Consultation with a podiatrist for the development of foot diseases



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Athlete's feet Athlete's feet is a group of fungal diseases that have a common localization and similar clinical manifestations, are very common and affect people of any age. Fungal diseases of the nails The first place among fungal diseases is taken by mycosis of the nail plates (onychomycosis), mainly of the feet, which significantly worsens the quality of life of patients.

Medical Center » Doctors » Podologist

 Podology is a modern branch of dermatology that deals with the care and treatment of the skin of the feet and toenails. This medical field pays special attention to the prevention and treatment of foot diseases of various origins, primarily fungal infections.

Initial consultation

from 1,000 rub. Fungal diseases of the feet in Russia alone affect 20% of the population. Every fifth person has a foot fungus. Symptoms in the initial stages of the disease are often unexpressed and erased. Without treatment, the process progresses, affecting new nail plates and skin, and then becomes chronic. Foot fungus is an infectious disease, most often caused by dermatophytes. They account for more than 70% of cases of pathology development. Damage to the skin by yeast-like and mold fungi occurs much less frequently - in approximately 1.5% of cases. A podiatrist treats foot fungus. The disease occurs for a number of reasons. Among them:

• Visiting public places: swimming pools, saunas, sports clubs and fitness centers.
• Intrafamily infection, if there is a sick person in the family who is avoiding treatment. Often these are elderly people. Therefore, you should not share towels, slippers or personal hygiene products.
• Reduced immunity. Because of it, the disease occurs more often in older people, and mainly in men.
• Neglect of hygiene rules, poor environmental conditions.
• Uncontrolled use of antibacterial agents, glucocorticoids, immunosuppressants, cytostatics.
• Improper lifestyle, presence of somatic diseases.
• Vascular pathologies.
• Diabetes.
• Skin injuries, including corns, calluses, hallux valgus, osteoarthritis.

Wearing tight shoes, visiting public places, weakened immunity, the presence of concomitant diseases and risk factors: diabetes, excess weight, pathologies of peripheral arteries and veins - all this leads to an increase in the frequency of foot injuries and the need for specialized care from a podiatrist - a highly specialized doctor. A regular pedicure does not solve this problem, since it is only a cosmetic method. A podiatrist from SM-Clinic will be able to conduct diagnostics and select methods of non-surgical treatment for the affected nail or skin of the feet. A podiatrist is a specialist doctor who deals with foot diseases. The doctor's main specialization is fungal infections. But a podiatrist also treats a wide range of pathologies arising from traumatic, endocrine, surgical, vascular, dermatological, orthopedic disorders or concomitant diseases. People most often consult a podiatrist if they have the following symptoms:

• change in the color and shape of the nail plates;
• feeling of pain when walking;
• peeling and thickening of the skin of the feet;
• the occurrence of painful cracks and an unpleasant odor.

If you have any of the listed signs, immediately contact the SM-Clinic podiatrists. They will prescribe a set of diagnostic procedures to identify the problem, as well as an adequate treatment regimen that will help prevent further development of the disease. A podiatrist is competent to cover a wide range of different foot diseases. Among them:

• problems on the skin of the feet - cracks, calluses, wounds on the heels and between the toes, blisters, corns, warts, roughening, peeling, redness of the skin;
• problems with the nail plate, both congenital and acquired: deformations, nail injuries, ingrown nails;
• diabetic foot;
• increased sweating;
• panaritium is an acute inflammatory process that occurs in the tissues of the foot near the nail plate and is accompanied by the release of pus;
• Morton's neuroma - pathological growth of tissue in the area of ​​the plantar nerve, etc.

Before visiting a podologist at SM-Clinic, you need to prepare. Carry out hygiene procedures, prepare (if available) available medical documentation. It is impossible to apply medications or cosmetics to the affected area, as they can significantly complicate the diagnosis. An appointment with a podologist begins with taking an anamnesis. The doctor asks standard questions, asks the patient about lifestyle, professional activities, signs of disease, the presence of acute or chronic pathologies. After collecting an anamnesis, the podiatrist performs a visual examination of the patient’s feet and palpation. Depending on the clinical picture, the podologist prescribes additional laboratory and hardware examinations. Basic diagnostic tests that a podologist can prescribe:

• Analysis for pathogenic fungi to identify the causative agent of the disease.
• Blood test for sugar, microelements.
• If necessary: ​​Ultrasound of the vessels of the lower extremities.
• Microscopic examination of skin and nail scales.
• Culture for dermatophytes and candida.
• PCR diagnostics.
• Based on the results obtained after diagnosis, the podologist will prescribe therapy for the pathology.

