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Many people think of foot problems as simply aches, pains, or cosmetic concerns, but your feet can provide valuable insight into your overall health and longevity.

Your feet are often one of the first places where signs of health problems become noticeable. Poor circulation, nerve damage, inflammatory conditions, and biomechanical abnormalities can all affect the feet long before more serious symptoms develop elsewhere in the body.

For example, elevated uric acid levels can lead to gout, which commonly affects the big toe joint and can cause sudden episodes of severe pain and inflammation. Diabetes and elevated blood glucose levels can damage nerves and blood vessels, leading to numbness, tingling, reduced sensation, and poor wound healing in the feet. Circulatory problems, often associated with smoking, cardiovascular disease, or narrowed blood vessels, can also be detected during a foot assessment.

The structural health of your feet is equally important. When the feet and ankles are not properly aligned, the body must compensate during walking. One common example is excessive inward rolling of the ankles, which can cause the feet to point outward during gait. This altered walking pattern reduces efficiency and can affect the activation of important muscle groups, including the calf muscles.

The calf muscles are often referred to as the body’s “second heart” because they help pump blood from the legs back towards the heart. Healthy foot and ankle function promotes efficient walking, better calf muscle activity, improved circulation, and greater overall mobility.

Research consistently shows that maintaining mobility, balance, strength, and regular physical activity are important factors associated with healthy ageing and longevity. Since every step begins with your feet, keeping them healthy and functioning correctly is an essential part of maintaining an active lifestyle.

If you have foot pain, ankle instability, poor balance, numbness, circulation concerns, or simply want to understand how your feet may be affecting the rest of your body, consider a comprehensive podiatry assessment. A detailed biomechanical, circulatory, and neurological examination can provide valuable information about your foot health and overall wellbeing.

Your feet carry you through life, looking after them may help you stay active, independent, and healthier for longer.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



 

 

A patient attended our clinic today complaining of severe pain underneath the outside of his left foot. The pain had become so intense that he was limping and described the sensation as walking on a sharp piece of glass.

On examination, we found a hard corn underneath the fifth metatarsal head on the outside border of his left foot. Many people assume that a corn is the problem, but in reality a corn is often the body’s attempt to protect itself from excessive pressure.

We removed the corn painlessly, and the patient experienced immediate relief. However, we explained that unless we addressed the underlying cause, the corn would simply return.

To investigate further, we performed a 3D body scan and biomechanical assessment.

The results were fascinating.

The patient had a significant imbalance throughout his body. His left leg was functionally longer than his right. His pelvis was tilted, with the right side anteriorly tilted and the left side posteriorly tilted. He was carrying considerably more body weight through the left side of his body, creating excessive pressure beneath the outside of the left foot.

His medical history helped explain the pattern. He had previously undergone two lower back surgeries on the left side, suffered left hip problems, torn ACL injuries involving the left knee, and undergone left Achilles tendon surgery.

Over many years, his body had adapted to these injuries.

The scan showed that his pelvis had shifted towards the left side, causing increased loading through the left leg and foot. At the same time, his right foot was internally rotated and functioning almost like a golfer at the top of a backswing position. This created high tensile stress through the right Achilles tendon, the right knee, and the lower back while simultaneously increasing compression forces through the left side of the body.

The painful corn underneath the left foot was simply the area where the body was absorbing the greatest amount of pressure.

The development of a corn follows a predictable sequence.

First, the body produces a layer of hard skin to protect itself. This creates a broad plaque of callus, similar to a pancake of thicker skin.

If the pressure continues, the body creates a concentrated plug of dense keratin at the centre of the pressure point. Keratin is the same material found in toenails. This hard central core forms what we recognise as a hard corn.

As pressure continues to increase, inflammation develops beneath the area. Patients often describe burning, stinging, or sharp sensations. This was the stage our patient had reached.

If left untreated, the next stage can be the formation of a soft corn. The tissues become saturated with inflammatory fluid and appear white, rubbery, and extremely painful.

The final stage is tissue breakdown and ulceration.

