Podiatry

2017 National Podiatry Conference: October 20-21, 2017 • Ontario

Come visit us at the National Podiatry Conference Delta Hotels by Marriott:   Toronto Airport 655 Dixon Rd, Etobicoke, ON M9W 1J3

Podiatry National

2017 Annual CFPM Conference: November 9-11, 2017 • Ontario

Come visit our booth at Hilton Meadowvale, 6750 Mississauga Rd, Mississauga, ON L5N 2L3

A.R.C. Laser

A Step in the Right Direction

Have a question? Contact us: 1800-654-0246

© 2017 BritaMed Inc.

The FOX Laser is a revolutionary Podiatry device, able to generate high power levels from a portable lightweight design.
It is the most versatile Podiatry laser currently available on the market, and outperforms much larger laser units with it’s incredible 10 Watt – 12 Watt continuous power. The FOX Laser is 100% designed and manufactured in Germany by A.R.C. Laser – world leader in medical lasers for over 20 years.

 

Celebrating 4 years in Canada! 

“Best in Class” Podiatry Laser in 2015 and 2016

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The versatile FOX laser support many common podiatry applications such as:  Onychomycosis, Plantar warts, Soft tissue inflammation, Telangiectasia, Corns, and Matrixectomy. It is pre-programmed ready to use and require minimal learning.

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Watch the FOX Laser on CTV Ottawa morning news

Clinical Applications Examples

Fungal Nail Infection

Highly effective against wide spectrum of pathogens

Nail Fungus treatment with the FOX Laser.

Background
  • Obtain a medical history and signed consent.
  • Contraindications for this treatment are peripheral neuropathy and pregnancy.
  • As Onychomycosis could be caused by different pathogens (e.g. Dermatophytes),  the pathogen should be microbiological analyzed before laser treatment.
  • In the presence of hyper-keratotic infections, the infected nail residues should be removed mechanically – it is not necessary if an atrophic infection is  present.
  • Projecting infected nails or applied nail polish has to be removed in any case.
  • The thickened portions of the nail should be debrided.
  • Assess treatment area for decreased sensation/numbness prior to treatment, use common methods such as a Medical Monofilament® 10gr Sensory Testing Tool.

          **  Advise patients to bring fresh socks, to be worn immediately after the treatment **

Treatment

Laser is applied approx. 2.5 minutes per nail (big toe), delivering approx. 500-700 joules.

A second pass is applied within a a few minutes (in total 1000-1400 joules are applied to the toenail).

Small toes usually require approx. 100 joules per pass.

Intermediate cooling is applied, to allow a comfortable and fully tolerable treatment to the patient.

The entire nail is treated, including the proximal area above the matrix.

Treatment is repeated once a month, number of treatments depends on the infection severity, patient’s general health and age group, and the strains of the pathogens; common fungi pathogens (T. Rubrum and T. Mentagrophytes) will require 4 treatments, secondary bacterial infections (e.g.  Pseudomonas) is present. will be eliminated as well during the treatment.

Inflammation

Plantar Fasciitis, Achilles Tendonitis, Capsulitis

Chronic pain is an indication of a soft tissue inflammation, a powerful laser will not only alleviate pain but more importantly provide a therapeutic solution.

Background

Plantar Fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed, resulting in heel pain.Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst.

Because there are several potential causes, it is important to have heel pain properly diagnosed. A foot and ankle surgeon is able to distinguish between all the possibilities and determine the underlying source of your heel pain.

Achilles Tendinitis is an overuse injury of the Achilles  tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone. Achilles tendinitis most commonly occurs in runners who have suddenly increased the intensity or duration of their runs. It’s also common in middle-aged people who play sports, such as tennis or basketball, only on the weekends.

Treatment

 Continuous laser wave typically 10-12 watt.

 Typically 3000 – 4000 joules,  delivered through 15-20 min treatment

 Defocused beam (approx. 4-5 cm) is applied to specific points, targeting the inflammation (and pain) source.

 The laser is set to HPLT program, that delivers maximum continuous laser power for several minutes.  Intermediate area massage is needed to increase blood flow and allow excess heat to dissipate.

  Treatment is repeated 4-5 times once a week.

Warts

Non Ablative Coagulation –  Or Ablative Carbonisation

Plantar Warts

Typical case of mosaic warts.

Background

Warts are caused by the Human Papilloma Virus (HPV); The virus causes skin to grow faster than usual, forming a bump. Though HPV is contagious,  touching someone with warts does not mean the other person will definitely catch the virus. It depends on the particular strain of HPV and on the strength of a person immune system. Breaks or cuts in the skin may make infection more likely.

