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Obesity and the Feet

Obesity can affect the feet in a variety of ways. Your feet bear the weight of your body, carrying you through life. When the feet are under immense strain from excess weight, they are more prone to both chronic and acute injuries. Over time, the pressure from excess weight can cause the feet to flatten and widen as the arches of the feet slowly collapse. This can not only increase your shoe size, but also lead to foot pain, difficulty walking, and a dysfunctional gait or walking pattern. A variety of foot and ankle injuries are common in obese individuals. These include plantar fasciitis and posterior tibial tendonitis, which can both become chronic. The reduced mobility from foot pain can also decrease your quality of life, make it more difficult to exercise, and lead to further weight gain. 

Obesity is also associated with a host of systemic health complications that can affect the feet. Obese people may be more at risk of developing gout and arthritis, which damage the joints. There is also an increased risk of diabetes and poor circulation. Together, these conditions can lead to the development of diabetic foot wounds, which heal slowly and poorly and can cause serious health complications should they become infected. 

Making healthy lifestyle changes is one way to prevent the foot problems associated with obesity. Reduce weight (and the risk of gout) by eating a healthy diet and exercising. Wear shoes that fit properly and support your feet. Your chiropodist may suggest orthotics, medications, or other treatments to address any foot pain and to improve your overall mobility and quality of life. To learn more, consult with a chiropodist near you. 

Arthritic Foot Care

Osteoarthritis is a condition in which the cartilage located on the ends of joints deteriorates over time. Cartilage is very important, as it protects and cushions the bones during movement. Osteoarthritis is the most common type of arthritis and is associated with aging. It can affect any of the joints in the body, and frequently affects the joints of the feet and the ankles. Though rarer, osteoarthritis can also occur as a consequence of an injury, such as as a sprain or fracture, or as a result of abnormal foot biomechanics. 

Symptoms of osteoarthritis include pain and stiffness in the joints, swelling, and difficulty walking or bending the joints. In some cases, bony protrusions called bone spurs can develop on the affected joints. Osteoarthritis is a progressive condition, meaning that it worsens over time. Diagnosing the condition early allows for earlier treatment, which can help preserve the health and function of your joints. 

A variety of treatment options are available for osteoarthritis. Pain can often be minimized by taking nonsteroidal anti-inflammatory medications, getting steroid injections into the affected joints, and wearing orthotics. Bracing or immobilizing the affected foot or ankle may help reduce inflammation and prevent deformity of the joint. Doing specific exercises can help strengthen the muscles in the feet and ankles to prevent injuries. In cases where more conservative treatments have failed or in which arthritis has progressed significantly, surgery may be an option. If you have osteoarthritis in your feet or ankles, it is recommended that you consult with a chiropodist. 

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. 

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. 

Diabetic Foot Care

Though diabetes begins with the pancreas not producing enough insulin, thus raising your blood sugar levels, it is a systemic condition that can affect every part of your body. The feet are no exception, and a variety of lower limb problems are very common among people with diabetes. 

One of the primary foot-related concerns for patients with diabetes is diabetic foot ulcers (DFUs). These are poorly healing open wounds on the feet that are at high risk of becoming infected due to a weakened immune system, another common complication of diabetes. Nerve damage in the feet caused by high blood sugar levels interferes with pain signaling between the peripheral nerves in the feet and the central nervous system (the brain and spinal cord). When this signaling is disrupted, it can be difficult to detect foot injuries, such as cuts and scrapes, when they occur. These injuries are then left unnoticed and untreated until they have significantly worsened. Poor circulation, another complication of diabetes, means that not enough nutrients reach the feet. Without them, the wounds on the feet heal slowly and poorly, or not at all. These wounds can then become infected, leading to tissue death. 

The best way to prevent DFUs and their consequences is to carefully monitor the health of your feet through daily foot inspections. Using a mirror to help you see your feet fully, look for any cuts, scrapes, sores, bruising, swelling, discoloration, rashes, hair loss, deformities, or nail changes. Take note of any foul odors, pain, warmth, and strange sensations such as numbness, tingling, burning, or pins and needles. If you notice a problem, seek the care of a chiropodist as soon as possible. Early treatment is key to avoiding potential complications. 

