The incidence of claw toes in diabetic and non-diabetic patients in a podiatry department

Farndon, Lisa

doi:10.1002/(sici)1528-252x(200001)17:1<9::aid-pdi12>3.0.co;2-8

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…The 2014 Australian workforce data indicated that 19.5% of podiatrists were working in a hospital or community healthcare service, with 65% employed in private practice [14]. UK workforce data from 2016 indicated that 35% of podiatrists worked in the National Health Service (NHS), 23% a mixture of NHS and private practice and 41% in private practice only [15]. These comparisons indicate there is a smaller percentage of the NZ podiatry workforce employed in the public health sector when compared to Australia and the UK.…”

Section: Discussionmentioning

confidence: 99%

The New Zealand podiatry profession – a workforce in crisis?

Carroll

Jepson

Molyneux

et al. 2020

Journal of Foot and Ankle Research

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Background This is the first study to explore workforce data from the Podiatrists Board of New Zealand. The study analysed data from an online survey which New Zealand podiatrists complete as part of their application for an Annual Practising Certificate. Methods Survey responses between 2015 and 2019 were analysed. Data was related to work setting, employment status, work hours, location, professional affiliations, and number of graduates entering practice. Survey data was downloaded by a second party who provide data security for the Podiatrists Board of New Zealand workforce data. All data supplied for analysis were deidentified and could not be re-linked to an individual practitioner. Results In 2019 there were 430 podiatrists who held an Annual Practising Certificate. Eighty percent of podiatrists who work in New Zealand are in private practice, with 8% employed in the public health sector. Podiatrist’s work is a mix of general podiatry, diabetes care and sports medicine. The majority are self-employed (40%) or business owners (19%). Approximately 40% work between 31 to 40 h per week and 46 to 50 weeks per year. The majority are female (67%) with most practising in the North Island (69%) and located in the Auckland region (33%). On average 76% of new graduates were issued an Annual Practising Certificate between 2015 and 2019. Conclusion The New Zealand podiatry profession is small and growing at a slow rate, consequently there is evidence of a workforce shortage. To maintain a per-capita ratio of podiatrists approximate to Australia and the United Kingdom an additional 578 podiatrists are required in the New Zealand workforce. There are not enough new graduate practitioners entering the workforce and once practising, the majority enter private practice in the face of limited public health employment opportunities.

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Section: Discussionmentioning

confidence: 99%

The New Zealand podiatry profession – a workforce in crisis?

Carroll

Jepson

Molyneux

et al. 2020

Journal of Foot and Ankle Research

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“…The above findings may result from the fact that the motor disturbances can be more common than sensory as was shown by Ishpekova et al [68] or that foot deformation and/or calluses can occur independently of the peripheral neuropathy. According to Farndon [69], there was no statistically significant difference in diabetic versus nondiabetic patients concerning the incidence of toe deformity (claw/hammer toes), although the prevalence of sensory neuropathy was significantly greater in the diabetic population. Data from the other study also showed that neuropathy is not simply related to calluses, foot deformities, or joint mobility [70]; however, this neurologic, motor-related pathologies are dangerous for patients with diabetes as can provoke injury.…”

Section: Discussionmentioning

confidence: 99%

Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study

Sutkowska

Sutkowski

Sokołowski

et al. 2019

Journal of Diabetes Research

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The abnormal plantar pressure distribution and value play a key role in the formation of plantar calluses and diabetic foot ulcer. The prevalence of the highest pressure different distribution and its association with various factors among patients with diabetes is not well known. The study purpose was to evaluate the prevalence of different regions for the highest pressure on the sole and its association with selected factors among patients with diabetes. Medical records of nonulcer patients were retrospectively analysed. The relationship between pressure patterns on the sole obtained during a pedobarographic test as a semiquantitative assessment with colourful print analysis and neuropathy, gender, age, and BMI was searched. The most common location of the highest pressure was the central part of the forefoot. No association was found between the different highest pressure regions and age, sensory neuropathy, calluses, and foot deformities. The highest pressure on the lateral part of the foot and midfoot was observed more often in females and in patients with a BMI≥35. The prevalence of the highest pressure on the forefoot was more common in patients with a BMI<35. Conclusions. The most frequent regions of the highest pressure on the sole in patients with diabetes were the central part of the forefoot (2-3 metatarsal heads) with no simple relationship to the assessed variables other than BMI<35. Female gender and higher BMI seem to be responsible for shifting the place of the highest pressure to other places of the foot.

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“…It is, however, a context‐sensitive benefit to be able to generalise the findings to a wider population of those who are experiencing foot pain due to this pathology, and seeking an intervention. The sample is a reflection of those people who seek podiatric consultation in relation to foot pain, where 26 % of participant contacts are corn‐related [16]. Also, footwear was not included as a variable in the current analysis, and this can be associated with the formation of corns (especially digitally) and subsequently affect mobility and quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…Whilst foot problems, including corns, have been shown to be a common condition and can be associated with pain, much of the available survey data does not solely concentrate on this foot condition, but involves a range of pathologies. However, in a survey to determine the current participant population managed by UK podiatrists Farndon 2015 [16] reported that the most frequently presenting problems were corns and callus (26 %) resulting in this being the most common type of treatment performed by the profession (19 %) in a typical working day.…”

Section: Introductionmentioning

confidence: 99%

A survey to investigate the association of pain, foot disability and quality of life with corns

Farndon

Concannon

Stephenson

2015

Journal of Foot and Ankle Research

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BackgroundCorns are a common foot problem affecting a large proportion of the population. This study describes the characteristics of corns experienced by 201 participants taking part in a randomised controlled trial to investigate associations between demographic and corn parameters on pain, foot related disability and quality of life (QoL).MethodsPain from the main (index) corn was measured using a visual analogue scale (VAS); foot related disability was assessed with the Foot Disability Questionnaire (now known as the Manchester Foot Pain and Disability Index) and quality of life was recorded with the EQ-5D questionnaire. The effect of demographic and corn parameters on the pain and quality of life outcomes was assessed with analysis of variance (ANOVA) methods. The effect of the same factors on a linear combination of the foot-related disability outcome measures was assessed using multivariate ANOVA methods. Pain was also tested for its mediating properties on the causal pathway between the independent variables and quality of life.ResultsThe mean pain score was 5.29 points on a 10 cm VAS, with females reporting substantively higher pain levels than males. Age affected foot-related disability, with lower levels on all domains of the MFPDI reported in older participants; each year of advancing age was associated with falls of: 0.009 points on the Concern about Appearance (CA) domain; 0.047 points on the Functional Limitation (FL) domain and 0.048 points on the Pain Intensity (PI) domain. Sex and corn type also affected disability, with higher scores reported by females and participants with plantar corns.ConclusionsThe effect of pain was shown to mediate the relationship between sex and foot-related disability. The presence of plantar corns has a more detrimental effect on QoL than dorsal/inter-digital corns.Trial registrationISRCTN 13166839

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The incidence of claw toes in diabetic and non-diabetic patients in a podiatry department

Cited by 7 publications

References 14 publications

The New Zealand podiatry profession – a workforce in crisis?

The New Zealand podiatry profession – a workforce in crisis?

Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study

A survey to investigate the association of pain, foot disability and quality of life with corns

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