4 Foot Problems For Runners

July 3, 2020

Running is one of the most rewarding activities both for our mind and body.

That said, running comes with several risk factors in the form of injuries and foot issues. Some are rare, and some are experienced by almost every runner you come across. And, if you haven’t yet, now’s the time to do some reading to prevent yourself from the same fate by avoiding several runner’s foot problems

Consider these foot issues a part of the unofficial runner’s bucket list when it comes to experiences.

Shin Splints

Shin Splints are the common term for medial tibial stress syndrome.

This condition is characterized by pain along the inner part of the shin. Most commonly, shin splints are a result of too-much t00-soon. Your lower legs are not able to acclimatize to the load running puts on your body. For example, many new runners suffer shin splints when running for too long, too soon.

Typically, our aerobic capacity builds faster than our muscles and joints. So, it’s important to increase your weekly running by no more than 10%.

Another possible cause of shin splints is overpronation, which occurs when your ankle rolls too far inwards. The excessive inward rolling means your shins are bearing more of the impact than normal. If this is the case, consider purchasing motion control shoes that feature a thick medial post.

In terms of treatment, follow the RICE protocol – rest, ice, compression, and elevation. You’ll also want to reduce your mileage and the intensity of your workouts. When you’re ready to return, ramp up slowly, and avoid running on harder surfaces and opt for grass, and trail running.

Black Toenails

Running-induced black toenails are called Runner’s Toe. Repetitive trauma – the type associated with long-distance running – cause a blood blister to form under the toenail resulting in the blackened nail. Black toenails are among the most runner’s foot problems.

The medical term is known as a subungual hematoma, which means bleeding and bruising under the toenail. Sometimes, the blood blister can start out small, and remain small. In that case, the darkened part of the nail will begin to grow out and be removed with the routine nail clipping. The drying of the blood can cause your nail to separate, and loosen. So, your toenail may fall off altogether. Hence, the common runner experience of ‘losing a toenail.’

Fortunately, the whole experience isn’t particularly painful, and no intermittent treatment is necessary. If the toenail does, in fact, fall off, wash the area and wrap in a bandage. If you experience persistent pain, you should visit a healthcare professional.

In terms of prevention, find a shoe that fits right. Consider a Shoe Fitting to determine the exact size and type of shoe that’s best for you. If your toes are crowded and up against the edge of your shoe, there will be more friction and impact causing you toe to blister. Additionally, if you run on undulating terrains, like downhills, you may be more prone to black toenails.

Blisters

Getting blisters is a shoo-in for runners.

A Blister is a small fluid-filled bubble on the skin. Most blisters on your feet are friction blisters, which result from socks or shoes excessively rubbing against the skin of your feet. This excessive rubbing can be from ill-fitting shoes, wet shoes, or just overuse, like running a marathon.

The ‘bubble’ itself is a natural cushion that your body produces in order to create a protective barrier between the irritated area of skin and friction-causing object.

The most common question related to blisters is: should I pop the blister or let it be? It depends.

If the blister is small enough and poses no risk of opening and possibly causing an infection, leave it be. Cover it with a Band-aid, or even basic medical tape, which has proven to be one of the most effective tools in preventing blisters. Additionally, the medical tape is only mildly adhesive meaning it won’t tear the blister. Plus, it’s extremely inexpensive.

However, if it’s large, and has a greater risk of opening because of added friction, consider popping the blister. Use a pin or needle (sterile) and puncture the outer skin. Drain the fluid from the blister. Thoroughly rinse the area.

Chafing

Chafing is similar to blisters in that it’s caused by excessive rubbing.

For runners, chafing can occur anywhere where skin rubs against skin or clothing. One common hotspot is the groin area, both because of shorts, and because your thighs may rub together when running. In fact, the latter even has its own name: Chub Rub.

Chafing is more of a nuisance than a foot condition but still important to address. You’ll want to do a number of things in order to prevent chafing:

Use vaseline to provide a barrier on your skin.
Stay dry: moisture can increase irritation and lead to chafing.
Dress right: wear moisture-wicking clothes and do not re-use the same part of bottoms without washing.

If the area is very painful, swollen, bleeding, or crusted, your health care provider may recommend a Medicated Ointment.

