FusspFlege aktuell - Gehwol Footcareeet F series with the cream, scrub and lotion now has another “family mem- ber”. Starting immediately, the GEHWOL FUSSKRAFT Soft Feet care bath

Issue 2/2015

FusspFlegeaktuell the magazine

for the practice

technology CuRReNtSuction technology and spray techno-logy - both methods are recognised!

products CuRReNtGEHWOL FUSSKRAFT Soft Feet Care Bath and Cream in the display

technology CuRReNtGerlach foot care units SIRIUS and NEPTUN NT MICRO with spray technology

filled with harmonya gift

New: geHWOl FusskRaFt soft Feet Care Bath with almond Oil

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20 | too much pressure from wrong footwear

24 | effective friction

“Optimal shoe care makes a significant contribution to preserving foot health.”

take the self-test Four simple questions help you in assessing yourself and improving

your customer consultations.

Editorial ................................................. 3

products CuRReNt

Just for me! geHWOl FusskRaFt soft Feet The new care bath with almond oil and vanilla: 200 ml in the sales display together with Soft Feet Cream, including brochures and posters ............................. 4

Christmas campaign offer 2015: Soft Feet care bath 50 ml gift bottle ................ 7

summer holidays 2015: Soft Feet Cream, Lotion and Scrub in 40 ml travel sizes ......................................8

technology CuRReNt

More light, full performance! Gerlach spray units SIRIUS NT MICRO and NEPTUN NT MICRO ..................... 12 technology CuRReNt

Don‘t be fooled! NT or AT – what experts say about hand piece selection ............................. 16

Not all light is equal! Lighting in foot care .............................. 18 Medicine CuRReNt

too much pressure from wrong footwear! Guest contribution by Dr. med. Renate Wolansky on the significance of shoe inspections and custom fittings for foot health ................................................... 20 News Current

In brief .................................................. 22 Ware knowledge CuRReNt

effective friction! Instruments in use, part 2: the Callus clean grinder from GERLACH TECHNIK ............................. 24

almond & Vanilla The new dream pair for well treated foot skin in the GEHWOL FUSSKRAFT Soft Feet Care Bath ...................................... 26

Consultation checklist for a relaxed bath experience ............... 28

International: gerlach in Belgium Traditionally mobile ............................. 29 Marketing CuRReNt

the right thing for everyone! Test: Which consultation type are you? .. 30 last but not least

Constantine‘s warning An image and its history ...................... 32

“Callused areas become almost flawlessly smooth with the new Callus clean.”

Norbert Cohr‘s experience shows why the Callus Clean is just as effective, but more cost effective than single use caps - even in the short term.

30 | Which type are you?

Imprintpublisher: FUSSPFLEGE AKTUELL appears on behalf of Eduard Gerlach GmbH, Bäckerstraße 4–8, 32312 Lübbecke, Telephone: 05741 330-0, Fax: 05741 347300, E-Mail: [email protected], Internet: www.gehwol.de

editing staff and publisher: Dorothea Küsters Life Science Communications GmbH, Leimenrode 29, 60322 Frankfurt am Main,Telephone: 069 61998-0, Fax: 069 61998-10, E-Mail: [email protected], Internet: www.dkcommunications.de; Editorial management: Dorothea Küsters (responsible), Dirk Fischer;Editing staff: Stefan Dietrich, Stefan Dudzinski-Lange, Maria-Delia Rumjanzewa

graphic concept and implementation: PUNKTUM Werbeagentur GmbH, Bad Vilbel

All rights reserved. Reprints, also in excerpts, are only permitted with the approval of the publisher and citing sources. Rights of translation and other uses reserved. We assume no liability for unsolicited manuscripts, discussion copies etc. If FUSSPFLEGE AKTUELL cannot appear or be delivered, this shall not result in claims against the publisher. Legal venue: Frankfurt am Main.

please order via the publisher

There is no exclusive recommendation.Both methods are recognised.

Wet or suction technology?

16 |

Dr. med. Renate Wolansky about shoes in foot care

Don‘t be fooled!

Contents

FusspFlege aktuell 2/2015

3FusspFlege aktuell 2/2015

editorial

Representatives of the trade routinely allege nonsense and in this way, create uncertainty for long-standing foot specialists - pros who know exactly what they are doing in their everyday work. For instance, strange state-ments are once again circulating in the field of device technology. Wet technology is allegedly unsuitable for foot care for hygienic reasons - naturally, with references to sources which are scarcely credible. This shows how wrong advice is provided by leaving out important information.

“Don’t be fooled!”Neither the general hygiene plan nor other recommendations on the use of foot care devices describe wet technology as unsuita-ble. On the contrary: The general hygiene plan recommends both suction and wet technology at the same level. The GKV umbrella association likewise praises both technologies for use in foot care in its guide-line expert role. There are surely good reasons for this. Lastly, however, you have to decide

for yourself which technology you prefer. According to the results of our user survey in FUSSPFLEGE AKTUELL 1-2015, both technologies are matched in terms of both use and satisfaction. And wet technology is more than just an alternative to suction technology. Performance optimised work in the lower rotation speed ranges, along with the lit hand piece, offer significant benefits in everyday practice work. Read more about this on pages 12 to 19. By the way, foot care pros in many European countries and all over the world use wet technology.

“the performance range is significantly higher.”I would like to suggest another theme to you. The new GEHWOL FUSSKRAFT Soft Feet series with the cream, scrub and lotion now has another “family member”. Starting immediately, the GEHWOL FUSSKRAFT Soft Feet care bath is available to you to prepare the feet for treatment. The trendy ingredients of almond oil and vanilla

extract complete the Soft Feet indulgence program. Protection for the skin flora, regulation of moisture and the sensual, soft care turn the preparation of the feet for the treatment into a complete wellness experi-ence for your customers from the first immersion.

More than 50 years of loyaltyThe continuation of the FUSSKRAFT Soft Feet series continues the more than 50 year association with foot care pros, supporting the tradition of the deep partnership with you. Again and again, you let us know that loyalty to the specialist trade and intensive advice not only support you in everyday work, but also form cornerstones of the trust which has been formed over many decades.

We continue this tradition with the current edition of FUSSPFLEGE AKTUELL. We wish you a lot of fun in reading and lots of success in your daily work.

Ihre Eduard Gerlach GmbH

Dear foot care pros,

Jobst-Peter Gerlach-von Waldthausen

“If you leave out important information, you are providing wrong information and advice!”

products CuRReNt

4 FusspFlege aktuell 2/2015

Sensual relaxation

with Almond & Vanilla

now new:

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products CuRReNt

geHWOl has stood for top quality in foot care since more than 140 years. Innovation has always been a significant part of this tradition. that‘s why we have soft Feet! the new feel-good and indulgence program from geHWOl FusskRaFt stands for silky soft, tender and wonderfully smooth feet and legs, and meets the aesthetic and restorative care needs of modern users with its philosophy and its recipes. High quality trendy active substances and a completely new arrangement of scents for pure sensuality ensure optically convinc-ing results in this extraordinary line.

It‘s like that with the newest member of the soft Feet family as well! starting in June, the new geHWOl FusskRaFt soft Feet Care Bath is available for you, and to your customers through you. Its select mixture of almond oil and vanilla wonderfully regenerates the feet and legs while providing intensive care. let the following convince you of the harmony of this newest care option in terms of the exclu-sive nature of the geHWOl FusskRaFt soft Feet series.

geHWOl FusskRaFt soft Feet for beautiful, well cared feet and legs

We have put together exciting package offers just for you on the coming pages, all around the soft Feet care series.

let yourself be surprised!

FusspFlege aktuell 2/2015 5

Unser Angebot #1 Unser Angebot #2

7FUSSPFLEGE AKTUELL 2/2015FUSSPFLEGE AKTUELL 2/20156

Präparate AKTUELL

GEHWOL FUSSKRAFT Soft Feet Pflegebad für pure Harmonie und Pflege

NEU: Eintauchen und sanft entspannen!

Präparate AKTUELL

Preise zzgl. MwSt. Angebot gültig bis 31. Juli 2015, lieferbar ab Juni 2015.

Verpackungseinheit 50 Stück. Lieferung ab September 2015. Preise pro Stück zzgl. MwSt. Werbekostenrechnung. So lange der Vorrat reicht.

