Benefits Of An Annual Foot Care Assessment

Written by Bianca Charles on February 8, 2021

Last updated April 1, 2026

Medically reviewed by Serena Stefanatti, D. Ch.

It’s easy to put off our health, especially when nothing urgent is forcing us to pay attention. But this is a common mistake—particularly in a busy downtown Toronto lifestyle where aches, pains, and small issues are often ignored. How often do we brush off a dull ache or a nagging toenail problem, telling ourselves we’ll deal with it later? It’s time to break that habit. We recommend an annual foot care assessment at your local foot clinic to catch concerns early and keep your feet healthy year-round. A comprehensive foot exam helps identify issues before they become serious, and in some cases, regular check-ins are essential for ongoing foot health. From children to seniors, everyone can benefit from an annual visit with a trusted chiropodist.

What To Expect During Your Annual Foot Care Assessments

You can expect and plan for the following to occur during the your annual foot assessment appointment:

A licensed chiropodist will begin with a comprehensive inspection of your feet and ankles, with no shoes or socks on. This includes assessing your toes, toenails, skin, heels, and overall foot structure. They will also evaluate the function of the joints and ligaments to better understand your mobility and identify anything that may be limiting optimal movement. Your foot arch will also be examined, as conditions like flat feet or high arches can contribute to pain and biomechanical issues.
They will also assess the circulation and temperature of your feet, as well as sensation at various points to check nerve function and overall foot health.
In addition, your chiropodist will often examine the shoes you wear on a daily basis, as footwear can provide important clues about wear patterns, support, and potential contributors to foot pain or imbalance.
You will then be asked to walk back and forth so your gait can be observed. This helps the chiropodist assess how your feet, ankles, and legs function during movement and provides important insight into your overall mobility.
A video gait analysis will be performed. You will walk on a treadmill while being recorded from multiple angles, allowing the chiropodist to slow down, pause, and zoom in on your walking pattern. This detailed analysis helps identify any irregularities that may be causing current foot pain or could lead to future issues.
You also play an important role in your annual assessment. Be sure to share any new pain, skin changes, structural concerns, or symptoms you’ve noticed since your last visit. The more information you provide, the better your foot specialist can tailor your care and make the most of your appointment.

pexels-anna-shvets-4557469 — Photo by Anna Shvets from Pexels – thank you!

Why We Recommend Annual Foot Care Assessments

There are some scenarios in which annual foot care assessments are necessary, and should be one of your healthcare commitments. Please note they are still suitable and beneficial for all adults and children who are interested in annual foot care assessments.

The American Diabetes Association strongly urges that diabetes patients book annual foot care assessments, at the very least. This is advised so that the patient can proactively prevent foot ulcers and manage neuropathy (swelling), among other important symptoms. Furthermore, the US National Library of Medicine supports this claim, declaring yearly foot examinations as necessary for risk assessment. They state that key aspects of foot assessments for diabetes patients are beneficial as they include inspection of unusual skin colour on the feet. Furthermore, foot specialists can pinpoint callus and blister development and musculoskeletal deformities, such as claw toes. They can also search for fungal infection development between the toes, observe swelling, and inspect for ulceration development.
If you’re growing older, it’s important to be preventative when it comes to healthcare, and this includes your feet. As we age, we’re more prone to developing certain foot conditions, some of which can be life-altering and debilitating. During an annual foot exam, early detection of Osteoarthritis, or even Bunions, can be critical in determining the right treatment plan.
You may have a recurring foot condition. An example would be Plantar Fasciitis, which commonly flares up. Recurring conditions may require an annual foot care assessment, at the very least.
If you’ve had a serious foot or ankle injury in the past. If you’ve had a broken bone or sprain, it is wise to periodically check in on how your feet or ankle are recovering. An annual foot exam with a chiropodist, combined with any separate physiotherapy you may need, can eventually help you reach your goal of optimal mobility. You may need more than an annual foot exam, but it’s certainly a start!
A foot assessment can help determine the type of shoes best suited for you. Since footwear needs vary based on foot type and gait pattern, understanding how your feet function is key. During an assessment, your chiropodist will identify your foot structure and walking pattern, which then guides recommendations on the most supportive and appropriate footwear for your needs.

Have No Fear!

Is it time to check in on your foot health? If you’re overdue for your annual foot care assessment, feel free to reach out to us! Our foot care experts are confident in their ability to help you and solve your concerns with the least amount of discomfort possible. Call us even to inquire about an annual foot care assessment, we’re happy to answer any questions you may have!