If you’re a runner and are interested in avoiding potential concern, Call us at 416-769-3338 or book a visit today!

Here’s to Many More Years of Foot Care!

At Feet First Clinic, we’re always excited to welcome new clients! After a successful 12 years of treating our amazing patients, we’re ready to continue offering only the best foot care services and products. Give us a call to ask our friendly staff any questions you may have! Our Toronto foot specialists are ready to help!

Call us at 416-769-3338 or Book Your Assessment Today!

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September 21, 2023

Polydactyly: Understanding the Rare Phenomenon of a Sixth Toe

Polydactyly is a rare genetic foot condition that causes a sixth toe (and toenail) to grow as the last toe on the foot, next to the pinky toe. However, the sixth toe can sometimes be in the center of the toes or next to the big toe. The sixth toe is often called a digit (dactyl), with “poly” referring to “many.” Today we’re going to answer all your questions regarding this rare condition, including: What are the causes of polydactyly? How does polydactyly affect foot health? How can you manage polydactyly? Photo by Daisy Laparra on Pexels Causes of Polydactyly Polydactyly is more common in children. This is because many adults will have had the sixth digit removed during their toddler years. Outside of genetics and genetic diseases, there are no known causes. A child can also be born with a sixth digit for no reason. How Does Polydactyly Affect Foot Health? Polydactyly does not usually cause foot pain. As far as toe conditions go, the main issue is finding accommodating footwear. Patients may need to search for specialized shoes and medical shoes. The emotional toll a condition like polydactyly can take on a person may be more pressing than the physical toll, and can lead to self-esteem issues. Photo by FreePik How to Manage Polydactyly Managing polydactyly often involves simply removing a child’s sixth toe. Many sixth digits develop poorly and don’t look the same as other toes and fingers. These are generally removed via in-office excision (more common for extra fingers) or surgery under anesthesia (more common for extra toes). If parents of children with a sixth digit wish to remove it, they should seek surgical intervention when the child is around one or two years old. This allows the bone to grow to the point where the cosmetic outcome is more favourable. This is also a good age since your child will likely not recall having this problem later in life and, according to Boston Children’s Hospital, can tolerate anesthesia more than an infant. Children who've had a sixth toe removed should get regular chiropody care after they recover from surgery. If you’ve had a sixth toe removed as a child, you should also seek regular chiropody care into your adult years. Services like gait analyses, custom orthotic fittings, callus and skin care, and more can ensure foot health is on the right track. Photo by jcomp from Freepik

September 14, 2023

Bunions 101: Causes, Symptoms, and Effective Management Strategies

Bunions - or for those who have them, the painful, bony nuisances that form at the big toe joint - are a common foot condition for older people, especially women. While surgical intervention can sometimes help those with debilitating bunions, lifestyle changes and effective management strategies can help you avoid a bunionectomy in many cases. Moreover, surgeries are usually only necessary if your bunions cause regular functional and mobility problems and chronic pain, which is often not the case. Let’s look at the causes and symptoms of bunions and explore how you can manage them without invasive measures. Image Credit: Fabrikasimf from Freepik Symptoms of Bunions Bunions protrude from the side of your big toe, forming an “L” shape angle. Additional symptoms of bunions include: More corns and calluses than you would normally have due to the big toe rubbing against the second toe Mild redness, pain, and swelling Limited movement in the big toe Severe bunions can cause overlapping toes, pain that doesn’t subside, and toe angulation of more than 40 degrees. Photo credit: istock Causes of Bunions The main culprit? The wrong shoes! Wearing high heels may make you feel good about yourself aesthetically, but they can damage your physical health over time and are one of the main causes of bunions in women. Narrow, tight, and pointed shoes (often the design of stilettos and other types of heels) squeeze and push your toes together and forward unnaturally, increasing pressure on the big toe and leading to bunion formation. Having another condition that targets the joints, like osteoarthritis or Rheumatoid arthritis, or one that causes an abnormal gait, like flat feet, can also hint at bunions in your future. Activities where your toes are more vulnerable than the rest of your feet, like dancing, may also be a risk factor. Image by rawpixel.com from FreePik Bunions: Management Strategies You can tackle a mild bunion problem from home and with regular visits to the chiropodist. Here are some of the best ways you can prevent bunions from ruining your day or getting worse: Change your footwear: Ditch the high heels for comfortable alternatives and shoes with extra room in the toe box. If you’re not sure where to start, attend a shoe fitting. Try bunion splints or aligners. They can hold the affected joint in place. Therapeutic taping can help hold the joint in place and temporarily relieve pain. Shoe stretching may help secure more room in the toe box and take pressure off the bunion. Try these 5 simple exercises for bunions. They are relatively easy, low-impact, and don’t require exercise equipment. Get custom orthotics. Orthotics might reduce excess pressure on the big toe joint and correct any biomechanical issues that are contributing to your bunions (plus they're also super comfortable!). Ask about shockwave therapy. This innovative, non-invasive, and quick procedure is an effective management strategy for bone and joint conditions. It can help relieve pain caused by muscle tightness around the bunion. It's important to remember that bunions don't disappear like other conditions sometimes do. But successfully practicing these treatment methods can help you avoid surgery. If you suspect your bunions are too severe for these strategies, speak to your family doctor. Bunion products available at Feet First Clinic