DFUs are not the only foot problem diabetics are more likely to encounter. Diabetes can also increase your risk of corns and calluses, cracked skin, bunions, hammertoes, Charcot foot, nail disorders, and various infections. If you have diabetes, it is strongly suggested that you are under the care of a doctor who can help you monitor your foot health, treat any existing conditions, and prevent future ones.

Blisters

Blisters are fluid-filled bubbles of skin that can appear on any part of the body and are particularly common on the feet. Most foot blisters form due to friction. As you walk, run, or go about your daily activities, your shoes may rub against specific areas of your feet, causing the skin to become damaged. The top layer of skin then separates from the lower layers of skin. The area between the separated layers fills with a fluid called serum, whose purpose is to cushion and protect the raw skin below the blister. 

If you find a friction blister on your foot, it is highly recommended that you do not pop it. Popping the blister drains the fluid inside of it and exposes the raw skin underneath, increasing your risk of infection. Instead, protect the blister by loosely covering it with a bandage. You can also use special padding around the blister to protect it. Typically, friction blisters naturally heal over the course of one to two weeks. Friction blisters can be prevented by wearing well-fitted shoes and moisture-wicking socks. Wearing soft bandages over areas of your foot that tend to blister may also help. 

Sometimes foot blisters can be caused by problems other than friction. Blisters can develop due to a sunburn, frostbite, or exposure to an allergen, as well as from medical conditions such as fungal infections or eczema. If you frequently find blisters on your feet, it is recommended that you consult with a podiatrist. 

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. 

Broken Toe

Broken toes are a serious injury that requires prompt medical care. A toe bone can fracture following a sudden, traumatic injury, such as dropping a piece of furniture on the toe or stubbing it. If a toe bone has broken, you may hear a cracking sound at the time of injury. Shortly afterward, you will likely experience throbbing pain, swelling, bruising, and difficulty walking or bearing weight on the affected toe. In more severe cases, the broken bone may be displaced and resting at an odd angle, or it may be poking through the skin. A severe injury requires immediate medical care. 

A chiropodist can diagnose a toe fracture by taking your medical history, examining the toe, and taking an X-ray. The right treatment for you will depend on the severity of the injury. Less severe fractures are usually treated conservatively. You will likely be asked to rest the affected foot. The chiropodist may buddy tape your broken toe to the toe right next to it in order to keep the broken toe in the right position for healing. Icing the affected toe and taking non-steroidal anti-inflammatory medication can help reduce pain. In more severe cases, surgery may be necessary to reset the bones. Sometimes, medical hardware like pins or screws is needed to help the toe heal properly. 

Proper healing is very important, as a broken toe that does not fully heal or that doesn’t heal correctly can cause osteoarthritis later on in life. Your toe will likely be tender and swollen for several weeks following the injury. You will typically need to rest the toe for one to two months before resuming your usual activities. If you suspect that you may have broken your toe, please schedule an appointment with a chiropodist near you. 

 

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. 

Sesamoiditis

Sesamoiditis is a condition in which the sesamoid bones of the foot and their surrounding tendons become inflamed. The sesamoids are two small, pea-shaped bones located in the ball of the foot, just under the big toe joint. These bones aid in moving the big toe normally, allowing it to be used to push off while walking or running. The sesamoids also absorb the weight placed on the ball of the foot during walking, running, and jumping activities. 

Sesamoiditis is typically the result of overuse. Repetitive activities that put excess pressure on the sesamoid bones, such as jogging, can cause inflammation in the sesamoid bones and surrounding tendons. Symptoms of sesamoiditis include dull, chronic pain beneath the big toe joint, swelling, bruising, and difficulty bending and straightening the big toe. 

Sesamoiditis is typically diagnosed based on medical history and a physical examination. Sometimes imaging studies, such as X-rays, may be ordered to rule out any fractures. Treatment for sesamoiditis is conservative and usually involves padding, strapping, taping, or immobilizing the affected toe to reduce pressure and pain on the toe. Resting the affected toe is essential to ensure healing. Nonsteroidal anti-inflammatory medications or steroid injections can also be used to reduce pain. Orthotic devices may be prescribed to cushion the balls of the feet while walking. To learn more about sesamoiditis, please consult with a chiropodist. 

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