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

About Author: Bianca Charles

With 15 years of dedicated experience in podiatry, Bianca Carter offers a wealth of knowledge and expertise at Feet First Clinic. Throughout her career, Bianca has worked closely with leading chiropodists, continually deepening her understanding of all aspects of foot care.

Learn more about Bianca Charles

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April 2, 2026

Flexor Tenotomy – A Solution for Hammertoes & Clawed Toes

Toe deformities like hammertoes and clawed toes are more than just cosmetic concerns—they can significantly impact your comfort, mobility, and quality of life. Whether it’s difficulty finding shoes that fit, pain while walking, or the development of corns and calluses, these conditions can become increasingly problematic over time. Fortunately, modern foot care offers effective solutions. One such solution is the flexor tenotomy, a procedure designed to correct toe deformities and restore normal function with minimal downtime. Understanding Hammertoes and Clawed Toes Hammertoes and clawed toes are common deformities of the toes caused by imbalances in the muscles, tendons, or ligaments that normally keep the toes straight. Hammertoe: The middle joint of the toe bends downward, creating a hammer-like appearance. It often affects the second, third, or fourth toes. Clawed Toe: The toe bends at both the middle and end joints, giving it a claw-like appearance. This deformity can be more rigid and uncomfortable. These conditions can lead to pain, corns, calluses, difficulty walking, and challenges finding comfortable footwear. Risk factors include wearing tight shoes, high heels, muscle imbalance, arthritis, and genetics. Conservative Treatments Before surgery, mild hammertoes and clawed toes can sometimes be managed with: Footwear modifications: Wide-toe box shoes and avoiding high heels. Toe splints or orthotics: Help realign the toes and reduce pressure. Exercises: Stretching and strengthening exercises for toe muscles. However, if the toe becomes rigid or painful, surgical options like flexor tenotomies may be the most effective solution. What is a Flexor Tenotomy? A flexor tenotomy is a minimally invasive surgical procedure that releases the flexor tendon causing the toe to bend. It is usually performed under local anesthesia and involves only a tiny incision, allowing the toe to straighten naturally. This procedure can correct flexible and semi-rigid hammertoes and clawed toes (meaning that the toe can be manually straightened) without the need for more invasive surgery. It is not suitable for hammertoes or clawed toes that cannot be manually straightened (rigid hammertoes). Benefits of Flexor Tenotomies Minimally invasive: It involves a tiny incision with low risk of complications. Fast recovery: Most patients walk immediately and resume daily activities quickly. Pain relief: Reduces pressure on joints, corns, and calluses. Prevention of future complications: Especially important for diabetic patients at risk for foot ulcers. Who is a Candidate? Flexor tenotomies are best suited for patients with: Flexible or semi-rigid hammertoes and clawed toes Pain, discomfort, or skin irritation caused by toe deformities No severe arthritis or joint damage in the affected toes A chiropodist or foot specialist can evaluate the severity of the deformity and recommend the most appropriate treatment. The Procedure During the procedure: A tiny incision is made at the base of the affected toe. The flexor tendon is carefully released. The toe is gently straightened and bandaged. Post-procedure, most patients are allowed to walk immediately, sometimes using protective padding or special footwear. Recovery and Aftercare While a flexor tenotomy will help loosen the affected tendon and straighten the toe, it will not correct the underlying cause of the deformity. Flexor tenotomies are thus best used in conjunction with custom orthotics to correct any biomechanical issues, as well as proper fitting, supportive shoes. Conclusion If you have hammertoes or clawed toes, a flexor tenotomy offers a safe, minimally invasive solution that can relieve pain, restore toe alignment, and improve your ability to walk comfortably. Early intervention can prevent corns, calluses, and other complications, especially in patients with diabetes or mobility issues.

