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I've put this to the chairman and we'll see where we go from here. The situation with our insurance (regarding local anaesthetic use) is ridiculous at the moment due to a loop/glitch with the Irish Medicines Board - where we have to administer LA in the presence of a GP. A very embarassing, frustrating on a personal and professional basis. So you see, we may even encounter problems with the multiple injection therapy route. I'll keep you posted either which way.
Many thanks for the suggestion,
Joanne
A bloody disgrace! Why we bother to complete a degree programme including competence in administering L/A then treat us like children!!!
Personally I would look for alternative insurance.
Kindest regards, Grrrrrrrrrrr
Mandy.
__________________
:)
twirly
Mandy Brooks
Brooks Podiatry
S64 0DE
Suffering a fondness for odd things.
“ Though the mills of God grind slowly;
Yet they grind exceeding small;
Though with patience he stands waiting,
With exactness grinds he all. ”
don't get me started. It's a very long story, and one the Irish societies/instutes etc have been battling for a while now. Very unfortunately for all qualified pods (with qualification in POMs and LA), it may be a couple of years yet before the loophole in question gets ironed out. It's a relatively small profession fighting a bit of a goliath.
So if you were thinking about emigrating over here to practice I'd think twice!!
Joanne
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For those who are interested... I have posted a few articles.
Also, which I found interesting, Indigenous Australians of the NT have been "dry needling" warts for hundreds of years using acacia spines- A friend of mine from NT told me this a year ago and I thought nothing of it at the time.
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"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
I had a brilliant time last month watching the lovely Bel 'needling' a young boys hallux VP.
It was his second needling (the other foot last time). Very interesting case as the VP went quickly last time and his belief in Bel's expertise was palpapable and I/we were really worried that when he returned for his second needling session (that I travelled hundreds of miles to see!) it would be gone because of THAT belief !
Thankfully (well for me) it hadn't, so I was able to see the whole process, completed in minutes.... Usual pod toe-block with LA, liberal jabbing of shortened needle (good tip) into the area until there was no resistance and resembled minced beef. Minimum of fuss, and a clearly happy patient!
[The reason it was 'interesting' was because he was on a strong anti-acne drug which clearly affected his immune response, but needling still did its magic, but not enough to clear the whole body]
I can't wait to see more/do myself. Thanks again Bel.... your ears must be burning as I talk about it alot! Also thanks again for allowing yourself to be 'ankle-blocked' by me! (although Im not sure the 'alcohol' we added to the mix as you dragged your leg to The Bell pub did it any good!)
"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
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"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
My reputation was sullied long ago....enough fluff for now, normal service should now commence.
Still researching immunology in relation to HPV and cell mediated immune response, fascinating stuff...but don`t expect anything concrete for some time.
Am in the same boat with a young lad , 15 yrs old...tried everything, just read a recent article from Podiatry Now re 5% imiquimod cream...any other views on this?
My reputation was sullied long ago....enough fluff for now, normal service should now commence.
Still researching immunology in relation to HPV and cell mediated immune response, fascinating stuff...but don`t expect anything concrete for some time.
Cheers,
Bel
Bel:
Have you all made any progress toward that paper on the needling technique? I think a paper on this subject would be a very valuable addition to the worldwide medical literature.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Have you all made any progress toward that paper on the needling technique? I think a paper on this subject would be a very valuable addition to the worldwide medical literature.
Hi Kevin,
As you know, we were going to write up case studies on the needling technique, but then decided to take it a step further and began investigating the possibility of undertaking a trial. This has proved to be quite challenging, particularly with restrictions for research in private practice in the UK. However, I remain optimistic. It`s going to be a long haul!
As you know, we were going to write up case studies on the needling technique, but then decided to take it a step further and began investigating the possibility of undertaking a trial. This has proved to be quite challenging, particularly with restrictions for research in private practice in the UK. However, I remain optimistic. It`s going to be a long haul!
Cheers,
Bel
Sounds like it will be a long haul. Unfortunately, there is little to no money in studying simple treatments....the money only comes when studying the expensive treatments.
This is one of the unfortunate realities for the population of our small planet: simple and inexpensive treatments are much less likely to have good research projects done on their efficacy. These treatments then can never be "evidence-based" without research. Therefore, patients and physicians are not necessarily getting the best treatments when they do use "evidence-based medicine", they are only getting the treatments that have been studied by good scientific research....which are few and far in between within the treatments used in the world of podiatric medicine.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Sounds like it will be a long haul. Unfortunately, there is little to no money in studying simple treatments....the money only comes when studying the expensive treatments.
This is one of the unfortunate realities for the population of our small planet: simple and inexpensive treatments are much less likely to have good research projects done on their efficacy. These treatments then can never be "evidence-based" without research. Therefore, patients and physicians are not necessarily getting the best treatments when they do use "evidence-based medicine", they are only getting the treatments that have been studied by good scientific research....which are few and far inbetween within the world of podiatric medicine.
Indeed. I am acutely aware that this research will not attract the sponsorship of pharmaceutical companies, nor afford me the life style I`d like to become accustomed to. In reality, it will cost me dearly in time and energy. But, I will give it my best shot.
