00:00This is a fairly rare case of just how much a child's food can sweat, although this can happen to
00:06an adult too.
00:07These drops of water you are seeing right now aren't from me spraying anything, it can literally be like this.
00:12The girl is only 12 years old and she was very nervous and afraid to go to a podiatrist
00:19because she arrived in roughly this condition and both of her big toes were more or less the same.
00:25Let's perform the treatment together and see what's going on in there.
00:29I have already treated it with an antiseptic, I have a safe-ended curette in my hands and let's see
00:34where the corners of her nails are.
00:36On one side they go quite deep into the skin, but they haven't grown through it yet.
00:40But on the other side, of course, the picture is much more interesting.
00:42Besides the fact that we can see the food is moist and there is already noticeable redness here,
00:47we can also observe that some kind of mishap happened when she was trimming it and she apparently couldn't cut
00:52it all the way through.
00:53It was probably uncomfortable and in situations like this uneven side edges of the nail sometimes remain.
00:59And sharp nail spicules might be left behind, so our job in this case is to trim everything neatly.
01:04I do this using straight cutting nippers and I try to work very carefully because, as you can see, the
01:09whole situation is right on the edge, so I'm making my way in gradually.
01:12I decided to trim the length of the free edge first.
01:15Then I'll use my straight cutting nippers again to gently remove the side edge of the nail that's digging into
01:20the skin and, of course, keeping her from working comfortably.
01:22The feet are incredibly sweaty and here I am trying to peel back the lateral fold.
01:27I am trying to apply kinesiology tape, but I think everyone knows that with a very very sweaty foot, no
01:32matter how you tape it or how hard you try, it'll still peel off in just a couple of minutes
01:36and everything will go right back to the way it was.
01:39Now I'm going to try to dry out this nail sulcus a bit so that I can at least get
01:43some kind of feasibility, because when everything is wet and the skin hugs the nail plate too closely, it is,
01:48of course, virtually impossible to see or figure anything out.
01:51So I used this simple technique.
01:53I gently dabbed this area to get better access for my nippers.
01:57And now, finally, I managed to do it and I've cleaned up almost the entire side edge of the nail.
02:02And someone might write now that you shouldn't cut it out like this, that it isn't safe.
02:07Yes, it's unsafe if you don't understand what you are doing.
02:10But if you know exactly how the side edge of the nail should look, then of course you can do
02:14this.
02:14But you definitely need to undergo training for this.
02:17I've smoothed out the nail wall so it will be smooth now and grow back evenly.
02:22And then I place protective packing beside the nail to finally send her home.
02:25In this case, right now, at this moment.
02:28There isn't much point in applying any corrective system because her feet are very sweaty and she has a wound
02:33here.
02:34So I simply inserted a special piece of protective packing that will help it heal.
02:38I'll bandage this toe now and then we move on to the second foot.
02:41The situation there is identical, absolutely on the same side, exactly the same situation, like a mirror image.
02:48Well, here is some food for thought on why this might happen and why it could be symmetrical.
02:53Let's start with the obvious, which I think is clear not just to me.
02:57The free edge length is being trimmed incorrectly here.
03:00To be honest, I shot this video quite a while ago and kind of lost track of it on my
03:04phone.
03:04I don't remember if she did it herself or if maybe her mom helped her.
03:08We won't know for sure now, but either way the fact remains.
03:11It was trimmed incorrectly here and as a result we have this sad state of affairs.
03:16Here I am doing the exact same thing.
03:18Drying everything off just the same and slipping in with the nippers just the same to straighten out the sidewall.
03:23But of course I want to say that just trimming the sidewall like this won't be enough.
03:27And just packing the nail fold might not be enough either.
03:30Because there is an underlying root cause for this condition.
03:33And until we eliminate this root cause, until this issue is resolved, you could practically do whatever you want.
03:39You could apply all kinds of corrective systems.
03:42But if for example her shoes are putting a lot of pressure on it and we all know teenagers currently
03:46seem to love narrow sneakers.
03:48Yes, even if they are uncomfortable, as long as they are trendy.
03:50Well, generally speaking, it's probably not just now.
03:53It's always been like that across all generations.
03:55Where teenagers dress a certain way and pick things out for themselves.
03:59And the visual aspect matters so much more to them.
04:01That is completely normal, but it's very important for parents to try to instill the right values in their child.
04:06And make an effort to communicate that they really need to get a slightly bigger size.
04:10Or for example to explain to the child that if their favorite sneakers start pinching even a little bit,
04:14they need to tell their parents so they can buy new ones.
04:17Because kids really do grow like weeds.
04:18Especially in this case the foot is sweaty, which means it's constantly in a state of softening, so called maceration.
04:25Continuously, non-stop, and the nails keep growing.
04:28And well, as a result, we end up with what we end up with.
04:31And here I'm showing what the correct size of a sock should look like.
04:34And when you place the sock against the side of the foot like this, it should completely match the length
04:39of the foot.
04:40The whole form of a sock should look good.
04:40So, one of the perfect size depends on this veil will probably be applied.
