Sanding disks (aka Moores)

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Hi there

I value all of your comments on this forum and would be very grateful if any one could recommend a good sanding disk (i.e. moores) at a competitive price. As a new(ish) graduate in private practice money is a bit of an issue at the moment, so any help would be greatly appreciated!!!!

many thanks
Clair

 

http://www.justcarepodiatry.co.uk/products.asp?cat=92

Personally, I prefer a big diamond cylinder bur.

 

Hi simon.. yeah i like them too but I can't afford enough burs!

 

Hi Clair, you've got your super-duper exhaust system installed. I've refused to use a drill/burr/disc for the last 5 or so years. Too many pod's losing lung tissue for my liking, all the best, mark

 

I smoke. 'nuff said.

 

Hi Claire I agree with Simon always used a cylinder bur in private practice. remember when I did a little locum work for the old Scholl, they only used discs. I fond them difficult to use and not very effective, possibly even dangerous. As for dust I always wear a mask when using the drill. Just a thought. All the best Claire:drinks








The Avenue Foot Clinic
221 Templemore Avenue
Belfast BT5 5JF, UK.

 

Hi Claire
I agree with Simon the hollow burr is more effective especially with spray drills.
Moor's disc I found disintegrate very quickly when wet but canonburys have paper polishing discs which I think are made from wet and dry abrasive paper and do last longer.
I also agree on the wearing of masks whenever a drill is used.
Hope that helps
Cheers
Derek

 

Hi Clair

As a pod in PP for 16 years, I have never owned nor used a drill/burr/moores disc. I have had one patient complain and leave me because her last pod used a drill and she wanted it, but no one else has been unhappy.
I do not use it for the obvious reasons -the generation of nail dust into the air, even with vacuum systems., heavy to carry -I have 2 clinics and do doms also, I can get a good result with nippers/scalpel/diamond deb.
I have seen the work of over-zealous drill users- often they use the drill because they think it is the easiest and quickest way, and the nails are reduced to the point of damage.
I had the drill tried on me at college- I personally hated the feeling of the vibration up my leg!

That said, it is entirely down to your own preference, but if you are short of cash at the moment, a drill is not an essential piece of equipment.

Cornmerchant

 

Hi Cornmerchant. You are right, I have inherited patients from my father's practice who are all used to the drill and i don't ever use it on nails, just moores disks on callus, heels etc. Is there a big risk to the lungs of the pod over time? I wear a mask and have a dust extractor (i.e. a vacuum cleaner that I have attached to the drill to take away the dust). Great name by the way.

 

Interesting post, I just started my practice from university and have been using a promed drill with built in dust extractor and mask, does anyone have any information about damage to lungs over time?

 

footprint101, what uni were you at? Do you do a lot of drilling, i.e. how many patients a week for example?

 

I studied at AUT in New Zealand, I started my practice by myself straight from uni, so it's been a challenge to say the least!!! I do quite alot of drilling, I definately wouldn't be without it, well, until I heard it could be damaging my lungs, even with the proper precautions!Did you study in NZ?

 

I've taken to using sanding caps recently, brilliant things! Useable with a spray drill too!

http://www.mobilishealthcare.com/podiatry/c-5733-chiro-cap-holders.aspx

I also always finish off with a footfile, whilst the heel is wet, ie the debris binds together, so dust in my lungs!

 

Interesting discussion - I would be in the drill camp myself as I don't think you can beat a drill for reducing a gryphotic/ very thickened nails properly, especially in a high risk client where you need to reduce the nails carefully but cant start too much filing in case you graze the surrounding skin. However I never use sanding discs and hardly ever debride heels. Footcare advice about the use of emollients, pumice stones and not wearing backless footwear sorts out most people and protects your lungs. But then I live in a country where the sun only shines about 1 week a year, and the sandals spend most of the time in the wardrobe!

 

I've recently cut right down on my use of sanding discs/burrs because of the dust - I pointed out to a patient who asked me to sand her nails down for cosmetic reasons that not only am I breathing in the dust so is she!

