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Cracked Heels

When the skin on the heels is dry, it may begin to crack. These cracks are not just unsightly, they can also be uncomfortable or deep and painful. In some cases, these heel cracks can even bleed, increasing their risk of becoming infected. This can make walking, standing, or even bearing weight on the heels difficult. 

Cracked heels can be caused by a variety of factors. These include prolonged standing, wearing open-back shoes or shoes that don’t cushion the heels, living in a cold or dry climate, taking long, hot showers, and not moisturizing the heels, as well as various medical conditions, such as eczema, psoriasis, palmoplantar keratoderma, or juvenile plantar dermatosis. 

The best way to prevent and treat mild cases of cracked heels is to regularly soak the feet, exfoliate the heels with a pumice stone, and then moisturize them. It is also best to avoid wearing open-back or thin-soled and unsupportive shoes. In more severe cases, it is suggested that you seek the care of a chiropodist, who can help you manage your cracked heels and overall foot health. People who have cracked heels and diabetes or a weakened immune system should also be under the care of a chiropodist.

Elderly Foot Care

Like any other part of the body, the feet are vulnerable to wear and tear throughout our lives. As we age, our feet may require more care and attention. Elderly people are especially prone to developing a variety of foot problems, including dry skin, corns, calluses, blisters, ingrown toenails, deformities, arthritis, fungal infections, and plantar warts. Additionally, systemic conditions such as diabetes or poor circulation can have noticeable effects on foot health. 

The first step to preventing foot health problems at any age is to establish a good daily foot care routine. Washing the feet with soap and warm water daily, then drying them thoroughly is very important. Applying a moisturizer to the soles of the feet can help prevent dry skin. When trimming the toenails, use nail clippers to trim them straight across. This can prevent painful ingrown toenails. Doing daily foot exercises and stretches can help maintain the strength and flexibility of the feet. 

A critical step of the daily foot care routine, especially for those who have systemic conditions like diabetes, is the daily foot inspection. Check your feet each day for any cuts, scrapes, sores, or other abnormalities. By catching and treating any foot problems early, you can prevent infection and other serious complications. A hand mirror can be used to help you see any hard-to-reach areas. 

Another important aspect of caring for your feet is wearing the right shoes and socks. Footwear should be comfortable, supportive, flexible, and made of breathable materials. For some people, orthotic inserts can help make shoes more comfortable. 

If you have any foot problems, or questions about maintaining the health of your feet, please consult with a chiropodist. 

Cuboid Syndrome

Cuboid syndrome, also known as cuboid subluxation, is a condition in which the cuboid bone in the foot moves out of alignment. This can happen as a secondary injury to a sprained ankle or due to injury or overuse. Activities that may increase your risk of cuboid syndrome include playing sports with rapid, side-to-side movements, dancing, climbing stairs, wearing poorly fitted shoes, training on uneven surfaces, and not taking enough time to rest and recover after strenuous activity. 

Symptoms frequently associated with cuboid syndrome include dull, aching, or sharp pain along the outside of the foot, pain that gets worse when bearing weight, ankle pain, difficulty walking, a reduced range of motion in the affected foot, and sensitivity on the bottom of the foot. 

Fortunately, most people diagnosed with cuboid syndrome make a full recovery. There are many treatment options available for this condition. At home, you may be advised to rest, ice, compress, and elevate the affected foot to reduce inflammation, pain, and swelling and to promote healing. Your chiropodist can also perform certain foot manipulations to realign the cuboid bone, use a pad or tape to stabilize the affected foot, or prescribe custom orthotics. 

If you are experiencing the symptoms of cuboid syndrome, it is recommended that you see a chiropodist for treatment. 

Heel Pain

Heel pain can range in severity from mild and annoying to severe and debilitating. Usually caused by an injury, heel pain can become chronic if it's left untreated. There are many different types of injuries that can bring about heel pain. When describing your pain, it is important to note the location and type of pain, as well as when the pain started and what activities make it better or worse. 

Perhaps the most common cause of heel pain is plantar fasciitis, a condition in which the plantar fascia, a ligament that runs along the bottom of the foot, becomes inflamed due to repetitive overuse or trauma. This condition causes stabbing pain in the bottom of the heel. The pain is usually at its worst when you take your first few steps after a period of rest, like when you first get up in the morning. Plantar fasciitis is also sometimes accompanied by bone spurs, calcium deposits on the heel bone that can cause sharp pain that gradually evolves into a dull ache. Other possible causes of heel pain include Achilles tendonitis, heel fractures, bursitis, tarsal tunnel syndrome, and Sever’s disease. 

