Wound Care

Slow-healing wounds on the feet are a frequent complication of diabetes and always warrant prompt medical attention. Left untreated, these wounds can develop into diabetic foot ulcers (DFUs), greatly increasing your risk of infection, tissue death, and amputation. But how do these wounds form in the first place, and what can be done to prevent them?

Diabetics are often afflicted with two other co-occurring conditions, peripheral neuropathy and poor circulation. Peripheral neuropathy causes nerve damage and often affects the nerves of the lower limbs, leading to tingling, numbness, and a loss of sensation in the feet. A lack of sensation can leave you unable to physically feel pain if you cut, scrape, puncture, or otherwise injure your feet. This can be a serious problem, as pain is typically the first indication that something is wrong. When you don’t feel it happen, an injury on your foot can go undetected and untreated, progressively worsening until it forms a serious wound. These wounds usually heal slowly because of another complication of diabetes, poor circulation. When the blood supply to your feet is not adequate, this area of your body does not get the oxygen and nutrients that it needs to perform its usual processes, including wound healing. Poor circulation results in wounds that heal slowly or don’t heal at all. 

Fortunately, there are measures that you can take to prevent diabetic foot wounds from occurring or worsening. Maintain good foot hygiene by washing and thoroughly drying your feet each day and performing a daily foot check. Using a mirror or with help from a caregiver, examine your feet each day for any abnormalities, such as sores, cuts, scrapes, bruises, blisters, discoloration, swelling, and ingrown toenails. If you notice any foot problems, it is recommended that you see a chiropodist who can treat these issues and offer you more information about managing your foot health. 

Puncture Wounds on Feet

A puncture wound has a small hole of entry caused by a pointed object, such as stepping on a nail. It differs from a cut, which produces a long tear in the skin. Puncture wounds might disguise something serious going on, such as a developing infection, and must be handled differently than cuts. Foot puncture wounds are more common in warm weather when people are more apt to go barefoot. These types of wounds should be treated within 24 hours, because there is danger of embedding the piercing object under the skin. Foreign bodies from dirt and debris or things like glass, needles, seashells and other sharp objects can include bacteria that get into the wound. Socks and shoes might interfere and get tangled up in the wound at the time of puncture as well. Puncture wounds are, by nature, unclean because the object doing the puncturing is not sterile. Anything that remains in the wound increases the chance of complications. If you have sustained a puncture wound on your foot, please see a chiropodist who can determine the depth and severity of the wound, clean it out, and provide the best methods to treat it.

Wound care is the process of treating and preventing wounds on the feet. This is especially important if you have diabetes, as diabetic foot wounds are common and can lead to serious complications when left untreated. To learn more about proper wound care, 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. 

Why Is Wound Care Important for Diabetics?

While wound care is important for maintaining the health of your feet, it is especially important for people with diabetes. This is because diabetics often suffer from poor blood circulation, causing foot wounds to heal very slowly or not to heal at all. Diabetics also frequently suffer from neuropathy or nerve loss. This means no matter how big or little the wound, they might not feel it on their foot. If the wound becomes severely infected, amputation may be necessary. This is why it is imperative that diabetics complete daily foot checks.

Wound Care Basics

The best way to care for wounds is to prevent them in the first place. It is recommended that people with diabetes perform a daily examination of their feet to locate cuts, scrapes, sores, or wounds. Early detection allows for ample time to treat the wounds and prevent further complications. If you notice a wound at home, you can clean it using water, apply an antibiotic ointment, and cover the wound with a clean bandage. Seeing a chiropodist, who can examine your feet thoroughly and treat any existing wounds, can also help you maintain proper foot health. 

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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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. 

Reasons Why a Bunion May Develop

A bunion is a noticeable bony protrusion that develops on the side of the big toe and can be unsightly. As it gradually forms, it can put pressure on the joint at the base of the big toe, which may push it toward the second toe. Some patients have swelling, redness, and general foot pain as a result of a developing bunion. If the bunion is not treated promptly, it may become difficult to wear shoes that are generally worn, and larger shoes may need to be purchased. Research has indicated people may have bunions from genetic reasons, or from wearing shoes that do not fit correctly. Foot structure may play a significant factor in getting a bunion, and calluses can form as toes rub against each other or the shoe. If you see the signs of a bunion starting to form, it is strongly advised that you seek the counsel of a chiropodist who can offer you correct treatment options.

Bunions progressively worsen over time and may cause walking in your shoes to become difficult. To learn more about bunions, 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 Are Bunions? 

A bunion is a bony bump that protrudes from the base of the big toe. Bunions are caused due to a misalignment of the first metatarsal. The characteristic bump of a bunion forms when the metatarsal shifts outwards from its proper position. Bunions develop slowly over time and progressively worsen without treatment. The skin over the bunion may develop calluses due to the friction from shoes. Eventually, a bunion can make walking uncomfortable or even painful. Bunions are one of the most common foot deformities and are especially common in women and older adults.

Symptoms

A bunion appears as a bulging bump on the outside of the base of the big toe.

The bunion may also: 

  • Be swollen, red, or sore 

  • Develop corns or calluses over it

  • Cause pain

  • Limit the big toe’s range of motion

Treatment

There are several different treatments available for bunions. Conservative treatment options include wearing shoes with a wider toe box, cushioning the bunion with a specialized pad, wearing shoe inserts, icing the bunion if it becomes inflamed, and taking medications to relieve pain. In more severe cases, more invasive procedures may be done. This may involve removing the swollen tissue around the bunion, straightening the big toe, realigning the bones at the front of the foot, or a combination of these procedures. 