Das neue GEHWOL FUSSKRAFT Soft Feet Pflegebad verwöhnt Füße und Beine mit einem unvergesslichen Badeerlebnis. Ein-tauchen und sanft entspannen – so lautet die Einladung. Nach nur einem Bad fühlt sich die Haut Ihrer Kunden wunderbar zart und geschmeidig an. Das Bad eignet sich für jeden Hauttyp, besonders aber für tro-ckene und sensible Haut. Denn die Essenz enthält eine einzigartige Wirkstoffkombi-nation, die das Bad in eine reichhaltige, harmonisierende Reinigungs- und Pflege-milch verwandelt. Mandelöl etwa beruhigt die Haut, macht sie schön weich und gibt ihr Schutz. Hinzu kommt ein Extrakt aus verführerischer Vanille, die zusammen mit Vitamin E sowie hautfreundlichem Pflegeöl

aus Avocado intensiv Feuchtigkeit spendet, übermäßige Verhornungen erweicht und ein glattes, vitales Hautbild hervorbringt.Das neue Bad lässt Füße und Beine erholsam regenerieren und schenkt dabei gleichzeitig intensive Pflege. Das Geheimnis ist ein speziell für empfindliche Haut entwickeltes Netzmittel. Es sorgt dafür, dass sich die drei enthaltenen Pflegeöle gleichmäßig im an-genehm warmen Wasser verteilen. Auf diese Weise entsteht eine wie Milch schimmernde Pflegeemulsion, die den Feuchtigkeitshaus-halt der Haut reguliert und die natürliche Hautflora schützt. Das angenehm duftende Fußbad bietet im Übrigen auch als Dusch- oder Vollbad für Füße, Beine und Körper ein harmonisches, pflegendes Badeerlebnis.

zwei weitere verheißungsvoll klingende Wirkstoffe, die das vorangegangene Mandel- und Vanilleerlebnis mit dem Fußbad noch einmal stark intensivieren. Genau wie Mandel und Vanille erzeugen Milch und Honig mit ihrer sensitiven Ausstrahlung nicht nur jede Menge Lust auf Pflege, sondern sorgen besonders zusammen mit Hyaluron für ein Extraplus an Hautfeuchtigkeit. Die Haut und selbst hartnäckige Hornhaut wird mit diesem gelungenen Zeremoniell aus Pflegebad und Crememassage im Ergebnis samtweich, zart und überaus geschmeidig.

Pflegendes Doppel, doppelter NutzenEgal ob in der Praxis als Kabinettware oder in der privaten Wohlfühllounge zu Hause: Mit einem harmonischen Pflegebad werden Füße und Beine in jeder Hinsicht optimal auf die anschließende Pflege vorbereitet, die mit einer sanften Crememassage ihren gelungenen Abschluss findet. Mit seiner pflegenden Formulierung, aber auch mit seinem dezent frischen Duft korrespondiert das Soft Feet Pflegebad hervorragend mit der GEHWOL FUSSKRAFT Soft Feet Creme: Deren Leistungsträger sind Milch und Honig,

Die Haut an Füßen und Beinen zu pflegen und sie zu schützen braucht nicht viel Zeit. Sie einzucremen und täglich mit Feuchtigkeit zu versorgen ist kein großer Aufwand. Andererseits: In der schnelllebigen Zeit von heute wollen es viele Kunden geradezu – Zeit aufwenden, Zeit für sich selbst und eben nicht nur den schnellen Feuchtigkeitskick. Deshalb nutzen sie ihre Körperpflege als besonderen Anlass, um das Wohltuende daran intensiv und bewusst zu erleben. Das neue Pflegebad bringt jetzt noch mehr Harmonie und sachte Entschleunigung in die Fußpflege mit GEHWOL FUSSKRAFT Soft Feet.

Sinnliche Entspannung

mit Mandel und Vanille

Mandelöl, Vanilleextrakt, Vitamin E und Avocadoöl für jeden Hauttyp geeignet, speziell auch für trockene und empfindliche Haut bildet zusammen mit dem Badewasser eine mild duftende, reichhaltige Reinigungs- und Pflegemilch

spendet Feuchtigkeit, schützt die natürliche Hautflora, erweicht Hornhaut, wirkt harmonisierend, sorgt für ein geschmeidiges, samtweiches Hautgefühl

auch als Voll- oder Duschbad anwendbar dermatologisch geprüft, auch für Diabetiker hervorragend geeignet

GEHWOL FUSSKRAFT Soft Feet Pflegebad – auf einen Blick

GEHWOL FUSSKRAFT Soft Feet Pflegebad, 50 ml

50 Stück 1,49 € ab 100 Stück 1,39 € ab 200 Stück 1,29 € ab 400 Stück 1,09 €

GEHWOL-Präsenttaschen

pro Stück 0,32 € Weihnachten ist die richtige

Zeit, um Ihren lieb gewonnenen Kunden zu sagen: „Das gönn‘ ich Ihnen!“ Nutzen Sie hierfür die 50-ml-Größe, die Sie heute schon vorbestellen können.

PURE HARMONIE

GEHWOL FUSSKRAFT Soft Feet

im repräsentativen Verkaufsdisplay inklusive 33 Prozent Naturalrabatt (9 Produkte + 3 Produkte gratis)

6 x GEHWOL FUSSKRAFT Soft Feet Pflegebad200 ml, Einkaufspreis pro Flasche 5,96 € (UVP: 10,65 €)

6 x GEHWOL FUSSKRAFT Soft Feet Creme125 ml, Einkaufspreis pro Tube 5,96 € (UVP: 10,65 €)

Kabinettware, Praxisbedarf zum Einführungspreis

1 x GEHWOL FUSSKRAFT Soft Feet Pflegebad1.000 ml, Einkaufspreis pro Flasche statt 17,84 € nur 13,55 €

Gesamt statt 71,52 € nur 53,64 €Zusätzlich: Kundenbroschüren und (auf Wunsch) Praxisposter zur Verkaufsförderung

Sommerferien 2015

Klar, mit schönen, gepflegten Füßen die Urlaubsreise anzutreten ist eine Sache, danach die Pflege konsequent fortzusetzen eine ganz andere. Zu oft schleicht sich zwischen Strandkorb und Animationspro-gramm der kosmetische Schlendrian ein. Und was in puncto Körperhygiene vorher wichtig war, wird plötzlich vernachlässigt. Dabei ist die konsequente Fortsetzung der Fußpflege, speziell bei Kunden mit wieder-kehrenden Fußproblemen, ein wichtiges Beratungsziel. Denken Sie beispielsweise an die höhere UV-Belastung und die damit verbundene Hautalterung, wenn Ihre Kun-den ankündigen, wie sehr sie sich darauf freuen, endlich einmal faul in der Sonne liegen zu können. Patienten, die Arznei-mittel einnehmen müssen, werden diese ja auch nicht absetzen, nur weil sie ihren Aufenthaltsort vorübergehend in ihr Traum-land verlegen. Geht es um die Gesundheit, herrscht Medikationsdisziplin. Warum also nicht auch bei der Pflege der Füße?

Kosmetik im HandgepäckKurzum: Urlaubsabsichten bieten immer ein gutes Diskussionsumfeld, um zu beraten und nützliche Reisetipps zu geben. Dazu gehört auch der Hinweis auf die geltenden Mitnahmebestimmungen für kosmetische Produkte. Seit November 2006 gelten für alle Flüge, die innerhalb der EU starten, strenge Sicherheitsrichtlinien für Flüssig-keiten und Kosmetika im Handgepäck. Egal ob Creme, Duschgel, Concealer, Flakon oder Zahnpasta – jedes Behältnis darf ma-ximal 100 Milliliter enthalten. Was diese Richtlinie nicht erfüllt, bleibt gnadenlos an der Sicherheitsschleuse hängen. Ferner sind alle Kosmetika in einem transparenten, wieder verschließ baren Plastikbeutel (z. B. Gefrierbeutel mit Zipptechnik) zu verstauen. Das Füllvolumen darf pro Person maximal einen Liter betragen. Der Platz ist also be-grenzt, weshalb genau überlegt werden sollte, welche Produkte in das Handgepäck gehören und welche im Koffer mitfliegen.

Nur das NötigsteDen heimischen Kosmetikschrank unkritisch in das Ein-Liter-Beutelchen zu entleeren, ist wenig zielführend. Empfehlen Sie Ihren Kunden daher, bei der Auswahl vor allem auf Kosmetika zu achten, die während des Flugs auch benötigt werden. Dazu kann auch ein Fußpflegeprodukt gehören. Denn auf einer Flughöhe von 10.000 Metern be-trägt die Luftfeuchtigkeit im Flieger nur noch etwa zehn Prozent. Vor allem in den Problemzonen, dort, wo die Haut ohnehin schon trocken ist, wird sie auf längeren Reisen in dieser Höhe noch trockener. Die Füße und Beine – gegebenenfalls auf der Bordtoilette – vor diesen Einflüssen mit ei-ner Extraportion Feuchtigkeitskick (z. B.

GEHWOL FUSSKRAFT Soft Feet Creme) zu schützen, ist keine Peinlichkeit. Wer auf längeren Reisen eine Stützstrumpfhose be-ziehungsweise Stützstrümpfe trägt, kann auf eine leichte Beinlotion zurückgreifen. Diese erfrischt und zieht schnell ein. Hilf-reich sind Produkte mit adstringierenden Inhaltsstoffen (z. B. Extrakte aus Wasserlilie und Rotalge in GEHWOL FUSSKRAFT Soft Feet Lotion). Mit einer sanften Massage an-gewendet, kräftigen sie die Muskulatur, bringen den Kreislauf in Schwung und schützen davor, dass die Beine angesichts der langen Sitzzeit im Flieger unangenehm anschwellen. Ausreichend zu trinken ist in diesem Zusammenhang ein weiterer wich-tiger Schutz – auch für die Haut.

Viele Kunden nutzen die Zeit vor den Sommerferien, um Füße und Nägel vor der Urlaubsreise noch einmal so richtig strandtauglich machen zu lassen. Somit herrscht zur Reisesaison in vielen Instituten Hochkonjunktur. Mindestens genauso wichtig ist jedoch die Pflege im Urlaub. Fußpflegeprodukte gehören als Widerpart zu Flipflops und anderem strapaziösen Schuhwerk immer mit in das Reisegepäck. Nutzen Sie die Reisepläne Ihrer Kunden für die Beratung.

