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The Therapeutic Medi-Pedi Treatment

Denise Dubois July 2012 issue of Skin Inc. magazine

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Editor’s note: As always, Skin Inc. magazine recommends that skin care professionals obtain the proper training before offering any new treatments in their skin care facility. Also, to learn more about health-challenged skin, be on the lookout for Morag Currin’s book, Health-challenged Skin: The Esthetician’s Desk Reference, available from August 2012.

How many steps per day does the average American take? A study conducted by pedometer researcher Catrine Tudor-Locke, PhD, and published in Medicine and Science in Sports and Exercise in 2004, showed a wide variation in the 200 women and men who participated. The men in the survey took an average of 7,192 steps per day and the women in the survey took an average of 5,210 steps per day.

The average person endures several hundred pounds of pressure on the feet on a daily basis, and walks four times the circumference of the Earth in a lifetime. Your feet get you up in the morning and out the door for your busy days, and yet, they tend to be one of the most neglected parts of the body. Approximately 85% of the population have foot or foot-related problems. It is imperative that the skin, the largest organ on the body, remains healthy in order to perform its main function, which is to protect against injury, infection and the entry of bacteria. This holds particularly true with regard to the feet.

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Transverse Arch

How-to: Therapeutic Medi-Pedi Treatment

Cost: $77

Duration: 60 minutes

Contraindications: The presence of open wounds, sores on the toes or feet, or a visible infection due to ingrown toenails.

Equipment and supplies needed:
Pedicure throne or sanitized stainless steel foot basin or foot bowl
1 large bath towel
2 hand towels
1 foot nail file
1 callus remover paddle
Pedicure double spoon
Small flat-edge nipper
Medium flat-edge nipper

Products needed:
Polish remover
Antibacterial foot soak
Urea-based callus softener
Urea-based foot massage cream
Very dry foot foam
Hydrating skin cream
Nail polish

Step 1: Ask the client to fill out a foot and health intake form.

Step 2: Perform a thorough consultation, as well as a foot and skin analysis. This helps to identify medical conditions affecting the client’s feet and assist with understanding her specific foot care needs. 

Step 3: Ask the client to remove her shoes and socks, and to stand on floor in order for you to evaluate the position of her arches. The purpose of this is to identify if the transverse or longitudinal arch have dropped. If this has happened, it can lead to foot discomfort or pain. In this case, the nail technician will refer the client to a podiatrist or certified pedorthist for possible orthotics.

Step 4: Fill tub with warm water and one capful of pH-balanced antibacterial foot soak. Insert both feet and allow them to soak for 5–7 minutes (less than 5 minutes if client is diabetic). This hydrates the skin and softens calluses, allowing for easier removal.

Step 5: Remove both feet from the foot bath and dry them completely.

Step 6: Apply callus softener to the dry skin around the nail bed and onto calluses. Let it absorb for two minutes. The callus softener’s active ingredient should be urea, which breaks down the callus walls and softens the skin of the cuticles for easier removal.

Step 7: Using the medium flat-edge nipper, gently trim toenails and shape with a file. Avoid going beyond the hypernicium, because this will cause discomfort.

Step 8: Use the small spoon to clean around the cuticle area, removing any excess eponychium, or cuticle.

Step 9: Using the callus remover paddle, debride calluses on the toes, the balls of the feet and the heels. The callus remover works best if it is left on the foot. Do not re-soak or rinse off as it continues to benefit the skin. Repeat Steps 6–9 on other foot.

Step 10: Use two or three pumps of foot massage cream to massage feet and legs for 5–7 minutes. This relaxing foot and leg massage should contain urea, leaving the skin feeling silky soft.

Step 11: Wrap feet with warm towels and let the client relax for a few minutes. The heat from the towels helps aid the penetration of the cream and is very comforting.

Step 12: Apply very dry foot foam to both feet, which instantly restores the proper balance of hydration to the skin of the feet.

Step 13: Clean nails to remove all traces of oil in preparation of the nail enamel application.

Step 14: Apply polish of the client’s choice to toenails and allow it to dry.

Step 15: Recommend at-home foot care for prolonged benefits and continued results.

Step 16: Reschedule client for maintenance in four weeks.

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