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Podiatry In-Service Talk for Thye Hua Kwan Hospital

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Titus Ng

on 16 April 2016

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Transcript of Podiatry In-Service Talk for Thye Hua Kwan Hospital

Podiatry In-Service Talk for Thye Hua Kwan Hospital
By: Ng Chuan Guan
Podiatrist (BPodM)
Foot and Limb Design Centre
Tan Tock Seng Hospital

CONTENT
The Elephant in the Room?
What does the Pod do?
Footwear Myths
The Pod and You
The things that matter........
1
FIRM HEEL COUNTER
2
3
4
5
Mid-Foot Torsional Stability
Forefoot Flexional ability
Lacing or Velcro
The Fit
The Importance of Timing
Using your Magic Finger
Stand and Wiggle
The Width matters
Watch for the Heel Slip
For the High Risk foot
DOES MY SHOE FIT ME?
Monitor both feet closely after 1-2 hours of wearing new footwear
Visually inspect both feet
Stop if any issues arises and seek help early
What does the Pod do?
General Foot Care
Ulcer Management of the foot and ankle
Biomechanics
Elephant in the Room?
CALLUS
WART
CALLUS
Ulcer Management
Podiatry Instruments
Plantar Fasciitis
Achilles Tendonitis
Pes Cavus
Pes planus
Metatarsalgia
PTTD
Orthotic Management
Diabetic Population in SG
DIABETIC FOOT ULCER OCCURRENCE
25% will develop a DFU in their Lifetime
Probability of DFU being infected
56% of DFU might get infected
Hospitalisation and Amputation
700 lower limb amputation every year due to Diabetic Foot Complications
Amputation Rate
Estimated: One lower limb is amputated every 20s due to DM complications worldwide
Mortality Rate
46-47% 5 year Mortality Rate
What cause DFU??
Peripheral Neuropathy
+/- Peripheral Vascular Disease
+Trauma/Injury
= DFU
Prevention is better than Cure
What shall we do???
DM > Risk Factors > DFU > Infection > Amputation> Mortality
You can make a big difference here
1. Visually inspect both feet
2. Do not walk barefooted
3. Do not self treat
4. Know the signs of infection
5. Seek help early when needed
The Golden 5
You can save a limb!
Is this Foot Okay?
Toenail Care
Callus Locations
Podiatry Instruments
What is your opinion?
Offloading
Dressing Options
Footwear Myths
The Pod & You
A Doctor's referral is needed for a pt to see a Pod
A Specialist outpatient referral is needed for a pt to see a Pod on the subsidised scheme
Visiting Podiatrist to THK can only provide General Footcare Service at the moment
Thank You


Linette Lai. Singapore 'has 2nd-highest proportion of diabetics'. Straits Times Singapore
Source: Ministry of Health. Straits Times Graphics
International Best Practice Guidelines: Wound Mangement in Diabetic Foot Ulcers. Wounds Internatioanl, 2013.
International Best Practice Guidelines: Wound Mangement in Diabetic Foot Ulcers. Wounds Internatioanl, 2013.
International Best Practice Guidelines: Wound Mangement in Diabetic Foot Ulcers. Wounds Internatioanl, 2013.
International Best Practice Guidelines: Wound Mangement in Diabetic Foot Ulcers. Wounds Internatioanl, 2013.
International Best Practice Guidelines: Wound Mangement in Diabetic Foot Ulcers. Wounds Internatioanl, 2013.
Epidemiology and Disease Control Division of the Ministry of
Health. Annual Report 2001. Singapore: Ministry of Health; 2001, p. 35.
International Best Practice Guidelines: Wound Mangement in Diabetic Foot Ulcers. Wounds Internatioanl, 2013.
International Best Practice Guidelines: Wound Mangement in Diabetic Foot Ulcers. Wounds Internatioanl, 2013.
Gan Kim Yong, Health Minister Singapore
Salma Khalik. Parliament: Health Minister Gan Kim Yong declares 'war on diabetes'; new task force set up. Straitis Times Singapore
Salma Khalik. Parliament: Health Minister Gan Kim Yong declares 'war on diabetes'; new task force set up. Straitis Times Singapore
Rodney Dawber, Ivan Bristow, Warren Turner. Text Atlas of Podiatric Dermatology
Rodney Dawber, Ivan Bristow, Warren Turner. Text Atlas of Podiatric Dermatology
Rodney Dawber, Ivan Bristow, Warren Turner. Text Atlas of Podiatric Dermatology
Rodney Dawber, Ivan Bristow, Warren Turner. Text Atlas of Podiatric Dermatology
Rodney Dawber, Ivan Bristow, Warren Turner. Text Atlas of Podiatric Dermatology
Rodney Dawber, Ivan Bristow, Warren Turner. Text Atlas of Podiatric Dermatology
Rodney Dawber, Ivan Bristow, Warren Turner. Text Atlas of Podiatric Dermatology
Source: Google Image
Source: Google Image
Source: Google Image
Source: Google Image
Source: Google Image
Source: Google Image
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