month and a half times again where the weather and go if you notice when the sun comes out, the feet are most used by the walks, more aggression, by road and weather conditions (heat, more edema, no socks or stockings, less protection, etc).
also are emerging plantar warts, and that is ......
A fact that has surprised me is that in one week have turned many people they look up the nail of the hallux, as seen in a television advertisement in which they said could have fungus. I really think we are doing the advertising, even in self-interest. As a result, many cases of affected nails are not caused by fungal infections. Many fingernails are onycholysis due to microtrauma to the footwear, or the biomechanics that produces a rotation in the finger and the lever holding the nail is altered where the equilibrium point is no longer the center but the side therefore begins to peel by the contralateral. A crude example would be a balance, with two equal weights on both sides and the fulcrum in the middle. (Bridging the gap of plantar pressures received)
This case is interesting because the patient comes for consultation 3 months after nailing a crystal in the center of the foot. A month ago it began to bother him and went to consult, but they do not care. In the first consultation thought of a foreign body or a hypertrophic scar. For the first course I took a deep exfoliation, manual hemostasis, comprising scar tissue and loose hair that I was finding was not appreciated until more fibrous tissue.
After 2 weeks back to review, and felt no pain on pressure, but if burning and pain around the injury, a tumor that internal hard consistency and palpable. To delaminate a little bleeding occurred in 1 capillary. Cramp-like pain. She said that for 1 month was scratched to make you bleed in times continuous. Thus the clinic coincided with the plantar wart (pain, cramps pathway, tumor, bleeding capillary sheet) and this has been covered so today. For now do not notice anything that felt and only time will tell whether it was that or is that a hypertrophic scar was forming.
Cleaning injury after cantharidin application. 
In this case, a girl with another wart treated 1 year of evolution. 
The same case as above. 
This is another case of unusual. Patient with a 5-second head helomas MTT. were enucleated not be more perfectly to hyperkeratosis.
The fact is that after 2 weeks still bothering him and has given no trouble at any time, bothered him less but still there.
The clinic also tells us to plantar wart: immunosuppressed patient with family history of wart 1 and 2 years ago, walking barefoot at home. Under the helomas
revealed a pedunculated fibrous tissue, pinkish at first gave no importance, but when he continued bothering if appreciated that the dermis was not as it should.
In this case, has spent 45 years thinking you have flat feet, a definition that does not like to listen and to classify a flat or cavus foot, it seems too simple, and if you have low arch foot has etiology, either structural (bone), morphological (such as align the bones and joints) or accommodative (the common) In this case the arc was nonexistent in charge, but was in shock. Pronation of the ASA gives the false image of flat feet, as evidenced by photographs of plantar orthoses then showing the natural arch that is.
The problem is excessive muscle tension flexor posterior chain, causing an equine ankle, apart from obesity. The problem gets better with orthotics and stretching, even improving the symptoms of sciatica. Back 
foot-leg, evolution. Works using boots water all day. 
is erythrasma diagnosis, treatment and oral antibiotics. There is a case that brings me head. A middle-aged patient presents with a sore arch in 3 weeks later. In the exploration is not seen nothing, absolutely nothing. He looks with a magnifying lamp, it is pressure is applied, the area is palpable nodules noted, and nothing. He himself noticed when he arrived from the beach, but also looked at the area and saw anything or erythema or swelling. The diagnosis meant it more to be nailed something and have a foreign body reaction with a vesicle in the deep layers of the skin.
muscle involvement has been ruled out.
Another case I've seen today, came only to ask for a 2 Opinion about a fingernail problem on a teenager who has been operated 2 times and the injury becomes manifest.
a tumor is well vascularized, friable that produces elevation of the nail plate from the middle to the distal bed. Today was difficult to assess because it recently received a trauma to the area. The dermatologist has operated scraping the lesion for 2 times under anesthesia. I do not think you have had a biopsy, so I'm told.
It has been recommended to rule out making a Rx subungual exostosis, osteochondroma and if not for bone involvement, a biopsy of the area or directly to a complete surgical excision.
(Speaking of surgeries, I read on the blog of the practicum conducted bases in Alicante, which has been a success. The truth is that was very good looking, and personal problems have not been able to attend, but the next I will not lose because they think it is important to know how to perform everyday basic things such as nail surgery, tumors, exostoses)
A case also "likely" occurred with a relative, a 9 year old girl without previous trauma has been made limp edema in the posterior and proximal leg, forcing her to march in dorsiflexion of the foot for walking.
The mild tenderness in the area produced a lot of pain. After the scan
relevant is the pain in the posterior tibial muscle, and that performing passive hyperextension of this is when most apparent pain, also because the analgesic dorsiflexed position reduces muscle solicitation.
features a forefoot varus and made a lot of sport every day of the week.
oral NSAIDs Kinesio Taping 1 month and the problem was resolved, but showed edema and ankle pain in the medial and anterior as well as subungual hematoma.
Rx clean. Inquiring
pain occurs at the ankle but not affect the joint, rather the hallux Extendor tendon.
then commented that he has fallen skateboard and is bent around the foot in plantar flexion as has occurred in the extensor stretch. Kinesio Taping and contrast baths 2 weeks. And see if it's the latter because the 2 conditions did not match but come together to tell us about that incident.
Finally remark that this weekend we have underway in Santiago de Compostela with Dr. Luke Ciccinelli and Javier Pascual, where they board the metatarsal pathology from the biomechanics and surgery. Here we will again, and in 2 weeks to Madrid to another.
PD Looking for information about MBT shoes, I found an article made 2 years ago on the use of MBT and its effectiveness in osteoarthritis of the knee. The results showed no significant improvement after 12 weeks.
(Unstable Shoe Construction and Reduction of Pain in Osteoarthritis Patients
BENNO M. NIGGA 1, CAROLYN EMERY 2, and Laurie A. Hiemstra 2)
Also in a recent article, trying to open new avenues of exploration in diabetic neuropathy which decreased the sensitivity related to a nerve entrapment due to fibrosis that occur in the anatomical narrow channels. The improvement in nerve decompression made us wonder whether apart from nerve entrapment neuropathy may coexist to aggravate or accelerate the problem.
In the study succeeded in reducing the recurrence of ulcers in almost all cases.
"evidence That Were These encouraging results reproducible Ongoing Would Also inform the debate about using Nerve Decompression for neuropathic pain of diabetic origin"
Low recurrence rate of diabetic foot ulcer after nerve Decompression
D. Scott Nickerson
JAPMA Volume 100. Numer 2.
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