|Primary Care Information|
Ingrown Toe Nails Medical Treatment
Treatment options depend on the stage of ingrown toenails, medically known as onychocryptosis.
Stage 1 can be managed by recommending shoes with a comfortable wide toe box or open-toed shoes. Instruct the patient's parents to cut the nail straight across and avoid cutting back the lateral margins. The nail edge should extend past the tissue.
Stage 2 can be treated by stretching the soft tissue away from the side of the nail, elevating the offending edge of nail from the soft tissue, and placing a small pledget of cotton under the nail edge to lift it back into the nail grove. Instruct patients with stage 2 ingrown nails on how to perform this treatment. Parents should also be instructed to have the child rest, keep the foot elevated, and use warm soaks.
Stage 3 should be treated by removing the nail margin as described in "Surgical Care." Chronic ingrown toenails may require matrix ablation.
Stage 3 ingrown nails require avulsion of the lateral border of the nail plate with sharp excision of the hypertrophic granulation tissue. If avulsion has been unsuccessful in the past, partial or total ablation of the nail plate chemically, surgically, or via laser may be indicated. Prepare the digit with Betadine or alcohol if the patient is iodine allergic. Perform a digital block with 2% lidocaine without epinephrine. Lift the nail off of the nail matrix bluntly all the way back to approximately one eighth of an inch under the proximal nail fold. Insert a scissors blade and cut the nail back to the proximal nail fold. Remove the free portion of the nail.
Protuberant granulation tissue can be removed sharply or treated with silver nitrate. Bleeding, if any, is controlled with pressure. Antibiotic ointment and clean dressing should be applied.
Consult a podiatrist for routine follow-up care or for patients in whom primary avulsion therapy has been unsuccessful. Close follow-up care with an orthopedist is required if inflammatory osteophytic changes are observed or if evidence of osteomyelitis is present.
Follow-up with a primary care physician is indicated for any type of immunosuppression, including diabetes mellitus.
Diet: No dietary limitations are required.
Activity: Rest, keep the extremity elevated, soak the affected nail in warm water, and maintain limited weight bearing until healing has taken place.
Gregory Mburu is a medical professional and part time marketer. He post his helpful information about ingrown toenail at http://nail-fungus-cure.blogspot.com/
Flatfeet in Children: When Are They A Problem?
There are high arch feet and low arch feet and many different foot types in between. Many individuals have flatfeet, but do not have foot problems. All of us are born with flatfeet and some of the greatest athletes have flatfeet. But, flatfeet are a problem when the arch completely collapses in combination with excess inward rotation in the foot. This type of flatfoot causes excess stress on the joints, ligaments and tendons in the foot and ankle. If not treated appropriately, tendon and joint problems will develop.
Benign Tumors Of The Cervix
Thimerosal: Autism and Mercury Poisoning Side Effects?
Thimerosal is a preservative that is added to vaccines (has been since the 1930s) that is almost half (49.6% by weight) mercury. Preservatives are added to vaccines to prevent bacteria and fungi from growing. These vaccines include antivenins, skin test antigens, ophthalmic and nasal products. Thimerosal preserved vaccines have been given to children as well as adults.
Cetyl Myristoleate Seperating Fact From Fiction
I am a strong believer in Cetyl Myristoleate for the treatment of arthritis. For the last three years I have been researching and writing about Cetyl Myristoleate. I am constantly searching for new research and contact and interview every doctor I can find that works with it. The purpose of the article is to evaluate the claims made about Cetyl Myristoleate on the myriad of web sites that sell it. It you want more information on the research that documents the effectiveness of Cetyl Myristoleate then do a search for my article, "Cetyl Myristoleate: Science or Speculation".
Ambien Sleep Medication And Insomnia: What Is Insomnia And How Can Ambien Help?
An Introduction to Irritable Bowel Syndrome
Irritable bowel syndrome (IBS) is a very common condition, but in some ways it is still a mystery. There are many different theories about what causes the syndrome, and different doctors will give you different reasons for your illness ? anything from stress to bad bacteria to food intolerance. And once you have been diagnosed, there is no set form of treatment ? instead, sufferers tend to try two or three supplements or therapies to find a combination that works for them.
Mexico: Drugs Galore!
You are going to find this incredible and I assure you I am not making any of this up: You can waltz into any pharmacy (Farmacia) in Mexico and buy almost anything without a prescription. Except for controlled substances, you can get most anything you want or need simply by asking.
Talking Money with Your Doctor: Drugs and Tests for Less
Would you buy groceries without knowing their prices? I suspect not. You probably compare the costs of different boxes of cereal in order to get the best deal. But when it comes to medical care, do you even ask for the prices involved?
