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Why do my clients have dark spots on the soles of their feet?

September 01, 2001 | Bookmark +

When doing pedicures I have noticed that several of my clients have dark spots on the soles of their feet. Do you have any idea what these spots could be?

Answer

Dr. Youner: Women of color, as well as Asian women, may have hyperpigmented or dark spots on the plantar (bottom) side of their feet. This occurs due to a concentration of pigment in the area. It is usually a benign condition, like a freckle.

However, there are certain instances where the condition must be seen by a dermatologist or podiatrist. If the dark spot is elevated, uneven, blackish or bluish in color, spreading rapidly, or unevenly colored, you will want a medical professional to take a look and do a simple biopsy on the site. Freckles do not appear all that often on the soles of very light-complected women. When dark spots are there and they are new, they need to be seen.

Nail techs see way more feet bottoms than the average doctor. They should let the client know that there is a spot—many people are unaware of what is on the bottom of their feet it there is no pain involved.

 

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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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