Warts can develop anywhere on the foot, but typically appear on the bottom of the foot (plantar side). Plantar warts grows deep into the skin, were usually this growth occurs slowly.

Two common types of plantar warts are:

  • Solitary warts is a single wart. It often increases in size and may eventually multiply, forming additional “satellite” warts.
  • Mosaic warts are cluster of several small warts growing closely together in one area; mosaic warts are usually more difficult to treat than solitary warts.

Solitary

Solitary Warts Treatment

 The FOX laser is commonly used as a final step in procedure, to accurately burn remaining tissue/ leftover infected cells;  the laser intense power  is able to vaporize viruses and destroy infected cells.

 The FOX laser advantage is that it doesn’t cause extensive tissue damage, it’s precision optical hand pieces are designed to target only very small areas and allow for superior precision and minimal tissue damage (as well as faster healing).

Mosaic

Mosaic Warts Treatment

 Coagulation is a non-ablative treatment, achieved by applying focused laser radiation, which dry the wart by coagulating its capillaries;  laser radiation eradicate the Papilloma virus, since IR laser radiation causes intense heat at a sub dermis level.

 The dried tissue will separate from the healthy tissue underneath and fall off during the following days. In some cases blistering may appear, which promote the healing process.

Regardless of the treatment approaches undertaken, warts may return requiring further treatment.  If there is no response to treatment, further diagnostic evaluation may be necessary. In such cases, the surgeon can perform a biopsy to rule out other potential causes for the growth.  Although there are many folk remedies for warts, patients should be aware that these remain unproven and may be dangerous.

Corns and IPK

Effective against highly fibrous Corns – Prevents Reformation

 Background

Plantar Callus (“Corn seed”, Clavus durus), is a very unpleasant and painful condition caused by an accumulation of dead skin cells that harden and thicken over an area of the foot.

Calluses are normally found on the ball-of-the-foot, the heel, and/or the inside of the big toe.   Some calluses have a deep seated core known as a nucleation.

Currently there are various treatment options such as electrosurgery, cryosurgery, chemical agents (salicylic acid), and scalpel removal.  Among the available therapeutic options, none are uniformly effective and most are associated with different limitations and side effects, like necrotic debris.

Scraping excess skin prior to laser treatment.

Treatment

Treatment is aimed to minimize recurrences, by successfully coagulating the small vessels that feed the area.  In deep corns and IPK, a surgical handpiece is commonly used for deeper areas, applying focused power while physically cauterizing and bleeding vessels.

  The foot with Corn should be soaked in warm water with disinfecting solution, for approx. one hour.

  Use local anesthesia around the callus with 4-6 radially distributed points of injection.

  Remove / scrape excess skin.

  Apply laser to corn root to stop bleeding and fully cauterize vessels.

Vascular Lesions

Telangiectasia, Spider Veins, Campbell De Morgans Spots

Typical case of foot Telangiectasia.

Background

Telangiectasia are dilated small blood vessels, purple and red,  found most commonly on the thighs or lower legs.

Telangiectasia are different from Spider veins their visual appearance, common location and the way they fill up after applying surface pressure.  (Spider veins blanch with pressure, and refill again from the centre outwards).

During a typical coagulation treatment, laser radiation will absorb within the vessel  resulting in visible color change – from red to light gray (for capillaries)  or from blue to dark grey (small veins) ;  these will indicate that a proper coagulation was performed.

Treatment

 The FOX laser is extremely effective in coagulating small lesions, as it’s infrared radiation effectively absorbs in hemoglobin (and oxyhemoglobin).  The treatment is done with an optical handpiece that precisely focus the laser beam spot to absorb in the lesion.

 Cooling and topical anesthesia are needed.  A single treatment is usually sufficient to get rid from many common skin lesions.  Treatment should not cause any pain or discomfort!  if patient report on discomfort, more frequent cooling should be used.  Results while usually evident immediately, will require approx. two weeks.

Have a question? Contact us: 1800.654.0246

BritaMed Inc. is an importer and distributor of leading medical devices, aimed for physicians, health care professionals and health care facilities. Located at the heart of Vancouver, British Columbia, Britamed is 100% Canadian owned and operated company, licensed and regulated by Health Canada.

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    BC, V7A 4V5 Canada
Tel: 604 356 5956 | Fax: 604 608 4868
      1800 654 0246 | info@britamed.com
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