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Clipper technique

Discussion in 'General Issues and Discussion Forum' started by Robertisaacs, Feb 28, 2011.

?

Which grip (s) do you use

  1. Straight Grip

    11 vote(s)
    35.5%
  2. Right angle Grip

    23 vote(s)
    74.2%
  3. Back hand grip

    14 vote(s)
    45.2%
  4. Other (please state)

    4 vote(s)
    12.9%
Multiple votes are allowed.

  1. Members do not see these Ads. Sign Up.
    Following on from another thread on RSI from using clippers.

    There are three ways I know of in which one can use a pair of nail clippers. I've known plenty of good podiatrists who use either technique so this is not about which is "right", what works for you is whats "right", but I'd be interested in peoples thoughts

    But that said... who uses what?

    Three techniques. I've given them names to make it easier to discuss.

    Straight grip.

    [​IMG]
    [​IMG]
    The clippers are held with Blades down (into the palm). Then in use the clippers are broadly in line with the arm.

    Right angle grip

    [​IMG]
    [​IMG]

    The clippers are held with Blades up (away from the palm). Then in use the clippers are broadly at 90 degrees to the arm.

    Backhand grip
    [​IMG]

    Usually an adjunct to the right angle grip for getting at the bits the right angle grip makes tricky to get to. The clippers are held with the blades down but reversed so they point down the arm.

    What say you? What do you use? And are there any grips I've missed?

    You can choose multiple options in the poll.
     
  2. I think there is one more, but not being picky any chance we could have the photos with a foot, really quite hard to work out what grip your using.

    I used to teach 3 grips to the students.

    Which was the straight grip on your photo

    then I think the backhand which I called the dagger grip ( as in hold it like a dagger to stab someone , possibly me)

    and then the reverse dagger where the hand stays the same but the nippers are rolled over

    which would work this way.
     

    Attached Files:

  3. DTT

    DTT Well-Known Member

    Emma , Rob, Mike et al,

    Hope this explains ?

    Pressure is exerted through 4/5 fingers rather than 1/2.

    A change is as good as a rest so they say :D

    Hope it helps
    cheers
    D;)
     

    Attached Files:

  4. lucycool

    lucycool Active Member

    Hi All!!

    I use all of them at different times either to save my fingers getting to sore or to get a good purchase or angle.


    Lucy
     
  5. Makes a lot of sense...
     
  6. Joe Bean

    Joe Bean Active Member

    Makes a lot of sense...

    No it does not!

    Try counting your fingers and then tell me where number 3 went.

    If nippers are held correctly and are the correct size for your hands all 4 fingers operate the one arm against the base of the thumb. Finger 4 traveling the greatest distance. The force required to cut the nail will depend on the quality of the nippers the size of 'bite' one takes on the nail and the thickness/hardness of the nail.

    As it is reported that NHS Pods do not cut nails how can this be a cause of repetitive strain Injury?

    Should you be looking at the writing instruments they use to write those copious notes?
     
  7. Calmly delboy, calmly.

    Joe. In the nicest possible way you know little of which you speak. As amusing as your little spurts of misinformation are you appear to know nothing about NHS podiatry and your rather arbitary description of the "correct" way to use nippers shows something of a lack of respect to your colleagues, some of whom may have been qualified longer than you, and have more knowledge than you.
     
  8. DTT

    DTT Well-Known Member

    Exactly, nice to see common sense spoken Lucy and a sensible attitude to your long term well being.
    Cheers
    D;)
     
    Last edited: Mar 1, 2011
  9. DTT

    DTT Well-Known Member

    Ahh Rob , but only to those with any intelligence...obviously :rolleyes:

    Cheers
    D;)
     
  10. While clipper technique is an important issue to consider, this thread has brought up another.




    Scrubs ????????????? :D:D:D:D:
    :drinks;)
     
  11. DTT

    DTT Well-Known Member



    Practical. cool ( in the not hot sense) and easy clean = perfect :D

    Why your not STILL wearing the leopardskin thong are you Mike ?????:eek:

    Cheers
    D :drinks
     
    Last edited: Mar 1, 2011
  12. blinda

    blinda MVP

    And?

