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The foot analyser – plantogram can reveal possible abnormalities related to balance and supporting surface of the body, as well as improper pressures on the soles and nails when standing or walking, which may be responsible for changes in the skin and on the nails.


Humidity, increased temperatures and lack of compliance with hygiene rules may contribute in the proliferation of fungi, but sometimes even when conditions do not favour them, they tend to occur and re-occur. Sometimes it’s our feet that “welcome” them. How is this possible? Through wrong posture, wrong way of walking or because of wearing the wrong type of shoes.

For this reason, the plantogram or foot analysis device is a really important diagnostic tool for the management of onychomycosis on the feet. The foot analyser can be really helpful in revealing any imbalance disorders as well as problems with the surface supporting the body, apart from inappropriate pressures on our feet and toes while standing or walking, which may be responsible for skin lesions. Inappropriate pressure on our feet or toes are often the cause of sclerosing skin hyperkeratosis (callus, etc.) and are also responsible for the occurrence and recurrence of onychomycosis. Particularly in cases of significant deficiencies in trace elements and vitamins, our nails can become really vulnerable to damage and disfigurations. At the same time it has been demonstrated that an injured nail is more easily accessible by fungi.

The latest generation Foot analyser provides the comparative advantage of both static and dynamic measurement. For the static measurement (while standing) the person being examined stands on the measurement surface and the balance is examined together with the distribution of the center of gravity. In dynamic measurement, the person being examined is walking on the measurement surface and the advanced device records high plantar pressures, balance, support surface, the positions of the toe and the heel, charging the vault and the deviations from the average pressure, etc.

All these data are necessary and really useful in documenting both the underlying disease, injury or condition, and the choice of treatment to be followed. Some of the advantages of the state-of-the-art foot analyser include that the person being examined does not feel anything during the examination, no drugs are administered, while the examination is inexpensive and quick, as it can be performed within less than 20 minutes. The foot analyser works without radiation or radioactivity, as it consists of thousands of sensors which record and analyse walking in two-dimensional and three-dimensional graphs, which help in the identification of anatomical variations and other disorders of the lower limbs.

The major advantage is that according to the examination, it is possible to prepare special, customized, orthotic insoles from specialists in orthotic treatment of the lower limbs. Usually the insoles are manufactured using static footprints (plasters, models). However, these footprints cannot be used to capture the movement of the foot during walking, nor the forces applied at every point of each foot.

Based on these data collected from both the static and the dynamic measurement of the ultramodern and sophisticated foot analyser, orthotic insoles are perfect according to each patient’s needs. It is also worth noting that the material used in each occasion differs depending on the disorder. Nevertheless, all insoles are approved by the National Drugs Organisation of Greece (EOF) and they all have CE marking.

So, if you suffer from such problems, the best thing you can do is a foot analysis instead of walking “in the dark” and you will realise its value!

About the author:

Christofer Tzermias

Specialised in the UK (Oxford & London) and in North America (New York & San Diego) in the field of LASER Dermatology, Dr Tzermias, has been providing dermatological state-of-the-art treatments using cutting-edge LASER and Energy based Devices for over 20 years. He has been Director of Interventional and LASER Dermatology Department at the Athens Medical Center for over 18 years and for the last 9 years is the Scientific Director of IQ - Intensive Quality Dermatology & Cosmetic Surgery Clinics, which at the 2017 Healthcare Awards won the ‘Innovation Award for Innovative Services’ for their pioneering contributions. Since 2018, IQ Dermatology & Cosmetic Surgery Clinics has also been operating in London, UK and in Muscat, Oman. Dr Tzermias is a Fellow of the world-renowned American Society for LASER Medicine and Surgery (ASLMS), a Founder Member of the European Society LASER Dermatology (ESLD), the Vice President of the ‘Open Health Alliance’ and he is also on the Board of Directors of Elitour - Greek Medical Tourism Council.

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