A Black Spot Under The Toenail: What Is It?

Posted on October 13, 2022

Last updated August 25, 2024

Medically reviewed by Peyman Alishahi, D. Ch.

Healthy toenails have a glassy, somewhat opaque appearance. The protective proteins of our toenails, called alpha-keratin, create this consistency. Together with the skin below it, healthy toenails should be pink. Sometimes, however, our toenails change colour and turn into black toenails. But why?

You may experience toenail discolouration from damage to the toenail itself or from damage to the skin below the nail bed. In both instances, a black spot may appear. This article will teach you more about black spots under toenails, different kinds of toenail discolouration, and treatments.

Should I be Worried About a Black Toenail?

Black toenails are usually not a cause for alarm and can be treated.

Common Causes of Black Toenails

A subungual hematoma is the most common cause of a black spot under your toenail. Trauma, whether acute or chronic, causes bruising that creates the black colour. Instances like running with ill-fitting footwear, stubbing a toe, or dropping an item on your toe are common culprits. Due to its length and weight-bearing role, your big toe is the most common toenail for a subungual hematoma. Your toenail may fall off entirely, or you may experience a small black spot. If the latter, you can trim off the black area as your nail grows out.
You may associate a fungal infection with discolouration of the toenail. Although usually a yellow-green, your toenail may also turn black.
In rare cases, ingrown toenails can cause a black toenail. This is usually related to a complication of a previous toenail treatment.

Rare and Severe Causes of Black Toenails

Malignant melanoma can cause a black toenail. Cancer forms in the cells of our skin that give our skin colour, which causes a black spot.
A B12 deficiency. B12 keeps your nails strong and healthy and a lack of it can result in a blackish tint.
Kidney problems.
Liver disease.
Linear melanonychia can cause black and brown lines that run either with your toenail or horizontally across your toenail.

If you have concerns about the black spot under your toenail, book an appointment with a Toronto chiropodist.

How can I Treat a Discoloured, Black Toenail?

If you can easily determine the cause of a black toenail, for instance, you recently stubbed your toe, then at-home treatments (see below) are sufficient.

Let it Grow Out

If your toenail isn’t damaged or at risk of falling off, the most effective action is to let the toenail grow out. Expect to wait between 6-9 months, sometimes even up to 18, to allow your toenail to grow out thoroughly and to be able to trim the black area away.

Cover the Toenail

If your toenail falls off, you should cover any exposed parts of the nail bed for 7-10 days. Coat the area with a non-stick bandage and wait for the skin underneath to harden. Once the skin hardens, you can leave the nail and allow it to grow back.

Over-the-Counter Creams and Ointments

Ointments and creams are usually effective and can help treat fungal infections. You can also use a prescription antifungal treatment for severe cases of toenail infections.

Buy a New Pair of Shoes

If you have poorly-fitting shoes causing stress to your toenail, invest in proper footwear for your feet. A complimentary shoe fitting at Toronto’s Feet First Clinic can help you find the perfect pair. You can also check out these resources on how to look for great, comfortable shoes:

Still Struggling With Your Toenails? Visit Our Toronto Foot Clinic!

If you have damage to your toenail from trauma and need guidance and treatment, visit Feet First Clinic. Our team of dedicated licensed chiropodists is committed to providing quality care and services for all your foot and ankle needs. All under one roof! Call us at 416-769-3338 or Book Your Assessment Today!

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August 22, 2024

5 Common Foot Problems and How to Prevent Them

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.

