Featured

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.

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.

Plantar hyperhidrosis is a medical condition that causes the feet to sweat excessively. It typically affects both feet equally. Plantar hyperhidrosis can greatly affect one’s life. When the feet sweat too much, they can become chronically damp, cold, white, and pruney. The skin of the feet becomes a perfect breeding ground for a variety of fungi and bacteria that thrive in moist environments. Infections like athlete’s foot can spread on the feet and to the toes and other parts of the body. The feet may also produce a strong, unpleasant odor. 

Plantar hyperhidrosis can also affect your footwear. Excessive sweat can ruin your shoes over time. The moisture may also cause your feet to slip around or out of the shoes, becoming a serious safety hazard. Friction blisters also become more likely. At the same time, you may not want to take off your shoes, in fear of leaving behind damp footprints or having someone notice the state of your feet. 

Fortunately, a variety of treatments are available to reduce sweating and improve your quality of life. The first line of treatment is usually a topical antiperspirant. These can be bought over the counter at the drugstore or prescribed by your chiropodist. They typically come in the form of a gel, powder, or cream and are applied directly to the feet to prevent sweat from reaching the surface, much like the antiperspirants you might find in your deodorant. Another option is taking oral medications to temporarily reduce excessive sweating. Iontophoresis, a treatment that uses electrical currents conducted through water to reduce hyperactivity in the sweat glands may help. In some cases, more invasive treatments, like botox injections directly into the feet to disable the sweat glands, may be prescribed. 

To learn more about plantar hyperhidrosis and to find the right treatment for you, please consult with a chiropodist.  

The plantar fascia is a thick ligament that runs along the bottom of your foot and connects the heel bone to the toes. When the plantar fascia becomes inflamed, typically due to overuse, it can cause a condition called plantar fasciitis. Plantar fasciitis is characterized by a sharp, stabbing heel pain, arch pain, and pain that is at its worst when taking your first steps after a long resting period, such as when you first wake up in the morning. You may also notice swelling on the bottom of the heel. 

Plantar fasciitis is one of the most common foot ailments, and one of the most common causes of heel pain. Besides overuse from activities such as running or jumping, wearing shoes that do not have adequate cushioning and support, standing for prolonged periods of time, being obese, or having flat feet can all increase your risk of developing plantar fasciitis. 

Fortunately, there are many treatments for this condition. Your chiropodist may recommend stretching exercises, activity and footwear changes, and icing the affected foot to help relieve pain. If pain persists after several weeks, your chiropodist may prescribe custom orthotics, pad, tape, strap, or immobilize the affected foot, or inject a corticosteroid into the area to reduce pain. 

For more information about plantar fasciitis, please consult with a chiropodist. 

Like other parts of your body, your feet are composed of bones, joints, muscles, tendons, and ligaments. And just like other parts of your body, your feet can benefit from exercise. The feet support the rest of your body, so keeping them strong and flexible will help you maintain your overall health and mobility for years to come.

To improve foot flexibility and mobility, you can do a few simple stretches. Sit upright in a chair with your feet flat on the floor. Keeping your toes and the balls of your feet on the floor, slowly raise your heels. Hold for several seconds and then lower them to the floor. Next, point your toes and slowly raise your heels until only the tips of your longest toes are touching the floor. Hold for several seconds and then lower your heels to the floor again. Finally, raise your heels and curl your toes inwards so that only the tips of the toes touch the floor. Hold for five seconds. Repeat each of these steps 10 times to boost foot flexibility. 

To strengthen your toes, you can do simple toe curls. Spread a small towel on the flat on the floor. Sit upright in a chair and place one foot flat on the floor and the other flat on the towel. Using only your toes, grasp the towel and scrunch it, pulling it towards yourself. Repeat this on the other foot. You can also spread some marbles out on the floor in front of you and use just your toes to pick them up. 

To learn more about various foot exercises, consult with a chiropodist. 

Summer can be a time when the feet are particularly vulnerable to various medical problems. This is because the warm weather means that many people will wear shoes that do not adequately cushion and protect the feet or will go barefoot entirely. Fortunately, most summertime foot problems can be treated or prevented. 

In the summertime, most people frequent warm, moist public areas, such as swimming pools, locker rooms, and showers, walking around barefoot. These places are breeding grounds for various fungi and viruses that can get into the feet, causing an infection. Tinea pedis, or athlete’s foot, is a fungal infection of the skin on the feet. It’s characterized by a red, scaly, itchy rash and skin peeling, usually found between the toes. Fungus can also infect the toenails, making them brittle, crumbly, thickened, and discolored. Human papillomavirus (HPV) is a common viral infection that can cause benign, fleshy growths called warts to grow on the soles of the feet. When going to public places, it’s suggested that you wear shoes to protect your feet from infectious agents and that you avoid sharing personal items like shoes and towels with others. 

For many people, staple summer footwear includes flip-flops and open-back, open-toe sandals. Unfortunately, these shoes are usually flimsy and don’t protect the feet or provide any support or cushioning. Some also require you to scrunch up your toes while you walk to keep the shoes on your feet. This can lead to a variety of foot and ankle injuries, heel pain, arch pain, bunions, hammertoes, and dry, cracked heels. When shopping for summer shoes, look for shoes that fit properly and have adequate cushioning in the heel and arch area. They should stay on your feet while you walk without any effort and protect your feet from the elements. If you must wear flip-flops, limit wear to just a few hours every few days, or when going to specific places like the pool or beach. 

For more information about common summer foot problems and how to treat and prevent them, please consult with a chiropodist. 

Winter can be a time of new or worsening foot and ankle problems. Wintertime foot problems can be caused by a combination of cold weather, a more sedentary lifestyle, an increase in body weight, wearing unsupportive shoes, and weather conditions that can increase the risk of injury.

The cold weather can wreak havoc on your feet. A cold, dry climate can be responsible for dry, cracked heels. More than just an aesthetic problem, these cracks can be deep, painful, and prone to bleeding. To prevent them, it’s suggested that you take extra care to exfoliate and moisturize your feet in the winter and wear shoes and socks that protect your feet from the cold. Cold weather can also cause the tiny blood vessels (capillaries) in your toes to spasm, leading to problems such as chilblains and Raynaud’s disease. 

On the other hand, feet that are too wet from sweat are also a problem. In the winter, many people wear warm, thick socks made from materials that trap moisture. This creates the perfect breeding ground for fungi that can cause athlete’s foot and fungal toenails infections. Wear moisture-wicking socks to avoid this issue. 

A more sedentary lifestyle and weight gain during the winter can put strain on the feet and ankles, increasing the risk of injuries that are caused by excess strain and pressure. Plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot, and general foot pain are both common. 

Icy weather conditions can increase your risk of twisting an ankle or falling and sustaining an injury. To avoid this, wear thick-soled, non-slip boots and take extra care to look out for ice when walking outside. If you have any foot or ankle problems this winter, it is suggested that you seek the care of a chiropodist. 

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. 

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. 

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.