Training Room Procedures and Use of Therapeutic Modalities in Athletes.

Athletic trainers, physical therapists, and team physicians have differing roles when providing care, yet often need to collaborate. Athletic trainers and physical therapists use a variety of therapeutic modalities and manual therapy techniques in conjunction with rehabilitation exercises to improve outcomes. Clinicians must be knowledgeable of the scientific rationale for each modality to choose the most effective treatment for the specific condition and stage of recovery. The team physician should be familiar with the use of common procedures in an athletic training room. Here, we review the most current evidence and the basic methods encountered in athletic training room settings.

[Clinical MedicineThe Evaluation of He-Ne Laser Therapy Help Wound Healing of Nail Surgery].

OBJECTIVES: To investigate the effect of He-Ne laser therapy on wound healing after nail surgery. METHODS: Patients who needed nail surgery were divided into treatment group (n=20) and control group (n=20) randomly.The He-Ne laser was applied to the wound after nail surgery in treatment group. The wound healing time, the inflammation duration, the pain rating, and the nail plate full-grown time were compared with control group. RESULTS: No significant differences in baseline of two groups were observed. The wound healing time was (16.00±2.51) d in control group and (11.35±1.73 ) d in treatment group, the inflammation duration was (9.10±2.10) d in control group and (7.20±1.44) d in treatment group (P<0.05), both above differences were significant (P<0.05).The nail plate full-grown time was (21.00±2.13) weeks in treatment group, whereas (21.40±1.05) weeks in control group (P>0.05).The pain rating of the 2 groups was different from 25 h (after 3 times treatment)(P<0.05). Pain disappeared in 85.0% (17/20) patients of treatment group after 49 h (5 times treatment), and completely disappeared (20/20) after 54 h (6 times treatment), which were faster than those of control group at the same time points (pain disappeared only in 50.0% and 98.5% of patients respectively). CONCLUSIONS: He-Ne laser therapy can help wound healing after nail surgery.

Nail surgery among Mohs surgeons: prevalence, safety, and practice patterns.

BACKGROUND: Among US dermatologists, Mohs surgeons perform most of the nail surgeries. The specific practice patterns and safety precautions have not been formally studied. OBJECTIVE: To study the practice patterns, safety precautions, and complications of this group when performing nail surgery. METHODS: A survey was sent electronically to all members of the American College of Mohs Surgery Listserv. The survey evaluated the demographics of the surgeons, the types of surgery performed, the techniques for obtaining a bloodless field, and complications. RESULTS: Those surgeons who performed more procedures in training tended to continue that practice and performed more surgeries when in practice, as did surgeons with greater time since completing fellowship. Complications were rare. CONCLUSION: The data herein support that nail surgeries performed by Mohs surgeons are safe, with minimal complications, despite a broad range of approaches to obtaining a bloodless field and with a variety of procedures performed.

Nail surgery.

Nail surgery is a special branch of hand and dermatologic surgery. It is not widely performed, and many physicians do not feel at ease to perform it. The objective of this contribution is to give a short overview of the most important surgical procedures in clinical practice. References from the literature and the author's own experiences are condensed to describe what a dermatologic practitioner with knowledge of the nail and some surgical skills can perform. Nail surgery is a precise technique that requires careful administration and attention to details. Proper patient preparation starts with a patient history to identify potential contraindications and to prevent unnecessary complications. The author recommends isopropyl alcohol scrub and chlorhexidine for disinfection and ropivacaine 1% for anesthesia. The technique used for anesthesia depends on the type of surgery. Surgical procedures are described for diagnostic biopsies, nail avulsion in general, onychogryposis, paronychia treatment, hematomas and bone fracture due to trauma, removal of subungual foreign bodies, ingrowing nails, pincer nails, warts, ungual fibrokeratomas, digital myxoid pseudocyst, subungual exostoses, and various tumors. If performed correctly with adequate skills, nail surgery will lead to functionally and aesthetically satisfying results in the majority of instances.

Tips and tricks in nail surgery.

Nail surgery is part of the dermatologist's armamentarium but it is often an afterthought in teaching dermatologic surgery. We will offer some practical hints about instruments and supplies, evaluation of pigmented lesions to determine whether a biopsy is needed, local anesthesia, and surgical techniques that should make procedures of the nail unit more efficient, less painful, and less likely to result in complications.

Nail surgery: practical tips and treatment options.

This paper provides an introductory overview of nail surgery, including basic principles, anesthesia, wound dressings, and several common nail procedures. In detail, it reviews how to achieve complete anesthesia and hemostasis, perform matrix injection, punch biopsy of the plate, bed, and matrix, and nail fold biopsy, with practical tips and suggested surgical indications.

The use of the distal Syme's procedure for treating onychopathy.

There are many procedures available to the podiatric surgeon to deal with a painful, deformed nail. The Syme's procedure should not be overlooked, though more conservative options should be attempted before this procedure. With the proper surgical candidate (ie, intact neurovascular status), this is a successful, safe procedure easy to perform under local anesthesia.

Basic nail plate avulsion.

Correct partial or total nail plate avulsion may be performed in the physician's office. The author recommends certain preoperative, operative, and postoperative procedures that may help assure a more successful outcome.

Diagnostic and therapeutic nail surgery.

The function of the nail unit is as a protective covering over the dorsal distal end of the digit. Some basic disease processes affecting the nail unit and the surgical techniques used for diagnosis and treatment are reviewed.

The management of ingrown toenails.

Ingrown toenail is an unpleasant condition often affecting young people. Surgery is often necessary for its treatment. A simple office procedure is described, with details and special precautions, which results in few complications and generally a good outcome.

Fingernail drill in bone surgery.

The fingernail drill is useful in bone surgery. It is useful in aiding the excision of bone and in the stimulation of granulation tissue in exposed cranial bone. The drill is safe, efficient, and easy to operate.