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If a patient has a lot of heel callous, do others get the patient on their front, so that the heels can be treated both, more safely and effectively?

I feel that even if you have a body block heel raise, it is still better in many instances to get the patient on their front.

I have done this with several patients recently who have found it much better to carry out heel callous treatments in this manner.

 

Hi Simon,

I'll get the patient to be prone if there's heavy heel callous. Ergonomically easier for me to work.

I also get the same result if I get them to stand facing a standard 4 legged seat. Slightly offside so one leg is weightbearing, to the side of the chair the other is bent at the knee with the knee supported on the chair seat . The patient can place their hands on the back of the chair for additional stability.

This gives you the same access to the heel, as the patient being prone on a plinth. The patient ends up having their back to you.

I find this handy if the patient chair isn't one that people can lie prone on.

Regards
Greg

 

I do this also. I find the position especially useful for fissures. I had a young lady with this problem but she was wearing a micro skirt , either placement was going to be difficult, fortunately her husband was at home and she rang him and he brought some jogging pants .
I use either a wide gauge blade as this has no leading point so you can do both edges at the same time. As my nail drill is a waterspray type .I find using this with a large burr extremely helpful , as you can get a much smoother and fine layered finish.The water keeps it all nice and cool.
;)