This progression is particularly important in patients with diabetes, neuropathy, or vascular disease. These patients may not feel the early warning signs of pressure and pain. As a result, the protective stages can progress unnoticed until an ulcer develops.

Many patients believe ulcers appear suddenly and without warning. In reality, the body often gives multiple warning signals beforehand, but if sensation is reduced, those signals may not be recognised.

For this patient, the solution was not repeated corn removal.

The solution was correcting the forces causing the corn.

We prescribed custom corrective orthotics designed specifically for his individual biomechanics. The right orthotic was intentionally very different from the left because each side of the body required a different correction.

The aim was to improve pelvic balance, reduce the functional leg length discrepancy, redistribute pressure more evenly between both feet, and decrease excessive loading through the left foot.

We performed further scans with the orthotics in place and saw immediate improvements in alignment and pressure distribution.

The body can be compared to a wobbly table. If one table leg is shorter than the others, the tabletop becomes uneven. Placing a carefully measured support beneath the shorter leg restores balance.

Corrective orthotics work in a similar way. While we cannot make one leg physically grow longer, we can improve balance and alignment so that the body functions more efficiently and with less stress.

The patient will return in three months for reassessment. As the body adapts to improved alignment, muscle tension, posture, and weight distribution can all change. Repeat scanning will allow us to monitor these changes and determine whether further orthotic adjustments are required.

The important lesson from this case is that a corn is rarely just a skin problem.

A corn is often a warning sign that excessive pressure is travelling through a specific part of the foot. Removing the corn may provide temporary relief, but identifying and correcting the underlying mechanical cause is what provides a long-term solution.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Many people assume that when a toenail starts lifting away from the skin underneath, it must be a fungal infection. Surprisingly, this is often not the case.

A detached toenail, known medically as onycholysis, can occur for many different reasons. While fungal infections can sometimes cause nail separation, many patients have repeated fungal tests that come back completely clear. In these cases, the cause is often mechanical rather than infectious.

What Does Toenail Separation Look Like?

The nail may begin separating from:

  • The inside (medial) border of the nail
  • The outside (lateral) border of the nail
  • The tip of the nail (distal edge)
  • Multiple borders at the same time

 

Clinical photographs showing separation of both big toenails from the nail bed (onycholysis), with top and front views illustrating nail detachment caused by repetitive trauma and biomechanical foot abnormalities

 

In severe cases, the entire nail plate may become detached from the nail bed, leaving the nail attached only at the nail root.

Cause #1 – Repetitive Pressure From Footwear

One of the most common causes of nail separation is repeated pressure from footwear.

This can occur when:

  • Shoes are too short or too narrow
  • The toe repeatedly hits the front of the shoe
  • The toe hyperextends upward and strikes the roof of the shoe

When the toenail is repeatedly compressed, the tissues beneath the nail become irritated and swollen. As the swelling settles, the connection between the nail plate and the nail bed can weaken, causing the nail to lift away from the skin.

A useful clue is the appearance of horizontal ridges across the toenail. These ridges run from side to side and often indicate repetitive trauma from the toe repeatedly striking the shoe.

 

Cause #2 – Aggressive Cleaning Under The Nail

Many people regularly clean underneath their toenails using nail files, scissors, metal instruments, or other sharp tools.

Unfortunately, this can gradually separate the nail from the skin underneath.

In fact, when podiatrists remove a toenail surgically, one of the techniques involves releasing the nail from the nail bed using specialised instruments. Excessive cleaning under the nail can unintentionally create the same process over time.

The more the nail is lifted and cleaned underneath, the easier it becomes for the separation to progress.

Cause #3 – Abnormal Toe Position and Foot Mechanics

Perhaps the most surprising cause of toenail separation is abnormal toe movement during standing and walking.

This is often the most overlooked cause and, in many cases, the most common.

When the foot collapses inward, the arch flattens, or a bunion develops, the toe is no longer functioning in a neutral position.

The toe may:

  • Rotate inward or outward
  • Drift sideways
  • Move excessively forward
  • Twist during walking

When this happens, the soft tissue beneath the nail is repeatedly pulled and stretched.