January 22, 2024

Preventing and Treating Plantar Fasciitis: A Comprehensive Foot Health Guide

Foot health can be an afterthought until pain or discomfort sets in. At that point, you're left trying to treat a foot condition rather than taking a more preventative approach. One common condition is plantar fasciitis, which causes pain in the heel and sole. Plantar faciitis is the most common cause of inferior heel pain in adults In this comprehensive foot health guide, we explore the ins and outs of plantar fasciitis, from understanding its causes to preventive measures and effective treatments. Understanding plantar fasciitis Plantar fasciitis surfaces when the band of tissue supporting the foot arch, known as the plantar fascia, becomes inflamed. This can stem from various factors, including improper footwear, overuse, or certain medical conditions. Knowing and recognizing the symptoms and early signs can be crucial for effective management. Prevention Proper footwear selection Shoes with arch support and cushioning are essential for healthy feet. In fact, insufficient arch support is one of the most common causes of plantar fasciitis. You can also consider custom orthotic inserts or shoe inserts like Superfeet for additional support. Foot exercises and stretches Regularly perform exercises to strengthen the foot and calf muscles and incorporate stretching routines to maintain flexibility. Gradual activity progression Avoid sudden increases in physical activity, and take occasional rest days to allow your feet to recover. Rapid increases in intensity can overload the heel and plantar fascia. Instead, take a cautious approach to building up volume, and reduce the intensity if you notice any discomfort. Treatment strategies Supportive Footwear Insufficient arch support is one of the most common causes of plantar fasciitis. Selecting footwear with strong arch support and a good heel counter will go a long way toward alleviating plantar fasciitis. symptoms. Rest and ice If you have acute (sudden, short onset) plantar fasciitis, give your feet the needed rest, and use ice to reduce inflammation and alleviate pain. Rest and ice are critical parts of the RICE method - rest, ice, compression, and elevation. Combining all four elements provides a comprehensive and holistic approach to recovery. Note: ice is not recommended after the initial onset. Physical therapy Consult a chiropodist for targeted exercises and manual therapy techniques to improve foot strength and flexibility. For example, at home, you can perform a calf and arch stretch using a towel. To perform the towel stretch, place a towel around your foot while holding on the ends with your hands. Then use the towel to pull back on foot for 30 seconds. Do this 3 times with 30 seconds of rest in between. You can keep the towel near the bedside so you can perform the stretch before going to sleep and before taking your first steps in the morning. Read more about effective lower leg exercises for plantar fasciitis in this guide. Orthotic inserts Consider using custom orthotic inserts or Superfeet to support and relieve pressure on the plantar fascia. Anti-inflammatory medications When necessary, over-the-counter or prescription medications can help manage inflammation and pain. Shockwave Therapy If your plantar fasciitis is chronic (i.e.: persisted longer than 3-6 months), you may be a candidate for shockwave therapy. Shockwave therapy is a non-invasive, highly effective treatment where soundwaves are applied to the affected area. This stimulates your body's inflammatory response to heal the plantar fasciiits. Lifestyle modifications Weight management A stable, healthy weight reduces stress on the feet. Combine a balanced diet with regular exercise. For instance, foods rich in vitamin C are great for our foot health, as this superstar nutrient can fight foot pain caused by inflammation. Proper foot care Problems with our toenails and skin on the feet can worsen over time and ultimately affect our gait. To prevent this, practice good foot hygiene, inspect your feet regularly for signs of issues, and address any concerns promptly. Long-term management and recovery Consistent follow-up care Regularly check with healthcare professionals to monitor your progress and adjust treatment plans. Consider booking an annual foot assessment to determine if your foot needs have changed at all, or if there are any issues that need addressing. Surgical options In more severe cases, surgical intervention can be an option. Work closely with a healthcare professional for a comprehensive approach to rehabilitation and recovery. It's important to note that conservative treatments, like proper arch support, rest, exercise, and other preventative measures, are often sufficient to treat plantar fasciitis. Surgery is generally seen as a last resort.