Although treatment for heel pain depends on the underlying cause, most treatments involve resting, icing, and elevating the affected foot. Your chiropodist will also typically suggest that you wear more comfortable, supportive shoes or orthotics to help your heel heal. Over-the-counter pain medications are usually sufficient to manage heel pain. For more information about heel pain, please consult with a chiropodist.

Foot Pain

If you’re suffering from foot pain, it’s important to note the locations and quality of your foot pain. Pain can affect any part of the foot, including the top, bottom, side, heel, or toes. The pain may be sharp, stabbing, dull, achy, burning, or stinging, and can come on suddenly or develop gradually over time. 

Pain in the top, bottom, or side of the foot can have many causes. In addition to the type of pain and its location, it’s also important to note when the pain started, what you were doing at the time, and what aggravates the pain. For example, pain in the top of the foot that worsens with physical activity or weight-bearing, that has gradually gotten worse over time, and is accompanied by swelling and tenderness could be indicative of a stress fracture. 

Pain in the heel is a frequent concern, especially among patients who participate in sports, run, or wear high heels. Plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot and connects the heels to the toes, can cause stabbing heel pain. The pain is usually at its worst upon taking your first few steps in the morning or after a long rest and can radiate to the arch of the foot. Plantar fasciitis is also often associated with heel spurs, bony outgrowths on the heel bones that can be painful if they poke into the surrounding tissues. 

Foot pain can be caused by not only injuries but also problems with the biomechanics of the feet and underlying health problems, like diabetes or peripheral neuropathy. If you’re experiencing foot pain, please seek the care of a chiropodist near you. 

Achilles Tendon Injuries

The Achilles tendon, located at the back of the lower leg, is a strong band of fibrous tissue that connects the calf muscles to the heel bone. There are several different types of Achilles tendon injuries. The two most common injuries are Achilles tendonitis and Achilles tendon ruptures. 

When the tendon is injured due to repetitive strain and overuse, it can result in a condition called Achilles tendonitis. This injury is characterized by inflammation of the Achilles tendon, heel and calf pain, thickening of the tendon, ankle and calf stiffness, and a decreased range of motion. In the initial stages of Achilles tendonitis, pain primarily occurs following physical activity, but it can become constant and chronic if the injury is left untreated. 

When the Achilles tendon fully tears, it is known as an Achilles tendon rupture. This usually occurs following a sudden, high-impact injury. Symptoms include a sudden, stabbing pain in the back of the affected leg, a popping or snapping sensation, swelling, and difficulty walking and raising the foot. This condition requires prompt treatment to prevent further damage to the tendon. 

There are a variety of treatments available for Achilles tendon injuries. Achilles tendonitis can often be treated through conservative methods, such as resting, icing, compressing, and elevating the affected foot, wearing orthotics, taking over-the-counter pain medications, and doing gentle stretches. Achilles tendon ruptures may require surgical treatment to avoid reinjury. For more information about Achilles tendon injuries, please consult with a chiropodist. 

Ingrown Toenails

Ingrown toenails occur when a toenail grows into the surrounding skin rather than over it. This can affect any toe, but most often happens on the big toe. Signs of an ingrown toenail include the surrounding skin becoming tender, painful, swollen, red, and warm. In some cases, the area can become infected, and white or yellow pus may drain from the area. If an ingrown toenail is showing signs of infection, it is recommended that you seek medical treatment. 

Ingrown toenails are usually caused by wearing poorly fitting shoes or trimming the toenails improperly. Shoes that are too tight and have narrow, pointed toes or high heels can compress the toes and cause the toenails to curl and grow into the skin. Trimming your nails into a rounded shape or cutting them too short can cause the edges of the nail to grow into the skin. Other potential causes for ingrown toenails include sustaining an injury near the toenail, having a fungal nail infection, using certain prescription medications, and having an abnormal nail shape. Some people also have a genetic predisposition to developing ingrown toenails. 

Preventing ingrown toenails begins with proper trimming. Trim your nails regularly using nail clippers rather than nail scissors. Nail clippers cut the nail straight across, avoiding the rounded edges that can make ingrown toenails likely to develop. Make sure that while trimming the nails that you do not cut them too short. Wear comfortable shoes with low heels and a wide toe area to keep your toes from squishing together. 

