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Children’s Foot Health

Much like adults, children can also experience foot problems. Certain conditions are common in children but can be promptly treated to help your child stay healthy and active. 

Young children are often afflicted with ingrown toenails. Ingrown toenails occur when a toenail grows into the surrounding skin rather than over it. This can make the area where the nail has grown into the skin tender, red, warm, swollen, and painful. In some cases, an infection may develop. Ingrown toenails can typically be treated at home, but an infection may require medical treatment. Fortunately, ingrown toenails are easy to prevent. When trimming your child’s toenails, be sure to use toenail clippers to cut the nails straight across, avoiding curved edges. It is also important to not cut the nail too short. Wearing roomy, comfortable shoes can also help prevent ingrown toenails from developing. 

Plantar warts are warts that develop on the bottom of the foot due to a viral infection. Warts usually present as one or multiple circular areas of thickened skin with tiny black dots on them. Plantar warts may cause pain when pressure is applied to them while walking. Over-the-counter and prescription topical treatments can typically clear up plantar warts. 

Another common concern in children is heel pain. Sever’s disease, an overuse injury that causes inflammation in the growth plate of the heel, is especially common in children ages 8 to 14, especially if they frequently participate in running or jumping activities, like soccer or gymnastics. Sever’s disease is characterized by pain in the back or bottom of the heel, difficulty walking, and fatigue. 

If your child complains of foot pain or if you notice any abnormalities in your child’s feet, it is recommended that you take them to see a chiropodist for a diagnosis and treatment.

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. 

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. 

Athlete's Foot

Athlete’s foot, also known as tinea pedis, is a fungal infection of the skin of the feet. The fungus that causes athlete’s foot lives and thrives in warm, moist environments such as public swimming pools, locker rooms, and showers. This fungus can infect the feet through a cut or crack in the skin. Athlete’s foot is also highly contagious, and the fungus can spread from person to person through sharing personal items such as shoes, socks, or towels.

The symptoms of athlete’s foot include itching, stinging, or burning between your toes or on the soles of your feet, itchy foot blisters, and dry, cracked, or peeling skin on the feet. The infection can also spread to your toenails, leading to discoloration, thickening, and crumbling. 

Through a physical examination, athlete’s foot can be diagnosed by your chiropodist based on its symptoms. Sometimes, a skin test may be ordered to confirm the diagnosis. Athlete’s foot can be treated with both oral and topical over-the-counter or prescription medications. You can prevent a fungal infection by maintaining good foot hygiene, wearing shoes when walking in public areas, avoiding sharing personal items with others, and keeping your feet clean and dry. 

 

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. 

Cuboid Syndrome

Cuboid syndrome, also known as cuboid subluxation, is a condition in which the cuboid bone in the foot moves out of alignment. This can happen as a secondary injury to a sprained ankle or due to injury or overuse. Activities that may increase your risk of cuboid syndrome include playing sports with rapid, side-to-side movements, dancing, climbing stairs, wearing poorly fitted shoes, training on uneven surfaces, and not taking enough time to rest and recover after strenuous activity. 

Symptoms frequently associated with cuboid syndrome include dull, aching, or sharp pain along the outside of the foot, pain that gets worse when bearing weight, ankle pain, difficulty walking, a reduced range of motion in the affected foot, and sensitivity on the bottom of the foot. 

Fortunately, most people diagnosed with cuboid syndrome make a full recovery. There are many treatment options available for this condition. At home, you may be advised to rest, ice, compress, and elevate the affected foot to reduce inflammation, pain, and swelling and to promote healing. Your chiropodist can also perform certain foot manipulations to realign the cuboid bone, use a pad or tape to stabilize the affected foot, or prescribe custom orthotics. 

If you are experiencing the symptoms of cuboid syndrome, it is recommended that you see a chiropodist for treatment. 

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.

