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Everyday Foot Care

Good foot care is proactive, rather than reactive. While a chiropodist can diagnose, treat, and help you manage a variety of foot and ankle conditions, preventing foot problems and keeping the feet healthy is something that you can do at home as well. Having and following an established daily foot care routine can be very beneficial. 

Maintaining good foot hygiene helps prevent a variety of foot problems, including infections like athlete’s foot and fungal toenails. It is important to wash your feet every day using lukewarm water and mild soap. Wash the entire foot, from heel to toe. Then dry the foot thoroughly, taking extra care to dry in between the toes. Moisturizing the heels and soles of the feet after washing them can help keep the skin soft, hydrated, and free of cracks. 

Stretching and strengthening the feet can maintain or improve their mobility. There are many easy foot exercises that you can do to keep your feet strong and flexible, such as toe scrunches and heel raises. Maintaining a healthy diet and exercising regularly can help keep your weight under control, relieving excess pressure and strain on the feet. 

Finally, wearing the right shoes is one of the easiest ways to care for the feet. Many people wear shoes that are too tight or narrow, shoes that don’t support the feet adequately, and shoes that are made of materials that trap moisture on the foot. Opt for comfortable, properly-fitted shoes that support and protect your feet. 

For more information about daily foot care practices for good foot health, please consult with a chiropodist.

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. 

Neuropathy

Peripheral neuropathy is a condition in which the nerves of the lower limbs become damaged. 

The symptoms of peripheral neuropathy include tingling, numbness, and unusual sensations in the feet, weakness, and burning pain.  This problem often co-occurs with diabetes, but can also be caused by viral infections, vitamin deficiencies, autoimmune diseases, and genetic disorders. 

Peripheral neuropathy is diagnosed through medical history, physical examination, and specific tests that may assess your reflexes, and ability to feel touch or vibration in your lower limbs. Treatment for peripheral neuropathy will depend on the underlying cause. For example, if your peripheral neuropathy is caused by diabetes, then controlling your blood sugar levels will be emphasized. For peripheral neuropathy pain, you may be prescribed oral medications. For preventing complications from peripheral neuropathy, your chiropodist may recommend wearing properly fitted, comfortable shoes and inspecting your feet daily for any abnormalities. 

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

Hammertoes

Hammertoes are a common foot deformity in which one or more of the small toes bends downwards at the middle joint. This puts the toes into a hammer or mallet-like shape, hence the name of the condition. Hammertoes can be very uncomfortable and even painful, causing symptoms such as irritation, inflammation, redness, stiff toe joints, muscle contracture, and corns, calluses, and sores on the tops of the affected toe joints. 

Hammertoes can either be flexible or rigid. Flexible hammertoes are those that can still be moved at the joint. Rigid hammertoes are those that can no longer move due to stiff, tight joints. Flexible hammertoes slowly turn into rigid hammertoes when no steps are taken to treat this condition. 

Seeking treatment for hammertoes is strongly suggested, as they tend to get progressively worse over time. The main goals of treatment in the early stages are to slow or stop the progression and manage symptoms. Your chiropodist will likely recommend changes in your footwear. Wide, roomy shoes that have a large toe box and a low heel can give your toes extra space and prevent them from crowding and becoming further deformed. Orthotic insoles can be worn in the shoes for added support. Corns and calluses on the tops of the toes may need to be padded to protect them from irritation. Over-the-counter medications can be taken to relieve pain. In more severe cases, your chiropodist may suggest corticosteroid injections to reduce pain and inflammation. Surgery is another treatment option for hammertoes but is usually reserved for severe cases where the toe has become rigid and immobile. 

If you notice hammertoes or any other foot deformity, it is strongly suggested that you seek the care of a chiropodist. 

Foot Pain

If you’re suffering from foot pain, it’s important to note the locations and quality of your foot pain. Pain can affect any part of the foot, including the top, bottom, side, heel, or toes. The pain may be sharp, stabbing, dull, achy, burning, or stinging, and can come on suddenly or develop gradually over time. 

Pain in the top, bottom, or side of the foot can have many causes. In addition to the type of pain and its location, it’s also important to note when the pain started, what you were doing at the time, and what aggravates the pain. For example, pain in the top of the foot that worsens with physical activity or weight-bearing, that has gradually gotten worse over time, and is accompanied by swelling and tenderness could be indicative of a stress fracture. 

Pain in the heel is a frequent concern, especially among patients who participate in sports, run, or wear high heels. Plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot and connects the heels to the toes, can cause stabbing heel pain. The pain is usually at its worst upon taking your first few steps in the morning or after a long rest and can radiate to the arch of the foot. Plantar fasciitis is also often associated with heel spurs, bony outgrowths on the heel bones that can be painful if they poke into the surrounding tissues. 

Foot pain can be caused by not only injuries but also problems with the biomechanics of the feet and underlying health problems, like diabetes or peripheral neuropathy. If you’re experiencing foot pain, please seek the care of a chiropodist near you. 

Sever's Disease

Sever’s disease, also known as calcaneal apophysitis, is a foot condition that occurs in children. Sever’s disease is not truly a disease, but rather an overuse injury. It is common among active children between the ages of 8 and 14. Young, growing children have a growth plate in their heels, where new bone is forming. When too much stress is put on the heel, the growth plate can become inflamed, leading to heel pain. 

Children who participate in activities that put repetitive stress on the heel bone are most at risk of developing Sever’s disease. These activities include playing soccer or basketball, running track, or any other sport or activity that involves running, jogging, or jumping. Children who are obese, have tight Achilles tendons, biomechanical problems, flat feet, or fallen arches are also at risk. 

The symptoms of Sever’s disease include pain in the back or bottom of the heel, pain when the sides of the heel are squeezed, and fatigue. The pain may lead to difficulties walking or bearing weight on the affected foot, and you may notice your child limping or walking on their toes to avoid putting pressure on the heel. A chiropodist can diagnose Sever’s disease by taking a medical history and performing a physical examination. Imaging studies such as X-rays may also be ordered. 

Sever’s disease is generally treated by resting the affected foot, wearing shoes or orthotics that support the heel, and taking nonsteroidal anti-inflammatory medications to reduce pain and inflammation. In severe cases of heel pain, the affected foot may need to be immobilized with a cast while it heals. If your child is complaining of heel pain, 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.

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. 

 

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