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October 24, 2024
There are two common fungal infections that can target your feet. For your skin, it’s athlete’s foot (tinea pedis), and for your nails, it’s fungal toenail (onychomycosis). Fun fact: Onychomycosis is the name for nail anatomy changes caused by contagious fungus, while dystrophic is the term for any other abnormalities that affect how your nails look or grow. Today’s blog will focus solely on toenail fungus. You’ll learn what it is and how to treat it, as well as some top fungal toenail prevention tips recommended by our Toronto chiropodists.
Toenail Fungus Symptoms
Sometimes toenail fungus is mild and barely noticeable. But fungal toenail can present more severely if you’re immunocompromised, such as if you have diabetes, or a senior. Keep an eye out for these common symptoms:
Drastic changes in the nail’s appearance: it can look much thicker, have a yellowish, brown colour, and be very brittle and prone to cracks, despite thickening.
Unpleasant odour coming from the nail: the smell is often reported to be sour or like cheese.
The nail starts lifting off the nail bed: this is because debris starts to accumulate and lifts the nail up so it can’t reattach.
Pain, swelling and bleeding in severe cases.
Toenail Fungus Prevention: Foot Specialist Advice
The most important fact to remember about fungal toenail is that it’s contagious. Since fungal infections spread easily in damp, shared spaces like pools, gyms, and shower rooms, the best defense is keeping your feet clean and protected! Here are some top, Toronto-chiropodist-recommended tips to remember:
Follow a strict, yet fun and relaxing, foot hygiene routine. It’s a part of self care, after all!
Wear breathable footwear. Opt for shoes made from materials that allow airflow to keep your feet dry.
Change socks daily. Fresh socks prevent moisture buildup, which fungi love.
Avoid going barefoot in public places. Use flip-flops or shower shoes to protect your feet in shared spaces.
Keep your toenails trimmed and clean. Regular maintenance helps prevent infections from taking hold. Get a professional medical pedicure if you don’t have time to focus on nail care.
How to Treat Toenail Fungus
Once fungus has gotten a hold of your nails, it’s time to think about treatment and eradicating the problem. Unfortunately, you can’t do much to treat toenail fungus yourself at home, and you often need a chiropodist’s help. Luckily, treatments are easy to follow and non-invasive. Here’s what a foot specialist can do:
Perform nail debridement to remove infected parts of the nail.
Use prescription-strength topical antifungal medicine on the nail (it penetrates the actual fungus)
Educate you on products you can use going forward to prevent re-infection, like the best moisture-wicking socks, shoes, foot creams, deodorants and more.
August 22, 2024
When it comes to foot problem prevention, being proactive is key to maintaining healthy feet and avoiding a future of discomfort. Understanding common foot issues and taking steps to prevent them can help reduce the risk of complications down the road.
In this article, we’ll explore five of the most common foot conditions and provide essential foot care tips to help you keep your feet in top shape.
Plantar Fasciitis
One in ten people will experience plantar fasciitis in their lifetime, making it one of the most common foot issues.
Plantar fasciitis at the start, can cause minor discomfort in the arch of the foot or even in the heel. It usually starts when you just get out of bed. It calms down through the day and then the soreness starts at the end of the day.
That discomfort, if not properly treated and investigated, can increase and then start to cause stronger and sharper pain. Sometimes this pain can last through the day to a point where you might find it difficult to walk. The main cause is inflammation- constant pulling and tugging on the thick, inelastic fascia itself (midfoot pain). Or, where it inserts from (the heel pain).
Pressure can be from the arch pressing down on the fascia:
It can also be a tight muscle, like the calf muscle pulling up behind the heel and forcing the fascia to pull away from the heel
It can also be a combination of a tight muscle and pulling of the fascia. In rare occasions plantar fasciitis is caused by a nerve entrapment.
Prevention
Preventing plantar fasciitis is mainly down to figuring out what was the cause in the first place. It might be a biomechanical issue with the feet. It could be due to the shoes that you might be wearing- at home, at work or just around town. In some cases it is due to a muscle imbalance. So figuring out the cause is the first step in treating and then preventing further plantar fascia pain in the future.
