Welcome to the Cambridge Physiotherapy & Rehab Center

Each foot care treatment starts with cleansing of the feet using chlorhexidine, a mild skin disinfectant. Any areas of callus, corns or dry skin are sprayed with Footlogix Callus Softener which can be left on the skin and doesn’t need to be washed off. This continues to soften and moisturize skin long after the foot care treatment. All foot care treatments are finished with a moisturizing foot and lower leg massage to help improve skin texture and circulation.

Foot care may include:

  • Cutting and Filing of nails using nail nippers and podiatry drill.
  • Reduction of Thick or Ram’s Horn nails using nail nippers and podiatry drill.
  • Fungal nail treatments using a mixture of tea tree oil and oil of oregano. There are many fungal nail treatments that are useful in stopping the spread of fungus but few are natural and don’t interfere with prescription medications. Some even require blood work monitoring. Teatree oil and oil of oregano are all-natural, don’t require a prescription or blood work and don’t interfere with other medications. They have powerful anti-fungal, anti-bacterial and anti-viral properties that are improved when used together. First, the “dead” infected portion of the nail is reduced using nail nippers and a podiatry drill, then oil mixture is applied. All fungal nail treatments only stop the spread of the fungus—the infected nail needs to be trimmed and filed away as it grows out. This may take 8 months to 1 year depending on the individual's rate of nail growth and underlying health conditions.
  • Conservative treatment of Ingrown nails (no surgery): Advanced Foot Care Nurses are not licensed to perform surgery so we must use conservative methods such as careful nail trimming to remove any “spike” that may be “digging” in while ensuring the surrounding skin remains intact. If the surrounding skin is intact nail packing using sterile cotton wisps provide a tiny physical barrier to keep the nail from piercing the surrounding skin as it grows out. Curved or involuted nails can be straightened over time using these methods. If conservative methods fail the client will be referred to a chiropodist or podiatrist for in-grown toenail surgery.
  • Removal of Calluses and Corns: Footlogix Callus Softener is used to soften the hardened skin prior to removal of the non-viable hardened skin using a scalpel, gouge or podiatry drill with special burrs for this purpose. Padding and strapping are usually done post callus/corn removal.
    Padding and Strapping (pressure relieving offloading): This is done to help offload pressure to areas of the foot where pressure is causing callus, corns, wounds, and discomfort. Semi-compressed felt is cut into special shapes to make pads that are adhered to the underside of the sock liner or manufacturer’s insole in the client’s footwear. Sometimes toe separators or hammer toe crests made of leather or silicone are used to offload pressure to toes.
  • Plantar Wart/Skin Tag Treatments: Difluoroethane is the cryogen that is used. It freezes the lesion to below 60 degrees C in 10 seconds. The cryogen kills of the blood supply to the lesion. In approximately 7-14 days the treated area scabs over and falls off. New healthy skin tissue grows over the area in time. This is monitored by the nurse. Multiple treatments may be necessary. Dead skin over warts may require scalpel debridement to ensure cryogen penetrates deeply into the lesion.

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