Rather than the nail being pushed away by pressure from above, the skin underneath is gradually pulled away from the nail by repetitive micro-trauma.

Over thousands of steps each day, the tissues can slowly detach from the nail plate.

For example:

  • If the ankles lean inward and the big toe rotates, separation commonly develops along the outer border of the big toenail
  • If a bunion causes the toe to drift sideways, tension can develop on one side of the nail bed
  • If the toes spread excessively due to arch collapse, the tissues beneath the nail can be repeatedly stretched and irritated

The result can look very similar to a fungal nail infection, even when no fungus is present.

 

Why Standing Examination Matters

Many nail problems are missed because the feet are examined only while the patient is sitting.

The position of the toes can change dramatically once a person stands and begins walking.

A proper assessment should include:

  • Standing examination
  • Walking analysis
  • Heel raise testing
  • Observation of toe-off during gait
  • Assessment of foot posture and ankle alignment

Only then can the true cause of the nail separation be identified.

 

Examining The Shoes

The footwear often provides valuable clues.

We frequently examine:

  • The original insoles
  • Wear patterns inside the shoe
  • Pressure marks from the toes
  • Areas where the toes slide forward

Older shoes are often more useful because they clearly show where pressure has been occurring over time.

One particularly revealing finding is damage to the inner roof of the toe box. In some cases, the fabric lining has been worn away by the toenail repeatedly striking the ceiling of the shoe during walking.

This provides clear evidence that the nail is being traumatised from above.

 

The Importance Of Finding The Real Cause

Treating a detached toenail successfully requires identifying why the nail is separating in the first place.

If the cause is fungal, antifungal treatment may be required.

However, if the cause is mechanical, treatment should focus on correcting the underlying problem, such as:

  • Footwear modification
  • Orthotic therapy
  • Correction of abnormal foot posture
  • Management of bunions
  • Reduction of excessive toe movement
  • Protection of the nail from repetitive trauma

 

Without addressing the underlying cause, the nail may continue to separate regardless of how many creams, sprays, or antifungal treatments are used.

At Dubai Podiatry Centre, we assess not only the nail itself but also the biomechanics of the foot and the forces acting on the toe during standing and walking. Understanding these forces is often the key to solving long-standing nail problems that have been mistakenly attributed to fungal infection.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Before and after treatment of adult flat feet using custom corrective orthotics, showing improved heel alignment and foot posture from the rear view at Dubai Podiatry Centre.

Flat feet are commonly associated with inward rolling of the ankles, a condition known as overpronation. When the ankles tilt inward, the body’s weight is distributed unevenly across the feet, which can lead to foot pain, poor posture, and increased strain on the knees, hips, and lower back.

Custom corrective orthotics are designed to address the root cause of the problem by improving foot and ankle alignment. Rather than simply raising the arch, the primary objective is to reposition the heel and ankle into a more neutral and balanced position. Once proper alignment is restored, the arch often begins to improve naturally as the foot functions more efficiently.

Many people assume that treating flat feet means forcing the arch upward. However, excessively elevating the arch without correcting the underlying ankle alignment can make orthotics uncomfortable and difficult to wear. Effective orthotic therapy focuses on stabilising the heel, controlling overpronation, and supporting the foot in its optimal position.

A properly prescribed custom orthotic provides both arch support and heel correction, creating a stable foundation for standing, walking, and everyday activities. Improved alignment can enhance comfort, reduce strain on the lower limbs, and promote healthier movement patterns.

The photographs above demonstrate the effect of corrective orthotics on foot posture. By restoring proper heel and ankle alignment, the feet become more balanced, allowing for improved arch function and overall biomechanical efficiency.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



One of the most common reasons people delay seeking treatment for toenail problems is simple embarrassment.

Many patients tell us they have been hiding their feet for years. They avoid sandals, swimming pools, pedicures, and sometimes even showing their feet to family members. Some have been covering their toenails with nail polish or avoiding treatment altogether because they feel self-conscious about how their nails look.

The truth is that podiatrists see toenail problems every single day.

