The excavator in foot care: use and how it differs from the corner lifter

Exkavator aus rostfreiem Edelstahl, beidseitig, für die Fußpflege

The excavator is one of those instruments that lie in almost every foot care drawer – and that hardly anyone explains the exact purpose of. It is often confused with the corner lifter, although the two instruments have different jobs. This guide sorts it out: construction, use, distinctions and choice.

What an excavator is

An excavator is a slim hand instrument with one or two spoon-shaped working ends. The working ends are hollowed out and ground all round – hence the name (from the Latin excavare, to hollow out). Unlike a knife, the excavator does not cut along a line; it removes material at a single point with a pulling or turning movement.

Typical designs:

  • Double-ended – two working ends, usually of different size or shape. One instrument thus covers both fine and slightly coarser work.
  • Single-ended – one working end, but a longer and often grippier shaft.
  • Straight or curved – curved ends reach into the side of the nail fold more easily.

Usual lengths are between 13 and 17 cm. Shorter instruments can be guided more precisely, longer ones give more leverage and more distance from the hand.

What the excavator is used for

  • Clearing the nail fold: horny material, scales and residues that collect beside the nail plate can be worked out with the small spoon end.
  • Loosening callus cores: with small, localised areas of hardened skin the excavator can work around the core and loosen it before it is removed.
  • Working under the free edge of the nail: the hollow grind picks material up instead of merely pushing it along.
  • Checking the nail edges: after shortening, checking whether a splinter or an edge is still standing proud.

Excavator, corner lifter or gouge?

These three instruments look similar in a photo and do something completely different:

  • Excavator – a spoon end ground all round, removes material at a single point.
  • Corner lifter – a narrow, usually curved tip. It is meant for lifting and exposing the corner of the nail, not for removing material. How to guide it correctly is described in Using a corner lifter correctly.
  • Gouge – a semicircular replaceable blade in a holder, guided like a pencil. It is the instrument for removing callus over an area, not for fine work in the fold. See The gouge: types, blade shapes and handling.

In practice the three complement one another: the corner lifter exposes, the excavator clears out, the gouge removes.

Use: what matters

  1. Preparation. On heavily softened skin it is harder to judge how deep you are working. A short bath is enough; dry thoroughly afterwards.
  2. Apply it flat. Guide the working end as parallel to the skin surface as possible; do not jab it in at a right angle.
  3. Pull, do not press. The cutting action comes from the pulling movement. Pressure only creates pain.
  4. Work in small steps. Remove a little several times and check in between, rather than going deep in one pass.
  5. Work away from the nail. The movement leads out of the fold, not into it.

When to keep your hands off

The nail fold is a narrow area with a good blood supply. Anyone working there with a sharp instrument can injure the cuticle without noticing it straight away. With diabetes, circulatory disorders, neuropathy or blood-thinning medication this work belongs in trained hands – the perception of pressure and pain is then reduced. More on this in Foot care with diabetes.

Inflamed, reddened or weeping areas are not treated with instruments either, but examined.

Choosing and caring for it

  • Material: stainless instrument steel is a must if the instrument is regularly disinfected or autoclaved.
  • Grind: a blunt excavator slips. That is the most common cause of injury – not a blade that is too sharp.
  • Handle: a knurled or flattened shaft sits securely even with damp gloves.
  • Reprocessing: clean it right after use so that nothing dries on. Why instruments get spots despite being “stainless” is explained in Rust spots on instruments. The procedure for the practice is described in Instrument reprocessing in podiatry.

Matching instruments

Categories: Corner lifters · Podiatry instruments · Cuticle knives

Further reading: Cuticle knives and nail knives · The most important instruments for podiatrists · Treating ingrown toenails

Matching products

Corner lifter – stainless steelEckenheber4,99 € Gouge blade holder, 13 cm – stainless steelHohlmeißel Klingenhalter, 13 cm5,99 € AESCULAP excavator in stainless steel, 17 cm, for work on the nail and in the nail foldAesculap Exkavator54,99 € Erbe excavator, stainless, double-endedErbe Exkavator Rostfrei Doppelt36,90 € Erbe excavator, stainless – stainless steel, hypoallergenicErbe Exkavator Rostfrei33,90 € Double-ended corner lifter in stainless steel by MANePED with a ribbed handleEckenheber (Exkavator) beidseitig - Edelstahl rostfrei5,90 €
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