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. 

Understanding Types of Arthritis

Arthritis is an inflammation of joints that become stiff, painful, and swollen. There are three types of arthritis, among many, which are likely to affect the feet and ankles. Osteoarthritis is the most common type of arthritis, and it can gradually erode the cartilage of the joints. Rheumatoid arthritis is an autoimmune disease that affects the joints, possibly causing foot problems and pain. Post-traumatic arthritis, like osteoarthritis, can occur after a fracture or other injury has happened to the feet. All types of arthritis affecting the feet can cause mobility issues and interfere with comfortable functioning. When arthritis is present, it can help to engage in regular physical activity which may reduce pain and promote strength, flexibility, and endurance. Exercise can also help to maintain a healthy body weight, which will lessen pressure on the feet. Other helpful tips for coping with foot arthritis include inspecting the feet daily which can help the patient to notice any problems that may be developing. It is beneficial to wear properly fitted shoes, with ample room for the toes to wiggle in, in addition to having good arch support. If you have arthritis and it is affecting your feet, it is suggested that you see a chiropodist for relief options.  

Osteoarthritis in the feet or ankles can be a painful and disabling condition that may interfere with your daily activities. If you have arthritis, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

What Is Osteoarthritis? 

Osteoarthritis is a condition in which the protective layer of cartilage in the joints breaks down over time. This loss of cartilage causes the bones to rub together during movement, leading to pain and inflammation. Osteoarthritis is associated with aging, and often affects the small joints of the feet and ankles. 

Symptoms

Symptoms of osteoarthritis include: 

  • Joint pain

  • Joint stiffness

  • Swelling in or around the joint

  • Restricted range of motion

  • Difficulty walking

Diagnosis

Osteoarthritis can be diagnosed through physical examination. You may also need to have an X-ray taken to assess the extent of the damage caused by arthritis. 

Treatment

Treatment for osteoarthritis focuses on reducing symptoms and improving the function of the affected joints. Conservative treatments include oral pain medications, orthotic devices, bracing or immobilizing the affected foot or ankle, steroid injections into the affected joint to reduce inflammation, and physical therapy. In more severe cases, surgery may be necessary. 

If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs

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Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

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.

Cracked Heels and Diabetes

The skin on the heels of the feet can become dry and cracked, which can turn into deep, painful fissures. Cracked heels are unattractive and can be uncomfortable. Cold weather and lower humidity can cause this kind of cracking, in addition to hot showers, harsh soaps, and dehydration. Diabetic patients are prone to having foot problems, including cracked heels. With nerve damage common among people who are diabetic, it is difficult for them to retain natural skin oils and moisture in their feet. Without medical attention, cracked heels in diabetics can result in infection and other complications. Proper foot care can help alleviate cracked heels. This includes regularly examining the feet, and washing, drying, and moisturizing the feet each day. If you have diabetes and have cracked heels or other foot problems, it is strongly suggested that you visit a chiropodist for an examination and treatment plan.

Diabetes can cause serious problems in the lower limbs if proper preventive measures are not taken and diabetic wound care is not performed. If you would like to learn more about caring for diabetic feet, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists can help you maintain the health of your lower limbs and your mobility. 

Diabetes can lead to a host of foot and ankle complications, including: 

  • Poor circulation

  • Peripheral neuropathy

  • Diabetic foot wounds and ulcers

  • Infection 

  • Corns and calluses

  • Dry, cracked skin

  • Nail disorders 

  • Hammertoes 

  • Bunions

  • Charcot foot

If you have diabetes, you must be vigilant of any changes in your foot health. This is best done through daily foot inspections. Using a mirror to help you if necessary, look for any: 

  • Cuts, scrapes, sores, or wounds

  • Bruising or discoloration 

  • Swelling

  • Rash

  • Foul odor

  • Nail changes 

  • Hair loss 

  • Warmth and inflammation

  • Deformities 

  • Lower limb pain

  • Strange sensations (numbness, tingling, burning, pins, and needles)

If you detect anything unusual, seek the care of a chiropodist as soon as possible. If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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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.

Dealing With Heel Pain After Running

If you experience heel pain after running, this could indicate that you have developed plantar fasciitis. Known as runner’s heel, this condition can cause sharp pain in the heel and arch the morning after a run. Symptoms include increased pain after sleeping, difficulty lifting the toes off the ground, and reduced pain when running again. Other conditions that cause heel pain may include a pulled muscle in the arch, wearing running shoes that fit improperly and pronounced overpronation. Common causes of heel pain in runners is increasing the time, length, and running distance too quickly. Finding running shoes with the proper cushioning and support can help to alleviate pain or injury from running. In some cases custom orthotics, or shoe inserts, may be helpful in addressing specific foot conditions that contribute to heel pain. For details about how to deal with heel pain after running, it is suggested that you make an appointment with a chiropodist who can evaluate your gait and discuss treatment options.