September 11, 2023

Skin Peeling on Feet: Causes and Remedies

Having peeling skin on your feet can be both uncomfortable and concerning. This condition, often called foot peeling or foot exfoliation, occurs when the skin on the feet sheds in small flakes or larger pieces. Peeling skin on the feet may sometimes lead to itchiness, redness, and even pain. Fortunately, proper foot care can help alleviate the problem and restore the feet to their natural, healthy state. Various factors can cause skin peeling on the feet, and it's essential to identify the underlying cause to determine the appropriate remedy. Here are some common causes and corresponding remedies: Dry skin Dry skin roughens the skin, making it itchy, flaky, or scaly. It's a common condition that affects people of all ages. The medical term for dry skin is xeroderma, whereas xerosis is severely dry skin. Cause Lack of moisture and hydration can lead to dry skin on the feet, making it prone to peeling. Dry skin has several causes, including: Heat: Warm temperatures reduce humidity, drawing moisture out of the skin and drying it out. Climate: Living in cold, windy conditions or low-humidity climates can cause drier skin. Too much bathing or scrubbing: Long, hot showers or baths and excessive drying/scrubbing can dry out your skin. Washing your feet too much may also dry out your skin because the washing strips away your body's natural oils. Harsh soaps and detergents: Some soaps and detergents may contain ingredients that can irritate and dry your skin. Age: As we age, the skin begins to thin and produces less water-retaining natural oils. Remedy Keep your feet well-moisturized by regularly applying a thick, hydrating foot cream or petroleum jelly. Ditch the harsh soaps and boiling water when washing your feet. It's also important to drink plenty of water to stay hydrated. Athlete's foot Athlete's foot is a fungal skin infection that affects the skin on the feet. Tinea pedis was named 'athlete's foot' because it is commonly found in people with sweaty feet. Cause A fungus called dermatophytes causes Athlete's foot when it comes in contact with your feet. It's a contagious infection that can quickly spread to others through skin contact. Common sites for fungus include warm, moist environments and shared spaces, like pools, locker rooms, shoes, or showers. Remedy Use over-the-counter antifungal creams or powders designed explicitly for Athlete's foot. Keep your feet clean and dry, and avoid wearing damp socks or closed shoes for an extended period. Eczema or psoriasis Eczema and psoriasis are conditions where your skin may peel on your feet. Cause These skin conditions can affect the feet, causing redness, itching, and peeling. Eczema occurs when you come in contact with an irritant, whereas psoriasis is an auto-immune disease with no cure. Remedy It's recommended to consult a dermatologist for remedies for eczema or psoriasis. They may prescribe topical corticosteroids or other medications to manage the condition. With psoriasis, treatments are designed to prevent skin cells from multiplying. Allergic reaction Cause Exposure to allergens in socks, shoes, or foot care products can trigger an allergic reaction, which then leads to skin peeling. Remedy Identify and try to remove the allergen causing the reaction from your environment. For instance, switch to hypoallergenic socks and shoes if your socks irritate your feet and lead to peeling skin. If that doesn't work, consider swapping your laundry detergent for a product with natural ingredients. Prolonged sun exposure Prolonged sun exposure refers to when you are exposed to UV rays for an extended time without proper sun protection. As a result, your skin may develop more wrinkles and lines. Cause Sun exposure to the feet can cause moderate to severe sunburns, damaging the skin's outer layer. Next, your skin begins to peel as the body tries to rid itself of damaged cells. Remedy Protect your feet from the sun by wearing appropriate footwear and sunscreen with a high SPF. Contact dermatitis Contact dermatitis is an itchy rash stemming from an allergic reaction. Typically, the rash forms after your skin comes in contact with a substance or irritant. Cause Irritation of the skin due to contact with certain chemicals or substances. Remedy Identify and avoid the irritant. Over-the-counter hydrocortisone cream may provide relief. Consult a doctor if the condition persists. Pitted keratolysis Cause A bacterial infection affects the feet' soles, creating pits and causing peeling. Remedy Keep your feet clean and dry, wear open-toed shoes when possible, and use antibacterial soaps or topical antibiotics as a healthcare professional prescribes. Poor foot hygiene Cause Inadequate foot hygiene can lead to the accumulation of dead skin, which may peel off. Remedy Practice good foot hygiene by regularly washing and thoroughly drying your feet. Exfoliate gently to remove dead skin, and use moisturizers to hydrate the skin.