FUSSPFLEGE AKTUELL 2/2015FUSSPFLEGE AKTUELL 2/20158 9

Nicht ohne meine Lieblingsprodukte

Unser Angebot

GEHWOL FUSSKRAFT Soft Feet Crememit Milch und Honig für samtweiche Füße, 40 ml

50 Stück1,72 €

pro Stück

GEHWOL FUSSKRAFT Soft Feet Lotionmit Wasserlilie und Seide für seidenglatte Haut, 40 ml

50 Stück1,72 €

pro Stück

GEHWOL FUSSKRAFT Soft Feet Peelingmit Bambus und Jojoba zur vorbereitenden Pflege, 40 ml

50 Stück GRATIS!Bestelleinheit jeweils 50 Stück. Preise pro Stück zzgl. MwSt. Werbekostenrechnung. So lange der Vorrat reicht.

Aktion 3 für 2! Exklusive 40-ml-Reisegrößen

mit Aktionsplakat!

++

Präparate AKTUELLPräparate AKTUELL

10 11FUSSPFLEGE AKTUELL 2/2015FUSSPFLEGE AKTUELL 2/2015

Sommerstaffel 2015

Mit dem neuen GEHWOL FUSSKRAFT Soft Feet Pflegebad erhält das moderne Verwöhnprogramm für Füße und Beine eine ideale Ergänzung. In den Behandlungs-ablauf lässt es sich hervorragend integrieren. Reichen Sie zu Beginn der Sitzung das Pflegebad, vielleicht zusammen mit dem GEHWOL FUSSKRAFT Soft Feet Peeling. Die Kombination aus Mandelöl und Vanille-extrakt aus dem Bad sowie Zucker und Bambus aus dem Peeling macht die Haut bereits weicher und entfernt lose Haut-schuppen. Während Ihre Kunden entspannt das Bad, den sanften Massageeffekt des Peelings und den homogenen Duft beider Präparate genießen, bleibt Ihnen Zeit, die Behandlung vorzubereiten. Oder Sie nutzen die Zeit einfach, um Ihrem Besucher die

weiterführende Pflege mit dem Soft-Feet-Programm auch für zu Hause schmackhaft zu machen. Die Empfehlung von Soft-Feet-Produkten, aber auch von anderen Produkten aus dem FUSSKRAFT- und MED-Sortiment ist zurzeit besonders profitabel. Denn noch bis Juli gelten für diese Produkte besondere Einkaufskonditionen. Übrigens: Mit einer wohltuenden Fuß- und Beinmassage, etwa mit GEHWOL FUSSKRAFT Soft Feet Creme oder Lotion, lassen Sie Ihre Kunden nach der Behandlung den Duft und die ange-nehme Anwendung der Produkte noch einmal neu erleben. Dieses Gefühl und das Ergebnis Ihrer Behandlung wird sicher-lich die Bereitschaft Ihrer Kunden fördern, den eigenen Füßen künftig doch etwas mehr Aufmerksamkeit zu widmen.

Sichern Sie sich mehr vom Kuchen

Bis zu 33% Naturalrabatt!

Darüber hinaus erhalten Sie 50 Produktproben gratis!

Jede 6er- und 12er-Bestelleinheit zählt!

Gilt für alle FUSSKRAFT- und GEHWOL med-Verkaufsprodukte!

+30%Naturalrabatt

+ 50 Produktproben

Bestellwert ab 200,– €GEHWOL FUSSKRAFT und GEHWOL med nach Ihrer Wahl

+27%Naturalrabatt

+ 50 Produktproben


Das Geschenk: Geben Sie Ihren Kunden eine Produktprobe als Geschenk mit – sie werden sich darüber freuen.

Die Zugabe: Geben Sie Ihren Kunden beim Kauf etwas dazu – das bisschen Mehr eben.

Das Sonderangebot: Machen Sie ein Sonderangebot, zum Beispiel mit den Naturalrabatten. Bewerben Sie es deutlich.

Die Information: Ihre Kunden sind Laien. Erläutern Sie ihnen, welches Fußpflegepräparat bei welchem Problem hilft. Nutzen Sie dazu den Beratungsleitfaden von GEHWOL.

Das Komplettpaket: Schnüren Sie für Ihre Kunden ein Komplettpaket aus Behandlung, Präparaten und Informationen, damit sie rundum sorglos versorgt sind.

Staffelangebot

2015


+33%Naturalrabatt

+ 50 Produktproben

Damit begeistern Sie Ihre Kunden

EINMALIGE KONDITIONEN

Präparate AKTUELLPräparate AKTUELL

Beratung heißt einen guten Rat zu geben. Bei Fußproblemen ist ein guter Rat die lösungsorientierte Pflege zu Hause. Das geht mit guten Produkten und konsequenter Anwendung. Die guten Produkte erhalten Sie jetzt mit Mehrwert.

Bitte beachten Sie: Verkaufsware muss im ganzen oder halben Dutzend pro Artikel bestellt werden. Abweichend von unseren Standardkonditionen (10 + 2 bzw. 5 + 1 Naturalrabatt) werden auch 12 bzw. 6 Stück berechnet. Die erhöhten Naturalrabatte fügen wir der Gesamtbe-stellung entsprechend hinzu. Preise zzgl. MwSt. / Angebot gültig bis 31. Juli 2015.


geHWOl FusskRaFt soft Feet Care Bath for pure harmony and care

NeW: Immerse and gently relax!

products CuRReNt

The new GEHWOL FUSSKRAFT Soft Feet Care Bath spoils the feet and legs with an unforgettable bath experience. Immerse and gently relax - that‘s our invitation. Your customers‘ skin will feel wonderfully soft and tender after only one bath. The bath is suitable for all skin types, especially dry and sensitive skin. Because the essence contains a unique active substance combination, trans-forming the bath into a rich, harmonis-ing cleansing and nourishing milk. Almond oil, for instance, soothes the skin, rendering it beautifully soft and protecting it. Add an extract of seductive vanilla which, together with Vitamin E and skin friendly avocado care oil,

intensively lends moisture, softens excess callus, and brings out a smooth, vital skin appearance. The new bath restoratively regenerates the feet and legs while lending intensive care. The secret lies in a surfactant developed especially for sensitive skin. It ensures that the three contained care oils are evenly distributed in pleasantly warm water. This produces a care emulsion which shimmers like milk, regulates the skin‘s moisture content, and protects the natural skin flora. The pleasantly scented foot bath also offers a harmonic, nour-ishing bath experience as a shower or full bath for the feet, legs and body.

It only takes a little time to care for and protect the skin on the feet and legs. It‘s not much effort to apply cream and provide them with moisture on a daily basis. On the other hand: In today‘s fast-moving times, many customers want just that - spending time, time for themselves and not just the fast moisture kick. therefore they use their body care as a special occas-ion for intensively and consciously living a feel-good experience. the new care bath now brings even greater harmony and gentle deceleration into foot care with geHWOl FusskRaFt soft Feet.

Sensual relaxation

with Almond & Vanilla


products CuRReNt

other promising active ingredients, which once again intensify the preceding almond and vanilla experience with the foot bath. Just like almond and vanilla, milk and honey with their sensitive radiance not only generate lots of pleasure in care, but provide an added plus of skin moisture in combination with hyaluron. The skin and even stubborn callus becomes silky soft, tender and extremely supple with this well developed ceremony of a care bath and cream massage.

Nourishing double, double benefitsRegardless of whether it‘s in the practice as cabinet ware or in the private feel-good lounge at home: A harmonic care bath optimally prepares the feet and legs for subsequent care in every way, finishing suitably with a gentle cream massage. With its nourishing formulation and its gentle, fresh scent, the Soft Feet care bath works extremely well with the GEHWOL FUSSKRAFT Soft Feet Cream: Its perfor-mance is carried by milk and honey, two

almond oil, vanilla extract, Vitamin e and avocado oil suitable for all skin types, and especially for dry, sensitive skin forms a mildly scented, rich care and cleansing milk with the bath water lends moisture, protects the natural skin flora, softens callus, harmonises, ensures a supple, silky soft skin sensation

also suitable as a shower or full bath dermatologically tested, also very suitable for diabetics

geHWOl FusskRaFt soft Feet Care Bath – at a glance

puRe HaRMONY

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summer holidays 2015

Of course, beautiful, well cared feet at the start of your vacation are one thing - consistently continuing care is another matter. All too often, cosmetics are neglected between the beach and the animation program. And what was initially important in terms of body hygiene is suddenly tossed to the way-side. But consistently continuing foot care, particularly for customers with recurrent foot problems, is an important consulting goal. For instance, just think of the higher UV load and associated skin aging when your customers tell you how much they look forward to being able to sunbathe at last. Patients who need to take medications will not stop them, after all, just because they are tem-porarily going to live in their dreamland. Medications are taken with discipline when it‘s about health. So why not in foot care?