Whether your toenails are thickened, discoloured, fungal, damaged, ingrown, lifted, crumbly, misshapen, or have been neglected for years, there is no judgment. Our goal is to help you restore the health of your feet and regain confidence in your appearance.

Many toenail conditions are much more common than people realise. Fungal infections, bacterial infections, trauma from sports, injuries, and poorly fitting footwear can all affect the appearance and health of the toenails. Sometimes a single accident or even one particular pair of shoes can start a problem that gradually worsens over time.

The good news is that treatment options are available.

Depending on the condition, treatment may involve:

  • Professional nail care and reduction
  • Antifungal treatments
  • Oral medication when appropriate
  • Treatment of bacterial infections
  • Footwear recommendations
  • Toe socks to improve toe separation and reduce fungal recurrence (link for toe socks)
  • Temporary or permanent nail procedures when necessary

 

Sometimes the treatment plan may sound dramatic at first. For example, a severely damaged or chronically infected toenail may occasionally need to be removed to allow a healthy nail to regrow. However, this is often the quickest route back to a healthy, comfortable, and attractive nail.

Before treatment of fungal toenail infection showing a damaged big toenail with yellow discoloration, nail thickening, crumbling debris, and signs of onychomycosis.

Severe fungal toenail infection before treatment showing thickened, yellow-brown, brittle nail with extensive nail damage and discoloration.

Fortunately, toenails are remarkably good at regenerating. Smaller toenails can often regrow within approximately three months following removal, while larger toenails may take six months to a year to fully grow back, depending on the individual and the size of the nail. In the context of a lifetime of healthy feet, this is a relatively short period of time.

 

At your consultation, your podiatrist will assess the cause of the problem and develop a personalised treatment plan designed to restore the health and appearance of your toenails. Every patient is different, and treatment should be tailored to the individual.

Most importantly, everything discussed during your appointment is completely confidential. We understand that many people feel anxious or embarrassed about their feet, but there is no need to suffer in silence.

 

Our job is to help you get your feet back to how you remember them being—or perhaps even better than before.

 

So if you have been hiding your feet, postponing treatment, or feeling embarrassed about your toenails, don’t wait any longer. Make an appointment with a podiatrist and take the first step towards healthier feet and greater confidence.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Many people are surprised to learn that fungal toenail infections often begin with a fungal skin infection between the toes, commonly known as athlete’s foot (tinea pedis).

 

The fungi responsible for athlete’s foot are commonly found in our environment and can also exist naturally on the skin without causing problems. However, when conditions become warm, dark, and moist, the fungal organisms can multiply rapidly. This is especially common between the fourth and fifth toes, where the skin surfaces are often pressed tightly together inside shoes.

 

Multiple toes affected by fungal toenail infection (onychomycosis) showing yellow, thickened, and discolored toenails. Clinical image used to discuss whether toe socks can help prevent fungal toenail infections and improve foot hygieneWhen the toes are squeezed together for long periods, moisture becomes trapped and air circulation is reduced. This creates the perfect environment for fungal spores to grow and spread. Over time, the infection may remain confined to the skin between the toes, or it may spread into the neighbouring toenails, particularly the fourth and fifth toenails, resulting in fungal nail infection (onychomycosis).

 

One simple but highly effective preventative measure is the use of cotton toe socks.

 

Unlike conventional socks, toe socks individually separate each toe with a layer of fabric. This creates a physical barrier between the toes, helping to reduce skin-to-skin contact and minimise the warm, moist conditions that fungi thrive in.

The benefits of toe socks include:

  • Improved air circulation between the toes
  • Reduced moisture accumulation
  • Less skin friction and irritation
  • A physical barrier that helps limit the spread of fungal spores
  • Reduced recurrence of athlete’s foot
  • Lower risk of fungal infection spreading into the toenails

 

Cotton toe socks are particularly beneficial for individuals who suffer from recurring athlete’s foot, fungal toenail infections, excessive sweating, or who spend long periods wearing enclosed footwear.

