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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.

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. 

Flip-Flops and Feet

When getting ready for a trip to the pool, the beach, or the boardwalk during the summer months, you may slip on a pair of flip-flops. While wearing these shoes for short periods of time is typically not a problem, wearing flip-flops all day, every day, all summer long is not great for your feet. Frequent flip-flop wear is associated with a host of foot and ankle problems. 

Flip-flops are usually flimsy, providing no arch support to the feet. This can make foot pain more likely, particularly in the arches and heels. Your ankles, legs, hips, and even back can also be affected. Flip-flops also provide no protection from the elements or from injury. Cracked heels, direct impacts to the feet, and viral, fungal, and bacterial infections may be more likely to occur if you wear flip-flops often. 

Perhaps one of the biggest problems with flip-flops is how difficult they are to keep on your feet. As you walk with flip-flops on, several changes are taking place. Your gait, or walking pattern, shifts to shorter strides, and your toes grip the edges of the flip-flops to keep them on your feet. Over time, these changes can cause toe and foot deformities, such as hammertoes and bunions. You’re also more likely to slip and fall as your shoes flop on your feet and catch on things on the ground below. 

To learn more about the dangers of flip-flops, and for help finding alternative summer shoe options, please consult with a chiropodist. 

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. 

Wound Care

Slow-healing wounds on the feet are a frequent complication of diabetes and always warrant prompt medical attention. Left untreated, these wounds can develop into diabetic foot ulcers (DFUs), greatly increasing your risk of infection, tissue death, and amputation. But how do these wounds form in the first place, and what can be done to prevent them?

Diabetics are often afflicted with two other co-occurring conditions, peripheral neuropathy and poor circulation. Peripheral neuropathy causes nerve damage and often affects the nerves of the lower limbs, leading to tingling, numbness, and a loss of sensation in the feet. A lack of sensation can leave you unable to physically feel pain if you cut, scrape, puncture, or otherwise injure your feet. This can be a serious problem, as pain is typically the first indication that something is wrong. When you don’t feel it happen, an injury on your foot can go undetected and untreated, progressively worsening until it forms a serious wound. These wounds usually heal slowly because of another complication of diabetes, poor circulation. When the blood supply to your feet is not adequate, this area of your body does not get the oxygen and nutrients that it needs to perform its usual processes, including wound healing. Poor circulation results in wounds that heal slowly or don’t heal at all. 

Fortunately, there are measures that you can take to prevent diabetic foot wounds from occurring or worsening. Maintain good foot hygiene by washing and thoroughly drying your feet each day and performing a daily foot check. Using a mirror or with help from a caregiver, examine your feet each day for any abnormalities, such as sores, cuts, scrapes, bruises, blisters, discoloration, swelling, and ingrown toenails. If you notice any foot problems, it is recommended that you see a chiropodist who can treat these issues and offer you more information about managing your foot health. 

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. 

Plantar Fasciitis

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. 

Tarsal Tunnel Syndrome

The tarsal tunnel is a narrow space on the inside of the ankle, located next to the ankle bones. Within the tarsal tunnel are a variety of tendons, arteries, veins, and nerves, including the posterior tibial nerve. Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve is squeezed or compressed. This can happen due to injuries that produce inflammation or swelling near the nerve, systemic diseases like arthritis, an abnormal structure such as a cyst putting pressure on the nerve, or flat feet straining the nerve as you walk. 

Symptoms of tarsal tunnel syndrome include tingling, burning, or electrical shock sensations in the inside of the ankle or bottom of the foot, as well as numbness and shooting pains. In some cases, the symptoms are isolated to one small area, like the inner ankle. In other cases, the symptoms may affect the entire foot and ankle. Symptoms typically occur during or are aggravated by physical activities like walking, running, jumping, or prolonged standing. 

Tarsal tunnel syndrome can be diagnosed by a chiropodist through physical examination of the affected foot and ankle. Imaging studies may be used if the chiropodist suspects that the underlying cause may be a structural abnormality, like a cyst. Treatment options for this condition include resting and icing the affected area, taking oral medications to reduce pain, immobilizing or bracing the affected foot, wearing supportive shoes or orthotic inserts, and physical therapy. Left untreated, tarsal tunnel syndrome can lead to permanent nerve damage. 

If you are experiencing the symptoms of tarsal tunnel syndrome, please consult with a chiropodist. 

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.

Broken Ankles

Ankle fractures occur when one or more of the bones that make up the ankle are broken. This typically occurs following a sudden injury, such as stepping off a curb and severely twisting your ankle or suffering a strong impact while playing a sport. 

Symptoms of an ankle fracture can include pain at the site of the break, swelling, bruising, blistering, difficulty walking and bearing weight on the affected ankle, and ankle deformity. In the case of an open fracture, the broken bone pokes through the skin, increasing the likelihood of infection and further complications.

Ankle fractures require prompt medical treatment. They can be diagnosed through physical examination and imaging studies, such as X-rays or bone scans. Treatment varies depending on the severity of the injury and may include resting, icing, compressing, and elevating the affected ankle, immobilization of the ankle, and taking pain medications. Surgery may be necessary in more severe cases. If you have injured your ankle, please seek the care of a chiropodist.

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