    [​IMG]
     
  13. Very smart. ;)
     
  14. DTT

    DTT Well-Known Member

    Go on Bel Tell 'im go on ..:D
     
  15. This me walking away .................
     
  16. I'd Happily wear scrubs if I was doing "proper" podiatry. In paeds its a bit different as scrubs can be quite scary to kids who have had lots of medical interventions! That said, Kids carry a lot of germs so one has to protect oneself.

    So I tend to wear something like this instead.

    [​IMG]
     
  17. Ian Linane

    Ian Linane Well-Known Member

    Sorry Bel but i'm not convinced I'd look like you in scrubs. More the Michelin man myself.
     
  18. DTT

    DTT Well-Known Member

    Bit like me then Ian ???:D

    The kids love my Jolly Green Giant impression !!:rolleyes:
    Cheers
    D;)
     
  19. blinda

    blinda MVP

    Nope, not getting away that easily. I`ve shown mine, now you.....
     
  20. markjohconley

    markjohconley Well-Known Member

    right, if we looked like you, fair enough,
    .
    .
    .
    .
    has it been proposed before, an all male podiatrist calendar in the naturale,... not sure what demand there would be?

    Can I put you gents down for January through to April
     
  21. twirly

    twirly Well-Known Member

    Any chance of Mr Lomu for May. Without scrubs would be fine. ;) I'm not worried if he can't wield a set of nippers.

    Mark, may I enquire which month are you appearing in?

    Many thanks,

    Mandy.

    PS. Cheque's in the post.
     
  22. markjohconley

    markjohconley Well-Known Member

    If the aim is to sell then best conley doesn't disrobe.

    I think it more sought after if the BIG men participate, .............. I have heard rumours re past nicknames for an certain administrator and a well respected professor wasn't just known for his athletic prowess!
     
  23. markjohconley

    markjohconley Well-Known Member

    And definitely all three techniques.

    I have posted before my disappointment when i first started that the intro to clinic wasnt' a sit down and watch a video (yes a cassette) of experienced successful clinicians at work and an accompanying explanation of reasons for their techniques.
     
  24. Morning Mandy
     

    Attached Files:

  25. twirly

    twirly Well-Known Member

    Mike that has made my day (& it's only 8.15am) :D

    Many thanks.

    My daughter says that smiling at the laptop screen is a sure sign of madness. Who cares? I'm gonna smile at Mr Lomu all day. ;)

    :drinks

    Mandy x
     
  26. If its going to be in the nip can I put myself down for July or August?

    It can be awful cold in winter and spring! I'd hate to be... misrepresented:eek:
     
  27. Andrew Fryc

    Andrew Fryc Member

    Hi All
    Just a quick report on the RSI issue re clipper use I use both hands ..
    right handed when working from right to left and left handed working from left to right. For any students this was not hard to learn from the start the only other thing I do left handed is throw/bowl a ball.

    cheers for now .. :0)
     
  28. Joe Bean

    Joe Bean Active Member

    This thread may have been generated from

    http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=60925

    However it has degenerated into a sad glee club expression of 'clubism'.

    We can all understand the psychology of 'groups' and their propensity to 'stroke' each other but is that really consistent with the image of Pod Arena?

    Is it time to go back to evidenced based debate?

    And as the original thread said it's nippers not 'clippers'?

    Joe BEAN not Been
     
  29. DTT

    DTT Well-Known Member

    Yes correct I did post the link for Emma and others to redirect them to this thread ( a form of clubism perhaps ?? )

    Much sooner the friendly stroking than the rude arrogance you seem to generate.

    Perhaps I can advise you to return to "the Cesspit" where your attitude is in better company ??