SM-Clinic podologists use different methods to treat patients. This:

• Systemic and external therapy, that is, the prescription of external and systemic drugs for treatment, as well as mechanical treatment (grinding) of the affected skin.
• Medical pedicure as an independent method of treatment or as preparation for the application of medicinal products.
• Photodynamic therapy of nails (PACT-MED). An absolutely safe method for health, which is guaranteed to get rid of mycoses, does not cause pain or discomfort and takes a minimum of time.
• Conservative therapy. Prescription of special drugs for the treatment of pathology. Your doctor may also prescribe anti-inflammatory medications.
• Surgery. It is carried out in case of total damage to the nail plate, the addition of inflammatory changes in the nail fold - panaritium, paronychia.
• Massage, physiotherapeutic procedures to improve blood circulation and tissue trophism.

If necessary, the podologist redirects the patient for further treatment to other specialists. If your feet are damaged due to diabetes, see an endocrinologist. In case of ingrown nails and the impossibility of correction or inflammatory diseases of the nail plate (paronychia, felon) - see a surgeon. To avoid infection with foot fungus, you must follow some rules. Among them:

• special treatment of shoes;
• prevention of re-infection with fungus: application of preventive varnishes, photodynamic therapy of nails once a month;
• regular foot skin care: pedicure, use of specialized medical ointments and creams with a moisturizing, softening, healing, antiseptic effect.
• During the consultation, the podiatrist will tell you in detail about preventive methods to prevent the occurrence of an unpleasant disease, and about proper foot care. The podiatrist will help you choose suitable shoes for the patient.

SM-Clinic specialists are podiatrists with extensive practical experience who prescribe high-quality and effective treatment for foot diseases. We also use modern methods of treatment and prevention of fungal infections.

You can make an appointment with specialists for a consultation and check prices for an appointment with a podiatrist in Moscow from the operators of the SM-Clinic contact center.

Name of service	Price, rub) *
Podologist consultation (initial)	1,000 rub.
Podologist consultation (repeated)	1,700 rub.
Hardware treatment/removal of the nail plate of one finger for mycosis (with medicinal treatment of the nail plate)	1,050 rub.
Hardware removal of the nail plate of one finger for mycosis with a total lesion (with medicinal treatment of the nail plate) repeated	650 rub.
Photodynamic therapy (PAST) for onychomycosis, 1 nail plate	1,500 rub.
Inoculation with dermatophyte fungi	650 rub.
Examination of nail plates and skin scales for pathogenic fungi and flora	610 rub.
Comprehensive examination of nails for microelements and heavy metals (40 elements)	RUB 5,250
Collection of material for research	250 rub.

Prices for specialist appointments at SM-Clinic in Solnechnogorsk

We accept bank cards VISA, MASTERCARD, MAESTRO for payment

The full price list can be found at the reception desk or you can ask a question by calling +7 (495) 292-39-72.

* The administration of the clinic takes all measures to timely update the price list posted on the website, however, in order to avoid possible misunderstandings, we advise you to check the cost of services at the reception or in the contact center by phone +7 (495) 292-39-72.

The posted price is not an offer. Medical services are provided on the basis of a contract.

Source: https://www.smclinic.ru/doctors/podolog.html

Podologist: what kind of doctor and what does he treat?

A podiatrist (or podiatrist) is a highly specialized specialist who deals with foot diseases. The doctor’s competence includes a wide range of foot pathologies that arise as a result of dermatological, vascular, endocrine, surgical, traumatic, orthopedic disorders or concomitant diseases.

A podiatrist often acts as an intermediate link between the patient and other specialized specialists - phlebologist, surgeon or orthopedist, endocrinologist, neurosurgeon. You should contact a podiatrist if any biomechanical disorders occur in the foot area.

What diseases are included in the sphere of professional interests of a podiatrist?

The competence of a podiatrist includes the identification, treatment, prevention of foot diseases, as well as rehabilitation of the patient after therapy:

1. Problems with the skin - calluses, cracks, skin wounds on the heels and between the toes, corns, blisters, warts, redness, roughening (hyperkeratosis) and peeling of the skin of the feet.
2. Acquired or congenital nail problems - ingrown nails, deformation and injury to the nail plate.
3. Pain in the foot of various types, including etiologies that are unclear to the patient. Or vice versa, loss of tissue sensitivity.
4. Static, paralytic, rachitic and congenital flatfoot (pathological flattening of the arch of the foot) or hollow foot (pathological increase in the arch of the foot, hypersupination).
5. Overpronation of the foot is excessive internal rotation of the lower limb.
6. Problems with the joints of the foot, including injuries, arthrosis and arthritis, bursitis.
7. Problems with blood vessels and veins in the legs. Diseases that cause disruption of the trophism of tissues of the lower extremities. Diabetic foot, varicose veins.
8. Pathological bone growths, plantar fasciitis or spurs. Epiphysitis of the calcaneus.
9. Hyperhidrosis or excessive sweating of the feet.
10. Valgus deformity of the first toe (the so-called “bunion”) and any deformities of the feet.
11. Hygroma or cyst.
12. Panaritium is an acute purulent-inflammatory process that occurs in the tissues of the foot, usually near the nail plate.
13. Pathological growth of fibrous tissue on the foot in the area of ​​the plantar nerve (Morton's neuroma).
14. Carpal tunnel syndrome and other neurological disorders in the foot area.
15. Muscular, fascial, joint or bone injuries (strains, dislocations, subluxations, fractures, cracks, deformations, ruptures) resulting from surgery, accident, etc.

