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. 

The Pandemic’s Effect on Arthritic Feet

 

Many things have been negatively affected by the pandemic and foot and ankle health is no exception. Being confined for several months to their homes, many people adopted a casual attitude about footwear. Unfortunately, walking around barefoot or in stocking feet for prolonged periods of time can be bad for your feet, particularly if you have arthritis. People who have arthritis and walk regularly can add stress to the joints which are already inflamed and irritated from arthritis. Without support from shoes, the fat pads on the bottom of the feet that are referred to as shock absorbers can get worn down putting further pressure on joints. Additionally, conditions that often develop from having arthritis such as plantar fasciitis, tendinitis, bone spurs, and bunions can intensify from walking barefoot. Those with arthritis can consult with a chiropodist who can treat their symptoms while offering preventative measures to take to avoid making their condition worse.

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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Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Curing Cracked Heels

Cracked heels are a common foot problem. They occur when areas of skin on your heels become dry and thicken, forming calluses. Over time, these calluses can crack, causing discomfort or pain in the heel. Other symptoms associated with cracked heels include flaky skin, itching, bleeding, redness, inflammation, and foot wounds. Additionally, deep, painful cracks known as fissures can form on the heels. Fissures leave your heels at an increased risk of becoming infected. 

Cracked heels may be caused by standing for prolonged periods of time, walking barefoot or in open-back shoes, wearing poorly fitted shoes, taking lengthy hot showers, using harsh soaps to wash your feet, and living in a climate with cold temperatures or low humidity. Sometimes cracked heels can be caused by an underlying medical condition, such as a vitamin deficiency, fungal infection, or psoriasis. 

Fortunately, there are many ways to prevent cracked heels and to treat them when they occur. You may be able to prevent cracked heels by wearing supportive, well-fitting shoes with a closed back, wearing orthotic devices to pad your heels as you walk, or wearing padded socks. Keeping your feet exfoliated and moisturized is also a key step, in both prevention and treatment. Applying a thick moisturizer on the heels regularly is highly recommended. 

If you have chronic cracked heels, cracked heels that don’t respond to home treatment, or if you are diabetic or have peripheral neuropathy, it is suggested that you see a chiropodist for treatment. 

Treatment of Cracked Heels

Many people suffer from cracked heels. Despite all our heels do for us, it is easy to forget to take care of our them. Medically, cracked heels are known as heel fissures or regular linear cut wounds that appear on the surface of the skin. Besides being unattractive, cracked heels can become painful and start to bleed if not tended to. This condition can result from dry skin and footwear that does not fit well or have enough cushioning. Additionally, walking improperly, and being overweight may contribute to the onset of cracked heels. This ailment is more common in senior citizens and those who are on their feet a lot. To avoid complications of cracked heels, it is important to treat them as soon as they are noticed, and it is wise to prevent them from happening in the first place. In general, keep feet clean and dry, moisturize regularly, do not go barefoot, wear properly fitted closed shoes, and keep hydrated. If attempting to take care of cracked heels on your own, avoid picking at or peeling the dead skin as this can make it worse or lead to infection. It is best to consult with a chiropodist who can better help you safely treat this condition and provide suggestions for preventing this from happening again.

Cracked heels, also known as heel fissures, can cause pain and discomfort. If your cracked heels are bothering you, 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. 

Dry, thickened skin around the rim of the heel is typically the first sign of cracked heels. While this condition is common and usually just a nuisance, some cases can be more severe. If left untreated and as more pressure is placed on the heel, the cracks become deeper and eventually walking and standing can be painful. These deep cracks or fissures can bleed and also become infected. Those with diabetes need to be especially careful as fissures could lead to diabetic foot ulcers. 

Causes

Cracked heels can be the result of several different factors, including: 

  • Dry skin

  • Taking long, hot showers or using harsh soaps

  • Standing for long periods of time

  • Walking barefoot

  • Walking in shoes with an open back, such as sandals or flip flops

  • Wearing shoes that do not fit properly

  • Living in a cold or dry climate 

  • Certain skin conditions, such as eczema or psoriasis

Treatment

There are many at-home treatment remedies for cracked heels. Applying moisturizers to the heel can help hydrate the skin. Soaking your feet in warm water and exfoliating them with a loofah or pumice stone can help to buff away dead skin cells. If you are afflicted with cracked heels, it is recommended that you see a chiropodist for treatment. 

Prevention

You can prevent cracked heels by:

  • Avoiding standing in one position for prolonged periods of time

  • Wearing well-fitted shoes with a closed back

  • Washing your feet with gentle soaps and lukewarm water

  • Moisturizing the feet daily

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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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. 

Stretching While Standing at Work

There are many people throughout the world that stand for the majority of the day. Frequently moving about can help to promote blood circulation to the feet, and performing simple foot stretches can help the feet to feel better. It is important to wear shoes that fit properly and to also stand on a stress mat, which can both help make standing all day more manageable and healthy for the feet and overall body. An effective stretch to strengthen the feet is done by using a foot roller. This can help to increase the strength in the arches, and may help to reduce the risk of developing plantar fasciitis and Achilles tendonitis. Many people who stand while working find it helpful to perform ankle rotations several times per day, in addition to wearing compression socks which can help to support the legs. If you would like more information about the benefits of stretching while standing all day, please speak with a chiropodist.

If you stand all day, you may be at an increased risk of developing various foot conditions. If you are experiencing foot pain of any kind, 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 Foot Problems Are Caused by Standing?

Standing all day at work may increase your risk of developing foot or ankle problems.

Some common foot conditions that may arise from spending all day on your feet include: 

  • Foot pain

  • Blisters

  • Corns and calluses

  • Arthritis

  • Flat feet

  • Bunions

  • Sprains 

  • Athlete’s foot

Prevention

If you stand for prolonged periods of time for work, taking preventative measures to preserve the health of your feet is strongly recommended. 

Measures you can implement to help prevent foot problems include: 

  • Wearing shoes that are comfortable and fit well - these shoes should be made of breathable materials and provide you with arch support and cushioning. It is best to avoid shoes that have heels or narrow toe boxes.

  • Taking breaks to rest, walk, and stretch your feet throughout the day

  • Maintaining good foot hygiene - wash and dry your feet thoroughly every day

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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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.

Symptoms of Diabetes

Elevated blood glucose levels may cause a serious condition that is known as diabetes. Proper foot care is crucial with this condition, and this may be helpful in preventing foot ulcers. The body’s ability to heal is affected by diabetes, and it is important to check the feet daily. This can consist of using a mirror to look for any existing cuts, bruises, or scrapes. Neuropathy often accompanies diabetes, which is the diminished ability to feel any wounds on the feet. Foot protection can come from wearing shoes that fit correctly, trimming the toenails properly, and washing the feet daily. If you have diabetes, and the skin on your feet feels warm and turns red, it is strongly suggested that you are under the care of a chiropodist who can effectively treat diabetes.

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.

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