March 5, 2026

Ultrasound-Guided Injections for Foot and Ankle Pain: What You Need to Know

What Are Ultrasound-Guided Steroid Injections? Ultrasound-guided cortisone injections are a precise, minimally invasive way to treat chronic foot and ankle pain. They combine corticosteroid medication—commonly called cortisone—with ultrasound imaging to target the exact area of inflammation. Unlike “blind” injections, which rely on anatomical landmarks and the clinician’s feel, ultrasound guidance allows a podiatrist or chiropodist to see the tissues in real time. This ensures the cortisone reaches the injured tendon, ligament, joint, or nerve exactly where it’s needed. This combination of precision and anti-inflammatory medication makes the treatment highly effective for conditions like: Plantar fasciitis Achilles tendonitis Ankle arthritis Neuromas (i.e.: Morton's Neuroma) or nerve irritation How Cortisone Works Cortisone is a synthetic steroid that mimics hormones naturally produced by your adrenal glands. Its main job in foot and ankle injections is to reduce inflammation. Here’s what happens on a cellular level: Cortisone suppresses inflammatory chemicals called cytokines that cause swelling and pain. It stabilizes cell membranes in the injured tissue, preventing further irritation. Cortisone can also reduce nerve sensitivity in the area, which helps decrease pain perception. By directly targeting the source of inflammation, cortisone helps speed up healing and relieve chronic pain without the need for surgery. The Role of Ultrasound in the Injection Ultrasound guidance takes steroid injections to the next level. Using high-frequency sound waves, the clinician can see: Tendons and ligaments Inflamed soft tissue Nerves Joint spaces This allows the injection to be delivered exactly where it’s needed, which: Improves the effectiveness of the medication Minimizes risk of hitting nerves, blood vessels, or healthy tissue Reduces discomfort during the procedure For example: In plantar fasciitis, the cortisone is placed at the point where the plantar fascia attaches to the heel bone. In Achilles tendonitis, the cortisone is delivered around the tendon sheath rather than the tendon itself, preventing damage to healthy tissue. In neuromas, it targets the inflamed nerve sheath precisely, reducing pain without affecting surrounding nerves. Why It Works: The Science The combination of corticosteroids and its precise placement is what makes this treatment so effective. Targeted anti-inflammatory action – By delivering cortisone directly to the inflamed tissue, the body’s natural healing process can work more efficiently. Reduced tissue trauma – Ultrasound guidance avoids unnecessary needle trauma to surrounding tissue, allowing faster recovery. Pain modulation – Cortisone temporarily decreases nerve irritation, which lowers pain signals sent to the brain. Support for chronic injuries – Chronic tendon or ligament injuries often involve persistent inflammation and microtears. Cortisone helps calm inflammation so the tissue can repair itself. In short, the science is all about precision + anti-inflammatory power: delivering cortisone exactly where it’s needed to calm inflammation, reduce pain, and support healing. Who Can Benefit from Ultrasound-Guided Cortisone Injections? This treatment is ideal for people with chronic foot or ankle pain that hasn’t improved with other treatments like: Rest and activity modification Custom orthotics or supportive shoes Physical therapy Anti-inflammatory medications It’s especially helpful for plantar fasciitis, Achilles tendonitis, ankle arthritis, or nerve-related foot pain. Ultrasound guided injections alone won't address any underlying biomechanical issues that caused the pain in the first place. Therefore, it's most effective when combined with other treatments, like custom orthotics, supportive shoes that match your foot type and gait pattern, and physiotherapy. Bottom Line Ultrasound-guided steroid injections are a safe, precise, and scientifically backed way to treat chronic foot and ankle pain. By combining the anti-inflammatory power of cortisone with the accuracy of real-time imaging, patients often experience faster relief and better outcomes than with traditional injections. Feature image by nts01 from Pixabay

January 22, 2026

Different Stages of a Bunion

A bunion, medically known as hallux abducto valgus, is an angular bony protrusion that forms at the base of the joint that connects your big toe to your foot. This joint, called the first metatarsophalangeal joint (or MTP joint for short), is a critical junction of bones, tendons, and ligaments that bear much of our weight when we’re on our feet. With bunions, the joint deviates its proper alignment, which causes the big toe to slowly and gradually turns towards the smaller toes. This foot deformity occurs in about 10-30% of the population, affecting twice as many females as males. Bunions are caused or contributed to by wearing poor-fitting shoes, faulty foot mechanics, muscle imbalances, lax ligaments, inflammatory arthritic conditions, and genetics. Bunions can be asymptomatic, although some people may experience pain, redness, and swelling at the joint, especially with tight footwear and extended periods of standing or walking. Symptoms may lessen with rest, biomechanical correction, and improved footwear choices. Unfortunately, a bunion is a progressive deformity and is irreversible without surgical intervention. This means they will slowly get worse over time. However, addressing underlying biomechanical factors may help slow its progression and reduce symptoms. Stages of Bunions Bunions are categorized in stages to determine the severity of the deformity. Without treatment, there is a greater risk a bunion will progress from one stage to the next. Stage 1 Visually, a bunion at this stage is considered mild. There may be a small “bump” at the side of the 1st MTP joint and the big toe will be slightly turned towards the second toe, although not touching it. Stage 2 The big toe further deviates from the MTP joint. At this stage, the first toe may be touching the second toe beside it. Stage 3 At this stage, the base of the first toe develops a bone spur. This makes the bony protrusion more significant. The first toe also starts to rotate on its axis away from the mid-line of the body. Stage 4 At stage 4, the first MTP joint has dislocated and the first toe will cross over or under toe. At this stage, the second toe will also present with a hammer toe deformity. Managing Bunions Although the only way to reverse a bunion is by surgery, it is only recommended if symptoms are not manageable by conservative measures and if function is severely compromised. Regardless of whether or not surgery is done, non-surgical treatment must be done, otherwise the bunion will reoccur. Conservative treatments help to slow down the progression of a bunion as well as manage pain. It includes custom foot orthotics, splints, bunions guards, toe separators, and foot exercises. Talk to your Chiropodist about the stage of your bunions and which conservative treatment options would be best for you!

