Stroke Survivor

A stroke survivor dedicated to helping people with disabilities live full lives.

Navigate to Your Welcome PageClick for Caregivers InfoClick for Survivors InfoClick for Rehab Professionals ResourcesClick to Home Page

email

mailSlot
Positive Power Publishing Logo

HOUSE JOINT RESOLUTION NO. 561
Commending Paul Berger
.

 Paul Named Virginia Advocate of the Year
AHA's "You're the Cure" Honor
Click here

Stephanie receives Fairfax Caregiver
Award

***
Stephanie blogs for Disruptive Women in Healthcare

Foot Care for Stroke Survivors
by Dr. Marc D. Klein, Doctor of Podiatric Medicine

One of our friends had trouble cutting his toenails, and his family doctor suggested visiting a podiatrist every 6-8 weeks. The podiatrist cut his toenails and examined his toes and feet. We wanted to write about the importance of good foot care and prevention, so we asked Paul's high school & college friend, Marc Klein, who practices podiatry in Massachusetts, just north of Boston.
_________________________________________________

Paul & Stephanie asked me to write an article on foot tips for stroke survivors from a podiatric point of view. Hopefully the following is helpful, interesting, and educational. 

Tip 1. Keep your feet clean and dry. I know that this a "Duh" statement but it needs to be said.

Tip 2. Dry well between toes after bathing. Fungus thrives in a moist, dark, warm environment. The fungus that causes athletes foot (tinea pedis) is often the same one that causes thick, discolored, ugly and hard to cut toenails (Onychomycosis). The fungus will spread from skin to nails and vice versa. Prevention is cheaper than treatment and avoids potential pain and drug interactions as both tinea pedis and nychomycosis may require oral medication to resolve.

Tip 3. Socks and Shoes. The average pair of feet sweat approximately 1/2 pint of fluid per day. That sweat is absorbed mostly by shoes as socks have a limited ability to absorb much moisture. It takes a leather shoe about 30 hours to dry out. So, have at least two pair of shoes and alternate them. If you have really sweaty feet, cotton/wool/polyester blends have traditionally been recommended as old studies show these absorb the most moisture. Pure cotton absorbs well but quickly mats down preventing further absorption. Adding wool and polyester to the cotton gives buoyancy and allow for more wicking action.

The classic military sock absorbs the most sweat, wicking the moisture away from the skin. However, a newer product—Drymax socks (see  click here)—are even better at keeping the skin dry and preventing blisters.

Tip 4. Smelly feet. Sometimes associated with sweaty feet (called hyperhidrosis) is smelly feet (bromhydrosis). This is due to the breakdown of the oils in sweat by the bacteria that normally inhabit your skin. Bromhydosis can be treated by removing the sweat as discussed above, preventing the sweat by use of foot antiperspirants, or by use of an over the counter product called Hibiclens which bonds to the skin, kills the bacteria and remains active in the presence of sweat. So you too can have sweet smelling feet.

Tip 5. Wear shoes that fit. If you have any insensitivity in the stroke affected leg make sure that a professional fits your shoes.

Tip 6. Protect your feet and examine them daily. Your stroke affected leg is probably thinner and the atrophy (smaller and weaker) is not limited to the muscles. The arteries can also be affected so that you may have developed peripheral arterial disease (PAD, poor circulation) in the effected extremity. So, how do you protect your feet from damages? First, see 1, 2, 3, 4 and 5 above. Also, if you need a brace, use it. If you have foot-drop, don’t walk around letting your foot slap or flop: it can be injured or you can fall and break something. Again, prevention is so much easier, cheaper, and less annoying than treating a problem that should have been avoided in the first place.

Tip 7. Exercise. Weight bearing exercise has been shown to help prevent osteoporosis. And since bone can atrophy along with other tissues in the stroke affected leg, it is important to exercise regularly to support the bones that support you. Exercise also helps control blood pressure: hypertension is another risk factor for stroke.

Tip 8. Prevent another stroke by control of weight,  and not smoking (one cigarette constricts the arteries for hours), and dietary and/or pharmacologic control of serum lipids—cholesterol plaques are a major risk factor for stroke.

I want to thank Paul and Stephanie for inviting me to write this article. This was an interesting endeavor as there seems to be relatively little on this very general subject in the professional literature. Most articles examine single issues, usually a small part of a single issue. I hope this was helpful and a little entertaining.

To contact Dr. Klein, write or call his office: Marc D .Klein, D.P.M., F.A.S.P.S., Methuen Podiatry Associates, LLP, 191 Broadway, Methuen, Massachusetts 01844, Telephone (978) 682-0382.

To find a podiatrist near you, contact the American Podiatric Medical Association at:  http://www.apma.org

~~<<>>~~

Copyright (c) Paul E. Berger & Stephanie Mensh
Permission is granted to reprint this article
in your newsletter or magazine only with the following byline:
"Stephanie Mensh is a speaker and author.
To find out more about her programs and services,
visit www.StrokeSurvivor.com
or call (703) 241-2375."

Stroke Survivor

info@strokesurvivor.com

tweet.size.
facebook
[Home] [Video] [Newsletter+Articles] [Ask the Experts] [Reading List] [Helpful Products] [Resource Links] [Our Books & Tapes] [Our E-Books] [Chapter One] [Speaking Topics] [About Us] [Contact Us] [Home] [Home]

Subscribe to FREE Survivor Tips Newsletter
and
7-Part Course

Your first & last name

Your email address:

Now on Amazon Kindle
E-books

 How to Conquer the World With One Hand...And an Attitude
Watch the book trailer.
Click for details
Click for details (UK)

  YOU CAN DO IT!
Click for details

E-Books: Solutions to Download:
Conquering Aphasia & Stroke TODAY! Click for details

Conquering Aphasia & Stroke for Caregivers Click for details

More Conquering Aphasia & Stroke Click for details

You are marvels!  I just read the newsletter ... and it is simply priceless (I always read them, and they are all noteworthy, but this one is beyond good.)  Paul, your book is in my book as something that all clinicians should have, read, pass on (ie, make them buy) to their clients.
 -Audrey Holland, Professor Emerita,University of Arizona

I came across your website today and just wanted to congratulate you on providing a helpful resource for stroke survivors and healthcare professionals.
     -Marisca Baldwin, The Pat Arato Aphasia Centre, Toronto,,Canada

THE AUDIO BOOK
 Everyone wants! on 8 CDs
Recorded version
of How to Conquer the World With One Hand...And an Attitude
Click for details.

 The Stroke Survivor Premier    Book Club System
   Easy...Affordable...Enjoyable...       Motivational!
 
Click for details.

Reading problems?
You can hear text with FREE
text reader software described on
 our, Access page

googlebe823389b37e2e82