One of the cornerstone treatments in preventing plantar fasciitis involves prioritizing arch support! It is a good idea to wear supportive shoes with good arch support and shock absorption, especially if you spend long periods standing or walking. Custom or over-the-counter orthotic inserts can also provide extra arch support and cushioning to distribute pressure more evenly across your feet.
If you have a muscle imbalance then regular, targeted stretching of your calves and feet is also a healthy foot practice that can prevent foot ailments like plantar fasciitis.
Stretching the calves is especially helpful as it reduces strain on the plantar fascia. Check out the best exercises for plantar fasciitis. You can do your exercise routine before bed and when you wake up to prevent this painful condition from affecting your mornings.
Some patients have found rolling a tennis ball/ golf ball under their foot can be helpful to break up the inflammation to the area. Or rolling a wrapped frozen water bottle (no longer than 4 mins, then remove, wait to warm then walk) reduces inflammation build up
Athlete’s Foot
Athlete's foot can affect up to 15% of the global population!
It's a fungal infection that usually occurs on the skin between the toes. However it can also start and spread to the arches and then to the boarder of the foot. It can be itchy, red scaly looking and sometimes crack. Inbetween the toes the skin can look more damp than normal.
Prevention
Athletes foot is prevented if you reduce the causes. It enjoys dark, moist environments with an ample food supply. So your feet can be a perfect place for this to thrive. It can be contagious but also you can be more prone to catching it. So,
-if your feet are kept in a constant moist environment.
- you go to public pools and walk around barefooted.
- if you put your socks on right after having a bath or shower...
All these issues increase the risk of catching Athletes foot and allowing it to spread.
Prevention is linked to good foot hygiene. Therefore, make sure you wear slippers or flip-flops in public areas such as locker rooms or pools, and avoid walking barefoot in these places.
You should also make sure your feet stay clean and dry, as fungus thrives in moist environments. Opt for moisture-wicking socks, foot deodorants and breathable shoes. And never put on your shoes while your feet are damp!
If you are daily in the same shoes then try to use 2 pairs of shoes. Use one one day and one pair another day to allow the shoes to dry out. Change the insoles regularly.
Morton’s Neuroma
Some experts believe that one in three people will experience a Morton’s neuroma at some point.
It is characterized by a thickening of the tissue around the nerves inbetween the balls of toes (typically between the 3rd and 4th balls of the toes), and causes pain and discomfort in the ball of your foot.
You can get neuromas in other parts of the foot, but between the 3rd and 4th ball of the toes is called a Mortons neuroma
Prevention
Prevention is the best treatment for a Mortons Neuroma. Preventing the rubbing and thickening of the nerves is a priority. Unfortunately as the nerve thickens there is a chance that it will not go back to normal.
Preventing a neuroma is simply by wearing wider footwear in the toebox.
You can tell if it is your shoes just by removing the shoes and your soreness should subside.
Remember that work shoes, normal outdoor shoes and even slippers can all have an affect on compressing the toes together.
Having a heeled shoe puts more pressure upon the balls of your foot- so reducing arch height is also helpful (and if you must wear high heels, make sure they're the healthy kind!).
Custom orthotics can provide a way to splay the balls of the foot so even if the neuroma has thickened, it can reduce the pressure the balls of the foot are placing upon the nerves.
Ingrown Toenails
Our toenails can be a bit troublesome sometimes —they crack, curl, get too thick, and sometimes even surprise us with strange colours! But one of the most common toenail conditions is ingrown toenails. Two out of every ten people visiting a healthcare provider for a foot issue end up complaining about this painful nuisance.
Ingrown toenails can occur when a spike of nail is pressing into the skin. It can also happen if you have pincer like nails (involuted) and those nails press into the skin.
If you have wider nails, the skin on the side of your toe can be more prone to go into the nail. If the toes are kept in a damp environment then the skin and nails will be soft and more easily press into one another
Prevention
Prevention comes with finding the cause and preferable no home treatment (in many cases it can make it worse). Apart from scratching your socks, placing a "V" into the nail doesn't do anything.
