Hi,
Members do not see these Ads. Sign Up.
I recently read an article in Podiatry Now, im sure most of you have seen it also, about the treatment of Verruca using compeed blister packs which the author had used and claimed had been their most successful VP treatment to date. For those of you that did not see it, the protocol for treatment was debridement and simply to apply the compeed and leave in place for as long as possible i.e 2-3 weeks. On review after this period the properties of the compeed would donate moisture and hence allow for controlled maceration of the verruca (given the compeed was applied correctly). As a result the affected tissue could be debrided much more effectively and hence be 'destroyed'.
Within the article the author suggested this technique could be applied to the rx of fibrous, painful corns.
I deal with a patient that suffers from an extremely painful hd overlying the 4th MTPJ, the cause being a rugby incident where a boot stud came through the sole of the boot into the area of the foot in question. Briefly 35 years later this is still having a huge impact on the patients quality of life and they have had routine podiatric care every 5weeks to relieve their pain. After a year under my care of routine treatment, at this point this not including enucleation as the patient wont allow it, involving light debridedment and scf pmps with cut out i read this article and thought it was worth a go. We have discussed enucleation under LA, orthoses and electrosurgery but due to other medical history and finances these are not viable.
After the first application of compeed there showed minimal effect, we are now 2months into the process and suprisingly to myself we have made a major breakthrough. Using painscales linked with time intervals for pain we are getting positive results and although enucleation is still not possible the tissue is being debrided more effectively each visit.
I now intend to adopt this approach with a handful of other carefully selected patients and will keep you updated.
Has anyone else used this or similar methods? Results please?
Blue123
Tags:
Loading...
- Similar Threads - Neurovascular
-
- Replies:
- 0
- Views:
- 1,277
-
- Replies:
- 0
- Views:
- 1,642
-
- Replies:
- 0
- Views:
- 2,180
-
- Replies:
- 9
- Views:
- 14,226
-
- Replies:
- 0
- Views:
- 7,411
-
- Replies:
- 5
- Views:
- 8,572
-
- Replies:
- 4
- Views:
- 15,623