Cosmetics in your luggageIn brief: Vacation plans always offer a good discussion subject for providing advice and useful travel tips. This also includes information about valid regulations for taking along cosmetic products. Since November 2006, strict safety regulations apply to liquids and cosmetics in carry-on luggage for all flights starting within the EU. No matter whether it‘s a cream, shower gel, concealer, vial or toothpaste, any con-tainer must not exceed a maximum of 100 millilitres. Anything which does not fulfil this guideline remains behind the safety barrier without mercy. Furthermore, all cosmetics must be stowed in a transparent, resealable plastic bag (e.g. a freezer bag with a zip closure). The fill volume must not exceed one litre per person. Space is limited - so think carefully about which products belong into the carry-on luggage and which fly along in your suitcase.

Many customers use the time before the summer holidays to get their feet and toenails in shape for the beach before their vacation trips. therefore many institutes are very busy in the travel season. However, care during the vacation itself is just as important. Foot care products should always be in your travel luggage as a counterpart to flipflops and other footwear which strains the feet. use your customers‘ travel plans for your consultation.


Not without my favourite products

products CuRReNt

Only the barest necessitiesSimply emptying your home cosmetics cabinet into the one-litre bag will not bring you to your goal. Recommend to your customers that when choosing their products, they should give priority to those cosmetics which they will need during the flight as well. This can also include a foot care product. At a flight elevation of 10,000 meters, air humidity in the plane is only about ten percent. On longer trips, the problem zones where the skin is already dry will become even more dehydrated. It‘s a simple matter to protect the feet and legs against these influences with an extra shot of moisture

(e.g. GEHWOL FUSSKRAFT Soft Feet Cream) - in the onboard washroom if necessary. Those who wear supportive stockings or tights on longer trips can use a light leg lotion. It refreshes and is quickly absorbed. Products with astringent ingre-dients are helpful (e.g. extracts of water lily and red algae in GEHWOL FUSSKRAFT Soft Feet Lotion). Applied with a gentle massage, they strengthen the muscula-ture, get the circulation going and pro-vide protection against unpleasantly swollen legs due to long sitting periods on the plane. Drinking enough is another important form of protection here - also for the skin.


products CuRReNt

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summer range 2015

The new GEHWOL FUSSKRAFT Soft Feet Care Bath ideally completes the modern care program for the feet and legs. It is easily integrated into the pro-gression of treatment. Give the customer a care bath at the start of the session, maybe together with the GEHWOL FUSSKRAFT Soft Feet Scrub. The combi-nation of almond oil and vanilla extract in the bath and sugar and bamboo in the scrub already softens the skin and detaches loose skin scales. While your customers relax and enjoy the bath, the gentle massage effect of the scrub and the homogeneous scent of both prod-ucts, you have time to prepare the treat-ment. Or you can simply use the time to

make further care with the Soft Feet pro-gram appealing for your customer at home as well. Recommending Soft Feet products and other products from the FUSSKRAFT and MED product ranges is very profitable right now. After all, special purchase conditions continue to apply to these products until July. By the way: A soothing foot and leg massage, e.g. with GEHWOL FUSSKRAFT Soft Feet Cream or Lotion, lets your custom-ers enjoy the scent and the pleasant use of the products again after the treatment. This feeling and the experience of your treatment will surely encourage your customers‘ willingness to lend their own feet greater attention in the future.

get a bigger piece of the pie

products CuRReNt

Consultations are about giving good advice. In foot problems, solution oriented home care is good advice. this can be done with good products and consistent application. You can now get the good products with added value.

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get a bigger piece of the pie

a gift: give a product sample to your customers as a take-home gift - they will enjoy it.

a bonus: give your customers a bonus when they make a purchase - it‘s a little added extra.

a special offer: Make a special offer, e.g. using the natural rebates. advertise it clearly.

Information: Your customers are laypersons. explain to them which foot care product helps with which problems. use the care consultation guideline from geHWOl.

the complete package: Make a complete package for your customers with a treat-ment, products and information to give them all-round, worry-free care.

How to enthuse your customers

products CuRReNt

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More light, full performance...

a 3rd generation ICe races along its tracks at up to 330 kilometres per hour. For this, the 16 drive motors need 8,000 kilowatts of electrical performance - optimally, to drive efficiently at any speed. the far- reaching high beam lights of the ICe at night are generated by the two lamps with a light intensity of approx. 70,000 candle-power. You need a good view and compact power across the entire rotation speed range in foot care as well. this is no problem with the high performance, lit hand piece equipped spray devices from geRlaCH teCHNIk!

Innovation meets practice

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technology CuRReNt


More light, full performance...

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technology CuRReNt


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… for perfect results!Foot care spray units sIRIus Nt MICRO and NeptuN Nt MICRO

More performanceThe two spray units SIRIUS and NEPTUN are perfect all-rounders, for they are suited to nearly every task in daily foot care. The secret lies in the torque of the motor, and not just the fact that the rotation speed range is extremely flexible, including the lower ranges, with 2,200 to 42,000 RPM. This means: The motor ensures consistent force distribution across the entire rotation speed range. Regardless of the rotation speed at which you apply the hand piece, the resist-ance does not result in a performance drop.

More light A well lit work field is the alpha and omega for excellent work results. In GERLACH TECHNIK spray units, two high performance lamps at the tip of the motor hand piece light the skin area which is being treated. The extremely thrifty LEDs light the work field brightly and without shadows. A benefit not just in the practice: In mobile foot care, the light NEPTUN with the lit hand piece also ensures perfect lighting in difficult light conditions.

More hygiene Grinding on the foot produces dust with potentially pathogenic skin particles which must not be stirred up into the room air. With their fine spray mist, the spray units from GERLACH TECHNIK bind dust effec-tively as it is formed. The bound material is easily removed with the towel beneath it after the treatment. By the way: One 5-litre canister GERLACH Aquaspray is enough for nearly 7,800 uses when the spray is used for five minutes in each treatment.

88% of foot care pros

… think that the work results obtained

with wet technology are good to

very good. 89 percent empha-

sise the positive custo-

mer feedback.*

suRVeY CuRReNtconfirms:

“The lit hand piece of the NEPTUN NT MICRO immensely simplifies work. Lighting is perfect, even when

light conditions in the room are difficult.”sabine kühnemund, podologist, kassel

technology CuRReNt


… for perfect results!torque

Consistent

in the entire rotation speed range from 2,200 to 42,000 RPMs

RPM2,200Lowest rotation speed on the market with full performance at

Up to

7,800treatments

technology CuRReNt


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with one 5-litre canister GERLACH AquaSpray

Don‘t be fooled!suction aND wet technology are right for foot care

users in the trade repeatedly allege that wet technology is not suitable for the feet and hygienically doubtful. as an experienced foot care pro, don‘t let this stop you. Both techniques can be safely used for daily work on customer and patient feet. all important sources, such as the general hygiene plan or the licensing recommendations of the gkV umbrella association, list both technologies equally. experts from the trade support this position.

Colleagues have used both wet and suc-tion technology in everyday foot care since years. Both have their justifications in prac-tical work. When assessing whether one of the two technologies might cause hazards, one of the resources used by workers‘ compensation boards is the Technische Re-geln für Biologische Arbeitsstoffe (Techni-cal Rules for Biological Working Materials = TRBA 250). These are determined and adjusted by the Ausschuss für Biologische Arbeitsstoffe (Committee for Biological Work Materials = ABAS) and published by the Bundesministerium für Arbeit und So-ziales (Federal Ministry of Labour and So-cial Affairs) in the Gemeinsames Ministeri-alblatt (GMBI) (Joint Ministerial Gazette). Medical foot care is not listed in this regu-latory body. Therefore this basis work does not indicate a risk by using wet technology.

The currently valid general hygiene plan for medical foot care institutions (podology), in turn, orients itself to the recommendations of the GKV umbrella association. The hygiene plan lists both technologies for practice use. For example, section THREE on base hygiene states in one point on re-quired practice equipment: “Light with magnifying glass, grinder with dust suction-ing or wet technology”. Here as well, one cannot say that only one technique is right for the practice. Both are listed equally. The trade supports this opinion. FUSSPFLEGE AKTUELL asked various opinion formers whether there are concerns about the use of one technology. Neither the associations nor the GKV umbrella association nor prac-tices permit a one-sided recommendation of one technology. And the fact that wet technology established itself as the com-mon technology in Belgium over the years does not mean that suction technology is prohibited there.

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technology CuRReNt


The licensing recommendations can be found at:

http://www.bit.ly/empfehlungen_gkV

MaRIJN VaN BeNtHeM, CEO Consulta Belgium NV

“Here in Belgium, we have no statutory regula-tions about which tech-nology should be used in

foot care devices. Wet technology has replaced suction technology in the past 30 years. Since its introduction, the number of foot care pros using wet technology has steadily increased. Therefore suction tech-nology barely plays a role in our country nowadays. When we ask colleagues about why they use “wet” technology, we always get the same answers: Results are better, and it is more pleasant for customers and treating personnel.”

aNN MaRINI, vice press speaker of the umbrella association of the GKV“According to the require-ments of the licensing recommendations (page 30 therein), a grinder with dust suctioning or

wet technology is part of the required base equipment of a podology practice. From the perspective of statutory health insurers, it is therefore possible to use both methods. It is therefore left to the discretion of thera-pists to decide which technology they should use in the concrete individual case. A decision for or against one technology will surely depend on the concrete patient and his medical and therapeutic needs.“

tHOMas HOppstOCk, Chairman of the Vereinigung Freier FußpflegerInnen e.V. (VFF) (Association of Free Foot Care Provid-ers)

Both technologies have their pros and cons, but are safe, suited to practices, and easily used in responsible hands. Everyone should find out for themselves which is the optimal technique for them. Both tech-niques serve to avoid the spread of poten-tially contaminated and infectious skin and nail particles over large areas. However, there is no “hundred percent”. Even for reasons of self-protection (preventing infections), treating persons should there-fore absolutely pay attention to well fitting mouth protection in both technologies. In practice, we often see that the mouth shield is sitting below the nose. Also to prevent infections, protective goggles must likewise be worn during treatments. Other-- wise, there is still a risk of inhaling dust and skin or nail particles.