September 7, 2023

Foot Arch Pain: Causes, Prevention, and Treatment Strategies

Foot arch pain is a common issue that affects many individuals. The foot arch is the curved part inside your foot, consisting of several small bones, ligaments, and tendons. Various factors can cause pain in this area, and it's essential to identify the underlying cause to develop an effective treatment plan. Foot arch pain can be frustrating, limiting mobility and challenging even simple tasks. Today, we explore the causes of foot arch pain and effective prevention and treatment strategies to help you regain footing and enjoy life without discomfort. Read more about common causes, prevention tips, and treatment strategies for foot arch pain. Causes of Foot Arch Pain Flat Feet or Fallen Arches Flat feet (sometimes called fallen arches) occur when the feet have very low or non-existent arches. Collapsed arches cause the bottom of the entire foot to contact the ground. Up to 30% of the population has flat feet, and the condition can cause strain on the ligaments and muscles in the area. Overuse or Excessive Physical Activity Engaging in activities that stress the feet, such as running or jumping, can lead to arch pain. High-impact or sports with repetitive movements are particularly tough on the body as they can overwork the muscles and supportive tendons in the foot. When the arch is pushed beyond its limits, you may experience pain in the region. Plantar Fasciitis Plantar fasciitis is a painful condition where the tissue at the bottom of your foot (the plantar fascia) becomes inflamed. It is one of the leading causes of heel and arch pain. The condition starts with microtears from the repetitive stress of standing upright and weight-bearing. The constant stretching of the plantar fascia causes the fascia to break down, eventually leading to pain during sleep or at rest. Achilles tendonitis Achilles tendonitis is a condition of the tendon connecting calf muscles to the heel (the Achilles tendon). It involves inflammation of the Achilles tendon and causes pain and swelling when running or walking. Since the Achilles tendon helps support the foot, tendonitis in the back of the heel can lead to nearby arch pain. Footwear Wearing shoes that lack proper or have inadequate arch support can strain the arches, leading to pain. Footwear can also be used for the wrong purpose or not fit your feet correctly. Uneven weight distribution or ill-fitting footwear can stress the arch, causing pain over time. Acute Injury or Trauma An acute injury or trauma to the foot can cause arch pain. Injuries like a sprain, fracture, or slip and fall can damage the arch's muscles, ligaments, tendons and surroundings, leading ot arch pain. Prevention of Foot Arch Pain Proper Footwear Choose shoes that provide adequate arch support and cushioning for your feet. Avoid wearing high heels or unsupportive shoes for extended periods. Arch-Supporting Insoles or Orthotics Consider using arch-supporting insoles or custom orthotics, especially if you have flat feet or a history of foot pain. Custom orthotics are corrective shoe inserts with moulded support for your feet. Orthotics act to correct or accommodate biomechanical abnormalities with your feet and arch to improve your gait and manage pain. The correction occurs as weight is redistributed evenly across our muscles and joints. Gradual increase in activity If you're starting a new exercise program or