 

While toe socks are not a treatment for an established fungal infection, they can be an excellent part of a long-term prevention strategy. Combined with good foot hygiene, proper shoe disinfection, and prompt treatment of any athlete’s foot infection, toe socks can help create a healthier environment for the feet and reduce the likelihood of future fungal problems.

 

At Dubai Podiatry Centre, we frequently recommend toe socks as part of a comprehensive foot care programme for patients prone to athlete’s foot and fungal toenail infections. Sometimes the simplest changes can make a significant difference in maintaining healthy feet.

 

Link for : Toe Socks

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Taking an oral antifungal medication, such as terbinafine, can be effective for clearing a fungal toenail infection. However, when the fungal infection has caused the toenail to lift away from the nail bed or become significantly thickened, distorted, or misshapen, medication alone may not always be enough to restore the nail to its normal shape.

In these cases, the oral antifungal may help a new, clear nail grow, but the existing nail plate may already be too distorted to return to its natural curvature and attachment. For this reason, removing the affected toenail can sometimes be the better treatment option.

 

Before-and-after treatment timeline showing recovery from a severe fungal toenail infection. Images document the progress from a thick, discoloured fungal toenail before treatment through toenail removal and oral antifungal therapy, followed by gradual healthy nail regrowth over 12 months. Final photos show a clear, healthy toenail with successful resolution of the infection.

 

By removing the infected nail, the oral antifungal treatment can target the remaining soft tissue infection rather than having to treat an active fungal infection within the thickened nail plate itself. This may allow the medication to be taken for a shorter period, often around two to six weeks, rather than the usual three to six months required when the infected nail remains in place.

The tablet may be started a few days before the toenail removal procedure and continued afterwards as advised. This approach may reduce the length of time the liver is exposed to the medication while still helping to clear the fungal infection effectively.

Once the infected nail has been removed, the new nail has a better chance of growing back properly attached to the nail bed and with a more normal shape. However, if the fungal infection has been present for many years, there may be some long-term damage or scarring to the nail bed. For example, a toenail that has been infected and distorted for 20 or 30 years may have caused chronic irritation and changes beneath the nail, meaning the nail bed may not fully return to its original healthy structure.

The sooner a fungal toenail infection is treated properly, the better the chance of preserving the nail bed and allowing a healthier nail to grow in the future.

 

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Flat feet in children are commonly caused by hereditary ligament laxity (stretchy ligaments), where the ankle joints are soft and roll inward excessively. This inward ankle movement, known as pronation, causes the foot arch to collapse and the feet to appear flat. In many children, an inward ankle tilt of more than 5 degrees is enough to flatten the arch completely.

When left untreated, flat feet can affect a child’s walking pattern, posture, balance, and overall foot development. Excessive pronation may also place additional strain on the ankles, knees, hips, and lower back as the child grows.

يحدث تسطّح القدمين لدى الأطفال غالبًا بسبب ارتخاء الأربطة الوراثي (الأربطة المرنة أو المتمددة بشكل زائد)، حيث تكون مفاصل الكاحل أكثر ليونة وتميل إلى الانحراف نحو الداخل بشكل مفرط. ويُعرف هذا الانحراف الداخلي للكاحل باسم الكبّ الزائد للقدم (Pronation)، وهو يؤدي إلى انهيار قوس القدم وجعل القدم تبدو مسطحة.

وفي كثير من الأطفال، قد يكون ميل الكاحل إلى الداخل بأكثر من 5 درجات كافيًا للتسبب في اختفاء قوس القدم بالكامل.

وعند ترك هذه الحالة دون علاج، يمكن أن تؤثر في طريقة مشي الطفل، ووضعية الجسم، والتوازن، والتطور الطبيعي للقدمين. كما أن الكبّ الزائد للقدم قد يفرض ضغطًا إضافيًا على الكاحلين والركبتين والوركين وأسفل الظهر مع نمو الطفل، مما يزيد من احتمالية حدوث مشكلات في الجهاز العضلي الهيكلي مستقبلًا.

