Practical podiatry : . Cut a third strip about two inches long and withit circle the toe, binding down all four ends of the twostrips already applied. Trim off the ends of the plaster,which extend from under this last applied strip, and the whole makes a neatpractical shielding fortrouble in this situa-tion. (Fig. 5). There are many waysin which a shield inthis location may bestrapped, but as al-ways, and particularlyin this instance, thereare so many circum-stances which go toalter the mode of strap-ping that it would bewell-nigh impossible toexplain them all or tooutline a set method ofproce
Practical podiatry : . Cut a third strip about two inches long and withit circle the toe, binding down all four ends of the twostrips already applied. Trim off the ends of the plaster,which extend from under this last applied strip, and the whole makes a neatpractical shielding fortrouble in this situa-tion. (Fig. 5). There are many waysin which a shield inthis location may bestrapped, but as al-ways, and particularlyin this instance, thereare so many circum-stances which go toalter the mode of strap-ping that it would bewell-nigh impossible toexplain them all or tooutline a set method ofprocedure. Interdigital Surfaces. Helomata, both hard and soft, often occur between the toes and, in these cases, to insure complete relief to the patient, a shield is usually an absolute necessity. Buckskin, sheepskin, adhesive moleskin, and chamois are the materials most generally used for interdigital shields although the thinner varieties of white felting, with or without adhesive, may be substituted in some FIG. 5. SHOWING SHIELD APPLIED TO END OF FOUETH TOE SHIELDS AND SHIELDING 119 The shield should be fashioned of equal length to the sur-face of the toe, from the web to the distal end, and shouldbe only wide enougii to correspond to the thickness of thetoe. If the shield be allowed to lap over on the dorsum ofthe toe or under on its plantar surface, new pressure isbrought to bear on these parts, to the discomfort of thepatient. It must always be remembered that the toes bendduring the various movements in walking, and that if ashield be allowed to curl under the toe, the thickness of thematerial used will interfere, to a great extent, with thenormal flexing and extending of the toe, even to such adegree in some instances as to cause lesions of more orless severe character on the skin. To allow any shield to cover or to press upon the tis-sues directly adjacent to the nail is always to the discomfortof those parts, and in this, as in all other instances, shouldbe
Size: 1209px × 2066px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1900, bookdecade1910, bookidpracticalpodiatr00jose
