It is a good idea
to try to make appointments at a time of day when you are least likely to
experience tremor or other involuntary movements as the podiatrist may need to use sharp instruments. It may also be helpful if your carer is with
you for the first appointment so that they understand fully how they can help
you between appointments.
The initial appointment
will last around 30 minutes, although this will vary depending on in which
country you live. Additional assessment
and treatment sessions will normally take between 20 -30 minutes.
The podiatrist will take a full medical
history, including Parkinson's and any other health problems, as these can
affect your feet. They will need to know
what medications you take so make sure you take a medications list with you.
They will assess
your foot, including the condition of your skin and nails, circulation and
nerves. They will also do a gait analysis, that is watching the way
you walk and the position and movement of your feet.
The podiatrist
will then suggest a care plan including treatment of any immediate problems,
future appointments and day-to-day care such as nail cutting, exercise and the
use of creams.
In some countries home visits may be arranged where mobility
is very difficult.