Don‘t be fooled!

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technology CuRReNt


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Further information upon request

< 0.1is the measured dust index in both

wet and dry technology! Conclusion: Sufficient protective measures!

The Darmstadt specialist business Wessling measured the exposure to e-dust, that is, materials which are released and can be inhaled while working with suction and wet technology, on behalf of Gustav Baehr GmbH. The general conditions in the selected foot care practice were nearly identical for both techniques. In the end result, the valuators found that the measured floating particles (keratin and callus) are clearly below workplace limit parameters representatively for the entire eight-hour work shift when using both techniques, both at the treatment site and in the immediate breathing areas of the employees, and are therefore hygienically safe. The findings for both techniques are: Based on workplace conditions, particularly the collection of the dust where it is formed, it can be expected that workplace limit parameters will be safely met in the long term. The assessment is based on the Technische Regeln für Gefahrstoffe (TRGS) (Technical Rules for Hazardous Materials) 402 and 900.

Clearly stay below limit parameters!


Not all light is equal!an evening sunset in the sky puts us in a romantic mood. Floodlights in a stadium let us feverishly follow the team on the playing field. the lit hand piece ideally lights our work area. light plays an outstanding role in our lives. light provides security, favours our well-being, and also encourages health. professional foot care likewise cannot work without light.

lighting in foot care

Light is notable in many ways. With its speed of 300,000 kilometres per second, the human eye can only tell if it is on or off, but cannot detect its motion. Light consists of electromagnetic radiation or to be precise, of its small visible share. This energy is sent in waves from the light source. Since their length varies, they also result in different colour impressions. Violet, for instance, is short-waved, while red is long-waved.

Sunlight includes the entire spectrum which human eyes can perceive. Gamma, x-ray, UV and infrared rays, on the other hand, are not visible to us. Light makes visual perception possible in the first place. The share of all information which is taken in via the eyes is about 80 percent. This explains why a well devel-oped lighting concept in the practice has a major influence on human well-being and work quality. Our modest perception range is entirely sufficient to waken a wide range of emotions.

Room for lightWe are afraid in the dark because we can-not see very much. So our well-being also depends on whether and how we perceive our environment. But that’s not everything. Much scientific knowledge from light tech-nology, physics and physiology has already been applied in work environments to use light effectively.

For instance, colours or colour temperatures can generate moods which influence customers. For instance, a room painted in violet creates a calm to meditative mood. Pink is peaceful and positive, while orange radiates optimism. Yellow is happy and exciting, while brown stabilises. On the other hand, red engenders aggression, and black rather leads to frustration.

Not all rooms are equally well suited to all colours, since the room situations will dif-fer. The most important premise of a good room concept is brightness to create trust and security in customers. However, blinding light sources should be avoided. Ceiling lights with shades are often perceived as more pleasant than open lamps, since customers are often looking directly into the lamps from the chair. Alternatively, there are indirect light sources such as ceiling flood lights, wall and floor lamps. Their indirect light generates a warm feel-good mood or lights dark cor-ners. On the other hand, ceiling lights are well suited to hallways, sales rooms or in the cash and lobby areas.

A well lit work field simplifies the treatment on the foot.

Since Thomas Edison‘s invention, light has con-quered the world - well used, it generates good feelings in customers.

technology CuRReNt

fotolia | sarbiewski


Not all light is equal!Right to the pointA foot specialist’s work requires optimal lighting of the area being treated. The better the light, the easier and more ergo-nomic the respective therapy. This is especially easy with the lit hand pieces from GERLACH TECHNIK. Sensible place-ment of the two LED lights on the tip of the hand piece is particularly simple in wet technology devices, since the hand pieces do not have a high volume tube for suctioning the ground-off skin materials.

The advantage lies in always excellent lighting of the skin area or nail which is currently being treated. There are no shadows from indirect lighting. The bright-ness allows for precise work. Depending on the spacing and incline angle, the two LED lights on the hand piece tip generate up to 2,000 Lux (see the information box). This is four times as bright as average office lighting.

For any situationThe lit hand piece is therefore also well suited to mobile foot care. Local light situations are often not optimal. By directly lighting the work area, foot care pros can nonetheless work in an ergonomically sensible manner anywhere. Mobile use of suction technology, whose hand pieces do

not permit LEDs due to the need for a suction tube, also requires lighting. Lamps which can be mounted on the foot care cabinet are ideal for this. Work lamps are fixedly installed in the foot care practice.

Magnetic effectsAside from mood, ergonomics and work optimisation, light also has further added value. For instance, it is an important element for pointing out or emphasising specific things. For example, a well lit display window attracts people like a magnet. People look where the light is. The eyes transmit absorbed information ten times faster than e.g. the ears. This also includes information on how we assess the situation which we see. Colour temperature is a decisive criterion for emotional perception.

92%of users feel that lit hand piece handling is good. *

How is light described?Light is described and measured in various units. Candle-power are the unit for light intensity. One candlepower corresponds to the intensity of one candle. Kelvin indicates the colour temperature. Warm white light has less than 3,300 Kelvin, and appears cozy and comfortable. Neutral white light generates a factual mood at 3,300 to 5,300 Kelvin. The daylight range is above this. The higher the temperature, the cooler the light. Lux is the measuring unit for how strongly a defined area is lit, i.e. what brightness arrives at the work area from a light source.

Do you have any questions about your practice equipment? Our field services will be happy to advise you personally.

technology CuRReNt

* Survey FUSSPFLEGE AKTUELL 1-2015 (N = 102)

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expert knowledge CuRReNt


today, every second adult suffers from foot problems. Wearing wrong shoes which do not fit is one of the main causes. Foot specialists usually are the first to recognise such problems during treatment and can provide clear improvements for the affected person with targeted consultation, advice and tips. a cooperation with orthopaedic shoemakers also offers itself.

shoes matterOptimal shoes for people contribute con-siderably to preserving long term foot health and improving quality of life. They also secure mobility and positively influ-ence well functioning body statics. They can prevent impairments such as painful muscle tension, muscle imbalances and coordination disorders. When such prob-lems occur, orthopaedic custom insoles can provide relief.

The reasons for foot complaints vary greatly: congenital abnormalities, toe and foot deformities, metabolic disorders such as diabetes mellitus or gout (hyperuricae-mia), arthritis (either triggered by psoriasis or rheumatoid arthritis), obesity, traumas, overload and sports damage, circulation problems, peripheral nerve problems (neuropathies), age related degenerative changes, lack of exercise, hard floors, and particularly wrong shoes.

Bedded as needed Orthopaedic shoemakers and technicians are the right contacts here. In simple foot problems, however, serially produced, confectioned insoles without special orthopaedic elements can also be consid-ered for self-treatment in confection shoes. Such mechanical aids do not require a physician’s prescription. They are often used as soft cushions, e.g. when the insole is hard.

Information about shoes

too much pressure from wrong footwear

With these recommendations and tips on shoes, you can help affected persons find their optimal shoes. Compliance remains decisive for success:

Make sure that confection shoes are wide and long enough according to the shape of the foot. The distance from the longest toe to the frontal inner end of the shoe should be 0.7 to 1 centimetre while standing.

Recommend that affected persons should buy shoes in the afternoon, since the foot swells during the day. If orthopaedic custom insoles are needed, the shoe needs additional space for them. A wide shoe opening also makes it easier for patients to put them on.

High quality materials prevent rapid, one-sided wear on the sole. This can avoid postural errors.

Heels should not be higher than four centimetres in women and three centimetres in men to avoid extreme frontal foot load with consequential

disorders such as pressure spots, hyper-keratosis, clavi, callosities, muscle imbalances, hammer or claw toes, spread foot and soft tissue shortening (contractures).

Shoes made from actively breathing, soft leather result in a good climate for the feet and also prevent unpleasant sweat formation.

Advise patients to change their shoes several times a day if possible.

Shoes which are too tight or too firmly tied may influence the required return flow of the blood. The consequence: Oedema forms, with a lasting sensation of tension and pain.

Shoes must absolutely be worn with socks (cotton socks). They should always be washed at min. 60 degrees Celsius.

Point out to affected persons that they should pay attention to squeezing inside seams or sharp eyes to avoid skin lesions.

Recommend daily inspection of socks, insoles and especially inside the shoe to see if there are any secretions. Diabetics have to check their foot sole with a mirror daily (particularly when breaking in new shoes) for pressure spots or missed injuries.

A non-slip, elastic walking sole buffers the spine and particularly relieves the joints of the lower extremities.

Specifically point out to affected persons that they should regularly wear pre-scribed custom insoles and also change them into other shoes.

