Wellness Nail Care for Clients with Underlying Health Conditions
The wellness nail care service is provided by a certified technician trained in safety. They assess clients' hands, feet, and nails to identify any issues needing a podiatrist referral. If necessary, the service pauses, and the referral is initiated; however, the technician does not diagnose or treat medical conditions. New clients fill out a form to help the technician ensure a safe pedicure, especially for those with chronic conditions, and adjustments may be made for client safety.
An example would be that if a client is insulin-dependent (diabetic) they should not be soaked in water/whirlpool bath. Another example is that many chronic conditions do not allow the client to have a traditional massage; the safety-trained nail technician is trained in the methodology of a safe alternative massage.
These important changes/precautions, among many others, demonstrate the difference between the traditional and medical pedicure as being based on the safety training of the technician and not on the name or protocol of the pedicure.
51% of Americans Over 20 Have At least One Chronic Illness.(CDC, 2022)
A wellness pedicure is within the requirements of the cosmetic laws upon which it is based. It is the higher-level training of the nail technician in safety and precautions of care that elevates it to being a "medical pedicure."
Pedicuring the Senior and Geriatric Client
Over the past 10 years, there has been a significant increase in the population of seniors over the age of 65. Current statistics from major western countries vary from 15% to 18% of the population. This is a growing segment for pedicures since 90% of this population has one or more foot-related problems. Senior and geriatric clients have a higher risk for certain conditions. Understanding the changes in this age group is essential to being able to service their needs adequately. Recognizing and understanding changes and problems with the foot and lower limb will help to meet their needs.
These changes include issues with the following:
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Circulatory system
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Neuropathy
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Skin and nail changes
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Structural changes and deformities
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Other senior concerns
It is not uncommon for seniors to experience problems due to normal wear and tear on their feet. In addition, the number of people with chronic diseases such as Type 2 diabetes, thyroid conditions, cancer survivors etc., is steadily increasing, particularly in the over 65 age group. All the more reason these clients need special attention and understanding in order to modify a pedicure for their specific needs.
CIRCULATORY ISSUES:
Chronic Venous Insufficiency (CVI) is the most common vascular condition, manifesting with the presence of spider veins, distended capillaries, varicose veins, foot and ankle edema, lack of hair growth on legs and toes, and thin, often discoloured, shiny skin. It typically causes decreased sweat production thereby contributing to dry skin. Poor circulation can also make a client more susceptible to the development of ulcers due to wearing the wrong shoes, socks, or other scraps bangs and abrasions.
Peripheral Vascular Disease in the lower legs (PVD) is due to the narrowing of the blood vessels that become damaged, leading to ischemia (lack of blood supply). The resulting diminished blood flow to the feet always leaves the client at risk for infections and ulcers.
NEUROPATHY:
Peripheral neuropathy is a condition that is frequently seen in seniors, particularly those with Type 2 diabetes. Symptoms may include tingling, burning, numbness, as well as loss of sensation to touch and temperature.
SKIN AND NAIL CHANGES:
Due to metabolic and circulatory issues, the skin becomes thin and fragile leaving it very susceptible to injury and infection. The skin on the feet often becomes dry and rough making them susceptible to infection through micro lesions. Corns and calluses may be prevalent on pressure points causing discomfort and possibly pain when walking. Loss of fat pads on the ball of the foot is typical with aging feet potentially causing pain. Nails frequently become dark and thickened and often have onychomycosis with separation of the nail plate from the nail bed.
STRUCTURAL CHANGES AND DEFORMITIES:
Bunions, toe deformities such as hammer toes and heel spurs can cause pain and can result in skin problems such as corns and calluses. With advancing age, people have greater difficulty reaching their feet, are less active and less agile. This makes it difficult for them to care for their own feet or put on proper shoes.
OTHER SERIOUS CONCERNS:
Poor eyesight can lead to the client not seeing injury or change in the skin on the feet. This is worse in the presence of neuropathy. Clients should be encouraged to check the bottom of their feet in a mirror on the floor regularly. Medications influence the body’s metabolism, possibly affecting the skins’ normal function, further leading to dry skin. Medications like blood thinners may leave the skin of feet at risk of injury.
Frequently Asked Questions
Q: What services do you offer at your spa?
A: We specialize in a variety of services, including:
• Manicures and pedicures
• Overlays (acrylics, gels, DIP, etc.)
• Nail extensions (acrylics, gels, gel x, poly-gel)
• Custom nail art tailored to your style
• Specialized nail care for chronically ill clients (including toe debridement and thickened toenail reduction)
• Excessive Dry and callused skin removal and re-hydration treatments
• Toe nail restoration (flexible toenail enhancements custom sculptured to clients natural toenail structure)
• Custom nail art tailored to your style
Q: What is included in a standard manicure and pedicure?
A: A standard manicure or pedicure includes nail shaping, cuticle care, buffing, and polishing. You’ll also receive a relaxing hand or foot massage to leave your skin soft and revitalized.
Q: Can you tell me more about your Wellness nail care for clients with underlying health conditions?
A: Absolutely! Our trained professionals provide specialized care for chronically ill clients, focusing on safe and gentle treatments. This includes toe debridement (removing damaged or thickened toenail material), reducing thickened toenails, and ensuring overall foot health to prevent complications.
Q: I struggle with very dry skin on my hands and feet. Do you have treatments to help?
A: Yes, we offer dry skin removal and re-hydration treatments. These services gently exfoliate dead skin, leaving your hands and feet smooth, followed by deep hydration to restore moisture and improve skin texture.
Q: I’m interested in custom nail art. What designs can you do?
A: We can bring your vision to life! Whether it’s minimalistic designs, bold colors, intricate patterns, seasonal themes, or special event nails, we tailor the art to your preferences. Just bring inspiration, and we’ll create a masterpiece!
Q: How do you ensure cleanliness and safety in your salon?
A: Your safety is our priority. We follow strict sanitation protocols, sterilizing tools after each use, using disposable liners for pedicure tubs, and maintaining a clean and hygienic environment.
Q: How long does a nail extension service take?
A: Depending on the type of extensions and design complexity, it typically takes 1.5 to 2 hours. Custom nail art may add a bit more time.
Q: Can I book an appointment for diabetic nail care or a dry skin treatment?
A: Absolutely! We recommend scheduling in advance to ensure you receive the specialized attention these services require.
Q: Do you offer packages or discounts for combined services?
A: Yes! We offer bundled packages for manicures, pedicures, and add-ons like custom nail art or skin treatments. Check with us for current specials and deals.
Q: How can I book an appointment?
A: You can book by calling us, visiting our website, or stopping by the salon. We also accept same-day appointments when available.
Our Salon Policies
Our environment is designed to be tranquil and relaxing. Please note the following guidelines:
- Food and drinks are not permitted.
- Speakerphones, video, audio recordings, and loud conversations are allowed.
- Children and extra guests who are not being serviced should not accompany you.
- Pricing and service may vary based on the condition of your nails.
