title: Managing common foot problems in older adults.
abstract: Foot problems related to aging or disease processes such as nail fungus or arthritis often go unrecognized and untreated, and can lead to considerable dysfunction. Multiple contributing factors, such as repetitive stress and structural changes in the foot, further compromise function. Effective topical management approaches for xerosis, fissures, hyperkeratotic lesions, and fungal infections can lessen the severity of symptoms. However, when recalcitrant, such as long-standing onychomycosis, prescription medications may be warranted. These medications are not without serious side effects and should be used with caution in older adults. New methods that pose fewer risks, such as film-forming solutions and photodynamic therapy, are emerging to treat skin and toenail infections. Several nonpharmacological and pharmacological treatment approaches are presented in this article.
authors.affiliation: Medical University of South Caroliina, College of Nursing, Charlestown, SC, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Anderson
authors.forename: Kathleen G
authors.initials: KG
authors.lastname: White
authors.forename: Teresa J
authors.initials: TJ
authors.lastname: Kelechi
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D002145:Callosities / Q000188:drug therapy / Q000628:therapy; D003879:Dermatologic Agents / Q000627:therapeutic use*; D003881:Dermatomycoses / Q000188:drug therapy; D004643:Emollients / Q000627:therapeutic use; D005533:Foot Dermatoses / Q000188:drug therapy* / Q000628:therapy; D006801:Humans; D007641:Keratolytic Agents / Q000627:therapeutic use; D004366:Nonprescription Drugs; D012307:Risk Factors; D014014:Tissue Adhesives / Q000627:therapeutic use
chemical_list: D000935:Antifungal Agents; D003879:Dermatologic Agents; D004643:Emollients; D007641:Keratolytic Agents; D004366:Nonprescription Drugs; D014014:Tissue Adhesives