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Can you do pedicures on people with psoriasis on their legs?

April 15, 2010

Can you do pedicures on people with psoriasis on their legs? What precautions should be taken?

Answer

I would avoid the use of water or soaks with a psoriatic patient. Gentle nail care including polish can be attempted if the client is not hyperreactive (sensitive) to the polish. A dry pedicure would be safe. Any trauma to psoriatic skin will hurt the sufferer, so avoid scrubbing, soaks, etc., on affected areas. As long as the nails are free of psoriasis, it’s safe to treat the them. If not, it’s best if the client gets clearance from her doctor. — Johanna Youner, D.P.M., is attending podiatric physician and surgeon at New York Downtown Hospital and is also in private practice in New York City.

What’s the cause of the pinkish-red oval area on the pad of my client’s toes?

I have a client who has a recurring problem with her fourth toes during the winter months. Both of her “ring finger” toes develop a pinkish-red oval area on the pad. Then a month later, when I see her again, the skin has become dry and hard like a callus, with the layers of skin peeling away to reveal a deeper, dark epicenter.  It’s extremely painful for her and, needless to say, we do not touch it. But it clears up in the summer when she’s wearing open-toed sandals, so I suspect it has to be due to the boots she wears in the winter. Plus she never puts lotion on her feet or uses a foot file in between visits. What do you think causes this?

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What are the big white spots on my natural-nail client’s nails?

I have a client who has been with me for about two years. She used to wear acrylic nails but has been a natural nail client for eight months or so. She has these white spots on her nails — big spots that are dry, but not flaky, right in the middle of the nail. I did try to buff them lightly but they do not come off or grow off. I had a new client come in last week who had the same on her toenails. She said it started after she had a pedicure done at another salon. Can you help?

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