 

How Corrective Orthotics Help Flat Feet

Corrective orthotics are custom-made medical devices designed specifically for the child’s feet. They are carefully shaped and angled to match the exact degree of foot and ankle misalignment. The purpose of treatment is to gradually guide the ankles back toward a neutral 0° position, allowing healthy arch development during growth.

Unlike standard insoles, corrective orthotics are individually prescribed based on the severity of the child’s pronation. Each stage of correction is designed to improve ankle alignment progressively, typically by around 5 degrees at a time.

For example, if a child’s ankles roll inward by 15 degrees, treatment may involve a gradual correction plan using multiple orthotics to guide the feet step-by-step into proper alignment. Children with more severe flat feet may require additional stages of correction over time.

كيف تساعد التقويمات التصحيحية في علاج تسطّح القدمين؟

التقويمات التصحيحية للقدم (Corrective Orthotics) هي أجهزة طبية تُصنع خصيصًا لتناسب قدمي الطفل. ويتم تصميمها بعناية وفقًا لدرجة انحراف القدم والكاحل لدى كل طفل، بحيث تكون الزوايا والدعامات متوافقة تمامًا مع احتياجاته الفردية.

يهدف العلاج إلى توجيه الكاحلين تدريجيًا نحو الوضعية المحايدة الطبيعية (0°)، مما يتيح لقوس القدم أن يتطور بشكل صحي أثناء مراحل النمو.

وعلى عكس النعال الجاهزة أو التقليدية، يتم وصف التقويمات التصحيحية بشكل فردي بناءً على شدة الكبّ الزائد للقدم (Pronation) لدى الطفل. وتُصمم كل مرحلة من مراحل العلاج لتحسين محاذاة الكاحل بشكل تدريجي، وعادةً بمعدل يقارب 5 درجات في كل مرحلة.

فعلى سبيل المثال، إذا كان كاحلا الطفل يميلان إلى الداخل بمقدار 15 درجة، فقد تتضمن الخطة العلاجية تصحيحًا تدريجيًا باستخدام عدة تقويمات مختلفة تُستخدم على مراحل لتوجيه القدمين خطوة بخطوة نحو المحاذاة الصحيحة. أما الأطفال الذين يعانون من درجات أشد من تسطّح القدمين، فقد يحتاجون إلى مراحل إضافية من التصحيح على مدى فترة أطول.

Why Early Treatment Matters

Children’s bones, joints, and ligaments are still developing, making early intervention extremely important. Correcting foot alignment during childhood can help support normal walking mechanics, improve posture and balance, reduce stress on the joints, and encourage natural arch formation.

Early treatment with custom orthotics may also help prevent long-term foot and lower limb problems associated with excessive pronation and unstable foot posture.

لماذا يُعدّ العلاج المبكر مهمًا؟

تكون عظام الأطفال ومفاصلهم وأربطتهم لا تزال في مرحلة النمو والتطور، مما يجعل التدخل المبكر ذا أهمية كبيرة. فتصحيح محاذاة القدم خلال سنوات الطفولة يمكن أن يساعد على دعم آلية المشي الطبيعية، وتحسين القوام والتوازن، وتقليل الضغط على المفاصل، وتشجيع التكوّن الطبيعي لقوس القدم.

كما أن العلاج المبكر باستخدام التقويمات الطبية المخصصة للقدم قد يساعد في الوقاية من المشكلات طويلة الأمد التي قد تصيب القدمين والأطراف السفلية نتيجة الكبّ الزائد للقدم (Pronation) وعدم استقرار وضعية القدم. وهذا يساهم في تعزيز نمو صحي وسليم للجهاز العضلي الهيكلي مع تقدم الطفل في العمر.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Dermojet device used for plantar wart treatment, showing a needle-free high-pressure injector designed to deliver medication into deep verrucas on the sole of the foot.At Dubai Podiatry Centre, our highest success rate for plantar warts comes from our Dermojet treatment.

Dermojet uses a high-velocity stream of liquid delivered through a mechanical device. When the pressure is released, a microjet of liquid is ejected from the apparatus and penetrates through the skin to reach the deeper part of the plantar wart, allowing the treatment to be delivered more efficiently.