sport, gradually increase the intensity and duration to allow your feet to adapt. Doing too much too quickly can overload your feet and arch, which makes it challenging to reverse. Maintain a healthy weight If you're overweight, losing weight can help alleviate stress on your feet and reduce arch pain. Stretching and strengthening exercises Perform foot and calf stretches to maintain flexibility and strength in the foot muscles and tendons. Here are three lower leg stretching exercises that can reduce the risk of foot arch pain: Calf Stretch: Stand facing a wall an arm's distance away, place one foot a step back, and lean towards the wall. Hold for 20-30 seconds. You should feel a light stretch in your extended leg. Towel Curl: Sit on a chair with both feet on the floor, and place a towel before you. Using your toes, grip and curl the towel to scrunch it up. Hold for a few seconds, release, and repeat. Plantar Fascia Stretch: Sit cross-legged on a chair, and with your hand, grab your toes and gently pull them upwards until you feel a stretch in the arch of your foot. Hold lightly for 20-30 seconds. Treatment Strategies for Foot Arch Pain Rest, ice, compression, elevation Rest: Give your feet ample time to rest and avoid activities exacerbating pain. Ice: Applying ice to the affected area can help reduce inflammation and alleviate pain. Use an ice pack for 15-20 minutes several times a day. Compression: Use compression socks or stockings if you find inflammation and swelling build-up. Elevation: Elevate your feet and legs above the plain of your heart to help alleviate pain and pooling. See more about the RICE method of recovery in our blog spotlight. Pain relief NSAIDs Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Reducing intense pain caused by inflammation can also help prevent longterm joint damage. Physical Therapy Light stretching (as outlined in the prevention section) can help increase blood flow to the area and encourage healing. However, refrain from forcing stretches, as overworking an inflamed area can exacerbate the issue. When in doubt, consult with a chiropodist on a proper treatment plan, depending on the length and severity of your discomfort. Taping or bracing Taping the foot or using arch-supporting braces can provide additional support during healing. Its purpose is to stabilize and reduce a joint's range of motion. At the same time, tape enables functionality in the affected area. The tape helps lock joints in place to encourage specific movements and function while reducing unwanted movements (like twisting or bending). The actual tape can be either pressure-sensitive (which activates based on the pressure applied) or something as basic as surgical tape. Shockwave therapy Shockwave therapy is a non-surgical treatment that utilizes high-frequency, high-energy pulses to help promote recovery and muscle repair. A chiropodist determines the frequency, pressure and number of pulses best suited for your injury and can customize the treatment based on the severity of the pain. Night splints A night splint can help stretch the plantar fascia and Achilles tendon, reducing morning pain associated with conditions like plantar fasciitis. Surgery In rare cases where conservative treatments fail, surgery may be considered for certain foot conditions. Surgery has pros and cons, as it's generally considered a last resort, so we recommend learning more about whether surgery suits your scenario.

