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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. 

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. 

Broken Ankles

Ankle fractures occur when one or more of the bones that make up the ankle are broken. This typically occurs following a sudden injury, such as stepping off a curb and severely twisting your ankle or suffering a strong impact while playing a sport. 

Symptoms of an ankle fracture can include pain at the site of the break, swelling, bruising, blistering, difficulty walking and bearing weight on the affected ankle, and ankle deformity. In the case of an open fracture, the broken bone pokes through the skin, increasing the likelihood of infection and further complications.

Ankle fractures require prompt medical treatment. They can be diagnosed through physical examination and imaging studies, such as X-rays or bone scans. Treatment varies depending on the severity of the injury and may include resting, icing, compressing, and elevating the affected ankle, immobilization of the ankle, and taking pain medications. Surgery may be necessary in more severe cases. If you have injured your ankle, please seek the care of a chiropodist.

Differences Between Walking and Running Shoes

Running and walking are excellent activities to promote physical fitness and maintain mobility. But whether you are a runner or a walker, finding the right pair of shoes can be difficult. It can be helpful to review how running and walking shoes may differ and what kind of shoes each type of exercise needs. 

Runners need shoes that have adequate cushioning in the heel and forefoot. This is because while running, the runner’s feet impact the ground with three times their body weight with each step. When considering the heel of the running shoes, note the heel height and whether or not the heel is flared. Runners need a higher heel than walkers in order to provide them with stability. A flared heel can also help with this. Finally, running shoes need to be flexible. Most running shoes are flexible in the arch or midfoot region, but it’s also possible to find running shoes that are flexible in the forefoot. The best running shoes for you will depend on your gait. 

Walkers need shoes that are supportive but do not need the same level of cushioning as runners. The heels of walking shoes don’t need to be as high as those of running shoes, but a flared heel can help walkers with their foot stability as well. Walking shoes also need to be flexible. 

With all of this said, walking shoes may be more difficult to find on the market than running shoes. This begs the question: can you walk in running shoes? The answer is yes. However, you should not run in walking shoes. For more information about this topic, please consult with a chiropodist. 

Stress Fractures

Stress fractures are small, fine cracks that can happen in the bones of the feet. Stress fractures occur when the affected bones are not able to bear the weight placed on them. They are often the result of repetitive overuse and injury from activities such as running, jumping, or dancing and are therefore common in athletes. Stress fractures are also more likely to occur in people who have other health conditions, such as osteoporosis, bunions, tendinitis, or abnormal foot biomechanics. 

While stress fractures can occur in any bone in the foot, they are most common in the metatarsal bones, the calcaneus bone, and navicular bone. The metatarsal bones are in the center of the foot and connect the toes to the rest of the midfoot region. The second and third metatarsal bones, which connect the second and third toes to the midfoot, are the most likely bones to incur a stress fracture. The calcaneus, or heel bone, is located at the back of the foot and is the second most common site of stress fractures in the feet. The navicular bone is located near the top of the foot. 

The symptoms of a stress fracture include pain, tenderness, weakness, bruising, and swelling. This can lead to difficulty putting weight on the affected foot, which may change your gait or manner of walking. Symptoms usually have a gradual onset and become progressively worse over time. Without treatment, a stress fracture may progress to a full fracture, in which the bone breaks completely. The affected bone can also move out of proper alignment, causing more pain. 

Stress fractures are diagnosed through a physical examination. Imaging studies, such as X-rays, bone scans, ultrasounds, or MRIs may be needed to confirm the diagnosis or to rule out other causes for your symptoms. Treatment for a stress fracture depends on the severity of the injury. You may be asked to cease certain weight-bearing activities and to rest, ice, compress, and elevate the affected foot to help it heal. Protective footwear, a cast, or crutches may be provided to protect and stabilize your foot while it heals. Surgery may be necessary if the stress fracture has occurred in an area that does not typically heal well through non-surgical means, such as the sesamoid bones. 

If you are experiencing the symptoms of a stress fracture in your foot, 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. 

 

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.

Everyday Foot Care

Good foot care is proactive, rather than reactive. While a chiropodist can diagnose, treat, and help you manage a variety of foot and ankle conditions, preventing foot problems and keeping the feet healthy is something that you can do at home as well. Having and following an established daily foot care routine can be very beneficial. 

Maintaining good foot hygiene helps prevent a variety of foot problems, including infections like athlete’s foot and fungal toenails. It is important to wash your feet every day using lukewarm water and mild soap. Wash the entire foot, from heel to toe. Then dry the foot thoroughly, taking extra care to dry in between the toes. Moisturizing the heels and soles of the feet after washing them can help keep the skin soft, hydrated, and free of cracks. 

Stretching and strengthening the feet can maintain or improve their mobility. There are many easy foot exercises that you can do to keep your feet strong and flexible, such as toe scrunches and heel raises. Maintaining a healthy diet and exercising regularly can help keep your weight under control, relieving excess pressure and strain on the feet. 

Finally, wearing the right shoes is one of the easiest ways to care for the feet. Many people wear shoes that are too tight or narrow, shoes that don’t support the feet adequately, and shoes that are made of materials that trap moisture on the foot. Opt for comfortable, properly-fitted shoes that support and protect your feet. 

For more information about daily foot care practices for good foot health, 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. 

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