Warts elsewhere on the body usually grow outward. However, warts on the sole of the foot grow inward because of pressure from standing and walking. This means that treatments such as liquid nitrogen, salicylic acid, and laser, which may work well on external warts on other parts of the body, can have very different outcomes when used on the sole of the foot.

في مركز دبي لطبّ القدم، نحقق أعلى نسبة نجاح في علاج الثآليل الأخمصية (ثآليل باطن القدم) باستخدام علاج الديرموجيت (Dermojet).

يعتمد الديرموجيت على إطلاق تيار عالي السرعة من السائل عبر جهاز ميكانيكي. وعند تحرير الضغط، يُقذف تيار دقيق من السائل من الجهاز ليخترق الجلد ويصل إلى الجزء الأعمق من الثؤلول الأخمصي، مما يسمح بإيصال العلاج بكفاءة أكبر وفعالية أعلى.

عادةً ما تنمو الثآليل في مناطق أخرى من الجسم إلى الخارج. أما الثآليل الموجودة في باطن القدم فتنمو إلى الداخل بسبب الضغط الناتج عن الوقوف والمشي. وهذا يعني أن العلاجات مثل النيتروجين السائل، وحمض الساليسيليك، والليزر، والتي قد تكون فعّالة في علاج الثآليل الخارجية في أجزاء أخرى من الجسم، قد تعطي نتائج مختلفة تمامًا عند استخدامها لعلاج الثآليل الموجودة في باطن القدم.

Before and after plantar wart treatment using Dermojet showing wart resolution on sole of foot

 

 

A wart on the top of the hand, for example, is more exposed and easier to reach with acid or liquid nitrogen. A plantar wart, commonly called a verruca, is inverted into the sole of the foot and is therefore less accessible.

For this reason, Dermojet is mainly reserved for plantar warts and verrucas on the sole of the foot. It is not usually required for outward-growing warts elsewhere on the body, where treatments such as liquid nitrogen or salicylic acid may be more suitable.

على سبيل المثال، يكون الثؤلول الموجود على ظهر اليد أكثر انكشافًا وأسهل وصولًا للعلاج باستخدام الأحماض أو النيتروجين السائل. أما الثؤلول الأخمصي، المعروف شائعًا باسم الفيروكا (Verruca)، فيكون منغرسًا إلى الداخل داخل باطن القدم، ولذلك يكون الوصول إليه أكثر صعوبة.

لهذا السبب، يُخصَّص علاج الديرموجيت (Dermojet) بشكل أساسي للثآليل الأخمصية والفيروكا الموجودة في باطن القدم. ولا تكون الحاجة إليه عادةً ضرورية لعلاج الثآليل التي تنمو إلى الخارج في مناطق أخرى من الجسم، حيث قد تكون العلاجات مثل النيتروجين السائل أو حمض الساليسيليك أكثر ملاءمة.

 

 

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The virus that causes plantar warts lives on microscopic skin cells, which means you will never be able to see it. In reality, we come into contact with this virus frequently throughout the day, through shared surfaces and contact with other people. Fortunately, the body is usually very effective at fighting it off.

Unlike viruses such as herpes, which can remain dormant in the body and reactivate during periods of stress, the human papillomavirus (HPV) that causes plantar warts stays local to the skin. It does not live in the spinal column or remain in the body systemically. It only affects the area of skin it enters.

Because exposure is so common, prevention is not about completely avoiding the virus, but about reducing the chances of it entering the skin.

The key factor is protecting the natural barrier of the skin and avoiding direct contact in high-risk environments.

الفيروس المسبب للثآليل الأخمصية يعيش على خلايا جلدية مجهرية لا يمكن رؤيتها بالعين المجردة. وفي الواقع، نتعرض لهذا الفيروس بشكل متكرر خلال اليوم من خلال الأسطح المشتركة والتواصل مع الآخرين. ولحسن الحظ، يكون الجسم في معظم الحالات قادرًا على مقاومته والتخلص منه بفعالية.