The podiatrist also provides medical pedicures and advises patients on how to properly care for their feet and how to choose the right shoes.

Important! A podiatrist can perform medical pedicures, but he does not deal with cosmetological and cosmetic problems, or the beauty of the feet. At the same time, a simple pedicurist in a beauty salon cannot perform the duties of a podiatrist. A specialist podologist must have a medical education and an appropriate diploma.

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In what cases is it necessary to consult a podologist?

It is necessary to make an appointment with a podiatrist if the following aesthetic or functional disorders occur:

• Discomfort or pain in the foot or toes at rest or during movement. Including chronic or sudden pain syndrome, lumbago.
• Any deformation of the foot, including the appearance of a bunion.
• Frequent cramps that occur in the foot or toes.
• Feeling of heat or cold in the legs.
• A burning sensation, itching, including itching of the tissues around the nail plate.
• Swelling, swelling in the foot area.
• Changes in the qualitative characteristics of the skin - the appearance of neoplasms, cracks, ulcers, wounds, thickening of the skin, changes in color, the appearance of spots or spider veins.
• When palpating the foot, the presence of growths or neoplasms on the bone is revealed.
• Changes in the quality characteristics of nails - delamination, porosity, ingrowth, pigmentation, deformation.
• Self-identification of flat feet or other arch disorders.
• Feeling of pain in the joints, crunching or clicking when bending the toes.
• Injuries to the bones, joints, tendons, ligaments or muscles of the foot.

Also, an indication for contacting a podiatrist is uneven footwear wear, which indicates improper distribution of the load on the foot when walking.

People at risk should undergo a mandatory preventive examination by a podiatrist once a year:

1. Women who wear primarily high-heeled shoes.
2. Women and men who prefer dress shoes with narrow toes. Or shoes that do not have an orthopedic insole.
3. People who have reached 40 years of age.
4. People with excess body weight and, especially, obesity.
5. People with chronic endocrine or vascular diseases.
6. People whose professional activities involve frequent physical exercise and heavy loads on their legs.

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It would be a good idea for a woman to see a podiatrist during pregnancy (in the third trimester), even if she does not have any disturbing symptoms. You should also make an appointment with a specialist for early diagnosis of flat feet.

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Why is it important not to put off visiting a podiatrist?

The feet are the part of the body that takes on significant motor load and the weight of the entire body. The muscular-fascial chains of the human body originate in the soles. If foot diseases are neglected, irreversible disorders may begin in the body, which will disrupt the functioning of the entire harmonious mechanism of the body.

Early detection of diseases allows for quick and atraumatic treatment without the use of surgery.

If you do not pay attention to the symptoms or self-medicate, the pathology will gradually progress. In this case, complications may arise.

For example, with flat feet, posture becomes distorted and disturbances in the functioning of internal organs begin.

Even simple pain in a toe or heel can cause lameness, and advanced vascular pathologies can cause gangrene and require surgical treatment, including amputation of limbs.

Also, during an appointment with a podologist, other diseases may be discovered, such as diabetes mellitus or pathologies of the cardiovascular and nervous systems.

Early treatment will make treatment not only painless, quick and comfortable, but also less burdensome financially.

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Where does a podiatrist work and who to contact if there is no podiatrist on staff at the clinic

Podologist is a rare specialty. Finding a podiatrist in a regular public clinic or hospital is almost impossible.

Typically, a foot specialist works in one of the following institutions:

1. Private outpatient medical center.
2. Specialized podological center, “institute” of podology.
3. Cosmetology clinic.
4. Beauty saloon.
5. Private office of a podiatrist.

If the patient does not have the financial means to seek the services of a podiatrist at a commercial institution, he can make an appointment with a local therapist (pediatrician).

The doctor will conduct an initial examination, evaluate the clinical picture and refer the patient for further examination to one or more specialized specialists - an orthopedist, surgeon, traumatologist, dermatologist, phlebologist, endocrinologist, neurologist.

In this video, the podologist talks about how the appointment and treatment is carried out, what aspects of nail and skin care you should pay attention to:

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Features of an appointment with a podiatrist, diagnostic methods he uses

For a consultation with a podologist to be successful, the patient must prepare for it:

1. Remember and write down all the details regarding the disturbing symptoms - when the problem arose, what it is expressed in, with what frequency and under what conditions warning signs occur, what methods help alleviate the condition. Remember or find out if blood relatives have similar problems.
2. Prepare medical documentation, if the patient has one - medical card, insurance, results of previous studies.
3. Carry out hygienic procedures, after which there is no need to apply any cosmetics or medications to the affected area.
4. Wear comfortable clothes (not tights, but socks) and comfortable shoes in order to bare your feet painlessly and quickly.