Existing custom insoles must be taken out of the shoes in the evening and aired out with the shoes.

Chemical shoe cleaning products should be avoided.

Be a shoe pro!

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expert knowledge CuRReNt


The orthopaedic shoemaker applies orthopaedic shoe fittings to the confec-tioned shoe or orthopaedic custom shoe. They bed the foot so that it has good support, and also correct, dampen and distribute pressure while walking. Costs are low and wearing acceptance is high, since the affected person can use their desired confectioned shoes. Prescrip-tions for orthopaedic custom shoes are issued for pronounced foot deformities, after amputations, for congenital malpo-sitions or neurological foot disorders in pairs when orthopaedic fittings and insoles on the confectioned shoe do not bring the required relief (figures 1 to 4).

On cold days, many people also use such insoles for insulation. They usually absorb sweat as well.

While confectioned foot supports have orthopaedic elements such as arch sup-ports for the longitudinal and crosswise arches, they are only intended to protect against overload, fatigue and to support the foot arches. These aids also do not require a doctor’s prescription.

prescribed by the doctorContrary to this, custom orthopaedic insoles are always made in pairs by an orthopaedic technician or shoemaker. A doctor’s pre-scription is needed to make them.

Using various imprint methods such as a step track, stepping foam, plaster imprint or with paedography (electronic pressure distribution measurement of the foot sole), disturbed biomechanics are easily detected, and the custom insole can be suitably adjusted in confectioned shoes and orthopaedic custom shoes. The insole particularly serves to correct, support and relieve, and to redistribute pressure.

Offer a special service to affected persons insofar as insoles and orthotics which do not require a prescription are involved. There is no central register for ortho-paedic shoemakers, but the information service at www.teleauskunft.de and an online search for orthopaedic shoemakers/place will show you local providers in your region where affected persons can go.

www.teleauskunft.de

Structure of a shoe Orthopaedic custom shoe with diabetes adapted foot bed in the sandwich technique

The wrong shoes can result in considerable foot problems: Ulcer of the third toe on the left, existing orthopaedic custom shoes were not worn (1); Pressure ulcer on the left toe end joint due to confectioned shoes being too short (2); Pressure ulcer in the frontal foot region, custom shoes were not used (3); Ulcer on the fifth toe due to pressure from an inner seam in the confectioned shoe (4).

The established orthopaedist, sports physi-cian and medical foot care provider teaches in the field of podology at several educational institutions. The expert has also published numerous books and writes for recognized specialised institutions.

Dr. med. Renate Wolansky

1 2 3 4

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News CuRReNt


“Competent advice can increase the efficacy of a product“, explains Professor Manfred Schedlowski of the Institute of Medical Psy-chology and Behavioural Immunobiology at the University Hospital of Essen. The research-er points out that this effect is a kind of place-bo response which must be added to the phys-iological effects of a product. Placebo is not the same as apparent effect. On the contrary: In the wider sense, “placebo” (lat. “I will be liked“) describes positive treatment results

which are solely ascribed to the symbolic significance of treatment and the positive at-titude of expectation. In sim- plified terms: A product is more effective when the user is convinced of its efficacy - even just because a con-vinced patient may pursue regular use with greater disci-pline and care. Convincing and simultaneously empa-thetic consultations on a product, even a care product, can consequently uncon-sciously increase its physio-logical effects which are based on its ingredients.

Better care results due

to advice

CONVINCeD OF eFFICaCY

Insufficient processing can be fatal!

A 22 year old AIDS patient in Brazil probably became in-fected with the HIV virus ten years ago due to an injury while using manicure instru-ments. Scientists report the case in the expert journal AIDS Research and Human Retroviruses. Thus far, ma-

nual body care instruments were regarded as a poten-tial source of infection, but mainly for bacterial infections and in the case of viral infections, primarily hepatitis. How-ever, the case shows that

instruments which are used for care and can unintentio-nally injure the skin can cer-tainly result in HIV infections as well when instruments are not adequately processed. The case is a good example of the need for high hygiene standards in all facilities in which work is performed using body care instruments. This specifically also inclu-des foot care practices, podo-logy practices and cosmetics institutes. Source: AIDS Research Human Retro-viruses 2014; 30(11): 1150 – 1153

HYgIeNe

A young woman in Brazil injured her-self on a nail instru-ment - with fatal consequences.

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suBClINICal ONYCHOMYCOses

Attention! What looks healthy does not always have to be healthy. This old medical rule has now proven itself for the field of foot and nail fungal infections as well. Scien-tists at the University of Tel Aviv found out that pathogenic fungal organisms such as the skin fungus trichophyton rubrum are also found in apparently healthy toenails, even though they do not belong there. In their study, the scientists examined the nail and skin particles of 585 test subjects who were able to show flawless toenails. The samples were examined with light microscopy and culture diagnostics. Researchers found fungi in 9.2 percent of nail samples examined with light microscopy and 3.9 percent of cultures. These values amounted to 7.0 percent and 2.9 percent in the skin samples.

Since the typical symptoms of fungal infection (e.g. discolouration, crum-bling) were not yet seen in the exam-ined patients, these had to be very early stages of the illness.

What conclusions can be drawn for the practice? Even if there are no symptoms yet, consistent foot and nail care is needed to prevent fungal infections. Suitable foot care products (e.g. GEHWOL FUSSKRAFT GREEN or GEHWOL FUSSKRAFT Nail and Skin Protection Spray with clotrima-zole) are available exclusively in the foot care practice. This recommen-dation is particularly true for patients who are at risk, such as diabetics or patients with foot mal-positions. An earlier study by the European Nail Society had already shown that foot mycoses generally occur more often in association with foot malpositions than in patients without malpositions. Source: Shemer A et al. When is Onychomyco-sis, Onychomycosis? A cross-sectional study of fungi in normal-appearing nails. Br J Dermatol 2014; doi: 10 .1111/bjd.13389A

Fungal infection - even without symptoms

Foot care tax exempt even without a prescription - but exercise cautionThe Federal Fiscal Court (Bundesfinanzhof = BFH) decided on the following case: The plaintiff operates a medical foot care practice. Treatments are provided partly with and partly without a doctor‘s prescription. The financial office subjected all treatments without prescriptions to sales tax1. The BFH has now decided that the relevant therapeutic purpose of treat-ment which is required for sales tax exemption must be proven for each patient. However, this proof must not necessarily be provided in the form of a doctor‘s prescription. Other, comparable documents are also a possibility, wherein the issuing expert personnel must be authorised to provide the evidence. If, for instance, the claim is made that the illness was determined “based on a medical diagnosis“ and the patients have “physi-cian issued documentation of illness“, a copy of this must be kept in the patient file.

There is also an option to document the patients’ allocation to medically defined “risk groups”. Since the patient’s treated conditions are not necessarily chronic, it must also be documented that the medical findings were renewed at appropriate intervals. This is the only way of showing that the originally existing therapeutic purpose continues to exist.Author: Markus Thomas Boldt, Graduate Economist, Tax and Law Office Boldt in Chemnitz/Saxony

JuDgMeNt

In summary: “Medically indicated treatments“ are fundamentally exempt from sales tax. They

must be initiated by a doctor. However a prescription is not mandatory. “Self indicated treatments“ remain subject to sales tax in the future as well. Furthermore, suitable records and documentation must be maintained for each

individual patient as well (e.g. a prescription or other medical proof of illness). The documentation must be regularly verified for the therapeutic purpose. In case of doubt, have the applicability of the small business rule verified, and

object to sales tax notices with reference to this judgment.

Researchers found fungi

in 9.2%

of evidently healthy nails.

1 Az XI-R-13/14 of 01.10.2014

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Ware knowledge CuRReNt


One of the most common work fields of foot specialists is callus removal - whether it is to smooth the skin or to eliminate excess growth. effective work requires suitable instruments for this purpose. podologist Norbert Cohrs particularly likes to use the new Callus clean grinder to work on callus, due to its high abrasion and simultaneous precision.

Not all kinds of callus are the same. This is shown on the foot of the 71 year old man who came to the practice for treat-ment. On his left foot, there are hard cal-lus areas with underlying soft callus in two places on the frontal foot.

1. step: Clinical findingsThis is a new client who came in to the practice for the first time. After the initial inspection, I ask him about his life cir-cumstances. The patient is a pensioner and lives in a nursing home. He does not need intensive care or nursing. He lives self-sufficiently. There is no excess foot strain, e.g. due to a work situation. Since the hyperkeratosis is present only on one side, I inspect both of the patient’s shoes. The left shoe sole is more strongly worn

than the right. After asking a few more questions, I find that my new client suf-fers severely from back problems. Briefly observing him while he walks immedi-ately clarifies that his body axis is slightly tilted to the left side as he walks.

After taking the medical history, I take another intensive look at the affected spots on the foot. There are two plantar weals in the frontal foot area of the left foot. The callused areas tend to be located more on the right and in the centre. The large toe (digitus pedis I, hallux) also has deeper callus which has developed into a corn (clavus). The nails have also rolled in and are partly ingrown along the sides.

2. step: treatment Then I start the treatment. I mount GERLACH TECHNIK’s new Callus clean grinder into my lit hand piece. I set the rotation speed to 15,000 RPM. I also pay attention to the correct application pressure so that the grinder can function optimally. Excessive pressure could lead to severe pain in the patient.

