Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Plantar ulcers in leprosy and self care

Discussion in 'Diabetic Foot & Wound Management' started by NewsBot, Sep 24, 2010.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

    Members do not see these Ads. Sign Up.
    Why person affected by leprosy did not look after their plantar ulcer? Experience from Pakokku zone, Myanmar.
    Win le L, Shwe S, Maw W, Ishida Y, Myint K, Mar KK, Min T, Oo PM, Khine AW.
    Nihon Hansenbyo Gakkai Zasshi. 2010 Sep;79(3):239-45.
     
  2. Bill Bird

    Bill Bird Active Member

    I worked for the London Foot hospital from 1995 until 2003 as a bespoke shoemaker and made footwear for 13 cases for the Hospital for Tropical Diseases. During that time I researched leprosy quite a bit. It's still around, even in the UK. Multiple Drug Therapy kills it within days but the disability and disfigurment is perminent. Treat it like extreme diabetes with peripheral neuropathy. Full contact inserts plus protective footwear is essential.
    Two problems persist. 1) It is getting so rare that even in India, doctors may have never seen it and fail to diagnose it till it is advanced. 2) People wearing protective footwear in hot countries are often quickly suspected by others as having leprosy. Hence they wear ordinary sandals to hide their condition, hence another reason for poor care for their ulcers.
     
    Last edited: Sep 30, 2010
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Foot impairments and limitations in walking activities in people affected by leprosy.
    Slim FJ, Keukenkamp R, van Schie CH, Faber WR, Nollet F.
    J Rehabil Med. 2010 Nov 2. doi: 10.2340/16501977-0625. [Epub ahead of print]
     
  4. Graham

    Graham RIP

    In Toronto we had a number of Hansen's clients. It was seen by the client as a "stigma" within their community. Often having the leg amputated was a preferred outcome for them as they could explain this away as an "accident", therefore not having to deal with the cultural stigma of the disease.
     
  5. chellesil84

    chellesil84 Member

    very interesting information regarding Hansen's, but I need to ask, I can find info on the complications and the foot problems caused by HD but am struggling to find what a pod can do for a patient. All I have found is supportive custom made footwear, splints etc in cases of foot drop. what more is there that can be done to assist those with associated feet problems? Currently researching for an assignment.
     
  6. mastersound

    mastersound Member

    am working with a Leprosy program in Thailand at the moment and there is still so many cases even in a 9 year old girl. The stigma like Bill mentioned is disheartening to watch as people are evicted from their villages by even close family.

    Any one have any tips regarding care other than diabetes like care for neuropathy and footwear?

    thanks in advance.
     
  7. Bill Bird

    Bill Bird Active Member

    HI
    There was a television programme here in the UK last week about this disease in India. The multiple drug therapy kills the bacilli within a very few days. The main problems they outlined were as you have found, the disfigurement the disability and the social exclusion. The emphasis carried out by the team shown in the programme was on education within the community from which the people affected by leprosy had been excluded. This involved actually going into the communities with translators and taking the excluded people with them. Not an easy solution I must say but if it can be done, it would be better than anything else.
    Good luck with what you're doing. I wish you well, Bill Bird
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Increased plantar foot pressure in persons affected by leprosy.
    Slim FJ, van Schie CH, Keukenkamp R, Faber WR, Nollet F.
    Gait Posture. 2011 Oct 1. [Epub ahead of print]
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A Method Used to Access the Functional Outcome of Tibial Posterior Tendon Transfer for Foot Drop in Leprosy.
    Reis F, Knackfuss IG, Verçosa N, Menezes SL.
    Foot Ankle Spec. 2011 Sep 30.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Plantar pressure and daily cumulative stress in persons affected by leprosy with current, previous and no previous foot ulceration.
    van Schie CH, Slim FJ, Keukenkamp R, Faber WR, Nollet F.
    Gait Posture. 2012 Sep 1.
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Long term results of tibilalis posterior tendon transfer for foot drop in leprosy.
    Partheebarajan S, Soloman S, Ebenezer M.
    Indian J Lepr. 2012 Apr-Jun;84(2):145-9.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Reduction of plantar pressures in leprosy patients by using custom made shoes and total contact insoles.
    Tang SF et al
    Clin Neurol Neurosurg. 2015 Feb;129 Suppl 1:S12-5
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Health beliefs surrounding leprosy induced foot
    ulceration; an exploratory qualitative study from
    South Nepal

    MAXIMILIAN DESANCHA, KIRAN JHA &
    ANITA WILLIAMS
    Lepr Rev (2015) 86, 254– 264
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Prospective analytical study of assessment of off loading by Total Contact Cast in treatment of non healing plantar ulcers in anaesthetic foot.
    Rai S, Gupta AK, Kumar D, Sharma VP, Agarwal AK.
    Lepr Rev. 2016 Mar;87(1):71-7.
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Efficacy of topical Epigallocatechin gallate (EGCG) 1% on the healing of chronic plantar ulcers in leprosy.
    Prakoeswa C et al
    J Dermatolog Treat. 2020 Feb 18:1-18.
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Nail changes in leprosy: An observational study of 125 patients
    Chetan D Rajput et al
    Year : 2020 | Volume : 11 | Issue : 2 | Page : 195-201
     
Loading...

Share This Page