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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.

Falls Prevention

Many older adults think that falls are rare and won’t happen to them, so they don’t need to take steps to reduce the risk of falling. This isn’t true, as falls are very common. Falls are one of the leading causes of serious injuries and disabilities among older adults. Not only does falling affect one’s physical health, but it can also cause psychological harm. An older adult who has fallen may lose confidence in their abilities to get around and live independently. They may feel that the only ways to prevent falling are to avoid physical activities and stay in the house when this can in fact be counterproductive. 

Though staying in the house can be tempting for an adult that is afraid of falling, it’s worthwhile to note that over 50% of all falls occur in the home. A better way to prevent falls is to take steps to make your home safer. Remove tripping hazards, like loose cables, slippery rugs, and low furniture from the home. Install good quality lighting that will allow you to see where you are walking. In the bathrooms, use a non-slip bath mat and install grab bars in the shower to avoid slipping. When you do leave the house, don’t be ashamed to use a mobility aid, such as a cane, if necessary. 

Reducing the risk of falling continues with taking care of one’s physical health. Exercising regularly and incorporating exercises that stretch and strengthen the lower limbs is important for maintaining mobility. Vision care is another key element of falls prevention, as people with vision impairment are more than twice as likely to fall than those who don’t have vision problems. Being able to clearly see where you are going and if there are any tripping hazards in your way will help prevent falls. Managing your medications can help prevent falls. Certain medications cause side effects that impair balance, leading to falls. You should talk to your doctors about the medications that you are currently taking, their side effects, and any ways that they may interact with one another. Finally, regularly seeing a chiropodist can help maintain your foot health and mobility. A chiropodist can not only treat any existing foot problems, which can contribute to falling, but also help you prevent future issues. 

Poor Circulation

Poor circulation refers to inadequate blood flow to an area of the body. Poor circulation to the lower limbs can be a particularly dangerous condition that can cause complications such as blood clots, chronic pain, swelling, mobility difficulties, infections, and amputations. 

The symptoms of poor circulation in your lower legs and feet include coldness, tingling, numbness, or a “pins and needles” sensation. Your legs and feet may also feel painful, achy, or heavy. The skin may turn blue or purple, stop growing hair, and become easily damaged. Cuts, scrapes, and sores on the feet can develop into poorly healing wounds, which are at risk of infection. 

Poor circulation can be more likely depending on various genetic, lifestyle, and medical factors. People who are older, live a sedentary lifestyle, or are obese are at an increased risk of poor circulation. Diseases such as diabetes, deep vein thrombosis, atherosclerosis, peripheral artery disease, and venous insufficiency can also make poor circulation more likely to occur.

If you are experiencing symptoms of poor circulation in your lower legs and feet, it is recommended that you see a chiropodist for treatment. 

Sports Related Foot and Ankle Injuries

Participating in sports is great for maintaining your health and fitness, but can sometimes result in injuries to your feet or ankles. Common sports-related foot and ankle injuries include Achilles tendonitis, ankle sprains, stress fractures, turf toe, and plantar fasciitis. 

Achilles tendonitis is a common injury in which the Achilles tendon located at the back of your ankle becomes inflamed due to overuse or biomechanical issues with the feet. Symptoms of Achilles tendonitis include pain in the lower calf, swelling, stiffness, redness, warmth, and reduced strength and range of motion. 

Ankle sprains occur when the ligaments in the ankle are overstretched or torn. Depending on the severity of the injury, you may experience symptoms such as localized pain, swelling, and bruising at the site of the sprain, a limited ability to move the affected ankle, and difficulty walking. 

Stress fractures are fine cracks that occur in the bones when they can’t bear the load placed on them. These fractures often occur in the foot bones and get worse over time if they are not promptly diagnosed and treated. Symptoms of stress fractures in the feet include tenderness, deep and dull or sharp and localized pain, weakness, swelling, and bruising. 

Turf toe is a sprain of the largest joint in the big toe. It can cause symptoms such as pain, swelling, or tenderness that vary in intensity depending on the severity of the injury. 

Plantar fasciitis is an inflammation of the ligament that runs along the bottom of the foot. This condition usually causes stabbing heel pains, arch pain, and pain when taking your first steps after a long period of rest.

If you have injured your feet or ankles while playing sports, it is recommended that you see a chiropodist who can diagnose and treat your condition and get you back on your feet. 

Plantar Fasciitis

The plantar fascia is a thick ligament that runs along the bottom of your foot and connects the heel bone to the toes. When the plantar fascia becomes inflamed, typically due to overuse, it can cause a condition called plantar fasciitis. Plantar fasciitis is characterized by a sharp, stabbing heel pain, arch pain, and pain that is at its worst when taking your first steps after a long resting period, such as when you first wake up in the morning. You may also notice swelling on the bottom of the heel. 

Plantar fasciitis is one of the most common foot ailments, and one of the most common causes of heel pain. Besides overuse from activities such as running or jumping, wearing shoes that do not have adequate cushioning and support, standing for prolonged periods of time, being obese, or having flat feet can all increase your risk of developing plantar fasciitis. 

Fortunately, there are many treatments for this condition. Your chiropodist may recommend stretching exercises, activity and footwear changes, and icing the affected foot to help relieve pain. If pain persists after several weeks, your chiropodist may prescribe custom orthotics, pad, tape, strap, or immobilize the affected foot, or inject a corticosteroid into the area to reduce pain. 

