Trench Foot: From 3 Different Sources
See immersion foot.
This is due to prolonged exposure of the feet to water – particularly cold water. Trench warfare is a common precipitating factor, and the condition was rampant during World War I. Cases also occurred during World War II and during the Falklands campaign. (The less common form, due to warm-water immersion, occurred with some frequency in the Vietnam war.) It is characterised by painful swelling of the feet accompanied in due course by blistering and ulceration which, in severe, untreated cases, may progress to GANGRENE. In mild cases recovery may be complete in a month, but severe cases may drag on for a year. (See also IMMERSION FOOT.)
Treatment Drying of the feet overnight, where practicable, is the best method of prevention, accompanied by avoidance of constrictive clothing and tight boots, and of prolonged immobility. Frequent rest periods and daily changing of socks also help. The application of silicone grease once a day is another useful preventive measure. In the early stages, treatment consists of rest in bed and warmth; in more severe cases treatment is as for infected tissues and ulceration. ANALGESICS are usually necessary to ease the pain. Technically, smoking should be forbidden, but the adverse psychological effects of this in troops on active service may outweigh its advantages.
(immersion foot) blackening of the toes and the skin of the foot due to death of the superficial tissues and caused by prolonged immersion in cold water or exposure to damp and cold.
Claw-foot, or PES CAVUS, is a familial deformity of the foot characterised by an abnormally high arch of the foot accompanied by shortening of the foot, clawing of the toes, and inversion, or turning inwards, of the foot and heel. Its main e?ect is to impair the resilience of the foot resulting in a sti? gait and aching pain. Milder cases are treated with special shoes ?tted with a sponge rubber insole. More severe cases may require surgical treatment.... claw-foot
See TALIPES.... club-foot
The term applied to a condition which develops as a result of prolonged immersion of the feet in cold or cool water. It was a condition commonly seen during World War II in shipwrecked sailors and airmen who had crashed into the sea, spending long periods there before being rescued. Such prolonged exposure results in VASOCONSTRICTION of the smaller arteries in the feet, leading to coldness and blueness and ?nally, in severe cases, to ulceration and GANGRENE. (See also TRENCH FOOT.)... immersion foot
An infectious disease caused by Rickettsia quintana which is transmitted by the body louse. Large epidemics occurred among troops on active service during World War I. It recurred on a smaller scale in World War II, but is now rare.... trench fever
Superficial infection of the skin of the feet by a fungus. Ringworm of the feet. Scaly lesions, sometimes with blisters. May be secondary infection from lymphadenitis or cellulitis – in which cases internal treatment would be indicated. Begins between the toes before spreading to plantar surface. Differential diagnosis. Eczema, psoriasis or dermatitis from shoes.
Symptoms. Itchy redness and peeling. Sore raw areas left after removal of patches of skin. Possible invasion of other parts of the body: fingers, palms. The fungus can be picked up walking bare-feet in sport’s clubs, schools or swimming baths. Worse in warm weather. Resistant to cleansing.
Treatment. Tablets/capsules. Echinacea, Thuja, Poke root.
Formula. Echinacea 2; Goldenseal 1; Poke root half. Mix. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: one 5ml teaspoon. Tinctures: two 5ml teaspoons. Thrice daily before meals.
Topical. Alternatives:– Thuja lotion applied on lint or suitable material (1 teaspoon Liquid extract Thuja in 1oz (30ml) distilled extract of Witch Hazel. Wild Indigo salve (1 teaspoon Wild Indigo powder in 1oz (30ml) honey – store in screw-top jar.
Aloe Vera, fresh juice or gel.
Tea Tree oil: if too strong may be diluted many times.
Comfrey cream. Castor oil. Mullein oil. Houseleek.
Black Walnut: tincture or Liquid extract. Cider vinegar. Bran bath.
Night foot-wash. With water to which has been added a few drops of tincture Thuja, Myrrh, or Tea
Tree oil.
Light sprinkle of powdered Myrrh or Goldenseal in sock or shoe. ... athlete’s foot
Tropical infection of the foot by deeply invasive fungi which cause chronic swelling and suppuration with multiple discharging sinuses. Antibiotics are of limited value and advanced disease may require amputation of the affected foot.... madura foot
A somewhat loose term applied to a skin eruption on the foot, usually between the toes. It is commonly due to RINGWORM, but may be due to other infections or merely excessive sweating of the feet. It usually responds to careful foot hygiene and the use of antifungal powder.... athlete’s foot
A rare congenital abnormality characterised by the absence of one or more toes and a deep central cleft that divides the foot into two. It is sometimes known as lobster foot, or lobster claw. It may be accompanied by other congenital defects, such as CLEFT HAND, absent permanent teeth, CLEFT PALATE (and/or lip), absence of the nails, and defects of the eye.... cleft foot
This is the inability to dorsi?ex the foot at the ankle. The foot hangs down and has to be swung clear of the ground while walking. It is commonly caused by damage to the lateral popliteal nerve or the peroneal muscles.... drop foot
For foot-sweat and general discomfort. Mix into 1oz (30g) cornflour a few drops of any of the following oils, according to personal choice: Lavender, Geranium, Eucalyptus, Lemon, Pine. ... foot powder
A condition in which the foot cannot be raised properly and hangs limp from the ankle. Neuritis affecting the nerves that supply muscles that move the foot is a common cause and may be due to diabetes mellitus, multiple sclerosis, or a neuropathy. Weakness in the foot muscles can also result from pressure on a nerve (due to a disc prolapse or a tumour) as it leaves the spinal cord. Treatment is of the underlying cause, but in many people the weakness persists. A lightweight plastic caliper splint can be used to keep the foot in place when walking.... foot-drop
See gingivitis, acute ulcerative.... trench mouth
a condition in which patients with diabetic sensory polyneuropathy (see diabetic neuropathy) suffer significant trauma to their insensate feet through holiday activities. These may include walking on hot flagstones or sand and wearing ill-fitting shoes. The condition may be prevented with prior education and advice and by maintaining safe footcare practices.... diabetic holiday foot syndrome
n. a *breech presentation in which the baby’s feet are presented below its buttocks so that it will be delivered feet first.... footling
see palmoplantar erythrodysaesthesia.... hand–foot syndrome
a condition resulting from occlusion of the small arteries of the foot by atherosclerotic debris (see atheroma). This occurs during abdominal aortic surgery or catheter manipulation, for example during coronary angiography. Clinically it presents with pain and eventually patchy ulceration and gangrene of the whole or part of the foot.... trash foot
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