Take a look at your toenails. What do you see? You may not have realised, but the way your toenails look and feel can say an awful lot about your overall health.
You should not only take care of your toenails, but also pay attention to their overall condition and question any changes.
It’s important to make yourself aware of the issues that may be indicated by your nails, so here are several conditions that may show through their condition:
You may have heard of hair falling out after a bout of severe stress, and as the nails are closely linked to hair, it should come as no surprise that they can begin to show symptoms too.
Throughout very stressful periods, you may begin to show horizontal white or discoloured lines on the nails. Rest assured, though, these are not permanent and will start to fade as the situation resolves.
Sometimes, discoloured lines running vertically from tip to cuticle can be a sign of cancerous melanomas or benign moles. These changes in nail pigmentation are often related to ethnicity and are usually more likely to present themselves in people of Asian or African descent.
People suffering from arthritis may notice small cysts that begin to grow on or around the cuticles. These are benign and will present no harm; however, it is important to get them seen to by a professional who will know the safest, most effective way to remove them.
When you think of psoriasis, you may think of red patches on the skin. However, the nails can also be affected – usually in the form of a yellow or red patch of discolouration. Other visible signs may include indentations, white spots or black lines.
Acute or chronic disease of the kidney could be indicated through the nails. Symptoms include Beau’s Lines (horizontal stripes across the nail), ridged, rough nails that are often concave in shape and can often be a sign of anaemia, or white streaks or spots on the nail.
The genetically transmitted Darier Disease usually occurs in adolescence. As it develops, those afflicted will notice wide stripes of red or while running from the cuticle to tip of their finger and toenails. It can also cause a V-shaped groove close to the fingertip.
If you think your nails could be indicative of something more serious, or if they simply need a little care and attention, Betafeet Podiatry offers nail care and nail surgery to ensure your health and comfort.
Rwanda is a small ambitious country known as the land of 1000 hills with a population around 12 million and a rapidly growing economy. It has rolling hills for as far as you can see, a rain forest, gorillas and volcanoes, making for quite the site to any visitor. However, it is also known for the 1994 genocide in which over 1 million people were killed in 100 days across the country.
This tragic event has led to some very big health issues, which the country still faces, but thanks to a range of donor funding and strong political leadership, the country is on its way to quickly becoming a middle-income country.
As countries shift from low incomes to middle income economies, health issues become complex, where the country can face a mix of communicable disease (ie. malaria, HIV, TB) and the introduction of non-communicable disease (ie. diabetes, high BP, cholesterol) with changes in lifestyles.
Now you are probably wondering what this has to do with podiatry?
Well, as clinicians we play a role in the overall wellbeing of every patient that walks through our door for treatment and we become advocates for a number public health issues. While our specialist area is focused on the foot and ankle, an understanding of the bodily systems is imperative for understanding the impacts on the lower limb. This allows us to transition from clinical practice to other work streams such as health policy, public health programmes, service management and research.
As a podiatrist with a public health background, the increase of diabetes and chronic conditions in developing nations has become of personal interest. In many of these countries, diabetes is poorly understood and without proper prevention and care, can lead to a large economic burdens on the healthcare system. In 2012, the UK alone spent a whopping £639 million on foot ulcers and £662 on lower limb amputations, so the prevention and monitoring of these conditions is of paramount importance in the developing world.
The quality of life for individuals with diabetes is also drastically affected if not controlled, impacting mobility, footwear and overall lifestyle. Additionally, chronic ulceration and limb amputation, creates an increases risk (approximately 80%) of mortality within the first 5 years post amputation.
How did all this lead me to Africa, I hear you say?
In April of 2016, I (sadly) departed from the Betafeet clinic to implement an mhealth project in Rwanda in partnership with the Ministry of Health. This project, allows patients across the country to speak with a doctor and receive a prescription via SMS through their mobile phone, reducing the travel time, wait time and expense of receiving care from one of the local physical hospitals. The system is also working on monitoring both communicable and non-communicable disease using artificial intelligence, engaging patients to take ownership of their health.
This could be a major milestone for a country with stretched resources. To put things into perspective, over 80% of the population lives in remote areas of the country and works in the ‘in-formal’ sector as subsistence farmers with an average income of 2-3 dollars per day, which is not very much. To receive care, a patient may travel over an hour to reach their nearest hospital where a doctor is present and then wait anywhere from a few hours to a few days to receive the care they need. However almost 80% of the population already has a mobile phone.
Appropriate access to clinical care is a large part of the prevention and management of many conditions and undertaking this project has been a great experience. As a clinician, I have had the opportunity to utilise my knowledge to develop operational pathways and input into the technology development to shape the way patients receive their care.
It is with
this experience I now look to move on to my next adventure focusing on Aboriginals
and the utilisation of technology in the prevention of major non communicable
disease such as diabetes.
Final comment from Reggie Simpson and Betafeet Podiatry
We wish Andre the very best in his future and thank him for this interesting blog account. We look forward to his next blog focused on his work with the Aboriginal population.