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Broken Foot

If you’re an athlete, you may be familiar with stress fractures. These are tiny cracks in one or more bones of the feet that are caused by repetitive overloading of the foot. This is common in athletes, as frequent training, running, and jumping activities can put a strain on the foot bones. When a stress fracture occurs, symptoms may at first be mild. The affected bone might ache, but only during physical activity. It may disappear with rest. However, if a fracture goes untreated, the pain may increase gradually over time until it hurts constantly and interferes with all weight-bearing activities, like standing or walking. Swelling and tenderness of the areas surrounding the broken bone are also common. 

Full fractures occur when one or more bones in the feet crack completely. This is often due to a high-impact injury to the area. Symptoms of a full fracture may include pain, bruising, tenderness, swelling, difficulty walking, and deformity. In some cases, pieces of a broken bone can poke through the skin in an open fracture. This type of fracture requires immediate medical attention due to the high risk of infection. 

A chiropodist can diagnose a fracture through an X-ray or bone scan. Treatments may be conservative and include resting, icing, and elevating the foot for a period of time to allow it to heal. Over-the-counter medications may be suggested for pain management. Sometimes you may also be prescribed a brace or other orthotic device to take pressure off the fractured bone while it heals. More severe fractures may require surgery and a lengthy recovery period.  

If you’re suffering from a broken foot bone, it’s suggested that you seek the care of a chiropodist.

Ingrown Toenails

Ingrown toenails occur when a toenail grows into the surrounding skin rather than over it. This can affect any toe, but most often happens on the big toe. Signs of an ingrown toenail include the surrounding skin becoming tender, painful, swollen, red, and warm. In some cases, the area can become infected, and white or yellow pus may drain from the area. If an ingrown toenail is showing signs of infection, it is recommended that you seek medical treatment. 

Ingrown toenails are usually caused by wearing poorly fitting shoes or trimming the toenails improperly. Shoes that are too tight and have narrow, pointed toes or high heels can compress the toes and cause the toenails to curl and grow into the skin. Trimming your nails into a rounded shape or cutting them too short can cause the edges of the nail to grow into the skin. Other potential causes for ingrown toenails include sustaining an injury near the toenail, having a fungal nail infection, using certain prescription medications, and having an abnormal nail shape. Some people also have a genetic predisposition to developing ingrown toenails. 

Preventing ingrown toenails begins with proper trimming. Trim your nails regularly using nail clippers rather than nail scissors. Nail clippers cut the nail straight across, avoiding the rounded edges that can make ingrown toenails likely to develop. Make sure that while trimming the nails that you do not cut them too short. Wear comfortable shoes with low heels and a wide toe area to keep your toes from squishing together. 

For more information about ingrown toenails, please consult with a chiropodist. 

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. 

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. 

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.

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. 

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. 

 

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. 

Spring

Spring is the season for running, baseball, tennis, and more. After a long winter of staying inside and perhaps staying sedentary, many people begin to increase their physical activity. Unfortunately, a sudden or rapid increase in physical activity can increase the risk of incurring a foot or ankle injury. Common springtime injuries include plantar fasciitis, Achilles tendonitis, shin splints, strains, sprains, and fractures. 

Fortunately, there are many steps that you can take to avoid injuries. When beginning any new exercise routine, it’s important to take things slow. Do not rapidly increase the intensity or duration of your training. Instead, increase one factor at a time, gradually. For example, if you’re a runner, increase the distance that you run gradually over the course of several weeks or months. Take breaks in between workouts to allow yourself time to heal properly. It’’s equally as important to be wearing the right shoes. Choose shoes that are comfortable, fit well, and offer support. 

If you do get injured or begin to notice subtle signs of injury, such as pain during physical activity, seek the care of a chiropodist. While you wait for your appointment, you can also take measures to reduce pain at home by resting the injured foot, applying ice, and compressing and elevating it. A chiropodist will be able to diagnose the injury and find the right treatment for you.

Obesity and the Feet

Obesity can affect the feet in a variety of ways. Your feet bear the weight of your body, carrying you through life. When the feet are under immense strain from excess weight, they are more prone to both chronic and acute injuries. Over time, the pressure from excess weight can cause the feet to flatten and widen as the arches of the feet slowly collapse. This can not only increase your shoe size, but also lead to foot pain, difficulty walking, and a dysfunctional gait or walking pattern. A variety of foot and ankle injuries are common in obese individuals. These include plantar fasciitis and posterior tibial tendonitis, which can both become chronic. The reduced mobility from foot pain can also decrease your quality of life, make it more difficult to exercise, and lead to further weight gain. 

Obesity is also associated with a host of systemic health complications that can affect the feet. Obese people may be more at risk of developing gout and arthritis, which damage the joints. There is also an increased risk of diabetes and poor circulation. Together, these conditions can lead to the development of diabetic foot wounds, which heal slowly and poorly and can cause serious health complications should they become infected. 

Making healthy lifestyle changes is one way to prevent the foot problems associated with obesity. Reduce weight (and the risk of gout) by eating a healthy diet and exercising. Wear shoes that fit properly and support your feet. Your chiropodist may suggest orthotics, medications, or other treatments to address any foot pain and to improve your overall mobility and quality of life. To learn more, consult with a chiropodist near you. 

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