Poor nail care is usually the main culprit especially cutting down the sides of the nail. It is better to allow the nail to grow past the skin line and then cut to the contour of the nail. Cutting straight across can leave angles and cutting down the sides can leave spikes of nail.
If your nails are curled around or thickened then professional footcare can help thin down the nail and offer treatments for the curved nail. Reducing dampness can reduce ingrown toenails. Wider footwear (and non tight socks) can reduce the risk of compressing the skin into the nail.
In some cases it can be hard to cut your nails effectively, if this is the case then having a medical pedicure from a professional is usually a good preventative option.
Calluses
Almost everyone will get at least a small foot callus in their lifetime and is a common foot issue.
They are thickened areas of skin that develop due to repeated friction or pressure. Initially they can be pain free but as time continues then the callus can build up and adds pressure that that area. This adds more callus and now a cycle starts.
Eventually too much pressure and the skin starts to break down and dry blood can appear within the skin.
Prevention
Callus is best treated by prevention- finding out why the hard skin is there in the first place.
So a footcare professional will look at your feet and assess where the hard skin is and then find the cause- where is that pressure coming from. They will then reduce down the hard skin, to break that pressure cycle, then offer advice on how to prevent the hard skin coming back- or reducing its build up.
In many cases this is due to poor fitting footwear or a mechanical issue with the foot.
Preventing callus build up can be done once a week with a plastic footfile when the foot is dry. Pumice stones are used when the foot is wet.
But it is usually a good idea to check the cause by a footcare professional as sometimes too much file or pumice use can make the area sore, affect the good skin surrounding the callus or even make the area worse as you might go too deep.
Dry skin is prevented where you moisturize your feet regularly (but not inbetween your toes).
It will also help the callus not crack but it won't prevent the callus build up- as that is caused through pressure.
August 5, 2024
Many people make it through their days without worrying about every little minor cut, scrape, ache or sensation. But for those with diabetes, foot care is a whole different ball game. Foot care for diabetes patients involves around-the-clock vigilance and solid diabetic foot care tips. These can prevent debilitating and life-altering diabetic foot complications, like severe mobility limitations, ulcers and even gangrene and limb loss. Let’s explore how a little goes a long way when it comes to foot health and diabetes.
Low-Impact Exercises and Stretches
Exercises and stretches that target diabetic neuropathy is one of the best strategies for protecting feet with diabetes.
To keep your feet as strong as possible, you need to stimulate blood flow and make sure nutrient-rich blood reaches your lower extremities. This can help wounds heal. Even if you have lost sensation in your feet, your muscles should still function properly enough to do light exercises.
Studies show that non-weight bearing and low-impact exercises and stretches can also improve motor score and help patients with activities of daily living (i.e.: basic chores, climbing stairs, etc).
To get started, check out the best exercises and stretches for diabetes.
Daily Inspections, Foot Hygiene and Nails
Preventing foot ulcers in diabetes patients involves frequently examining your own feet. A chiropodist should also do this for you, but more on that later!
Look at your feet multiple times per day. Are there any new wounds? Discolouration? Do your feet feel cold to the touch? Do you possibly have a fungal infection? Any abnormality should be noted.
Practice top-notch foot hygiene, as well. You can follow this general foot hygiene guide, but please note that diabetes patients are often advised not to cut their own toenails.
Schedule Regular Foot Assessments and Foot Care Services
At-home tips are great, but the truth is most diabetics need help managing foot issues. If you have diabetes, cutting your own toenails is often a bad idea because vision loss and neuropathy can cause you to not notice if you cut too deeply. Diabetes also affects the eyesight, so you may not notice any developing issues. And since diabetes causes circulation to the feet, these issues cannot properly heal. That's why one of the best services a chiropodist can perform is a medical pedicure that’s specially catered towards diabetes patients.
Your chiropodist can also:
Give advice on proper foot care. This often means investing in orthopedic footwear.
Provide wound care.
Assess for diabetic neuropathy — how severe is it?