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 You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Achilles Tendon Injuries

The Achilles tendon, located at the back of the lower leg, is a strong band of fibrous tissue that connects the calf muscles to the heel bone. There are several different types of Achilles tendon injuries. The two most common injuries are Achilles tendonitis and Achilles tendon ruptures. 

When the tendon is injured due to repetitive strain and overuse, it can result in a condition called Achilles tendonitis. This injury is characterized by inflammation of the Achilles tendon, heel and calf pain, thickening of the tendon, ankle and calf stiffness, and a decreased range of motion. In the initial stages of Achilles tendonitis, pain primarily occurs following physical activity, but it can become constant and chronic if the injury is left untreated. 

When the Achilles tendon fully tears, it is known as an Achilles tendon rupture. This usually occurs following a sudden, high-impact injury. Symptoms include a sudden, stabbing pain in the back of the affected leg, a popping or snapping sensation, swelling, and difficulty walking and raising the foot. This condition requires prompt treatment to prevent further damage to the tendon. 

There are a variety of treatments available for Achilles tendon injuries. Achilles tendonitis can often be treated through conservative methods, such as resting, icing, compressing, and elevating the affected foot, wearing orthotics, taking over-the-counter pain medications, and doing gentle stretches. Achilles tendon ruptures may require surgical treatment to avoid reinjury. For more information about Achilles tendon injuries, please consult with a chiropodist. 

Signs That Your Achilles Tendon Might Rupture

Achilles tendonitis happens when there are tears in the tendon from overuse. When the Achilles heel ruptures it is usually because an injury created a sudden strain on that area. If this happens, there will be intense pain or a popping sound that can lead to swelling, burning, and stiffness in the area. It is important that if you damage your Achilles tendon, you rest your foot and seek care. At first you might not be able to tell if you have ruptured your tendon or just pulled a muscle but if the pain is intense and does not go away, the stiffness is greater than average, and you cannot stand to push off from the affected foot, you probably have or are near a rupture. See a chiropodist as soon as possible for an examination, an X-ray, and/or an MRI for a definite diagnosis and plan for treatment.

Achilles tendonitis is a common injury of the Achilles tendon, a band of fibrous tissue that runs along the back of the lower leg. The Achilles tendon can also rupture, making it impossible to lift the foot. If you are suffering from heel or calf 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. 

Causes of Achilles tendon injuries include: 

  • Repetitive stress or overuse

  • Sudden increase in activity levels

  • High impact injury

  • Calf muscle tightness or weakness

  • Altered foot biomechanics

  • Heel bone spurs

  • Underlying medical conditions that weaken the tendon

Symptoms of an Achilles tendon injury include: 

  • Heel and calf pain that worsens following exercise

  • Chronic heel and calf pain

  • Sudden pain in the back of the ankle or calf

  • A popping or snapping sensation

  • Thickened lump in the Achilles tendon

  • Ankle and calf stiffness

  • Decreased range of motion in the affected foot

  • Swelling

  • Difficulty walking 

Treatment

  • Resting the affected leg

  • Applying ice 

  • Compressing the foot and ankle

  • Elevating the injured leg 

  • Wearing orthotics

  • Low impact exercises

  • Stretches

  • Strengthening exercises 

  • Non-steroidal anti-inflammatory medications

  • Cortisone injections

  • Surgery, if the tendon is ruptured 

Achilles tendon injuries can be very painful and lead to reduced mobility if left untreated. 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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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. 

Why Do I Have Toe Pain?

Your pinky toe is small, but if it gets injured it can be quite painful. Pain and swelling in this toe could develop from a variety of conditions including a break, tight-fitting shoes, a small bunion, hammertoe, a bone spur, or something else. This toe is particularly prone to injury because it is located on the outside of the foot. Sometimes it is easy to know why you feel pinky toe pain, (like if you dropped something heavy on it or your toe rubs against a tight-fitting shoe) but what is going on inside the toe may not be known. Rest and elevation may bring relief to a painful toe but additional treatment could be needed. If it is difficult to put weight on the foot, the toe seems out of alignment, or you have an open wound, it is particularly important to get it checked by a chiropodist who can properly diagnose the problem and treat it. 

Foot pain is a common problem treated by chiropodists. If you have foot 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 you are experiencing foot pain, it’s important to note the type of pain and its location, as this can help determine a diagnosis. 

Pain in the top of the foot may be caused by:

  • Stress fractures

  • Sinus tarsi syndrome

  • Extensor tendonitis

  • Tibialis anterior tendonitis

  • Gout

  • Athlete’s foot

  • Ganglion cysts

Pain in the bottom of the foot may be caused by:

  • Plantar fasciitis

  • Foot cramps

  • Tarsal tunnel syndrome

  • Plantar fibromatosis

  • Posterior tibial tendonitis

  • Stress fractures

  • Flat feet

Pain on the side of the foot may be caused by:

  • Ankle sprain

  • Cuboid syndrome

  • Peroneal tendonitis

  • Stress fractures

  • Bunions

  • Corns or calluses

  • Posterior tibial tendonitis

Heel pain may be caused by:

  • Plantar fasciitis

  • Achilles tendonitis

  • Bone spurs

  • Heel fractures

  • Retrocalcaneal bursitis

  • Sever’s disease 

Pain in the toes may be caused by:

  • Gout

  • Hammertoe

  • Turf toe 

  • Bunions

  • Ingrown toenails

  • Blisters 

  • Arthritis

These and many more conditions can be treated by a chiropodist. 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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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. 

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