An appointment with a podiatrist begins in the same way as with any other specialist - with anamnesis collection. For this purpose, the doctor will ask standard questions regarding the patient’s lifestyle, professional activities, symptoms of the disease, as well as questions about the presence or absence of any acute or chronic diseases.

After collecting anamnesis, the doctor may ask the patient to take off his shoes, socks and make some movements with his feet and toes. If flat feet are suspected, the podiatrist will perform a plantogram.

During the procedure, the patient stands with the bare soles of his feet on a surface coated with dye, and then on a clean sheet.

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Next, the doctor will invite the patient to sit in a special chair, which is designed for the convenience of the patient and the doctor, and will conduct a visual and palpation examination of the feet.

Depending on the clinical picture, the doctor may prescribe additional laboratory and hardware tests:

• Examination of the skin using a Wood's lamp.
• General clinical blood test for the presence of markers of inflammation in the body.
• General clinical urine analysis, which allows you to detect the release of fungal mycelium in mycoses of the feet.
• A blood sugar test may indicate the development of diabetes.
• A blood test for cholesterol levels helps in identifying blockages in the blood vessels of the lower extremities.
• X-ray of the foot or feet in two angles (projections) - helps to calculate the angle of inclination of the arch of the foot, the size and shape of bone tissue, and diagnose pathological growth or deformation of bone tissue.
• CT or computed tomography, including using a 3D tomograph, makes it possible to obtain a clear three-dimensional image of the tissues of the foot. Helps assess the structure and condition of bone tissue, tendons, and joints.
• Ultrasound – allows you to diagnose the presence of blood clots in the vessels of the lower extremities.
• Taking a smear or scraping of the skin and nails for laboratory diagnosis of mycotic lesions of the tissues of the feet.

Then there can be three scenarios:

1. The patient is sent for further examination and treatment to another specialist (dermatologist, mycologist, surgeon).
2. Having made a preliminary diagnosis, the patient is sent home until the test results are received, without which it is impossible to prescribe treatment. Therapy is prescribed at a follow-up appointment with a podologist, or based on the results of the research, the doctor will refer the patient to another specialist.
3. Treatment occurs immediately after diagnosis - this mainly concerns diseases of the skin and nail plates.

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Treatment methods for pathologies of the skin of the feet and toenails by a podiatrist

A podiatrist has a wide range of conservative and surgical methods for correcting, treating and caring for the feet. All manipulations are carried out in strict accordance with the established protocol, in compliance with all standards of asepsis and antisepsis, safety rules, sanitary-epidemiological and legal standards for organizing a medical appointment.

A podiatrist may recommend the following procedures:

• Medical treatment and prophylactic hardware pedicure (without the use of cutting instruments).
• Medical pedicure using a sterile instrument - scissors (for hyperhidrosis).
• Treatment and correction of ingrown nails without surgery. In this case, a technique called orthonexia is used - treatment with staples and plates.
• Surgical removal of the nail followed by prosthetics. In this case, minimally invasive, low-traumatic methods are often used, for example, treatment using laser technologies.
• Removal of warts, papillomas using laser, cryodestruction.
• Treatment of callous growths (in case of joint deformation and improper positioning of the toes due to arthritis, arthrosis, gout) using special individual correctors based on silicone mass - orthoses (orthoses).
• Hardware removal (using special cutters and grinding stones) of keratinized skin, treatment of cracks in the feet, calluses and corns. The advantages of the procedure are that the integrity of the skin is not compromised and in the case of mycosis, pathogenic microorganisms cannot infect new areas of the skin.
• Drug treatment of mycoses of the feet - the prescription of external and systemic drugs, mechanical treatment (grinding) of the affected skin.
• Prescribing (and possibly manufacturing) special individual insoles for the treatment and prevention of flat feet.

To improve blood circulation and tissue trophism, develop and improve foot mobility, a podiatrist can prescribe and perform massage of the lower extremities. The specialist may also prescribe anti-inflammatory drugs and a course of physical therapy.

Important! Any treatment by a podiatrist is absolutely painless and in most cases does not even cause discomfort. If the patient is diagnosed with severe lesions of the skin or nail plates, he will be provided with effective anesthesia during therapy.

A podiatrist is a doctor who can help solve any problems that arise in the foot area. The doctor will conduct a diagnosis and either prescribe treatment himself, or, if he lacks the necessary qualifications, will refer the patient to another doctor specializing in a specific disease.

A podiatrist is also a specialist who can tell you in detail about foot care and help you choose the right shoes. This doctor will also recommend prevention methods that help prevent the occurrence or recurrence of foot pathologies.

Source: https://vrachibolezni.ru/vrachi/podolog/

Which doctor should I contact for foot pain?

While patients with acute respiratory infections clearly know that they need to call a therapist, when they have problems with their feet, many do not understand which doctor to see. If your feet hurt, the problem may not only lie in orthopedic diseases. The patient may be of interest to both a surgeon, phlebologist, and doctors of other specialties.