For more information about plantar fasciitis, please consult with a chiropodist. 

Broken Foot

If you’re an athlete, you may be familiar with stress fractures. These are tiny cracks in one or more bones of the feet that are caused by repetitive overloading of the foot. This is common in athletes, as frequent training, running, and jumping activities can put a strain on the foot bones. When a stress fracture occurs, symptoms may at first be mild. The affected bone might ache, but only during physical activity. It may disappear with rest. However, if a fracture goes untreated, the pain may increase gradually over time until it hurts constantly and interferes with all weight-bearing activities, like standing or walking. Swelling and tenderness of the areas surrounding the broken bone are also common. 

Full fractures occur when one or more bones in the feet crack completely. This is often due to a high-impact injury to the area. Symptoms of a full fracture may include pain, bruising, tenderness, swelling, difficulty walking, and deformity. In some cases, pieces of a broken bone can poke through the skin in an open fracture. This type of fracture requires immediate medical attention due to the high risk of infection. 

A chiropodist can diagnose a fracture through an X-ray or bone scan. Treatments may be conservative and include resting, icing, and elevating the foot for a period of time to allow it to heal. Over-the-counter medications may be suggested for pain management. Sometimes you may also be prescribed a brace or other orthotic device to take pressure off the fractured bone while it heals. More severe fractures may require surgery and a lengthy recovery period.  

If you’re suffering from a broken foot bone, it’s suggested that you seek the care of 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.

Tarsal Tunnel Syndrome

The tarsal tunnel is a narrow space on the inside of the ankle, located next to the ankle bones. Within the tarsal tunnel are a variety of tendons, arteries, veins, and nerves, including the posterior tibial nerve. Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve is squeezed or compressed. This can happen due to injuries that produce inflammation or swelling near the nerve, systemic diseases like arthritis, an abnormal structure such as a cyst putting pressure on the nerve, or flat feet straining the nerve as you walk. 

Symptoms of tarsal tunnel syndrome include tingling, burning, or electrical shock sensations in the inside of the ankle or bottom of the foot, as well as numbness and shooting pains. In some cases, the symptoms are isolated to one small area, like the inner ankle. In other cases, the symptoms may affect the entire foot and ankle. Symptoms typically occur during or are aggravated by physical activities like walking, running, jumping, or prolonged standing. 

Tarsal tunnel syndrome can be diagnosed by a chiropodist through physical examination of the affected foot and ankle. Imaging studies may be used if the chiropodist suspects that the underlying cause may be a structural abnormality, like a cyst. Treatment options for this condition include resting and icing the affected area, taking oral medications to reduce pain, immobilizing or bracing the affected foot, wearing supportive shoes or orthotic inserts, and physical therapy. Left untreated, tarsal tunnel syndrome can lead to permanent nerve damage. 

If you are experiencing the symptoms of tarsal tunnel syndrome, please consult with a chiropodist. 

Working on Your Feet

Standing for prolonged periods of time can cause damage to your feet. Unfortunately, this is a necessary part of the job for many working people. Common foot conditions that may occur as a result of being on your feet all day include foot pain, blisters, calluses, corns, arthritis, toe deformities, sprains, bunions, athlete’s foot, and fallen arches. 

There are certain steps that you can take to prevent work-related foot problems. If you are on your feet all day, it is recommended that you avoid shoes that have high heels, pointed toes, a fit that is too loose or too tight, and a lack of arch support. If you work in a place where foot injuries are a common occupational hazard, such as a construction zone, wearing the right shoes becomes increasingly important. Wearing comfortable, properly fitted, supportive shoes made of breathable materials can mitigate the risk of developing a variety of foot problems.

Maintaining an immobile, upright stance for prolonged periods of time is bad for your foot health. If possible, take breaks throughout the day to sit down, stretch, and walk around. At home, take care of your feet with a daily foot care routine. Wash the feet daily with soap and water and dry them thoroughly. Apply a moisturizer to prevent cracked heels. When trimming the toenails, trim straight across to avoid ingrown toenails. Wear clean socks daily. If you notice any problems developing in your feet or ankles, consult with a chiropodist, who can diagnose and treat your condition and help you maintain the health of your feet. 

Preventing Running Injuries

Running injuries are a serious cause for concern. Not only are they painful, but they can also become chronic or take a while to fully heal. This makes running even more difficult in the future. To maintain your mobility and keep on running, it’s important to take measures to avoid injury. 

Some of the most common running injuries, such as plantar fasciitis and Achilles tendonitis, occur due to repetitive overuse or overtraining. When running, you should train slowly and gradually. Do not increase the mileage, intensity, or duration of your runs too quickly. Allow yourself time to rest and recover following each run. Avoid running on concrete or other hard surfaces if possible and choose dirt trails or grassy terrains instead. Hard surfaces don’t absorb shock well, putting more strain on your lower limbs. 

It’s also important to wear the right shoes. Choose shoes that fit your feet properly and provide adequate cushioning and support. If you have any biomechanical differences or a dysfunctional gait, consult with a chiropodist to help you find the right running shoes. 

In addition, having strong, flexible feet and ankles helps prevent injury. Do stretching and strengthening exercises daily for maximum benefits and warm-up prior to each run. To learn more about preventing running injuries, or if you have sustained a foot or ankle injury while running, please consult with a chiropodist near you. 

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