skin on the foot, there’s a reason why a lot of foot odour sprays don’t work to alleviate the symptoms. We’ve all had cases of smelly feet, you know if you’ve been stressed or something there is some hormone that is released in the body and it can make the body smell in an unusual way but as soon as you have a shower it washes off.

There are other times where the bacteria and the fungus actually take hold and penetrate the deeper layers of skin. I have a little example of layers of the skin.

In the foot, there are five layers of skin and it takes 28 days for the baby skin layer here to grow up to become the top player that you would normally see on the outside of your skin (ignoring hard skin).

If you get a fungal infection and a bacterial infection, they creep into the deeper layers of skin so any foot odours spray or salt bath that you used for your feet or perfumes that you use only address the top layer (and maybe if you’re lucky the second layer). But the third and other layers here still have a bacterial and a fungal infection and that’s what gives the strong odour.

So, when you come and see a podiatrist we will normally use a strong medicated treatment to get through all the layers of the skin. That takes a course of six weeks and normally we will use a strong gel or cream to penetrate all the way through the five layers of the skin, not just the top two.

To get rid of foot odour it normally takes six weeks to clear the foot odour from all of these layers of the skin.

If you have smelly feet or extra sweaty feet, come and see us. If you don’t have bad foot odour but they just sweat a lot, there is something that we can do for the feet that closes the sweat pores so that the feet don’t sweat too much (but we do want the feet to sweat little bit – it’s a self-cooling regulatory system that the body has).

So, if you think you’re sweating too much, come in and see us and there’s something that we can do for you to close the sweat pores. Or if you have bad smelling feet according to you then come and see us also there are some anti-fungus and antibacterial gels that we can use that penetrate through all five layers of the skin. Then those five layers of skin can grow out over six weeks to reveal the fresh, healthy, new skin without a bacterial or fungal infection.

Enjoy your Friday!

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the foot? Is it coming from the ankle? Once we discover where it’s coming from that will change the treatment plan.

Say for example, we need to get the knee to point out wards and the space to open, we’ll put something underneath the foot that tilts the foot to get the knee to externally rotate again, because normally with the feet straight we want the knees to point at eleven and one o’clock.

The perfect position of the knees is eleven and one o’clock, we don’t want straight ahead knees either, we also don’t want the knees to point to ten and two o’clock or nine and three o’clock, we just want eleven and one o’ clock with the feet straight.

The reason for that is when the feet are straight and the ankles are straight, the hips are set wider, so the knee does have to get 50% of a different angle from the ankle to the hip ratio, so eleven and one o’clock is perfect alignment.

We also have to look at leg length because ‘leg length discrepancy’ is normal with growing children. When one leg grows longer than the other the pelvis will tilt, and one knee will point to a different direction compared to the other.

We have to understand that’s normal for children, but if you notice your child has knees that are leaning in or bending in it’s very important to take them to the podiatrist, or the orthopaedic, of course your general practitioner, or your paediatrician just to get a full scope of assessment done.

But most commonly we use something underneath the feet to tilt the feet to get the knees to change direction which is why if your child has ‘Gene Valgum’ or ‘Genuverous’ you’ll be asked to come and see a podiatrist to get the foot and ankle sorted to help with that.

So, what we do with Gene Valgum is we would put something underneath the foot, and we would tilt the foot (and that’s what this tilt is). Depending on the severity of the Gene Valgum, it depends on how high this wedge is so it can be anything from five degrees up to forty-five degrees in the most severe cases.

Again, say for example it’s a child, we would put a tilted orthotic with how many degrees (this child has a twenty-seven-degree tilt on to theirs) for their Gene Valgum inside school shoes and it fits easily inside the school shoe, of course we always like it with a strap on the top. For boy’s school shoes’ most of the time it’s very easy because they look like sports shoes.

Going back to Gene Valgum, normally if the ankle leans in you can imagine the leg will come up like this and then bend up to the top as well. That’s why we put something underneath the foot that will tilt the foot straight.

I will show you what we mean, say the foot leans inward like this, we would put something tilted so that when a child stands on it they are tilted straight and that’s how we correct Gene Valgum in most cases.

Enjoy your Friday!

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So, to fix it of course we can drill out the corn but it will keep coming back because the bone dropped down. What we do is we have to lift the foot here so we could use something like this for the person to wear underneath the foot, using this small ball-shaped pad to lift these bones back up, so that we don’t have the corn coming back again.

We also need to make the foot tighter again to help squeeze the metatarsals to keep it up. To do that we would use something these tapes – they bind the forefoot together and you would apply here every day for 2 weeks to lift these bones up.

Then, these red muscles that we can see on the foot – these should be intensified and that’s what these tiny little electro muscle stimulators are used for. You can put them on your foot for about 10 minutes a day and that innovates these muscles here, so this is for muscle innervation. This is neuromuscular tapes and that’s to keep the ligaments together (the ligaments here are highlighted blue).

Finally, you must wear something like this for about 3 months to lift the ball of your foot pad, but we have to do it gradually just like dental braces capitated too quickly we have to do it in stages so we would lift you up 5 degrees, lift you up 10 degrees and then lift you up 15 degrees to to get the transverse arch lifted back up again and finally if it is an issue with the corn on the right side of the 5th toe, we would simply ask you to stand and we would draw around your feet using a pencil and trim out the shape then we would match your foot guide to your shoe just to show you your 5th toe is extending beyond the width of the shoe and would ask you to get wider shoe, that how we are going to fix the problem of the 5th toe. So hope that helps for foot corns and enjoy your Friday.

For appointments and other queries:
Call: +971 4 3435390
WhatsApp: +971 50 331 4978