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Fish Pedicure: Something Fishy!

11/14/2018

 
Fish Clear Psoriasis-affected skin
Pedicure that Removes Nails Rather than Cleaning them!
Fish spas cannot maintain hygiene practically!Berserk Beauty!
Woman, and nowadays men too, get their feet pedicured every now and then to avoid dead cells, dry skin and most of all, look fabulous and pretty in their open-feet sandals. Conventional pedicures use pumice stones, metal foot files or similar other instruments to scrape off dead skin. Sometimes, the dead cells stick onto the skin just like a leech and it takes more than a pumice stone to get the work done! Maybe use fish instead to clean your feet? Yes, fish spas are booming with customers and every mall has a dedicated space for this! But ironically we see hundreds of people dipping off their feet into the fish tank continuously without any cleaning up done.
​
History of the Fish Spa
Fish pedicure is a foot treatment that involves soaking your feet in a tub of water at a temperature of around 25°C to 30°C filled with small Garra rufa fish. Famously known as the ‘doctor fish’, these are freshwater species that are native to the oceans of the Persian Gulf. In their natural habitat these fish ingest planktons and, in their absence, ingest dead skin of humans as they are potentially omnivores. But one need not worry about being bitten as these fish don’t have teeth but only nibble on the dead skin tissue. Sadly though, they are mostly starved so that they pounce on human dead skin cells once we dip our feet in the tub. Isn’t this quite cruel?

A town called Kangal in Turkey overflowed with people affected by psoriasis because it was observed that the native Garra fish fed on psoriasis-affected skin and left the normal skin intact. This was also confirmed via a research done on 67 psoriasis-affected patients who underwent fish therapy for a couple of weeks. One must bear in mind that this research was done in a controlled setting and not at some salon.

Does the Fish Spa Spare the Toes?
Popular since the last decade or so, there have been no harmful issues reported related to these fish eating our dead skin even though there do exist quite a few hygiene-related problems due to which some American and European states have banned fish spas. Good times don’t last forever and recently there was a case presented by a woman in her 20s who reported a 6-month history of abnormal toenails.  She reported no family history of nail disorder, no medical problems, no major illness or fever, no medications or vaccinations used in the last year or so but only got herself done a fish pedicure just before her nail abnormalities started showing up. The physician who examined the subject reported that the proximal nail plate was discontinuous with the distal nail plate on the first, second and third toe on each foot. The first toenail also showed that the nail bed was slowly disappearing. These conditions made the doctor diagnose it as onychomadesis. Finger and toe nails can be affected due to various other infections and conditions. Get to know these conditions and learn the complete nail anatomy to understand these conditions better with inputs from the website www.firsteatright.com.

Onychomadesis is the proximal separation of the nail plate from the nail matrix due to temporary stoppage of nail growth. This mostly happens due to improper functioning of the nail matrix, the tissue that the nail protects. A fungal skin infection, the nails get slowly separated from the nail bed totally. Onychomadesis is characterized by complete cessation of nail plate production and is often related to major medical illnesses, infections, diseases, autoimmune disease, medications and hereditary conditions. But, this is the first case of onychomadesis associated with a fish pedicure.

This patient’s report was published in the journal JAMA Dermatology and the news has spread like wildfire worldwide. Although this might be the first case reported pertaining to fish spas, there might be many others simply not reported because people and physicians fail to make the connection due to a long-time gap between the pedicure and the nail-shedding period.

From Boom to Gloom
Fish pedicure grew popular some years back due to many unproved advantages boasted of-smooth and silky feet that smell great, increased circulation, decreased bacteria and fungal attack, treatment of psoriasis and eczema and much more! With time, there have been several problems, both hygiene and health related ones, reported since then. The core problems include:

  • The pedicure tubs cannot be cleaned between every two sessions due to the presence of fish
  • Even if such tubs are cleaned, the fish cannot be disinfected or sanitized before using it for every customer. Also, the expenses involved in procuring the fish force salons to use the same fish for multiple customers and this increases the risk of spreading infection. For instance, several bacteria capable of transmitting infections between people taking up these pedicure procedures were found in various fish spas that were involved in the research.
  • The Chinese Chinchin fish are rarely mistaken and sold instead of the Garra rafa. The Chinchin fish has the ability to grow teeth which makes it dangerous as it can suck blood and cause infections.
  • The fish are starved to make them eat human skin and this is considered as animal cruelty. The Garra rafa eats the human skin just to stay off starvation
  • Fish are animals that excrete waste and this waste gets collected in the pedicure tub
  • Salons and spas check for wounds, cuts or sores before letting customers soak their feet into the tubful of water. But sometimes, small wounds may be missed out and can be infected with bacteria. The fish tubs provide a fertile breeding ground for these bacteria.

While the outcomes of a fish pedicure are not lethal or deadly, they can pave way for other health problems. Nails grow back (even if they grow at a pace of 1 millimeter/month which can take more than a year for the nail to fully grow back) but reviving lost health is difficult! Other than for beauty, it is mostly people with fungal infections who visit fish spas regularly. So, rather than paying a visit to the fish doctor, meet your dermatologist and get an opinion on your skin treatment. Otherwise, stick to your conventional pedicure procedures which would be even more better if done in your home using your personal pumice stones and metal scrappers.


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    Dietitian & Nutritionist          Dr. Nafeesa Imteyaz.
    Ex HOD  Fortis Hospital (Dept Of Dietetics & Nutrition)
    ​Managing Director - First Eat Right.
    Fellow - Academy of Nutrition & Dietetics USA. http://www.eatright.org
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