September 4, 2023

Best Shoes for Teachers 2023

Teachers spend long hours on their feet, so choosing comfortable and supportive shoes is essential to prevent foot fatigue and discomfort. From standing at the front of the classroom, traveling to or from work, or walking between classrooms, teachers put their feet to the test every day. The best shoes for teachers offer a combination of cushioning, arch support, stability, non-slip soles, and durability. The right pair of shoes can make a difference in a teacher's daily life, providing comfort, support, and style that keeps up with their fast-paced roles. The Ontario Physical Activity Safety Standards in Education suggests that "appropriate footwear is a shoe designed for athletic activities with a sole that provides traction and is secured to the foot." Without the proper footwear, teachers are at greater risk of developing two common foot conditions: plantar fasciitis and Achilles tendonitis. In this guide, we list our recommendations for the best shoes for teachers to maximize comfort and keep your feet feeling great all day. Saucony Saucony has a wide range of footwear, including athletic, athleisure, and sport-specific shoes. With a strong focus on running shoes, Saucony caters to various running styles and preferences and is known for its durability, support, and cushioning. For teachers, we recommend the Saucony Triumph 21 for those looking for a more athletic shoe or the Saucony Shadow Original and Jazz Triple for a more casual appearance. Asics ASICS shoes are amongst the most popular in the world. The brand's GEL cushioning system makes them a great choice to protect your feet and keep them feeling their best. They have great shoes for walking and standing, like the Asics Gel-Nimbus 25 (for people with neutral gaits or high arches), the Asics Novablast 3 for those seeking a rocker sole, and the Asics Gel-Kayano for those requiring a stability shoe. Apex Apex shoes provide ample support, cushioning, and ergonomic design to promote proper alignment and alleviate common foot ailments. From orthotic-friendly features to diabetic footwear options, APEX aims to accommodate diverse needs, ensuring individuals with conditions like plantar fasciitis, arthritis, or diabetes can experience improved comfort and mobility. Look at the Apex Boss Runner Active Shoe for a supportive and comfortable option on the job. Anodyne Anodyne footwear specifically caters to those with diabetes, neuropathy, and other foot-related sensitivities. Their footwear features extra depth and roomy toe boxes to provide ample space for toes and accommodate custom orthotics. In addition, Anodyne shoes also often incorporate seamless interiors to minimize irritation and pressure points. The Anodyne No. 75 or No. 72 Casual Sport shoes are excellent for teachers mixing comfort and style. Mephisto Mephisto shoes strongly emphasize quality and feature the brand's soft-air midsole technology. Their shoes prioritize shock absorption and cushioning, which reduces impact on joints and promotes a smoother walking experience. Mephisto offers both casual and dressier options like the Mephisto Wing or Majestro. ara Shoes ara Shoes blend of fashion and functionality appeals to individuals seeking versatile footwear that combines style and comfort. Look at the Ara Leigh footwear line from Ara Shoes for a solid shoe choice for teachers' working hours. Portofino Portofino shoes are backed by Italian craftsmanship and offer a premium footwear line for a more formal look. Whether it's delicate stitching, exquisite leather, or refined silhouettes, Portofino Shoes blend traditional artistry and contemporary aesthetics. Consider the Portofino DY-5068 model if you're a teacher in the market for new shoes. Clarks Clarks shoes combine form and function. They're also backed by close to 200 years of innovation. The Clarks Unstructured Line is excellent lightweight footwear with flexible soles, ideal for long days on your feet. We recommend the Clarks Nalle Lace or the Clarks Court Lite Wally outside the Unstructured line.

August 31, 2023

Foot Callus Treatment: When to Seek Professional Help

Often, a foot callus will go away independently if you change your shoes and eliminate friction and discomfort. Specialized creams and foot soaks can also help speed up the process. But for an unfortunate minority, calluses can become thicker and thicker, eventually causing pain and discomfort and making it necessary to seek foot callus treatment from a chiropodist. Source: iStock At-Home Treatment for Foot Calluses You don't need to rush to the doctor every time you see a callus. In fact, many people will have a mild callus on their foot at any given time, and they aren't typically a medical priority without signs of severity. As far as foot conditions go, they are one of the most common. But it's still a good idea to keep on top of them by practicing foot care from home so you can ensure they don't get worse! Gehwol's Med Callus Cream loosens hard callus layers and may even completely remove a mild callus in up to 28 days. For additional foot health benefits, try Gehwol's Extra Universal Foot Cream, which targets calluses using a combination of natural oils and medicinal ingredients. It also has deodorizing properties and strengthens and invigorates tired feet. Moreover, you can include foot soaks in your at-home callus care routine. Try Gehwol's Refreshing Foot Bath, which keeps the skin resistant to callus formation while smoothening existing calluses. Source: Gehwol Canada Source: Gehwol Canada Seeking Professional Help For Calluses Sometimes taking care of your foot health means visiting your local foot clinic for foot callus treatment from a chiropodist. Here are some signs to look out for: Your callus is causing discomfort Your callus looks inflamed Your callus is very thick Your calluses keep coming back It hurts to put pressure on a callus when walking You see signs of an infection, like pus and drainage. This is especially dangerous if you have diabetes. You just want smooth feet, and to ensure your calluses are treated in a safe, sterile setting. Chiropodists treat calluses using sterilized tools to shave down the area. Following this, they will apply ointment or moisturizing cream to help the skin heal. Your chiropodist can also tend to calluses during a medical pedicure. In addition, foot health specialists can recommend using products to help protect pressure points from friction, like foot protection pads and custom orthotics, to ward off painful, recurring calluses. Source: iStock

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