The Callus clean does an excellent job of removing the large areas of the weals. They need neither advance work with a scalpel nor subsequent work, which saves me some time. I am very satisfied with the results. The frontal foot area is almost flawlessly smooth after the grinding process. No further work is needed.

Instruments in use, part 2: Callus clean

effective friction

Fig. 1: The patient‘s wrong shoes have resulted in weals, a corn and altered nails.

Fig. 3: Norbert Cohrs also prefers the Callus clean grinder to smooth out the large weals on the frontal foot.

Fig. 2: The edge of the corn on the large toe has become very smooth and soft with the Callus clean.

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Before using the hollow blade chisel to remove the deep callus on the large toe, I also do preparatory work with the Callus clean. It is very suitable for this small surface due to being double ground. The edge is also smooth and soft. I then use the grinder to grind down the client’s nails. All removed material is bound well by the spray mist. My client also feels that the cooling effect of the spray mist is pleasant.

3. step: Follow-up careTo stabilise the frontal foot skin and supply it with sufficient lipids and moisture, I apply GEHWOL med Lipdro Cream to the foot. It reduces and prevents callus, ensures a balanced hydrolipid barrier and prevents dry skin. A combination of urea, glycerine, the skin vitamin allantoin, a special algae

extract and skin friendly lipids is responsible for this effect.

Since any corn removal irritates the skin, I treated the toe with an ointment bandage (GEHWOL med Nail and Skin Protection Cream). The cream contains wheat germ oil as well as panthenol to encourage healing, and anti-inflammatory bisabolol. It also contains clotrimazole to prevent mycoses. I also give the client GEHWOL’s polymer Toe Cap G to take home for preventive pressure relief.

4. step: ConsultationI then explain to him that treatment for the callus will be much more successful if he cares for his feet between appointments, since the skin will continue to produce more callus when the cause, such as exces-sively tight shoes, has long been corrected. I recommend GEHWOL med Lipidro Cream to him for daily care as well. For this client, advice on his shoes is especially important. The one-sidedly worn sole and his gait make an adjustment absolutely necessary. I show him the problem using the shoes. When body statics are disturbed, I recommend custom orthopaedic insoles from an orthopaedic shoemaker. It is also important for the client to keep his feet dry, since sweat and moisture intensify friction on the shoes and socks.

Norbert CohrsAt the Hanover-Ricklingen podology school, Norbert Cohrs directs medical foot care training and has already guided innu-merable participants into their profession. The vice school director also acts as the departmental head in the field of podology training and co-authored the general guidelines for the podology education in the Lower Saxony region.

Fig. 4: The skin is much smoother after callus removal with the Callus clean and the application of Lipidro Cream.

Just as effective, but more cost effective than single use caps

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Legend has it that a Maurian king once lived in Portugal, and fell in love with a Northern European princess. They married and lived in the castle of Silves. Even though their love was great, the princess always became very sad in wintertime. All attempts by the king to make her happy failed. What was the reason? The princess missed the snow of her homeland. So the king secretly had almond trees planted in the Algarve. Towards the end of winter, he took his love up to the castle wall and showed her the glorious flowering trees, covering the land like snow with their white blossoms. And all sadness was gone.

almond - beauty and carePink flowers in all variations: from light pink, nearly white, to a strong pink - that is the colour palette of almond flowers. The magical appearance of the flowers opens many people’s heart, for the colours drive winter from the soul. Almond trees flower from early to mid March here, and as early as January in the Mediterranean. Almonds were already a valued gift of nature in ancient times.

Almond trees are a member of the rose family (Rosaceae) and reach a height of up to eight meters. But it gives us not just beautiful flowers, but also the valuable almonds, which are the seeds of the almond tree. We differentiate between sweet and shelled almonds, which can be eaten raw, and bitter almonds. The scent and flavour of almonds makes us think particularly of Christmas, marzipan and gingerbread. In cosmetics, on the other hand, valuable almond oil - which is obtained by cold pressing the seeds - is used in creams, ointments or bath additives, as in the new GEHWOL FUSSKRAFT Soft Feet Care Bath.Just as almonds stand for awakening and rebirth, a harmonising foot bath with

almond oil gently regenerates stressed feet. Almond oil is a soothing skin oil which relieves irritation and contains a high share of unsaturated fatty acids. It consists mainly of oleic acid (approx. 70 percent) and linoleic acid (approx. 25 percent). Its bene-fits: It is rapidly absorbed deeply into the skin, rendering it soft and supple.

Since it is very well tolerated, almond oil also protects and nourishes sensitive, irri-tated and dry skin. It is also mildly antimi-crobial. The consistency of almond oil is thinly liquid, nearly transparent, and with a slight yellowish tinge. In a foot bath, the natural oil lends plenty of moisture and vitamins - for a smooth, tight skin appear-ance.

Vanilla - kingly seductionSeductive vanilla extract is another beauty substance in the new GEHWOL FUSSKRAFT Soft Feet Care Bath. Vanilla is also called the “Queen of Spices”. Aside from saffron and cardamom, it is among the most expensive spices in the world. The history of its spread began in Central America, where it was a desired delicacy among the Aztecs in the region of today’s Mexico. Vanilla, which they called the “Black Flower”, is also closely associated with the history of cocoa. The Aztecs added the sweetish vanilla to their cocoa beverage to take away its bitterness. And: Only nobles and warriors were allowed to use the delicious mixture! But at that time, vanilla was grown by the neighbours of the Aztecs, the Totonaks. They were the only ones who knew the art of growing it. Finally, the Spanish conquerors brought vanilla to Europe. Here, the English Queen Elizabeth I. was so enthused by vanilla that she had all foods refined by the precious spice. Today, vanilla is grown mainly in Madagas-car, La Réunion, on the Comoros and on other islands in the Indian Ocean.

almond & Vanilla



they are a unique compound - the two beauty substances in the new geHWOl FusskRaFt soft Feet Care Bath. almond oil and vanilla extract allow the feet to radiate with excellent care, and prepare them for the further wellness treatment. the motto is: gently immerse and relax!

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However, few know that the vanilla plant is an orchid, which grows up to 15 meters high along trees in tropical regions. Their gorgeous yellow flowers which only open a single time for a few hours develop into the well known vanilla pods, which are up to 20 centimetres long. They are still green when they are harvested. They only achieve their dark colour after weeks of fermenta-tion and drying. The scent of true vanilla radiates security, well-being, rest and relax-ation. According to studies, the scent of vanilla also releases the happiness hor-mone serotonin in the brain, driving away melancholy. It has enchanting effects in its use as an aphrodisiac: Even Indian women inancient Mexico rubbed themselves with vanilla pods to increase their attraction. Today, we know that the scent substances of vanilla are chemically closely related to pheromones - the sexual attraction sub-stances of human beings.

Bon Odeur for the senses Vanilla extract has numerous positive effects in cosmetics and skin. In the GEHWOL FUSSKRAFT Soft Feet Care Bath, the natural acting substance ideally complements the contained almond oil with its soft, creamy and seductive consistency. The extract moistens and smoothes the skin on the feet and legs. Vanilla extract also has astringent, anti-oxidant and antibacterial effects. Last but not least, it convinces with its enchant-ing aroma which forms a mild, fresh scent arrangement together with almond oil and the other ingredients. The result-ing scent transforms the care bath into a wellness experience for the senses as well.

Almond oil is rapidly absorbed into the skin,

rendering it soft and supple relieves irritation very good tolerability, even for

sensitive skin

Vanilla extract moistens and smoothes the skin refines the skin (astringent) antioxidant and antibacterial

Avocado oil especially mild and skin smoothing intensively nourishing

rapidly and deeply absorbed, especially in dry, scaly skin

Castor oil easily penetrates spaces between cells (e.g. of callus)

against skin scales, scars, age spots mechanical protective film for cracks and fissures

Vitamin E acetate antioxidant effects/protects skin cells against free radicals

increases skin moisture

counteracts light related (UV light) skin aging

anti-inflammatory, relieves itching

Special surfactant even distribution of the care oils in warm water

especially for sensitive skin balances moisture and protects balancing effects on the skin flora

Ingredients of the new geHWOl FusskRaFt soft Feet Care Bath


exclusive offers for the new GEHWOL FUSSKRAFT Soft Feet Care Bath on pages 6 – 7


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surprise your customers with a very spe-cial bath experience: the new geHWOl FusskRaFt soft Feet Care Bath. When the feet are having a beautiful, relaxed bath, this is a good time for accompanying foot bath advice. Find out from our consulta-tion check list how you can score points as a foot care pro.

Before the foot bath Select a suitable container: In hygienic terms, a foot bath tub with single use plastic liners is recommended in the practice. For a home wellness experi-ence, a wooden tub or ceramic bowl is also a lovely alternative with flowers. Ask about your patient‘s state of health, since the organism should also be able to handle strain during a footbath. If applicable, consult with the doctor first in the presence of cardiovascular disorders, vein prob-lems and severe arterial circulation disorders before using a warm foot-bath. Attention diabetics! Only short foot-baths of a maximum of three to five minutes are suitable for diabetics. The water temperature should not exceed 35 degrees Celsius (maxi-mum of 37 to 38 degrees Celsius). Healing should be awaited first if there are skin irritations or wounds. Ensure the right water temperature: It is recommended to use the GEHWOL

FUSSKRAFT Soft Feet Care Bath in warm water. Add 1 tablespoon to 4 - 5 litres warm water for a footbath. The bath then forms a mildly scented, rich care and cleansing milk.