Since pain in the foot brings significant discomfort and every trip to a medical facility is difficult, patients need to decide in advance which doctor to consult in order to avoid long periods of standing in queues and unsuccessful trips to the clinic. To determine the right specialist, you need to familiarize yourself with what problems certain doctors work with.

Therapist

Oddly enough, a general practitioner can also help a patient with foot pain. At the initial consultation stage, the therapist can associate leg pain with existing somatic abnormalities.

For example, if a therapist reads about the presence of diabetes in the medical history, then first of all he will write a referral to an endocrinologist, but a phlebologist will deal with vascular problems.

Since patients cannot always decide on their own which specialist to seek advice from, it is better in this situation to trust a therapist.

When examining a patient, the therapist will pay attention to the following features:

• absence or presence of swelling of the soft tissues of the foot;
• time of pain onset (morning, evening hours);
• deformation of the foot, big toe;
• swelling of the body as a whole;
• the nature of the pain, the appearance of sharp, nagging or aching pain;
• preservation or loss of sensation in the legs;
• radiating pain in the feet to other parts of the limb (fingers, muscles);
• additional complaints about the feet (cramps, feeling hot, feeling of freezing feet).

IMPORTANT! For pain in the feet, one can suspect both general somatic disorders and specific pathologies in the lower extremities. It is especially important to pay attention to edema, since they are manifestations of diseases of the heart, urinary system, and peripheral circulatory disorders.

A foot surgeon can also help patients with foot pain. A specialist in this area of ​​medicine not only performs surgical interventions, but can also prescribe conservative treatment for the disease, if such a possibility exists.

During a consultation with a patient, the surgeon pays attention to the following features of the foot condition:

• varicose veins of the lower extremities;
• trophic ulcers on the legs;
• ingrown nails;
• neoplasms filled with purulent or serous contents;
• sensitivity in the foot;
• foot skin color (darkening, bluish tint, appearance of brown spots);
• asymmetrical swelling of the foot;
• change in finger color;
• shape of the big toe (with gout);
• feeling of chills in the legs, loss of sensation;
• lameness when walking.

The surgeon will help the patient cope with the discomfort in the feet, which is the result of old injuries, varicose veins. If the ankle has traumatic injuries, the surgeon, in the absence of a traumatologist in the clinic, can also consult the patient.

Angiosurgeon

Angiosurgeons are doctors of a relatively new specialty, but nevertheless very popular. Angiosurgeons deal with problems of blood vessels and all diseases associated with them. The work of an angiosurgeon is more “jewelry”.

Such specialists restore blood circulation in the smallest vessels and perform complex operations on blood vessels. Therefore, if you have the opportunity to visit an angiosurgeon, you should never refuse a consultation.

Perhaps the root of the problem lies precisely in this plane and the foot hurts due to vascular problems.

Patients visiting an angiosurgeon most often complain of the following abnormalities:

• heaviness in the legs, which occurs both with and without active exercise;
• swelling of the lower extremities;
• protrusion of blood vessels on the surface of the legs;
• the appearance of telangiectasia - spider veins;
• roughening of the skin, constant redness and thickening;
• burning in the legs with increased stress;
• pain in the foot when touching the legs.

Contacting an angiosurgeon is justified in many situations, since vascular problems can be both the cause of pain in the foot and its consequence. What doctors will tell you if your foot hurts on the outside - read here. To comprehensively eliminate the problem, a visit to such a specialist will not be superfluous.

Traumatologist

A traumatologist primarily consults patients with foot injuries. If a person has injured his foot and there is a suspicion of a dislocation, fracture, or lacerations are visible, then such a patient is treated by a traumatologist.

The appearance of swelling and hematoma is a reason to consult a traumatologist

Traumatology is an extremely complex area of ​​medical knowledge. As a rule, traumatologists are faced with multiple injuries, for example, when a patient is brought in after an accident or natural disaster.

With multiple injuries, it is important to correctly structure the treatment and start with those injuries that are of vital importance to the patient. In difficult cases, traumatologists work in conjunction with other specialists - surgeons, cardiologists, anesthesiologists. If immediate surgical intervention is required, traumatologists are also involved in this process.

Traumatologists also treat injuries that are not associated with such severe injuries. For example, in case of sprained ligaments, subluxation of the foot, or bruise, when the patient can go to the clinic on his own, he will also need to consult a traumatologist.

Rheumatologist

Treatment of foot pain when walking

Specialists in the field of rheumatology treat diseases associated with chronic connective tissue lesions. As for the feet, rheumatoid arthritis takes the lead here. Rheumatoid arthritis is an autoimmune pathology in which the body attacks its own cells, mistaking them for foreign. The result of such attacks is an inflammatory process in bone tissue.

