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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. 

 

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.

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. 

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.

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.

Hyperhidrosis of the Feet

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.  

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. 

Exercise and the Feet

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

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

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. 

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