August 30, 2019

3 Exercises To Help Prevent Plantar Fasciitis

Plantar Fasciitis is a foot condition that causes pain and inflammation in the band of tissue that connects your heel to your toes, also known as the plantar fascia. The pain can be anywhere from your heel to the ball of your foot and usually feels sharp or dull. Overuse, poorly designed footwear, and weak supporting muscles can contribute to the problem. What You Can Do Rest your foot, use ice to help with swelling and pain. Replace your Shoes. Well-fitting shoes tailored to your needs will work wonders. Look into the benefits of Custom made orthotics. These suggestions will greatly improve your quality of life, but did you know there are some exercises you can incorporate into your daily routine to help with foot pain? In this article we will discuss: Eliminating initial pain Calf raises Doming Towel pickups If your pain is gradually improving and not acute, you should check out the exercises explained below! These exercises will also function as preventative steps you can take to avoid injury or developing a foot condition like plantar fasciitis. Please note: if you've experienced a recent foot injury or if your foot pain is acute, strengthening exercises are not suitable. In this case, you should speak to a qualified Foot specialist to receive proper care and find answers about what you should do. Eliminating Initial Pain As we previously wrote, to deal with the ligament directly, take off your shoes and socks so that you’re barefoot. Sit down on a chair, loop a tea towel under the arch of one of your feet. Push outward with the foot while pulling back with the towel for gentle resistance. Do this several times with each foot. Stretch out your hip flexors, as they can contribute to plantar fasciitis. Strained hips create a domino effect on the limbs and can change your gait, tighten your calf muscles and overwork the plantar fascia. Many yoga routines incorporate stretches that work out the hip flexors like the pigeon pose or the bound angle pose. Additionally, you can use a golf ball, or frozen water bottle to roll out the bottom of your foot. A frozen water bottle works in the same way as a golf ball would in massaging, but with the additional benefit of reducing inflammation. Next, and once you’re no longer feeling plantar discomfort, you can start with the following exercises to build strength so you can avoid the injury in the future: calf raises, foot doming and towel pickups. Calf Raises When experiencing plantar fasciitis, or any injury for that matter, it’s important to find the root of the problem. Don't just address the point of pain itself. Since weakness in certain areas of the body result in a domino effect elsewhere, strengthening the supporting muscles in your legs is crucial. To help strengthen your arch, you can work on your heel and calf muscles through calf raises, which are essentially heel lifts. Stand at the edge of a step, and push up through your toes and with your calf to raise your heel off the ground. Slowly bring your heel back to the ground and repeat. Start with three sets of 8-10 repetitions and build up accordingly. Foot Doming Doming is known as the short foot maneuver. What you want to achieve here is the cupping of your foot (to form a dome), where your arch is off the ground. Imagine scrunching your feet - effectively making your foot ‘shorter’ - and releasing. Don’t be frustrated if this exercise is hard at first, and as weird as it may feel, focus on the movement one stage at a time. Eventually, you’ll get the hang of it. You can also make the exercise easier by using a towel and trying to grab it with your feet and pulling it towards you. This allows your foot to actually grip something. You won’t notice a big difference right away. The goal here is to improve muscle endurance so they don’t become overloaded when exercising. Towel Pickups A towel can certainly be an underrated strengthening tool. Let's look at another foot exercise that incorporates a towel: While in a sitting position, keep your heel on the ground while picking up a towel using only your toes. Drop down, release and repeat. Aim to do two to three sets of 10-15 repetitions to start before increasing. If you get comfortable with the load, use additional weight to increase resistance. We Can Help! Experiencing plantar fasciitis? Whether you’re on the mild or severe side of the spectrum, you can rest easy knowing we’re able and happy to solve all your foot care needs. Call us at 416-769-FEET (3338) or Book Your Assessment Today!

