1. diagnostics & indication check

2. customization and application

• Selection of the appropriate type of brace (e.g. wire, adhesive, plastic brace)

3. aftercare & control

• Regular check of the tension curve
• Readjustment if necessary
• Removal of the brace at the end of treatment

🧷 1. 3TO clasp (original 3-piece wire clasp)
🧲 2. COMBIped® clasp (one-piece nail clasp)
🧼 3. podofix® clasp (plastic clasp)

🦶 Contents of the initial assessment for DFS

Medical history
General medical history, duration of diabetes, known complications

Inspection
Skin condition (dryness, cracks, rhagades), nail changes, deformities

Palpation
Temperature differences, pulse status (foot pulses), pressure pain, swelling

Sensitivity test
Monofilament test (e.g. 10 g), tuning fork or inching thermometer for polyneuropathy detection if necessary

Pressure load
Visible pressure points, callus formation, pressure ulcers or risk of ulcers

Nail status
Thickening, fungal infestation, ingrown nails, residual nail parts

Foot shape / deformities
e.g. claw toese.g. claw toes, hallux valgus, Charcot foot

Care condition
Self-care, shoe care, external interventions

Photo/documentation
Optional, especially in the case of existing ulcers or injuries

🩺 Aims of nail prosthetics

• Protection of the nail bed
• Guidance of the regrowing nail
• Prevention of incorrect growth (e.g. ingrowth)
• Aesthetic restoration (especially during sandal or barefoot season)
• Psychological relief for severely damaged or deformed nails

🔧 Procedure for nail prosthetics

1. assessment of findings & preparation

• Cleaning and disinfection of the nail area
• Any previous fungal treatment must be completed

2. modeling

• Build-up with light-curing gel, acrylic or elastic synthetic resin
• Adaptation to the shape and curvature of the natural nail
• Coloring or matting for a natural look if required

3. fixation & post-processing

• Curing with UV or LED light (for UV gel systems)
• Smoothing, shortening and polishing
• Information about care & durability

🧦 1. toe rings / toe pads
➤ Materials: silicone, polymer gel, foam

• Protection against friction & pressure on the flanks of the toes
• Use for: Corns (interdigital clavus), calluses, ingrown nails

🔁 2. toe tubes
➤ Materials: gel-coated inside, textile-coated

• 360° all-round protection for individual toes
• Can be cut to individual length
• Suitable for friction, pressure points, nails with braces

🪡 3. custom-made pressure protection parts (from orthoses)

• Can be individually modeled directly on the foot
• Particularly suitable for complex toe positions, ulnar spacing or brace wearers:inside
• Durable and reusable

🦶 Advice on foot health care at home

1. foot care at home

2. care products

3. proper nail care

4. pressure protection & shoes

5. caution with self-treatment

• Do not use a callus plane, scalpel or sharp blades yourself
• No corn plasters or salicylic preparations for diabetics without professional consultation

6 When to see a podiatrist?

Immediate clarification if:

• Redness, swelling or pain occur again
• Nails become ingrown or fester
• Injuries do not heal within 2 days
• Skin changes become visible

What does this mean in concrete terms?

1. detailed anamnesis

At the beginning, the podiatrist will have a detailed discussion in which he or she will record any complaints, previous illnesses (e.g. diabetes, circulatory disorders), lifestyle habits and possible risk factors.

2. individual treatment planning

A personal treatment plan is drawn up on the basis of the medical history and the podiatrist's findings (e.g. skin and nail changes, deformities).

3. ongoing adaptation of the therapy

The course of treatment is regularly documented and adjusted if necessary - for example in the event of healing delays, new symptoms or changing life circumstances.

4. advice & prevention

Patients receive specific recommendations on foot care, suitable footwear or other medical measures. The aim is to avoid secondary problems and maintain foot health in the long term.

5. cooperation with doctors

If necessary, there is a close exchange with general practitioners or specialists, e.g. diabetologists, dermatologists or orthopaedists. This ensures holistic care.