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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.

The ankle is the region that joins the foot and leg. It consists of three joints that allow the foot to move. Pain in the ankle is typically the result of injury or inflammation from a wide variety of conditions, such as strains, sprains, fractures, or arthritis. Symptoms that often co-occur with ankle pain include swelling, bruising, numbness, tingling, stiffness, joint instability, and difficulty walking. 

The underlying cause of your ankle pain can be diagnosed by a chiropodist. A diagnostic visit to this specialist typically involves providing a medical history, describing your ankle pain, and undergoing a physical examination. In some cases, the chiropodist may order imaging studies, such as an X-ray or ultrasound, to rule out or confirm a diagnosis. 

The right treatment for your ankle pain will depend on the underlying cause of the pain. In many cases, your chiropodist may recommend that you follow the R.I.C.E. acronym: resting, icing, compressing, and elevating the affected ankle. Taking these actions generally decreases swelling and inflammation, reduces pain, and promotes healing. Taking over-the-counter, nonsteroidal anti-inflammatory drugs may also help with pain management. The chiropodist may also prescribe custom orthotics, immobilize the affected ankle, or recommend activity and footwear modifications. In cases of more severe injuries, surgical treatment may be necessary. 

If you are experiencing ankle pain, it is recommended 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. 

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.

Like any other part of the body, the feet are vulnerable to wear and tear throughout our lives. As we age, our feet may require more care and attention. Elderly people are especially prone to developing a variety of foot problems, including dry skin, corns, calluses, blisters, ingrown toenails, deformities, arthritis, fungal infections, and plantar warts. Additionally, systemic conditions such as diabetes or poor circulation can have noticeable effects on foot health. 

The first step to preventing foot health problems at any age is to establish a good daily foot care routine. Washing the feet with soap and warm water daily, then drying them thoroughly is very important. Applying a moisturizer to the soles of the feet can help prevent dry skin. When trimming the toenails, use nail clippers to trim them straight across. This can prevent painful ingrown toenails. Doing daily foot exercises and stretches can help maintain the strength and flexibility of the feet. 

A critical step of the daily foot care routine, especially for those who have systemic conditions like diabetes, is the daily foot inspection. Check your feet each day for any cuts, scrapes, sores, or other abnormalities. By catching and treating any foot problems early, you can prevent infection and other serious complications. A hand mirror can be used to help you see any hard-to-reach areas. 

Another important aspect of caring for your feet is wearing the right shoes and socks. Footwear should be comfortable, supportive, flexible, and made of breathable materials. For some people, orthotic inserts can help make shoes more comfortable. 

If you have any foot problems, or questions about maintaining the health of your feet, please consult with a chiropodist. 

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. 

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.

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.

Plantar warts are fleshy growths on the sole of the foot that are caused by human papillomavirus (HPV). When this virus enters the feet through a small crack in the skin, it forms foot warts. These warts may occur individually or in clusters. They’re usually small, rough, grainy patches of skin that disrupt the skin’s natural lines. Unlike calluses, plantar warts have a blood supply, which is visible as tiny, black dots in the center of the wart. 

Plantar warts are typically asymptomatic and can go away on their own within a period of several months to several years. However, sometimes warts grow in areas that bear weight. The pressure of standing and walking causes the wart to grow inwards, potentially leading to discomfort or pain. There are various treatment options available. If opting for medical treatment, warts can be removed with chemicals, cryotherapy, laser therapy, or minor surgery. Each type of treatment has its own benefits and drawbacks, which should be discussed with your chiropodist. Wearing comfortable shoes and socks, taking over-the-counter pain medications, and wearing patches to take pressure off of the warts can help if you choose to wait for them to go away on their own.

Plantar warts are highly contagious and can spread from person to person through direct contact or through contact with an infected surface, but they can often be prevented with good foot hygiene practices. The virus that causes plantar warts can be contracted from walking barefoot in public areas, like swimming pools, locker rooms, and showers. Wear flip-flops or shoes to protect your feet when frequenting these areas. Avoid sharing personal items, like towels, shoes, and socks, with others. For more information about prevention and treatment, please consult with a chiropodist.

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.