December 11, 2025

FootCare 101: What Is A Chiropodist?

Our feet are pretty amazing structures. With over 52 bones, over 250,000 glands and nerves, they're certainly a complex parts of our bodies, and so they deserve a dedicated specialist to keep them in peak condition. How exactly do these specialists work? And why might you need to see one? Read on and find out. What's A Chiropodist? A Chiropodist (pronounced "kerr-op-o-dist") works to support the prevention and management of acute and chronic conditions that affect our feet and lower limbs. Think: skin conditions like warts and calluses, nail conditions like ingrowns or fungus, and musculoskeletal conditions like Plantar Fasciitis and Gout. These are just a few examples of the foot conditions a chiropodist can treat. Click to learn more about other Common Foot Conditions. Is a Chiropodist Different than a Podiatrist? It depends on where you live. ChatGPT said: In Ontario, both chiropodists and podiatrists are regulated foot care professionals, but their training and scope of practice differ slightly. Chiropodists are the most commonly licensed foot specialists in the province and provide comprehensive care including assessments, routine and advanced treatments, custom orthotics, minor procedures, and certain injections. Podiatrists are less common and were grandfathered into practice prior to 1993, when Ontario transitioned to licensing only chiropodists. A podiatrist can perform bone surgeries like bunion or hammertoe corrections, whereas a chiropodist cannot (they can still do other surgeries). Regardless of the title, both professionals are highly qualified to help you manage foot pain and keep you moving comfortably. What Do Chiropodists Check For? When a chiropodist sits down to assesses your feet, they'll be able to spot and treat minor problems right away, like hard skin, Warts, and Ingrown Toenails. For people with diabetes, the chiropodist will check the sensation and circulation in the feet, as well as examine the feet for any potential irregularities or cause for concern. If you have foot pain, a chiropodist can do a biomechanical assessment and gait analysis. They'll check your alignment when you walk, and will then be able to recommend or prescribe solutions including, but not limited to, Orthotics or Insoles, to get the feet working in peak condition. Either way, you'll leave your first visit knowing your feet are being properly cared for. As you can see, foot health isn't just about feet! When feet are in good condition, the whole body can be properly supported. When they're not, you'll likely notice problems elsewhere. Foot health is every bit as much about your legs, hips, and spine as it is about the way your toes look in sandals. Chiropodists are trained to see the bigger picture of your physical health and the role your feet play in it. Even if you don't have foot pain, we urge you to visit a chiropodist. Your feet, after all, are your body's foundation, and having them assessed could save you aches and pains later on. Foot problems affect well over half the population. Don't be one of those people who finds themselves at risk of long-term consequences.