The other important point I'd make is wear goggles if you're using discs - the polishing discs from canonbury in particular don't always fit tightly on the mandrel and I've had several incidents of them flying off - VERY dangerous at that speed. I wear goggles and so does my patient now when I'm using one

 

Can anyone point to any research evidence that pods are at risk from inhaling nail dust? When I tried to look this up on Metalib while I was at Uni (graduated last year) I could find no real research on the subject. Of course I know that there are many varieties of dust-induced lung disease but has anything specifically related to nail dust been identified? Also, does anyone know of any research into the efficacy of dust extraction in commonly used makes of nail drill- is there for instance and "British Standard Specification" to which they must comply?

Where I've been working recently most pods seem not to use nail drills, however I notice there seems to be a lot of patients with very thick onychauxic nails despite ongoing treatment- this suggests to me that whathever else is being used is not adequate- at least not in the 20 minute slots available.

Finally, how would one reduce onychauxic nails with a scalpel as I've heard advocated- this was never taught in our course- what blade would you use and in which direction would you cut, and is there not a big danger of slipping and cutting yourself or the patient trying to cut such hard material? Scalpels are designed to cut callus/skin after all, not nail.

 

Hi,

I use a nail drill, but I have on occasion used a scalpel when I haven't been able to take my drill with me, I move the blade toward myself taking away thin increments, if you try to cut too deep it will pull on the patients nail bed, causing discomfort. You shouldn't cut yourself as long as you are holding your scalpel correctly and your hand securing the patients toe is out of the way.

Many podiatrists use scalpels to cut nail, especially when removing a wedge from the med/lat aspect of a toenail, just gently does it, you dont want to break your blade. We didn't get shown this at uni either, you will find there are a wide variety of things you didn't get shown.

 

Peter and footprint, i do a lot of work, like many, with an inverted / upturned 15, even more than i even do with clippers with some nails and i never burr, 'my health before theirs', haveagoodone, mark.

 

Thanks for that. I presume it is like shavings (of wood) that you would take off. BTW don't worry, I'm well aware that there are lots of things in this world that are not taught in university/college! (It was the same in my previous profession and no doubt in all others).

 

I too use a 15 Just a standard blade at the moment, I will look at the upturned blade now though, thanks Mark.

I started my practice straight from uni and at the start I was terrified at the amount of things I didnt get taught - thats why this forum is so valuable, I use it all the time! You will be able to feel how much you can take away. I often do this with fungal nails instead of the burr, as I get concerned about the microscopic particles I may be inhaling!

Thanks Mark and Peter

 

Hi there
just reading through the comments and have found them very informative.

I use an aqua drill so this means the dust coagulates on the clients foot/toes from the water spray and reduces me breathing it in. I also use a mask and glasses to reduce the spread of dust. Previous clinics also provided disposable plastic apron.

In my experience, I have found that the use of the drill decreases my time with the client after the initial consult once the nails are reduced in thickness and heels debrided and sanded. Follow-up consults are much easier and require basic tidy-up...much easier on my hands!

I wouldn't be without my drill and find that it does the job better and faster than I can do with scapel and diamond deb. I use approx. 3 burrs per client that vary in sizes so I can alter them according to my needs.

I will however be investigating the dust issue a little more...
Cheers
RHP

 

Hi,

I am currently in a clinic using an evo40 drill with moores discs, queen charlotte facemasks and protective glasses. This as a basic set up is doing the job just fine, however the evo40 is the only drill i have used and reading this i am interested in others esp the aqua drill? Is this similar to podospray etc and price comparison to evo 40?

With reference to the discs, whenever buying moores discs, only and this is a definate only buy the coarse discs as the medium are next to useless, dangerous and time wasting.

I am looking into starting my own practice and initially feel scalpel/ddeb file/clippers will suffice, however investing in a drill is something i will definatley be looking at.

Does anyone know the effectivness of the evo 40 at dust extraction
?

blue123

 

Can anyone enlighten me on the dangers of dust inhalation or published research that investigates this reliably

 

http://www.japmaonline.org/cgi/content/abstract/82/2/111
http://www.japmaonline.org/cgi/content/abstract/82/2/116