Patients with rheumatoid arthritis of the foot complain of pain that worsens in the evening, swelling in the feet, pain when moving the toes, redness of the foot, general weakness and deterioration in health. The feet hurt more and more, so patients do not delay visiting the doctor.

In rheumatoid arthritis, damage to the cartilage tissue of the joints of the foot will be treated differently by rheumatologists than they treat arthritis. In this case, the direction of therapy can be determined only after a blood test and identification of specific inflammatory markers.

Orthopedist

The specialty of an orthopedic doctor closely overlaps with a traumatologist, so in some hospitals you can find the inscription “orthopedic traumatologist,” which indicates double certification of the specialist.

Such a doctor treats pathologies of the musculoskeletal system, he treats both congenital and acquired pathologies, defects in intrauterine development, and the consequences of infectious diseases.

Orthopedists can provide both conservative and surgical treatment. You should not think that a consultation with an orthopedist categorically means a referral for surgery.

REFERENCE! The most difficult part of an orthopedist’s work is prosthetics. Doctors perform complex operations to replace bones and joints if they have completely lost their functions.

Usually, untreated arthritis and arthrosis that have reached the last stage lead to the need for prosthetics. An orthopedist also works with traumatic injuries when prosthetics are indicated. That is why such specialists have two specialties.

The contingent of orthopedists is not only elderly people. Problems with the musculoskeletal system occur in people of different ages.

Doctors often diagnose congenital hip dysplasia in newborns, and skeletal and bone growth defects in adolescents.

Mature patients usually present with injuries, and elderly people can consult a doctor with degenerative-dystrophic pathologies of bones and joints.

An orthopedist works with the tendon-ligament apparatus, joint elements, bones, nerve endings and muscles. Typically, an orthopedist will have to deal with the following problems:

• osteochondrosis;
• congenital pathologies;
• arthritis and arthrosis;
• bursitis.

Consultations with an orthopedist are extremely important at any age, especially during the neonatal period, since many diseases can be corrected during the infant period if you listen to the doctor’s recommendations.

Dermatologist

A dermatologist deals with damage to the skin, so he can treat disease in any part of the body, including when signs appear on the skin of the foot.

A dermatologist can help you treat foot fungus

Skin diseases can be associated with a bacterial infection or fungal infection - the exact presence of the pathogen can only be determined after taking a scraping from the surface of the skin and analyzing it under a microscope.

The doctor will also give advice on the following problems:

• pain and itching between the fingers;
• rashes on the skin;
• the appearance of areas of rough skin;
• with damage to the nail plates;
• if the patient has warts or calluses.

It is very important not to try to treat foot problems on your own, but to consult a dermatologist first. If a patient has a wart on his foot that begins to hurt and causes significant discomfort, then you should not remove it yourself, because new ones may appear nearby and in larger quantities. A dermatologist will take the material for a biopsy and then remove the defect.

Podologist

A specialist called a podiatrist is still little known to the population of our countries, although in fact, each person solved the problems of a podiatrist quite often, but with other specialists. Now it is possible to consult with specialist doctors who deal with a limited range of problems.

A podiatrist is a doctor who specializes in foot problems. A podiatrist works not only with deformation changes in the foot, but also with other pathologies associated with this part of the lower limb, for example, soft tissue injuries. The main purpose of visiting a podologist is to detect diseases at an early stage, without resorting to the services of surgeons.

Podologists work primarily in private salons or clinics. They are reminiscent of dental clinics - there is also an administrator, they will select the desired time for the client and advise the doctor.

If the podiatrist is unable to provide assistance, he recommends consultation with another specialist.

REFERENCE! Podologists are new representatives in the medical services market. People of this profession cannot be called cosmetologists, although they solve these problems; rather, podiatrists are an intermediate link between the patient and the clinic.

Many cosmetic problems can be solved by a podiatrist before the defect reaches the stage of disease. In this case, treatment can only be prescribed by a surgeon or a doctor of another specialty.

Nevertheless, the podiatrist carries out powerful preventive work, thanks to which people do not become hospital patients. For example, a podiatrist will help patients with exacerbation of diabetic foot, if the inner or outer side of the feet is affected, eliminate ingrown toenails, and perform a rehabilitation massage after an injury.

For example, after coming in with one problem, patients often learn a lot about their feet.

After all, at the initial stage of development of deviations, symptoms do not appear and only a specialist can assess what problems the patient still has.

By consulting a podiatrist about an ingrown toenail, the specialist may also detect other abnormalities, such as fungus. At the same time, the final diagnosis can be made only after scraping in the clinic.

The podiatrist even solves complex problems with the implantation of staples to strengthen the nail plate

A podiatrist and an orthopedist will not replace. If a person has foot deformities or other abnormalities, a podiatrist will recommend a consultation, but not replace it. But not only to give advice, but also to eliminate the defect, a podologist will help in the following cases:

• with orthonyxia - ingrown nails;
• the need for advice on choosing shoes;
• diabetic foot treatment;
• the need for cosmetic treatment of the surface of the foot;
• treatment of nail fungus;
• the need for nail plate prosthetics;
• removal of calluses, cracks, corns;
• the occurrence of skin itching;
• installing staples to prevent ingrown nails;
• the need to massage after an injury;
• removing warts on the leg.

