How important is to for you to be able to cut your own toenails? #ClinicSpeak #ThinkHand #MSBlog
One of patients with advanced MS who I saw a few week's ago had been having increasing difficulty with mobilising and has had to take to wearing slippers to shuffle between their wheelchair and their bed or toilet. When I got them onto the examination couch and had a look at their feet it was quite clear they had onychogryphosis; in plain English overgrown and neglected toe nails. I had to refer this patient to their local podiatry service and hopefully they will be able to have a regular appointments to have the toenails cut and their feet looked at an maintained in a good condition. I anticipate that when I next see this patient that their walking will be a lot better.
Poor foot hygiene is a marker of neglect and is associated with disability.
One of the hand and arm functions that came up as being important to you as part of our #ThinkHand campaign is being able to cut your own toenails. To maintain this function you need good hand function, preserved co-ordination and joint position sensation, reasonable eye sight and enough flexibility to reach your toenails. As I write this post I wonder how much neurological function you need to lose before you are unable to cut your own toe nails? I would be interested to how well the loss of ability to cut your own toenails correlates with your performance on the 9-HPT and EDSS? If you are willing we could do a survey via the blog to answer this question. Who knows we may get a small community publication out of the survey.
Labels: #ClinicSpeak, #ThinkHand, onychogryphosis, toenails