    Evidence based debate does not need to be accompanied by rudeness and harsh comment BTW as you will see throuout pod A , unless those of your ilk are insulting other members of course.:boxing:

    Cheers
    D;)
     
    Last edited: Mar 2, 2011
  30. blinda

    blinda MVP


    `Clubism`, eh? Righto. If that`s what you want to term friendly banter between colleagues, who don`t hide behind a pseudonym to promote negativity, then I`ll go for clubism every time.

    Really Joe, `evidence based debate` for how to handle nippers??

    Obviously. Perhaps it`s time you did.
     
  31. twirly

    twirly Well-Known Member

    Hi Joe,
    May I enquire, have you never participated in a friendly discussion before?

    Perhaps our friendliness offends or threatens you? I do hope not. As a forum I've always found Podiatry Arena to be educational, informative & a great place to interact.

    Generally a friendly place to discuss a plethora of ideas & experiences with colleagues. If I wanted dreary & dull I wouldn't have joined.

    Kind regards,

    Mandy.
     
  32. DTT

    DTT Well-Known Member

    Nice post Mand,

    I seem to remember an identical posting style and content on the old orthopeds forum..He called himself 10 feet pete then, but perhaps I'm mistaken ?? :rolleyes:

    Totally agree with your sentiments

    Cheers Hun
    D;) xx
     
    Last edited: Mar 2, 2011
  33. Mr bream

    It IS annoying when someone spells your name wrong isn't it ;). It's Isaacs not Issacs.

    This is podiatry arena. We do a lot of serious discussion and often have a lot of fun at the same time. If you don't like it, there's the door. Feel free to find a group you like better with whom to share your views. So far as I can see you have added to neither the "meat" of this discussion, nor to the bonhomie we enjoy so I suspect your input will not be greatly missed. Unless you have something useful or "evidence based" to add?

    For the record, nail care is a significant part of an NHS high risk care package so yes, people in the NHS DO cut toenails. And whilst the right angled grip seems to be more popular than the others, a large proportion of your colleagues use other grips as well. So the Right angled grip is not "the correct way", it's just one of several methods. As to clippers and nippers. That is pure semantics. Both are equally descriptive and communicate what is meant.

    As other of my rt hon colleagues have said to other people in the past, this is us. You don't like it? No one is making you stay. There are other forums if you don't like this one. I'm sure you'll find a group who will appreciate your wisdom and charm. For myself, I Find I can face the prospect of living without either with great fortitude.
     
  34. Joe Bean

    Joe Bean Active Member

    Dear oh dear,

    The 'club' reunites?

    I'm sure none of the Podiatry community have a problem with 'friendly banter', but does it have to take place on such a prestigious forum?

    You all have access to other 'frienndly' forums' but seem instead to have chosen to 'play' on this one!

    Why?

    Here is a response from Mandy

    May I enquire, have you never participated in a friendly discussion before?

    Perhaps our friendliness offends or threatens you? I do hope not. As a forum I've always found Podiatry Arena to be educational, informative & a great place to interact.

    Generally a friendly place to discuss a plethora of ideas & experiences with colleagues. If I wanted dreary & dull I wouldn't have joined.

    Answer

    Yes I have engaged on friendly debates, that however is different to debating with a 'club' which despite errors defends it's members.

    Del

    I seem to remember an identical posting style and content on the old orthopeds forum..He called himself 10 feet pete then, but perhaps I'm mistaken ??


    Wrong.

    Mr bream

    It IS annoying when someone spells your name wrong isn't it . It's Isaacs not Issacs.

    This is podiatry arena. We do a lot of serious discussion and often have a lot of fun at the same time. If you don't like it, there's the door. Feel free to find a group you like better with whom to share your views. So far as I can see you have added to neither the "meat" of this discussion, nor to the bonhomie we enjoy so I suspect your input will not be greatly missed. Unless you have something useful or "evidence based" to add?

    For the record, nail care is a significant part of an NHS high risk care package so yes, people in the NHS DO cut toenails. And whilst the right angled grip seems to be more popular than the others, a large proportion of your colleagues use other grips as well. So the Right angled grip is not "the correct way", it's just one of several methods. As to clippers and nippers. That is pure semantics. Both are equally descriptive and communicate what is meant.