Heel pain is a common problem that can be caused by a variety of injuries, medical conditions, and other factors. If you suffer from heel pain, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists can help you maintain the health of your lower limbs and your mobility. 

When it comes to heel pain, the exact location and type of pain are important to note. Some of the conditions that may cause heel pain include: 

  • Plantar fasciitis - An inflammation of the ligament that runs along the bottom of the foot; it causes a stabbing pain under the heel that is at its worst when taking your first few steps after a long rest and while standing on your tiptoes or climbing stairs

  • Achilles tendonitis - An inflammation of the tendon in the back of the calf; it causes pain in the back of the heel that is at its worst after resting, as well as ankle and calf stiffness, swelling, and tenderness 

  • Bone spurs - Bony lumps on the back of the heel bones that cause sharp pain upon first standing up; the pain becomes dull and achy over time 

  • Heel fractures - A break or crack in the heel bone that causes pain, swelling, and difficulty walking

  • Retrocalcaneal bursitis - Swelling of the small, fluid-filled sac at the back of the heel bone; it causes pain, swelling, redness, and warmth in the back of the heel

  • Tarsal tunnel syndrome - Compression of the posterior tibial nerve which causes a pins and needles sensation in the heel, foot, and calf 

Your chiropodist will be able to diagnose the underlying cause of your pain and prescribe the right treatments for you. If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs. 

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Hyperhidrosis of the Feet

Plantar hyperhidrosis is a medical condition that causes the feet to sweat excessively. It typically affects both feet equally. Plantar hyperhidrosis can greatly affect one’s life. When the feet sweat too much, they can become chronically damp, cold, white, and pruney. The skin of the feet becomes a perfect breeding ground for a variety of fungi and bacteria that thrive in moist environments. Infections like athlete’s foot can spread on the feet and to the toes and other parts of the body. The feet may also produce a strong, unpleasant odor. 

Plantar hyperhidrosis can also affect your footwear. Excessive sweat can ruin your shoes over time. The moisture may also cause your feet to slip around or out of the shoes, becoming a serious safety hazard. Friction blisters also become more likely. At the same time, you may not want to take off your shoes, in fear of leaving behind damp footprints or having someone notice the state of your feet. 

Fortunately, a variety of treatments are available to reduce sweating and improve your quality of life. The first line of treatment is usually a topical antiperspirant. These can be bought over the counter at the drugstore or prescribed by your chiropodist. They typically come in the form of a gel, powder, or cream and are applied directly to the feet to prevent sweat from reaching the surface, much like the antiperspirants you might find in your deodorant. Another option is taking oral medications to temporarily reduce excessive sweating. Iontophoresis, a treatment that uses electrical currents conducted through water to reduce hyperactivity in the sweat glands may help. In some cases, more invasive treatments, like botox injections directly into the feet to disable the sweat glands, may be prescribed. 

To learn more about plantar hyperhidrosis and to find the right treatment for you, please consult with a chiropodist.  

Two Types of Hyperhidrosis

The foot condition that is known as plantar hyperhidrosis can be uncomfortable. This ailment is characterized by excessive sweating of the feet and affects approximately five percent of the population. This condition falls into two categories. The hands, feet, and underarms are affected by primary hyperhidrosis. This usually occurs during the day and does not occur while sleeping. Sweating that affects larger areas of the body can fall into the category of secondary hyperhidrosis, which may be caused by taking a specific medication. Having feet that sweat profusely may lead to developing other foot conditions. These may include fungal infections, dermatitis, or blisters. If you have plantar hyperhidrosis, it is suggested that you confer with a chiropodist who can offer you treatment options that are best for you.

Plantar hyperhidrosis is a medical condition that causes excessive sweating of the feet. This problem is not only embarrassing but can also cause a variety of foot health problems if left untreated. Fortunately, there are many effective treatments available for plantar hyperhidrosis. If you have very sweaty feet, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists can help you maintain the health of your lower limbs and your mobility. 

Signs & Symptoms

  • Excessive foot sweat

  • Sweating from both feet

  • Slipping out of shoes due to sweat

  • Damp footprints

  • Ruined shoes

  • Frequent foot infections

  • Friction blisters

  • Whitish foot color

  • Wrinkly, pruney feet

  • Cold feet

  • Strong odor

Treatment Options

  • Topical antiperspirants - Powders, creams, or gels that are applied directly to the feet to prevent sweating; can be over the counter or prescription strength

  • Oral medications - Pills taken by mouth to reduce sweating temporarily

  • Iontophoresis - A procedure that uses a mild electrical current conducted through water to reduce activity in hyperactive sweat glands

  • Botox - Injected into the feet to prevent activation of sweat glands

In addition to these treatment options, footwear modifications, such as wearing shoes and socks made of breathable or moisture-wicking materials, are also suggested. If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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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. 

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