During the footbath Ensure a relaxed feel-good atmosphere: For instance, use scented candles, dim the lights, or accompany the bath expe-rience with calm, relaxing music. In winter, it is recommended to warm the customer’s body with a blanket. Offer a beverage, e.g. a relaxing herbal tea. Explain the special action of the harmo-nising, caring and relaxing foot bath with its natural ingredients to your customer. A warm footbath should take ten to 15 minutes with a water temperature of 36 to 38 degrees Celsius. In a footbath with rising temperatures, start with warm water at a temperature of 35 degrees Celsius. Gradually add hot water until the temperature rises to 39 to 41 degrees Celsius after 15 - 20 minutes.

Use this opportunity to inform customers who like to stay busy by reading about further care with GEHWOL products.

after the foot bath Let your customer have a lengthened pause after the footbath. Cover their feet, and let them enjoy the relaxing effects on body and soul a little longer. The skin must always be dried thoroughly, especially in the spaces between the toes. To avoid overstressing the skin, do not rub during drying. Now the skin is prepared for further indi-vidual foot treatment and care. The care program should also be continued at home.

Consultation checklist

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gerlach in Belgium

traditionally mobile

Official counts of foot care pros in our neighbouring country Belgium are around 3,700. Marian van Benthem, however, is not sure about this: “We estimate that there are many more.“ The lack of clarity is due to the slightly con-fused situation. On the one hand, the foot care profession is not protected, so that a precise count is not possible. On the other hand, many cosmetics insti-tutes also provide active foot care. And the efforts of associations to protect “specialised foot care providers“ as a profession have not yet borne fruit in past years.

Balled in ghentPodologists trained at the Universities of Ghent and Brussels add to the confused situation. “Trained podologists are par-ticularly concentrated in Ghent. They are increasingly crowding out ‘normal’ foot care there”, van Benthem further explains. On the other hand, university trained podologists are rarer in rural areas and other regions of Belgium.

Foot care follows closely defined tradi-tions in the kingdom. For instance, wet technology has asserted itself in foot care devices and is used almost exclu-sively. It is also traditional that the majority of foot care pros has no prac-tice, but works entirely on a mobile basis. “In general, foot care pros also see themselves as a healing profession, which goes to people and corrects foot problems”, states van Benthem.

Demand for quality“The trend of using foot care for physical beauty flattens out now, even though it predominated particularly in younger persons.” He sees the cause of this in the currently very difficult economic situa-tion. Many people are saving in Belgium. They think carefully about what they spend their money on. This is currently resulting in further splits in the profes-sional foot care market. Either end customers ask for especially cost conscious products, or they want prod-ucts with especially high quality.

Quality is also one reason why GEHWOL’s products are well accepted in Belgium. The approximately eleven million residents mostly use three brands. “GEHWOL has clearly devel-oped into the number 1 in the profes-sional field“, van Benthem, who actively provides foot care with his team, reports.

Flying helicoptersHe and his 20-member team do a lot for the success of the GEHWOL brand. “Three times a year, we have an open house here in Mechelen for mobile foot

care providers.” Aside from special offers, there are food, drink and anima-tions. “For instance, we once had a heli-copter flight“, van Benthem enthuses. In this way, Consulta-Belgium NV stays in contact with the profession. Marketing is supported by online activities - from websites to mailings. The cosmetics in-stitutes which have a practice and pro-vide foot care are visited by Consulta employees and advised onsite - a con-cept which has meanwhile worked well since easily 30 years.

Modern foot care in modern premises: the headquarters of Consulta Belgium NV in Mechelen

the cooperation of Consulta-Belgium NV with eduard gerlach gmbH is based on a nearly 30 year tradition. “With its numerous product innovations and high quality, geHWOl has developed into the absolute top brand in the professional sector in Belgium”, CeO Marian van Benthem explains.


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Marketing CuRReNt


Demands on a modern foot care practice are high. aside from expertise, many skills are needed at numerous levels: administration, marketing, hygiene etc. Nowadays, customers and clients also expect consultation which clearly gives more than a mere treatment at a foot care practice. a recommendation for a product to extend foot care into the home environment is also part of it today, but is a question of the type.

A medical history, the findings and the foot treatment are in the foreground of professional foot care. This trio, paired with good results, is the motivation to make an effort for healthy feet every day. The health of our foundation and the opportunities to contribute to health don’t stop at the practice door. Consulta-tions and sales of suitable products to extend treatment into the home environ-ment are also part of this, and are im-mensely important.

But people are different, and not every foot care pro finds it easy to sell prod-ucts. It’s important to know your type so that you can stay authentic. Bending yourself out of shape is counterproduc-tive. Regardless of your type (take the test), you can meet your customers’

needs with the right materials. For in-stance, use the new, informative GEHWOL consultation guideline if you are a consultant type. It allows you to always recommend the right product for the acute problem.

As an information type, make pri-mary use of self-explanatory media with which customers can occupy themselves. For example, the GEHWOL JOURNAL, GEHWOL product information and GEHWOL consumer information are ideal for this. A well adjusted, extensive product range is already enough for the sales type in providing optimal advice to customers.

test: Which consultation type are you?

the right thing for everyone!

People are different. This also shows itself in consultations

and sales in the foot care practice.

fotolia | Anna Frajtova

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Marketing CuRReNt


Which type are you?

Answer the multiple choice questions below, count the points, and read your results. Please note that this short test only indicates a tendency. Deviations are therefore possible, depending on the answer pattern.

1. Question: How do you greet your customers?

Hi, I‘ll be with you in two minutes.

The treatment will take about 45 minutes! (5)

Hi, Ms. XY/Mr. XY, nice to see you, how are you doing? (1)

Hi, Ms. XY/Mr. XY, please have a seat, I‘ll be right with you! (3)

2. Question: How do you start the treatment?

I always do a bit of small talk first and then explain to them what needs

to be done on their feet. (1)

The patient wants to be treated, and I get started right away. (5)

I explain to my customer which problem is present on their feet and

how I will manage it. (3)

3. Question: How does the conversation with the customer work during the treatment?

It‘s fun to talk about anything with the customers. I often explain what

they can do for their feet at home too. (3)

I always use this opportunity to recommend products to my customers

which will lastingly improve their foot problems. (1)

I concentrate on my work and give my customers something to read. (5)

4. Question: What happens after the treatment is completed?

If necessary, I make a new appointment. (5)

I recommend a home care product to my customers. (3)

I take the right product for my customer from the shelf and recommend

that they take it along. (1)

4 to 8 points: salesperson typeYou enjoy sales. You see the recom-mendation of suitable products as part of the consultation and the mission of healthy feet. You have no doubts about this if it fits and the quality of the recommendation is right. An extensive product range is important to you. You also use information media, displays and posters to support sales.

10 to 14 points:Consultant typeCustomers deserve to be informed. You provide extensive information and appeal to common sense and compliance. You have long conver-sations during the treatment. In this way, you find out a lot about your customers. You tend to recommend products by saying: “this could help you” or “this would reduce your problems”, etc. You will therefore be served best by information which allows a choice of concrete product tips and content-rich customer magazines.

16 to 20 points:Information typeYou love your work and want to con-centrate on it to give customers the best possible results. Product sales are not your main field. To nonetheless satisfy customer needs in today’s times, you are best advised to let infor-mation materials do the talking. Distribute magazines and flyers to your customers.

Results

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With a (German) shoe size of 315, dimen-sions of two meters side and 1.60 meters high and a weight of 1.2 tonnes, this foot is one of the largest feet requiring care in all times. The fact that no foot care pro must nonetheless look after the optical appea-rance of this giant is related to the fact that it is not made from flesh and blood, but from light concrete trimmed on marble. Their care is therefore handled with the restorative art of clever stone cutters in the city of Treves. The foot or really the feet stand there in the city on the Mosel. There are seven of them in total. They are authentic reproductions of the foot which once stood on the lower end of a seated statue which showed the Roman emperor Constantine. The sculpture now exists only in fragments, and can be seen in the Capitolinian Muse-ums in Rome today.

Constantine had it made in approximately the years 312 to 315 A.D. as a monument to honour his victory over his opponent Maxentius in the battle for Rome. Power conditions in the Roman empire were splintered at that time, and Constantine resided not in Rome, but in the bishop‘s city of Treves. In the year 2007, the city therefore dedicated its own national exhi-bition to its emperor, and had the imperator‘s foot reproduced eight times on this occasion with 3D scan data of the original statue. In 2007, the copies were used as advertisements for the exhibit. Today, at least one of the feet serves ano-ther good purpose: On the site of Treves‘ Brüderkrankenhaus, it reminds patients of the local diabetes centre to pay attention to their feet.

Constantine‘s warning

an image and its history

The Roman emperor Constantine left many traces in Treves. His feet still do this today - and for a good purpose.

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Documents

FusspFlege aktuell - Gehwol Footcareeet F series with the cream, scrub and lotion now has another “family mem- ber”. Starting immediately, the GEHWOL FUSSKRAFT Soft Feet care bath