by a clinician and soaking the toenail two or three times a day for 20 minutes . When the pedorthist suggest foot soaks to the patient prior to seeking medical evaluation , the pedorthists should educate the patient to proper water temperature of the water to avoid extremely high temperatures especially if the patient is elderly or diabetic because these patients may accidentally burn themselves because of their loss of sensation due to peripheral neuropathy . A decline in heat pain sensitivity is most noticeable after 70 years of age and may be pronounced in the distal extremities . 2 Pedorthist may suggest to the patient to keep nails clean and dry and that a twisted cotton wool under the nail edge has been used to prevent ingrown nail reoccurrence . ■
References
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Robert G . Smith , DPM , MSc , RPh , C . Ped ., received his DPM degree from the College of Podiatric Medicine and Surgery at Des Moines University in 1999 . He obtained his certification in pedorthics from BCP in 2001 . He completed postgraduate training with the College of Medicine at the University of Wales , Cardiff , Wales , UK , in wound care and tissue repair . He operates his practice , Shoe Sting Podiatry , in Ormond Beach , Fla .
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