Assess your blood circulation.
Inspect for potential ulcers.
If you live in the Greater Toronto Area, one of our Toronto chiropodists can perform routine diabetic foot care and diabetic foot assessments to help prevent diabetic foot complications. Click here to learn more about our foot care services for diabetes patients.
Additional Diabetic Foot Care Tips
Never go barefoot, even at home. Wear house shoes or orthopedic slippers. Being barefoot is too risky for diabetes patients, as if you stub your toe or cut yourself, the wound can't properly heal.
Avoid direct heat sources, like a really hot foot bath. It can dry out your skin and make your feet more susceptible to cracking.
Consider custom orthotics by learning when you might need them.
May 30, 2024
As summer approaches, our feet emerge from the confines of socks and boots, ready to step into sandals and flip-flops. However, after months of neglect and hiding, our feet may not be in the best condition to be on display. This is where medical pedicures come in—a treatment that goes beyond mere aesthetics. Let's delve into the benefits of medical pedicures and why they should be on everyone's summer to-do list.
Professional attention to foot health
Unlike traditional pedicures, medical pedicures are performed by trained professionals called chiropodists. They prioritize foot health, ensuring your feet are healthy and feel good. Chiropodists are equipped to address various foot conditions such as calluses, corns, ingrown toenails, and fungal infections. They can also notice and diagnose other things that may be cause for concern, like poor circulation, warts, flat feet, and other foot conditions that may be affecting you. Most importantly, chiropodists can provide professional tips and advice on foot care.
Preventative foot and nail care
Regular medical pedicures can help prevent many standard foot problems before they even start. Addressing issues like calluses and ingrown toenails early on can avoid more severe complications. In addition, toenails grow faster in warm weather, so a medical pedicure in the summer is timely.
Customized treatment
Medical pedicures are tailored to your specific foot needs. Whether you have dry, cracked heels, thickened toenails, or sensitive skin, the treatment can be adjusted to address your concerns effectively. Chiropodists will assess your feet and recommend the appropriate action, ensuring you receive personalized care at every step.
Hygiene and safety
One of the primary benefits of medical pedicures is the emphasis on hygiene and safety. Sterilized instruments, disposable blades and discs, and stringent cleanliness protocols are standard practice in foot clinics. All cleaning protocols are regulated by Health Canada and the College of Chiropodists of Ontario. This reduces the risk of infection and ensures a safe, worry-free experience, especially those with compromised immune systems or diabetes.
Stress relief
It's worth remembering the relaxing aspect of a medical pedicure. Beyond the therapeutic benefits for your feet, the experience can be incredibly soothing for your mind and body. Taking time out of your busy schedule to pamper yourself can lower stress levels, improve mood, and enhance overall well-being.
May 23, 2024
One thing many of us forget about until it hits is the annoyance of having hot feet in the summer. The blazing sun, your enclosed running shoes, and spending hours outside can really crank up the heat on your feet, making them feel downright uncomfortable. That's where summer foot care comes in handy. You'll definitely want some cooling foot treatments ready for when your feet get hot, and luckily, we’ve got you covered.
Best Summer Foot Care Cooling Foot Treatments
Foot Soaks
Foot Creams
Foot Gels / Aloe Vera
Cold Towel Wraps
Ice Packs
Foot Ice Pack Wrap
Foot Massagers
Cold Water Soaks
Foot Soaks
On a hot summer day, refreshing foot soaks are always the way to go! Prepare your foot bath with relaxing lukewarm water (hot water can be damaging to the skin, and your feet are too warm for that anyway!) and add your foot soak product of choice for added benefits. Try Gehwol’s Herbal Foot Bath for the most well-rounded experience! This will also soothe tired, aching feet.
Foot Gels / Aloe Vera
Gels may also be exactly what your stifled feet need. You can try gels with aloe vera, which is naturally hydrating due to its high water content. Aloe vera also evaporates quickly when applied to the skin, providing fast relief.
Cold Towel Wraps
Sometimes you have exactly what you need waiting for you at home! To cool down, soak a towel in cold water, wring it out, and wrap it around your feet. This method is simple and can be very refreshing.