In many cases, a podiatrist cannot replace a specialist doctor. However, the podiatrist’s knowledge is enough to carry out a differential diagnosis and find out the cause of discomfort in the foot. If a foot specialist helps you independently, then this happens in the office, but if the intervention requires a different level of knowledge and skills, then the podiatrist will recommend where to go with the problem.

Which doctor treats foot pain? If you have problems with your feet, do not think twice about choosing a doctor. If the patient does not know where to start, he needs to go to a therapist. Delay in treatment is extremely undesirable, since irreversible changes may occur and the person will become disabled.

Source: https://elemte.ru/lechenie/kakomu-vrachu-obrashchatsya-boli-stupnyah

Serious foot problems should be addressed by a podiatrist

Most women, even with serious foot problems - growths or ingrown toenails - turn to a regular beauty salon to see a pedicurist. But this should not be done, because a regular hygienic pedicure can aggravate the disease. For example, when cutting an ingrown toenail, an infection may develop, and then it’s not far from an abscess. Also, you should not show initiative and try to treat yourself: for example, when cutting a callus, you risk infecting the wound and growing a breeding ground for calluses in this place. Problems such as calluses, warts, thickened skin, cracks, deformed nails, fungal infections of the nails and skin of the feet are very common and require special treatment and approach. This should be done by a specialist podologist.

Podologist – (from “podo” - foot) a doctor who specializes in therapeutic foot care, diagnosis of the condition of the skin of the feet and nails, treatment, care and rehabilitation of the feet.

A medical pedicure performed by a podiatrist is fundamentally different from a cosmetic manicure - the doctor helps to delicately eliminate calluses and corns, rough skin, cracked heels, and ingrown nails. Plastic surgery and prosthetics of the nail plate are also performed in case of injury or deformation.

In addition, if during the initial examination there are signs of any disease, the podiatrist determines the cause and draws up an effective treatment plan, taking into account all the features and in consultation with doctors of related specialties.

The podiatrist also selects corrective foot treatment, including massage, physical procedures, nail prosthetics (aesthetic, therapeutic), and also gives recommendations on therapeutic foot care and disease prevention.

Speaking about the problems that podologists deal with, we cannot ignore such a category of patients as diabetics who are faced with diabetic foot syndrome .

Therefore, people with this diagnosis need regular visits to a podiatrist.

Many people are familiar with the problem of calluses. Often people suffer from them for many years. Many people from time to time resort to radical methods - laser therapy, surgical removal and the like, but calluses reappear

In order to deal with a problem effectively, you need to understand why it arises and develops. Before removing the callus, the podiatrist refers the patient to an orthopedist. After all, the appearance of calluses is a response of the skin to increased stress. Without removing the load, without redistributing it more evenly, it is impossible to get rid of calluses.

If the problem is related, for example, to incorrect placement of the fingers, the podiatrist can solve it on the spot by making an individual corrector (orthosis) from silicone mass. In all other cases, consultation with an orthopedic doctor is required.

The same applies to fungal infections. Only a doctor can make a diagnosis and prescribe treatment based on an analysis, but the treatment will be carried out by a podologist (regular cleanings and treatments with drugs, adjusting the shape of the growing nail plate).

The podiatry office solves many problems related to the foot, such as treatment and special treatment of cracks, correction of ingrown nails.

With modern equipment, cosmetics and technology, it is not at all necessary to run to a surgeon with these problems.

A large number of modern techniques allow the podiatrist to correct ingrown toenails even in very advanced cases and in the presence of inflammation.

Serious foot problems should be addressed by a podiatrist

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Source: http://my-derma.com.ua/sereznye-problemy-stopy-dolzhen-reshat-vrach-podolog/

Podologists in Moscow

Are you looking for a good podiatrist in Moscow? Choose the best podiatrist from 19 doctors in 37 clinics, based on 710 reviews. The average cost of a consultation with a podiatrist in Moscow is 2,700 rubles.

A podiatrist is a highly specialized doctor whose professional interests include the diagnosis, treatment and prevention of diseases and pathologies of the foot. These conditions include:

• orthopedic foot pathologies that can be eliminated by using

conservative treatment methods;

• deformation of the feet (early stages of development of pathologies);
• diabetic foot syndrome;
• arthrosis of the joint;
• bone (heel) spur;
• pathologies of the structure of the nail plate;
• Morton's neuroma;
• hyperkeratosis of the foot (calluses, warts, corns, cracks);
• fungal foot pathologies;
• degenerative changes and deformation of joints and toes.