Toe Pain

The toes are hard at work every time you stand, walk, run, hop, skip, or jump. They help to push the foot off the ground and to keep you balanced. When a toe is in pain it can negatively impact your normal daily activities. Among the numerous causes for toe pain, the chief one is trauma, such as stubbing a toe or dropping something heavy on it. This often causes severe bruising and affects your ability to bear weight. Other common causes of toe pain are bunions, hammertoes, nerve damage, and toenail problems. In addition, toe pain can be caused by gout (a type of arthritis), rheumatoid arthritis, sprains, or warts. Further causes include toenail infections, ingrown toenails, and athlete’s foot infections. Treatment by a chiropodist varies according to the underlying cause of the pain. In case of a broken or severely bruised toe, the remedy is usually to brace or splint the toe. Certain medications can be prescribed to relieve pain and injections may be administered. X-rays and imaging tests may be performed to determine the cause and severity of the toe pain. Custom orthotics may also be prescribed and fitted to counteract toe deformities or other problems. If your toe pain continues or worsens, it is suggested that you visit a chiropodist for an exam, diagnosis, and appropriate treatment options. 

Falls Prevention

Falls are a leading cause of serious injury among the elderly. In fact, falls are the cause of the majority of hospitalizations for elderly people. As we age, our risk of falling increases due to deterioration in physical strength, coordination, vision, and hearing. Unsafe conditions in the home are often responsible for falls, and about half of all falls among the elderly occur in the home environment. Falling can cause a variety of complications, including injuries to the legs and feet, which can greatly impact one’s mobility and independence. 

Fortunately, falls can often be prevented. There are various preventive measures that you can take to make your home environment safer and less likely to contribute to a fall. In the bathroom, where wet and slippery conditions can lead to falling, it is recommended that you have non-slip surfaces in the shower and tub, install grab bars by the toilet and bath to help you sit and stand, and wipe up any moisture or spills as soon as they occur. In the living room and bedroom, it is important to make sure that the floor is free of clutter and obstacles, such as loose cords and wires, small furniture items, and other tripping hazards. Ensure that all rugs and mats are firmly anchored and that there is good lighting throughout the home. In the kitchen, it is suggested that you store appliances and other supplies in places that are easy to reach and that you wipe up any spills that may occur immediately. If your home has stairs, they should be well lit and have secure handrails. 

You can also prevent falls by modifying your own behavior. When moving around the home, walk slowly and carefully, turn on lights when walking through your home at night, and use any mobility aids, such as a cane or walker, when needed. Exercise regularly and eat a healthy diet to maintain your overall health. Speak regularly with your doctor to monitor your medications, especially if you are taking any medications that may increase your risk of falling due to side effects such as dizziness. For more tips on how to prevent falls, please consult with a chiropodist. 

Children’s Foot Health

Much like adults, children can also experience foot problems. Certain conditions are common in children but can be promptly treated to help your child stay healthy and active. 

Young children are often afflicted with ingrown toenails. Ingrown toenails occur when a toenail grows into the surrounding skin rather than over it. This can make the area where the nail has grown into the skin tender, red, warm, swollen, and painful. In some cases, an infection may develop. Ingrown toenails can typically be treated at home, but an infection may require medical treatment. Fortunately, ingrown toenails are easy to prevent. When trimming your child’s toenails, be sure to use toenail clippers to cut the nails straight across, avoiding curved edges. It is also important to not cut the nail too short. Wearing roomy, comfortable shoes can also help prevent ingrown toenails from developing. 

Plantar warts are warts that develop on the bottom of the foot due to a viral infection. Warts usually present as one or multiple circular areas of thickened skin with tiny black dots on them. Plantar warts may cause pain when pressure is applied to them while walking. Over-the-counter and prescription topical treatments can typically clear up plantar warts. 

Another common concern in children is heel pain. Sever’s disease, an overuse injury that causes inflammation in the growth plate of the heel, is especially common in children ages 8 to 14, especially if they frequently participate in running or jumping activities, like soccer or gymnastics. Sever’s disease is characterized by pain in the back or bottom of the heel, difficulty walking, and fatigue. 

If your child complains of foot pain or if you notice any abnormalities in your child’s feet, it is recommended that you take them to see a chiropodist for a diagnosis and treatment.

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