November 27, 2025

Top 5 Ways to Take Care of Your Feet

Your feet are essential to your mobility and independence, yet they’re commonly overlooked in everyday health routines. Proper foot care is about more than aesthetics; it helps prevent discomfort, reduce the risk of injury, and support your overall well-being. At Feet First Clinic in Toronto, our chiropodists treat everything from nail and skin concerns to pain and mobility issues. Here are the top five ways to take care of your feet to keep them healthy and strong all year round. 1. Keep Your Feet Clean and Dry Healthy feet start with good hygiene. Wash your feet daily with warm water and mild soap, and don’t forget to clean between the toes. After washing, dry your feet thoroughly (especially between the toes) to help prevent fungal infections like athlete’s foot. If your feet tend to sweat a lot, moisture-wicking socks or antibacterial foot deodorant powder can help keep them dry and fresh. 2. Moisturize to Prevent Cracked Heels and Dry Skin Dry, flaky, or cracked skin on the feet can be uncomfortable and, if left untreated, may lead to infection. Applying a foot cream or urea-based moisturizer daily helps lock in moisture and keeps the skin soft and supple. Focus on the heels and soles, but avoid putting lotion between the toes as excess moisture there can increase the risk of fungal infections. If you have thick, rough skin or painful calluses, a chiropodist at Feet First Clinic can safely debride (shave down) the skin and recommend medical-grade moisturizers to help prevent recurrence. 3. Trim Your Toenails Properly Toenail care is more important than it might seem. Cutting nails too short or rounding the corners can cause ingrown toenails, which are painful and can become infected. Trim your nails straight across and gently file any sharp edges. If your nails are thick, discoloured, or difficult to trim, don’t force it. Our chiropodists have specialized tools to safely and comfortably trim thick toenails, and we can check for signs of fungal infections or other nail concerns. Feet First Tip: The best time to trim your toenails is after a shower when they’re softer and easier to cut. 4. Choose Proper Footwear Your shoes play a huge role in your foot health. Wearing shoes that are too tight, narrow, or unsupportive can lead to corns, calluses, bunions, or heel pain. When buying new shoes, make sure: There’s about a finger’s width of space between your longest toe and the front of the shoe. The heel fits snugly without rubbing or pressure. You can wiggle your toes freely. If you have foot pain, flat feet, or high arches, custom orthotics may be a game-changer. At Feet First Clinic, our chiropodists assess your gait and foot structure to design orthotics that support your body from the ground up. 5. Schedule Regular Foot Checkups Even if your feet feel fine, regular checkups can help prevent problems before they start. Chiropodists are trained to detect and treat a wide range of foot and nail conditions, including: Ingrown and fungal toenails Corns, calluses, and cracked heels Plantar fasciitis and heel pain Diabetic foot complications At Feet First Clinic, we believe prevention is the best medicine. Routine foot care helps maintain comfort, mobility, and confidence — especially as we age or if we spend long hours on our feet. Feet First Tip: If you notice pain, swelling, or changes in your toenails or skin that don’t go away, it’s time to book an appointment. Small issues can quickly become big problems if ignored.

October 30, 2025

All About Extensor Tendonitis: Causes, Symptoms, and Treatment

Extensor tendonitis is a common foot condition that affects the tendons running along the top of your foot. These tendons connect your muscles to your toes and help lift your toes and foot during walking and other activities. When these tendons become inflamed or irritated, it can lead to pain and difficulty moving your foot comfortably. What Is Extensor Tendonitis? Extensor tendonitis refers to inflammation or irritation of the extensor tendons on the top of the foot. This condition often results from overuse, repetitive strain, or injury. People who are active in sports, wear tight footwear, or have certain foot structures may be more prone to developing extensor tendonitis. Causes of Extensor Tendonitis Overuse: Repetitive activities such as running, jumping, or walking long distances. Improper Footwear: Shoes that are too tight or have insufficient space on the top can compress the tendons. Foot Mechanics: Flat feet, high arches, or gait abnormalities can put extra strain on the tendons. Injury: Trauma or sudden impact to the foot. Underlying Conditions: Arthritis or inflammatory diseases may contribute to tendon irritation. Symptoms of Extensor Tendonitis Pain and tenderness on the top of the foot, especially over the affected tendon. Swelling or redness along the top of the foot. Difficulty lifting the toes or foot. Pain worsens with activity and improves with rest. Occasionally, a burning or tingling sensation. Treatment Options Rest and Activity Modification Avoid activities that aggravate the pain and allow the tendon to heal. Proper Footwear Wear shoes with adequate space in the toe box and good support to reduce pressure on the top of the foot. Ice Therapy Apply ice packs to reduce inflammation and pain. Physical Therapy Stretching and strengthening exercises can improve tendon flexibility and foot mechanics. Orthotics Custom orthotics may help correct biomechanical issues that are causing excess strain on the extensor tendon and muscles on top of the foot. Medication Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce pain and inflammation. When to See a Specialist If pain persists beyond a few weeks or worsens, consult a chiropodist or foot specialist for a biomechanical assessment and personalized treatment plan.

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Benefits Of An Annual Foot Care Assessment

What To Expect During Your Annual Foot Care Assessments

Why We Recommend Annual Foot Care Assessments

Have No Fear!

About Author: Bianca Charles

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Flexor Tenotomy – A Solution for Hammertoes & Clawed Toes

Ultrasound-Guided Injections for Foot and Ankle Pain: What You Need to Know

Different Stages of a Bunion

FootCare 101: What Is A Chiropodist?

Top 5 Ways to Take Care of Your Feet

All About Extensor Tendonitis: Causes, Symptoms, and Treatment

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