To prevent joint deformation and flat feet, consultation with a podiatrist is recommended for overweight patients, even without symptoms of any foot diseases. A visit to a podiatrist is advisable if you have the following symptoms:

• formation of thickening of the skin, corns, calluses, cracks;
• the presence of an ingrown and/or deformed nail;

change in the color and/or structure of the nail plate;

• foot pain, swelling, redness.

• Who is a podologist?
• What symptoms should you consult a podiatrist for? 
• What diseases does the podiatrist treat?
• How does an appointment with a podiatrist take place? 
• Diagnostics prescribed by a podiatrist

I'm looking for a podiatrist. Where to begin?  

1. Cost of an appointment with a podiatrist
2. Make an appointment with a podiatrist 
3. A specialist podologist is a doctor who has a first medical education in orthopedics, dermatology, mycology, podiatry, and has received additional specialization in podology.
4. The Podology Center provides the opportunity to diagnose and treat foot diseases, congenital and acquired, through medical pedicure, physiotherapeutic and manual procedures.
5. Do not confuse an ordinary aesthetic pedicure in a salon with a medical one: the service of a podiatrist is not to disguise cosmetic defects, but to treat and prolong the functional mobility of the feet.
6. Consultation with a podiatrist is required if the following symptoms appear:

• Whitish coating on the skin of the feet;
• Papillomas (warts) on the sole;
• Ulcers on the foot and especially on the heel;
• Non-healing cracks in the skin of the feet;
• Old calluses;
• Ingrown nails, if this process is accompanied by abscesses, suppuration, swelling;
• Flat feet;
• “Shots” in the heel;
• Pain at rest and when walking;
• Increased sweating of the feet;
• Hyperkeratosis.

• The best podologists combine two or more specialties (podiatrist, mycologist, dermatologist, orthopedist, surgeon, chiropractor), which allows them to approach the issue of treatment in the most complete and qualified manner.
• The Podology Clinic is a medical institution where the patient can receive help for pathologies of bones (calcaneal, metatarsal, tarsal), tendons, ligaments, joints, blood vessels and nerve endings.
• A patient of any gender and age may need the help of a podiatrist, but at particular risk are patients with diabetes, overweight people, athletes who have a lot of stress on their feet, and women who wear tight high-heeled shoes for a long time.
• The request “advise a podologist” is relevant for the following diseases:

• Ingrown nails;
• Corns (dry calluses);
• Mycosis (fungal infection) of nails;
• Flat feet;
• Curvature of the fingers, including the first toe (halus valgus);
• Inflammation of rough skin on the sole;
• Trophic ulcers.

With the latter disease, self-medication is unacceptable; only a specialist podologist can help in this situation. Advanced cases can lead to limb amputation.

Stage of development	Characteristic signs
First	Itching, discomfort, irritation in the foot area
Second	Localization of itching, peeling
Third	The appearance of ulcers, wounds without signs of inflammation
Fourth	Deepening and widening of the surface of the lesion, signs of inflammation
Fifth	Tissue necrosis, exposure of foot structures
Sixth	Gangrene

Before prescribing treatment, the podiatrist examines the patient’s feet on a special chair, collects anamnesis, and determines the necessary diagnostic procedures. After this, treatment begins with a podiatrist, which consists of treating the feet, mechanical and medicinal effects, correction, cleaning, and, if necessary, wearing special orthopedic pads and inserts.

Reviews from podiatrists' patients indicate the success of using combined agents in treatment with regular visits to a specialist.

Before treatment, it is necessary to carry out a diagnosis, therefore, studies performed on the recommendation of a podologist include a general and detailed blood test, including sugar and cholesterol, as well as a general urine test. In addition to these, the podologist may prescribe an x-ray or computed tomography of the foot, ultrasound diagnostics of the blood vessels of the legs, a plantogram, or a smear from the skin of the feet.

A patient who is looking for a podologist must carefully approach the issue of choosing a doctor. It is worth looking for a podiatrist in specialized centers, since this specialization is quite rare, and not every pedicurist has the appropriate knowledge.

The safest thing to do is contact an endocrinologist, angiologist, phlebologist, orthopedist and find a podologist on their recommendation, since this doctor is often the link between these specialists.

In the podiatry center and private offices, the doctor provides consultations for a fee, since the podologist is not among the medical specialists providing services within the framework of compulsory medical insurance.

The price of a podiatrist is set depending on many factors, ranging from the level of education to the cost of the drugs used.

At the same time, an excessively low price should alert you: it is inexpensive to see a podiatrist who has completed 1-2 week courses, but is not a medical specialist.

The medical service for selecting doctors VseVrachiZde will help you make an appointment with a podiatrist at any time convenient for you. The website provides the following information:

• list of podologists, their qualifications and medical experience;
• rating of podologists based on reviews of real patients;
• addresses of podiatrists, clinics, centers and private offices where appointments are carried out.

Podology: clinics (Moscow): Medical and Dental Clinic SHIFA (SHIFA) m. University

Source: https://www.vsevrachizdes.ru/doctors/speciality/podolog/