For more information about ingrown toenails, please consult with a chiropodist. 

Flat Feet

A flat foot is a foot that has no visible arch in the middle of the sole of the foot while standing. There are two types of flat feet. A flexible flat foot has a visible arch when the foot is not bearing weight, but the arch disappears when the person stands or puts any weight on the foot. A rigid flat foot has no visible arch regardless of whether or not the foot is bearing any weight. Flat feet can also be present from birth or can develop over time, as the ligaments that hold up the arch of the foot weaken. When flat feet are acquired, they are referred to as fallen arches. 

In many cases, flat feet do not cause any pain or other symptoms. This is especially true for those who were born with flat feet. In the instances where flat feet are not asymptomatic, they may cause pain in the heel, arch, ankle, or along the outside of the foot, as well as shin pain, foot aches or fatigue, and lower back, hip, or knee pain. People who have flat feet are also more likely to have an abnormal gait or walking pattern that may affect their daily activities. 

Flat feet can be diagnosed through a physical examination. An imaging study, such as an X-ray, may be used to determine the severity of the condition. Treatments for flat feet include footwear and activity modifications, wearing orthotics, taking medications to relieve pain, and physical therapy. If you have flat feet that are causing you pain or discomfort, please consult with a chiropodist. 

Ankle Sprains

A sprained ankle is a common injury that can happen to anyone. Whether you incur it while playing a high-impact sport or from simply stepping off of a curb and twisting your ankle, it’s important to know and recognize the symptoms of a sprain and get the appropriate treatment. 

Ankle sprains occur when a sudden injury causes one or more of the ligaments that support the ankle to overstretch or tear. The symptoms that you may face depend on the severity of the injury. A mild, grade 1 sprain usually involves minimal pain, swelling, tenderness, and bruising, with no difficulty walking. A moderate, grade 2 sprain may be significantly more painful, with visible swelling and bruising, ankle instability, and a limited range of motion in the ankle. Walking or bearing weight on the affected ankle can be difficult. A severe, grade 3 sprain is characterized by intense pain, swelling, bruising, ankle instability, and a severely limited range of motion. Walking with a grade 3 sprain is often impossible. 

A chiropodist can diagnose an ankle sprain by asking for your medical history and carefully examining the affected ankle. They may order an X-ray to rule out a fracture. Treatment for the sprain depends on its severity. Milder ankle sprains can often be treated with conservative methods such as resting, icing, elevating, and compressing the ankle. More severe sprains may require wearing a brace or other orthotic device to take pressure off of the injured ankle. Over-the-counter medications are typically sufficient for managing pain. In very rare cases, surgery may be needed to repair a ligament that is not healing properly. 

A sprained ankle needs to heal fully and properly in order to avoid reinjury and other complications. If you have sprained your ankle, please seek the care of a chiropodist. 

Plantar Warts

Plantar warts are fleshy growths on the sole of the foot that are caused by human papillomavirus (HPV). When this virus enters the feet through a small crack in the skin, it forms foot warts. These warts may occur individually or in clusters. They’re usually small, rough, grainy patches of skin that disrupt the skin’s natural lines. Unlike calluses, plantar warts have a blood supply, which is visible as tiny, black dots in the center of the wart. 

Plantar warts are typically asymptomatic and can go away on their own within a period of several months to several years. However, sometimes warts grow in areas that bear weight. The pressure of standing and walking causes the wart to grow inwards, potentially leading to discomfort or pain. There are various treatment options available. If opting for medical treatment, warts can be removed with chemicals, cryotherapy, laser therapy, or minor surgery. Each type of treatment has its own benefits and drawbacks, which should be discussed with your chiropodist. Wearing comfortable shoes and socks, taking over-the-counter pain medications, and wearing patches to take pressure off of the warts can help if you choose to wait for them to go away on their own.

Plantar warts are highly contagious and can spread from person to person through direct contact or through contact with an infected surface, but they can often be prevented with good foot hygiene practices. The virus that causes plantar warts can be contracted from walking barefoot in public areas, like swimming pools, locker rooms, and showers. Wear flip-flops or shoes to protect your feet when frequenting these areas. Avoid sharing personal items, like towels, shoes, and socks, with others. For more information about prevention and treatment, please consult with a chiropodist.

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