Buy Electric Wheelchairs Online
Electric wheelchairs mobility for virtually any type of disability.
Zyprexa Side Effects are Deadly: Effects Include NMS
Zyprexa is a prescription drug that treats schizophrenia, acute mania and bipolar disorder. It is a psychotropic drug that treats the psychotic disorders of the mind but unlike other drugs for psychotic disorders, Zyprexa is an atypical antipsychotic. Eli Lily, the manufacturer of the drug Zyprexa, has been accused of promoting off-label prescriptions of Zyprexa, many to children, knowing that the FDA would force them to include risk information on the label and that the FDA has not approved the drug for use with children. Risks and side effects of Zyprexa include diabetes, hyperglycemia, pancreatitis, weight gain, tardive dyskinesia, neuroleptic malignant syndrome. The FDA has stated the Zyprexa should not be used if a patient is a child or has ADD, depression, addictions, treating aggressive behavior, or mood elevation, but it continues to be given to these people.
Aleve, Vioxx, Celebrex, and Bextra: What You Need To Know About Arthritis Pain Medications
Recent controversy about the safety of pain medications for arthritis has left patients and health care professionals alike confused about which medications are safe to use. In fact, a recent survey by the Boston-based Rippe Lifestyle Institute indicated that many people with arthritis are suffering unnecessarily because they have stopped or reduced their use of pain relievers due to confusion about which drugs are considered safe.
What is Going On With Pharmacies in Canada
There is a large amount of talk lately in regard to Canadian pharmacies, and why not? pharmacies in Canada provide the same identical perscription drugs you would find at the local pharmacy, deliver to your front door, and most importantly, save you some cash. But not all pharmacies are the same. This article has been composed to help you to identify what you ought to look around for when doing business with Canadian pharmacies online.
Fifteen Ways to Fight Heel Pain
There are many different causes of heel pain, but the most common cause is plantar fasciitis (plan * tar fash* ee * I * tis). If you experience a sharp pain in your heel when you first step down in the morning, it is most likely due to plantar fasciitis. This problem is a result of excess stress through a long ligament type structure (the plantar fascia) in the bottom of the foot. The excess stress causes tearing and results in inflammation and pain. The classic symptoms are pain in the heel at the first step in the morning, or upon rising after long periods of rest. Many will complain of a sharp pain in the heel when they step out of their car or after finishing their lunch break. Other individuals only experience heel pain at the end of the day or during certain types of activity like running, soccer or tennis. The pain may extend into the arch and feel achy at the end of the day.
Chinese Medicine, over 2000 years old, is an ancient form of medicine. Consisting of acupuncture, moxibustion (moxibustion - using material made up of "moxa-wool," in a form of a cone or stick; moxibustion is used to treat and prevent disease by applying heat to pints or certain locations of the human body), herbal medicine, acupressure, cupping, therapeutic exercise and nutrition, traditional Chinese medicine is notated by its principle of internal balance and harmony, or "chi," (life force) regulation through energy channels.
Stem Cell Research
How To Buy Your Way Out Of An Early Death From An Incurable Disease.
Interactive Technology in Healthcare Education
Healthcare professionals are under pressure to remember, utilize and absorb vast amounts of new or changing information in increasing volume. This surge has led to new and improved computer-based tools for many healthcare activities and to an explosion in the marketplace of tools used in instruction and education of healthcare workers. This article explains the use of interactive technology in healthcare and how this benefits instruction and education of healthcare professionals.
How To Medically Treat Nail Fungus
Warning: This article is for information only and can not be used to supplement your doctor's advice. You should contact your doctor for nail fungus treatment.
Risperdal Side Effects: Neuroleptic Malignant Syndrome NMS
Risperdal is an atypical anti-psychotic drug that balances the levels of dopamine and serotonin in the brain. It helps to stabilize patients with mental illness including the manic stages of bipolar disorder and schizophrenia. However Risperdal has been prescribed not just for people with mental illness, but also for children and the elderly who have behavioral and conduct disorders and for autism. Studies have only approved Risperdal for use with adults, not children. Children on Risperdal could retain lasting side effects.
Bulk Forming Drugstore Laxatives
There are five basic types of drugstore laxatives you should be aware of. Some of these laxatives can be dangerous to use. In addition, some of these laxatives are combinations of these five types, which are designed to create an effective constipation product. In making this combination, a product is created that can be even more dangerous to your health.
Top Ten Things You Should Know About Contact Lenses
1. Soft lenses are perceived by most patients and practitioners alike to be more immediately comfortable while adequately correcting vision. They come in all formats - even toric and bifocal. Disposable soft lenses take minimal but important care to maintain their safety and usefulness.
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