وعلى عكس بعض الفيروسات مثل فيروس الهربس، الذي يمكن أن يبقى كامنًا في الجسم ويُعاد تنشيطه خلال فترات التوتر أو الإجهاد، فإن فيروس الورم الحليمي البشري (HPV) المسبب للثآليل الأخمصية يبقى موضعيًا في الجلد. فهو لا يعيش في العمود الفقري ولا يبقى داخل الجسم بشكل جهازي، وإنما يؤثر فقط على المنطقة الجلدية التي دخل من خلالها.

ونظرًا لأن التعرض لهذا الفيروس شائع جدًا، فإن الوقاية لا تعتمد على تجنب الفيروس بشكل كامل، بل على تقليل فرص دخوله إلى الجلد.

ويُعد الحفاظ على الحاجز الطبيعي الواقي للجلد وتجنب التلامس المباشر في البيئات عالية الخطورة من أهم العوامل للوقاية من الإصابة.

Infographic titled “Simple and Effective Precautions” showing ways to prevent plantar warts, including wearing water shoes in public wet areas, keeping flip-flops nearby, avoiding walking barefoot, wearing flip-flops in public showers, standing on a clean towel in communal areas, and rinsing and drying feet thoroughly.

 

Simple and effective precautions include:

  • Wearing protective water shoes or slip-on pool footwear in areas such as swimming pools, water parks, and communal showers
  • Keeping your sandals or flip-flops close by so you can put them on immediately when exiting the pool
  • Avoiding walking barefoot in shared wet areas, especially gyms and changing rooms
  • Wearing flip-flops while showering in public facilities
  • Standing on a clean towel when drying or getting dressed in communal areas
  • Rinsing and drying your feet thoroughly after exposure to wet public environments

These measures create a protective barrier between your skin and surfaces where the virus may be present.

Another important factor is skin condition. Keeping the feet dry and healthy helps maintain the strength of the outer skin layer, known as the stratum corneum. When this layer is intact, it acts as a strong defence against infection. However, when the skin is wet or overly sweaty for long periods, it becomes more porous and vulnerable to viral entry.

By combining good hygiene, protective footwear, and maintaining healthy skin, you can significantly reduce the risk of developing a plantar wart.

تشمل الاحتياطات البسيطة والفعّالة ما يلي:

  • ارتداء أحذية مائية واقية أو أحذية مخصصة للمسابح في أماكن مثل أحواض السباحة، والحدائق المائية، وغرف الاستحمام المشتركة
  • إبقاء الصنادل أو الشباشب بالقرب منك لارتدائها فور الخروج من المسبح.
  • تجنب المشي حافي القدمين في المناطق الرطبة المشتركة، وخاصة في الصالات الرياضية وغرف تبديل الملابس.
  • ارتداء الشباشب أثناء الاستحمام في المرافق العامة.
  • الوقوف على منشفة نظيفة عند تجفيف الجسم أو ارتداء الملابس في الأماكن المشتركة.
  • غسل القدمين وتجفيفهما جيدًا بعد التواجد في البيئات العامة الرطبة.

تساعد هذه الإجراءات على تكوين حاجز واقٍ بين الجلد والأسطح التي قد يكون الفيروس موجودًا عليها.

ويُعدّ الحفاظ على صحة الجلد عاملًا مهمًا آخر. فالحفاظ على جفاف القدمين وسلامتهما يساعد في تعزيز قوة الطبقة الخارجية من الجلد، المعروفة باسم الطبقة القرنية. وعندما تكون هذه الطبقة سليمة، فإنها تعمل كخط دفاع قوي ضد العدوى. أما عندما يبقى الجلد رطبًا أو متعرقًا بشكل مفرط لفترات طويلة، فإنه يصبح أكثر نفاذية وأكثر عرضة لدخول الفيروسات.

ومن خلال الجمع بين النظافة الجيدة، وارتداء الأحذية الواقية، والحفاظ على صحة الجلد، يمكن تقليل خطر الإصابة بالثآليل الأخمصية بشكل كبير.

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024


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