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Cracked Heels

When the skin on the heels is dry, it may begin to crack. These cracks are not just unsightly, they can also be uncomfortable or deep and painful. In some cases, these heel cracks can even bleed, increasing their risk of becoming infected. This can make walking, standing, or even bearing weight on the heels difficult. 

Cracked heels can be caused by a variety of factors. These include prolonged standing, wearing open-back shoes or shoes that don’t cushion the heels, living in a cold or dry climate, taking long, hot showers, and not moisturizing the heels, as well as various medical conditions, such as eczema, psoriasis, palmoplantar keratoderma, or juvenile plantar dermatosis. 

The best way to prevent and treat mild cases of cracked heels is to regularly soak the feet, exfoliate the heels with a pumice stone, and then moisturize them. It is also best to avoid wearing open-back or thin-soled and unsupportive shoes. In more severe cases, it is suggested that you seek the care of a chiropodist, who can help you manage your cracked heels and overall foot health. People who have cracked heels and diabetes or a weakened immune system should also be under the care of a chiropodist.

Treating Toenail Fungus

A fungal toenail infection, also known as onychomycosis, can be unsightly and uncomfortable. Infected nails often become thickened, brittle, crumbly, and discolored with white, yellow, or brown patches. The affected nails may also lift from the nail bed and emit a foul odor. 

Fungal toenail infections are contagious and are caused by a fungus getting in, on, or under the toenails. Fungi thrive in moist, warm environments like public swimming pools, locker rooms, and showers, and many people contract fungal nail infections from walking barefoot in these environments. The fungus can also spread from person to person. For this reason, it is best to avoid sharing personal items like shoes, socks, and towels with an infected individual. 

Certain factors can make one more likely to contract toenail fungus. People who have diabetes, poor circulation, or weakened immune system, are over the age of 65, wear artificial nails, have a toenail injury or damaged skin around their toenails, wear closed-toe shoes, and expose their feet to moisture for extended periods of time are at an increased risk of onychomycosis. 

Treatment options for toenail fungus include oral medications and topical solutions such as medicated nail polishes and creams. Treatment can take several months to be effective, so it is recommended that you see a chiropodist as soon as you notice the symptoms of toenail fungus. For more information about this condition, please consult with a podiatrist.  

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. 

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.

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. 

 

Gout

Gout is a type of arthritis that can affect the foot. Gout is caused by a buildup of uric acid in the bloodstream. When uric acid levels become excessive, this substance can create crystals in the joints, causing severe pain, intense swelling, redness, and warmth. Typically this occurs in the big toe joint. 

You may be at an increased risk of developing gout if you are a middle-aged man or postmenopausal woman, have family members who have had gout, drink alcohol, take certain medications, or have a medical condition like high blood pressure, kidney disease, thyroid disease, diabetes, or sleep apnea. Gout may also be more likely to develop if you consume a diet high in sugars or purines, a substance that turns into uric acid when it breaks down. Foods high in purines include organ meats, red meat, oily fish, certain vegetables, beans, and mushrooms. 

Gout that is left untreated can become chronic and lead to arthritis. Gout can be treated by a chiropodist. Treatment options may include taking medications to relieve pain and prevent future gout attacks, modifying your diet, and reducing alcohol intake. For more information about gout, please consult with a chiropodist. 

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. 

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. 

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. 

 

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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