Foot Creams
One of the best foot pampering tips is moisturizing your feet with high-quality creams. Not only do these products protect against dry skin, foot odour, calluses, corns, cracked heels, and more, but the cream also has a pleasant cooling effect. Look for creams with eucalyptus or menthol, which both have added cooling and soothing capabilities. Gehwol’s Extra Universal Foot Cream contains those two additional ingredients.
Ice Packs
Ice packs aren’t just for pain relief! You can use a cold ice pack, gel pack, or frozen water bottle to cool your feet during the hot summer days and nights. Wrap these items in a towel first to avoid making a mess!
Foot Ice Pack Wrap
These are essentially ice packs that cover your whole foot and have the appearance of a shoe, slipper or ankle brace. They may work for cooling hot feet, but also treating painful foot conditions.
Foot Massagers
Some electric foot massagers come with a cooling option that can help relax and cool your feet simultaneously. To get the same effect, you can use a small fan and position it so it faces your feet!
Cold Water Soak
Foot baths are generally used with warm to lukewarm water, but combining cold water with Epsom salt or your favourite foot soak product in a basin can have a more cooling effect than warm water, the latter of which is better suited for boosting blood circulation and pain management.
May 13, 2024
Summer foot care and pedicures - can you name a more iconic duo? Showing off a sleek pedi is one of the best ways to enjoy the warm months. But safe pedicures differ greatly from your run-of-the-mill cosmetic pedicure, so it’s important to be on the lookout for the safest way of avoiding pedicure infections. We’ve got 3 pedicure safety tips you should follow before you hit the salon!
Top 3 Pedicure Safety Tips
Choose clean salons or foot clinics
Avoid certain tools
Practice aftercare
Choose Clean Salons or Foot Clinics
Only visit nail salons that demonstrate good practices. Be on the lookout for:
An organized workspace.
Equipment sanitization protocols. An autoclave with steam sterilization is best.
Employees visibly maintaining hygienic standards.
Employees using disposable liners in the foot baths, and cleaning and filtering them between uses.
Fresh linens (if applicable).
Clean floors and surfaces.
Clean uniforms on employees.
Clear labels on products.
Clients wearing protective footwear when walking around.
Another good tip is visiting your nail salon when they first open in the morning, when everything is cleanest!
Pedicures at Feet First Clinic
Foot clinics are where you can get a medical pedicure, which tends to be safer than a cosmetic pedicure.
Appointments don’t happen in communal areas, unlike salons, so you’re already in a safer environment with less people spreading contagious fungal infections. And although you’ll be skipping the polish (you can always apply it yourself afterwards!) and foot bath (again, you can do this at home - foot baths at nail salons are not hygienic, especially if the bath has jets), you’ll be enjoying so much more than you can get from many salons. This includes:
Guaranteed use of sterilized, safe tools.
A thorough cleaning of the entire foot with alcohol.
An inspection of your feet from a chiropodist who can recognize foot conditions.
Thorough cleaning of dead skin(onychophosis) under the nails.
Callus softening or removal.
Learn more about what happens during a medical pedicure and the differences between a cosmetic vs. a medical pedicure.
Avoid Certain Tools
Nail technicians in salons use many tools, but you should kindly request they skip some of them. One of these is the foot rasp or “grater” they use to scrape the bottom of the feet. It can be overly abrasive and damage the skin, leading to irritation and cuts. Strong skin is a barrier for contaminants, and damaged skin welcomes dirt and infections.
To protect your feet even more, you can skip tools that don’t appear to be properly sanitized or cleaned between uses, or avoid tools with visible signs of wear and tear.
Practice Aftercare
After getting your pedicure, it’s up to you to keep on top of proper foot care! Here’s what to do:
Avoid tight shoes that crowd the toes. This can cause ingrown toenails.
Wash your feet every day with gentle soap before thoroughly drying.
If you must cut your own toenails, only trim straight across, avoiding shaping.
Moisturize and exfoliate your feet.
Wear clean cotton socks and change them frequently.
