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Bunions

A bunion is a bony bump that develops on the outside of the big toe, at the base of the big toe joint. Over time, a bunion can cause the big toe to move out of its proper alignment and lean towards the second toe. The bunion may become painful, stiff, red, and swollen. Calluses sometimes form on top of the bunion as the bunion rubs against the inside of your shoe as you walk. Calluses can also form on the area where your big toe rubs against your second toe, or on the ball of the foot.

Bunions are extremely common, especially in older adults and women, although children can develop bunions or, in very rare cases, be born with them. What exactly causes bunions is unclear. They may occur as a result of a genetic predisposition due to the shape and structure of the foot or because of one’s gait. Wearing shoes that are too tight, have excessively high heels, or narrow, pointed toes may contribute to the development of bunions. Certain medical conditions, such as arthritis and flat feet, may make bunions more likely as well. 

Bunions can be treated through conservative methods such as switching the shoes that you wear for shoes that are wider and more comfortable, wearing custom orthotics, wearing pads placed over the bunion to reduce pain, taking nonsteroidal anti-inflammatory medications, and icing the foot. When conservative treatments are not effective, invasive procedures may be recommended. For more information about bunions, 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. 

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.

Curing Cracked Heels

Cracked heels are a common foot problem. They occur when areas of skin on your heels become dry and thicken, forming calluses. Over time, these calluses can crack, causing discomfort or pain in the heel. Other symptoms associated with cracked heels include flaky skin, itching, bleeding, redness, inflammation, and foot wounds. Additionally, deep, painful cracks known as fissures can form on the heels. Fissures leave your heels at an increased risk of becoming infected. 

Cracked heels may be caused by standing for prolonged periods of time, walking barefoot or in open-back shoes, wearing poorly fitted shoes, taking lengthy hot showers, using harsh soaps to wash your feet, and living in a climate with cold temperatures or low humidity. Sometimes cracked heels can be caused by an underlying medical condition, such as a vitamin deficiency, fungal infection, or psoriasis. 

Fortunately, there are many ways to prevent cracked heels and to treat them when they occur. You may be able to prevent cracked heels by wearing supportive, well-fitting shoes with a closed back, wearing orthotic devices to pad your heels as you walk, or wearing padded socks. Keeping your feet exfoliated and moisturized is also a key step, in both prevention and treatment. Applying a thick moisturizer on the heels regularly is highly recommended. 

If you have chronic cracked heels, cracked heels that don’t respond to home treatment, or if you are diabetic or have peripheral neuropathy, it is suggested that you see a chiropodist for treatment. 

Sever's Disease

Sever’s disease, also known as calcaneal apophysitis, is a foot condition that occurs in children. Sever’s disease is not truly a disease, but rather an overuse injury. It is common among active children between the ages of 8 and 14. Young, growing children have a growth plate in their heels, where new bone is forming. When too much stress is put on the heel, the growth plate can become inflamed, leading to heel pain. 

Children who participate in activities that put repetitive stress on the heel bone are most at risk of developing Sever’s disease. These activities include playing soccer or basketball, running track, or any other sport or activity that involves running, jogging, or jumping. Children who are obese, have tight Achilles tendons, biomechanical problems, flat feet, or fallen arches are also at risk. 

The symptoms of Sever’s disease include pain in the back or bottom of the heel, pain when the sides of the heel are squeezed, and fatigue. The pain may lead to difficulties walking or bearing weight on the affected foot, and you may notice your child limping or walking on their toes to avoid putting pressure on the heel. A chiropodist can diagnose Sever’s disease by taking a medical history and performing a physical examination. Imaging studies such as X-rays may also be ordered. 

Sever’s disease is generally treated by resting the affected foot, wearing shoes or orthotics that support the heel, and taking nonsteroidal anti-inflammatory medications to reduce pain and inflammation. In severe cases of heel pain, the affected foot may need to be immobilized with a cast while it heals. If your child is complaining of heel pain, please consult with a chiropodist. 

Children’s Foot Health

Much like adults, children can also experience foot problems. Certain conditions are common in children but can be promptly treated to help your child stay healthy and active. 

Young children are often afflicted with ingrown toenails. Ingrown toenails occur when a toenail grows into the surrounding skin rather than over it. This can make the area where the nail has grown into the skin tender, red, warm, swollen, and painful. In some cases, an infection may develop. Ingrown toenails can typically be treated at home, but an infection may require medical treatment. Fortunately, ingrown toenails are easy to prevent. When trimming your child’s toenails, be sure to use toenail clippers to cut the nails straight across, avoiding curved edges. It is also important to not cut the nail too short. Wearing roomy, comfortable shoes can also help prevent ingrown toenails from developing. 

Plantar warts are warts that develop on the bottom of the foot due to a viral infection. Warts usually present as one or multiple circular areas of thickened skin with tiny black dots on them. Plantar warts may cause pain when pressure is applied to them while walking. Over-the-counter and prescription topical treatments can typically clear up plantar warts. 

Another common concern in children is heel pain. Sever’s disease, an overuse injury that causes inflammation in the growth plate of the heel, is especially common in children ages 8 to 14, especially if they frequently participate in running or jumping activities, like soccer or gymnastics. Sever’s disease is characterized by pain in the back or bottom of the heel, difficulty walking, and fatigue. 

If your child complains of foot pain or if you notice any abnormalities in your child’s feet, it is recommended that you take them to see a chiropodist for a diagnosis and treatment.

Athlete's Foot

Athlete’s foot, also known as tinea pedis, is a fungal infection of the skin of the feet. The fungus that causes athlete’s foot lives and thrives in warm, moist environments such as public swimming pools, locker rooms, and showers. This fungus can infect the feet through a cut or crack in the skin. Athlete’s foot is also highly contagious, and the fungus can spread from person to person through sharing personal items such as shoes, socks, or towels.

The symptoms of athlete’s foot include itching, stinging, or burning between your toes or on the soles of your feet, itchy foot blisters, and dry, cracked, or peeling skin on the feet. The infection can also spread to your toenails, leading to discoloration, thickening, and crumbling. 

Through a physical examination, athlete’s foot can be diagnosed by your chiropodist based on its symptoms. Sometimes, a skin test may be ordered to confirm the diagnosis. Athlete’s foot can be treated with both oral and topical over-the-counter or prescription medications. You can prevent a fungal infection by maintaining good foot hygiene, wearing shoes when walking in public areas, avoiding sharing personal items with others, and keeping your feet clean and dry. 

 

Foot Pain

Foot pain is a common symptom of a large variety of injuries and medical conditions. A diagnosis can be narrowed down by describing the locations and type of pain that you are experiencing. 

Pain in the heel is often caused by plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot and connects the heel to the toes. Plantar fasciitis usually causes stabbing heel pains and the pain is at its worst upon arising in the morning or when taking your first steps after a long period of rest. Heel pain can also be caused by heel spurs, bruises on the fat pad of the heel, or heel fractures.

Pain in the ball of the foot can be caused by Morton’s neuroma, in which the tissue of the nerves between the bases of the toes become thickened, causing tingling and numbness. Other causes of pain in the ball of the foot include metatarsalgia or sesamoiditis. 

Pain in the arch of the foot can be caused by plantar fasciitis or having flat feet or fallen arches. Pain in the toes can be caused by many conditions, including gout, bunions, hammertoes, ingrown toenails, toe sprains or fractures, arthritis, and corns. 

To find out what is causing your foot pain, it is recommended that you consult with a chiropodist, who can diagnose your condition and offer the appropriate treatments. 

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. 

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.

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