    As other of my rt hon colleagues have said to other people in the past, this is us. You don't like it? No one is making you stay. There are other forums if you don't like this one. I'm sure you'll find a group who will appreciate your wisdom and charm. For myself, I Find I can face the prospect of living without either with great fortitude.
    2nd March 2011 06:37 AM

    Hey I love it I have made the delightful always conciliatory Mr Isaacs ( I do apologize but the sad spell check does not recognize you) be 'nasty'.

    Please do not lecture me about NHS high risk care it's an embarrassment to the profession.
    Also do not assume I am recently qualified.

    Equally do not assume I am a Pod or that I am UK based.

    But please please explain the missing 3rd finger!

    The rest of your rant is ???????????????????
     
  35. Are you still here?

    Here is the thing Joe. Like I said, you've added nothing to this thread and it would seem you continue to do little more than hop up and down attempting to be provokative by whining about things and people you don't understand. It's not annoying anymore, it's just dull. And it has, sadly, taken an interesting thread off topic. That's called trolling as I'm sure you are aware. So here's what we'll do. You can think what you like and post what you like . I'll do my best to ignore you (unless you say something useful) and we'll get along famously. Well, technically we won't get along at all which is sort of the idea.


    Nasty? Bless your little heart. That was merely warm and cuddly advice. I'm afraid you don't appear to be significant or well informed enough to waste nasty on. As someone (mike) once said in their signature, there is no point getting in a fight with a pig. You get dirty and the pig enjoys it. I have nothing but love for you. I just don't want to talk to you. You seem to have nothing of value to say and a disruptive way of saying it.

    Sorry.
     
  36. Back to the point, I think what this thread shows is that people have cultivated a few techniques and that there is some merit to each. If you have an RSI it is probably well worth trying one which puts the wear on different parts of your hand. As Lucy and derek said it's probably also worth ringing the changes to keep in practice and spread the wear.

    So delboy, you want me to show you the "right" way next time I see you? ;) :D
     
  37. twirly

    twirly Well-Known Member

    As some have already indicated, I too use a variety of techniques. Like Mark in the above post I agree that when first learning which techniques would suit me I think a video of experience clinicians utilising & explaining their reasoning behind chosen techniques would have been very useful.

    ;)

    Mandy
     
  38. Catfoot

    Catfoot Well-Known Member

    All,
    I think Joe Bream, Bean or Been made a good point.

    In my area the NHS pods do not do nail cutting either, so there is no danger of them getting RSI. I know this because of all the patients that come my way complaining that they can't get their nails cut.

    This is not posted to be inflammatory, it is posted as a matter of fact.

    (I'm not complaining BTW.)

    regards

    Catfoot
     
  39. Joe Bean

    Joe Bean Active Member

    despite being castigated I would still like to contribute.

    Is nail cutting really the cause of RSI?

    Let's think about it?

    How long does it take to cut 10 non pathological nails? And how many hand movements does it take?

    I suggest 40 movements perhaps one minute? Perhaps two?

    Compare that with enucliating a corn and the intricate hand movements involved both of the major hand and the back up hand tensioning the skin.

    Now could that cause problems?

    I have tried various 'blades' and find some suit me more than others.

    Equally scalpel technique can have a bearing on hand usage?

    And of course position of arm and shoulder and back, so perhaps the patient chair and operator chair may have an influence.?

    Scrubs; I doubt operator clothes are significant?

    Still what do I know?

    Just a rookie and of no fixed abode.

    I love autumn.
     
  40. DTT

    DTT Well-Known Member

    Show you the "right way" Isaacs I keep doing that with a variety of things getting those NHS bad habits out of you !!:empathy::D

    Lucycool got the whole point of the thread= it's an attempt to offer help to a colleague that is in pain throught RSI.

    Lucy makes it work for her by using a variety of grips hopefully it will help Emma as well:cool:

    Cheers
    D;)
     
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