Indeed. I am acutely aware that this research will not attract the sponsorship of pharmaceutical companies, nor afford me the life style I`d like to become accustomed to. In reality, it will cost me dearly in time and energy. But, I will give it my best shot.
Bel:
I am rooting for you 100%!!
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Hello All, At the Buckinghamshire Branch SCP we recently had an excellent demonstration of 'Dry Needling' from Richard Thomas Lecturer via Northampton University.
I would also like to share that I have adapted this technique using an acupuncture needle, puncturing the VP 4 or 5 times. No anaesthetic used so treatment can be used in normal podiatry appointment and clients that you would not want to use anaesthetic on.
It is a little painful but treatment is quick and proving to be effective after 2 – 3 treatment used with and without cryo and silver nitrate.
This technique in my opinion works in much the same way, pushing the virus into the next derma layer to stimulate an immune response. If any of you have any time I think this would make an interesting research project.
Hi poppet , I agree with your drastic ... when I first heard about it - and even now still sounds barbaric. But we use it in our clinic with great results . The hardest part is trying to make it all sound roses so that patient agrees to let you needle their wart till it looks like as quoted earlier " hamburger meat " great description I might add ! Gail
hi all i'm after a podiatrist in perth that does this needling technique for a gentleman with a 1.5cm diameter mosaic verrucae on the plantar surface of his hallux - so a very easy spot to inject!
unfortunately he turned up at my clinic the night before he was due to fly out so i was reluctant to treat the verrucae as it already was sore from his gp freezing it a couple of days prior and he was starting his new job on arrival. I've had great success with this treatment and it is my 1st line treatment with mosaic vp so would like to refer him on - looking forward to hearing from you and will pass your details to him.
hi all i'm after a podiatrist in perth that does this needling technique for a gentleman with a 1.5cm diameter mosaic verrucae on the plantar surface of his hallux - so a very easy spot to inject!
unfortunately he turned up at my clinic the night before he was due to fly out so i was reluctant to treat the verrucae as it already was sore from his gp freezing it a couple of days prior and he was starting his new job on arrival. I've had great success with this treatment and it is my 1st line treatment with mosaic vp so would like to refer him on - looking forward to hearing from you and will pass your details to him.
"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
i wondered if i could get some feedback on treatments for mosaic verrucae. a patient attended my clinic with the plantar aspect of one foot almost coverec with verrucae. this extended to the dorsum of one toe and is also evident on the other foot. this patient has seen a consultant dermatologist who said to put tape on it. she has had the verrucae for approx 7 years and it gets painful as the hyperkeratosis builds up. she is near desperation and is seeking treatment. has anyone successfully treated such large lesions? a colleague suggested the use of potassium pomangernate footbaths (very weak solution). has anyone heard of its use in VP's or tried this treatment option?
thanks
poppet
Gluterol painted on is very effective. Not sure pot.permangante would be effective but all worth a try.
I have a naturopath collegue who recommends taking Thujatablets for one week. Thuja is a derivitive of the cedar plant. Anyone had any experience with this?
No experience with the thuja tablets but it sounds a good idea. I have had success with Thuja tincture applied twice weekly.
Gluterol painted on is very effective. Not sure pot.permangante would be effective but all worth a try.
Hi again Poppet
I think the area covered by the VP would be very difficult to Tx with any chemical application effectively and BTW potassium permanganate will stain the feet brown which can be a problem for those patients that " get their feet out"
I have had several similar patients to that you describe and one in particular after one needling Tx every VP on his hands ears face both plantar aspects covered, all went .
I would suggest you contact a pod that carries out this Tx and refer your patient there.
Perhaps if you let us know the area of the country you are in a suitable pod may pick up on it ??
"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
Last edited by DTT : 19th October 2011 at 10:33 AM.
Reason: omission
Fifty something year old man with vp present for over 5 years. Long history of previous treatments to no effect.
Took a few needling procedures but the after pic was about 5 weeks from the last one- no hard skin, and only slight discolouration of skin which looked like it was healing through.
I do have a beautiful picture of a completely clear hallux from an 11 year old girl (who has also had a clearance of other plantar vps and warts on fingers), but just realised I forgot to take a 'before' pic
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I`m also finding that those large, singular VP`s are the most resistant. However, even if they don`t resolve completely at first, you can see how they have reduced in size and subsequent discomfort.
The person who comes up with a successful treatment for VPs will go down in history ! I just havent found a single treatment that gives me confidence in treating these lesions and believe me when I say we've tried most of them. We ran a trial on multiple puncture technique but didnt find it any more successful than any other form of intervention we implemented (including multiple topicals). Interestingly there was a UK program on TV last night called embarrassing bodies where a young girl around 6-7yrs old presented with massive VP formation (Id say around quarter of her foot). Following investigation she had a rare condition affecting her overall immunity - Im sure you could find it on TV on demand on the internet if you googled it.
Re: Mosaic verrucae-help with treatment
Re: Mosaic verrucae-help with treatment
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