October 21, 2024

The Best Footwear for Healthy Feet: What to Look for in Shoes

Selecting the best footwear for foot health is an often overlooked part of self care. The right shoes not only get your feet from point A to B, but can also prevent various types of foot pain, like arch pain or heel pain. Better yet, solid shoe choices can shield your feet from some of the most frustrating chronic foot conditions. In this guide, we’ll walk you through the key features to look for in supportive shoes and why these elements matter for healthy feet. Arch Support Arch support is key for foot pain prevention and daily comfort. This feature helps position the foot in a healthy arch alignment so it can support your body weight more evenly. Studies show this is extra helpful for people with flat feet and high arches— essentially creating the normal arch they need. Lack of proper arch support can lead to conditions like plantar fasciitis. Arch support in shoes typically looks like a raised, curved section along the inner part of the insole. Shock Absorption Shock absorption is a must-have for athletes, long walk lovers, or those who work on their feet, like servers or construction workers. It's essentially cushioning that keeps the harsh effects of the pavement, floor, trails and more from damaging your joints. This is especially important for people with conditions like arthritis or heel spurs. Supportive shoes with adequate shock absorption use materials like EVA foam or cork to cushion the foot, thereby minimizing strain on the feet, ankles, knees, and lower back. Click here to learn more about it! Grip Is fall prevention important to you? If yes, make sure you buy non-slip shoes or shoes with a solid-grip outsole. A firm grip is vital for healthy feet because it reduces the risk of sprains or fractures. It should work on various surfaces, from slick sidewalks to gravel paths. Older people with balance issues should ensure their shoes have this crucial feature. Waterproofing and Breathable Materials Waterproof shoes (such as shoes made with GORE-TEX fabric) keep your feet dry in wet conditions, reducing the risk of fungal infections and blisters. Likewise, breathable fabrics with perforation in the shoe’s upper promotes air circulation, which is a top-priority feature for many athletes at the gym. That said, choosing the right materials can make a significant difference in comfort and hygiene for everyone, not just athletes. Removable Footbeds It may seem counterintuitive to buy a shoe that has something you don’t need, but hear us out! The best footwear for foot health typically have them! Shoes with removable footbeds offer customization options for those who need orthotics or insoles from brands like Superfeet. From pregnancy to diabetes, many conditions require this shoe perk. This feature may also make it easier to keep your shoes clean, or even extend their lifespan since you aren’t using its original footbed as often.

October 17, 2024

6 Foot Exercises to Strengthen and Protect Your Feet

Studies show that 8 weeks of a solid foot health workout can increase intrinsic foot muscle volumes by up to 22.8%. These are the various small muscle groups located entirely within the foot. They play a key role in stabilizing the arch, supporting balance, and enabling precise movements of the toes. Foot exercises can also help maintain extrinsic muscle strength. These are the muscles that connect to the foot, but are located just outside it, mainly in the lower leg, calf and Achilles tendon area. Foot exercises can also work your toes and the bottom of the foot, soothe pain, strengthen your ankles and prevent foot injuries. This article will list some of the best foot pain relief exercises you can incorporate into your daily routine, starting today! Ball Stretch View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Simply rolling your back and forth on a small ball can help with plantar fasciitis, arch pain, bottom of the foot pain, and general foot fatigue. You don’t need a therapeutic massage ball—a tennis, lacrosse or golf ball will work. Sit or stand comfortably and place the ball under your foot. Roll the ball slowly from your heel to your toes, applying gentle pressure for 2-3 minutes. Switch to the other foot. Toe Pulls View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) This exercise can help relieve plantar fasciitis, Achilles tendonitis, and general foot or calf tightness. Sit with your legs extended in front of you and your back straight. Use your hands to gently pull back on your toes, stretching the bottom of your feet and calves. Hold for 20-30 seconds. Release and repeat 2-3 times, focusing on a slow, controlled stretch. (Optional) Incorporate a resistance band by looping it around your feet and pulling back to deepen the stretch. Toe Flex and Raise View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Work out your tibialis anterior, improve toe flexibility and balance and strengthen your feet with this fun exercise. Stand with your feet flat and toes planted firmly on the ground. Lift your heels off the ground, keeping your toes pressed down, then slowly lower your heels back to the floor. Repeat the movement 10-15 times, focusing on control. Ankle Circles View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) This stretch helps strengthen your ankles and can improve general mobility. Sit or stand with one foot lifted slightly off the ground. Rotate your ankle slowly in large circles, first clockwise, then counterclockwise. Repeat 10 times in each direction, then switch to the other ankle. Calf Stretch on a Step A great choice for calf strengthening and targeting the extrinsic muscle group, this is a simple stretch that just requires a set of stairs! Stand on a step with your heels hanging off the edge and hold onto a railing or wall for balance. Lower your heels slowly below the step, feeling a stretch in your calves. Hold for 20-30 seconds, then raise your heels back up and repeat 2-3 times. Marble Pick-Ups View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) This exercise can help with your general coordination and improve toe strength and flexibility, which may alleviate discomfort from conditions like bunions and arthritis. There are no time constraints with this one, simply focus on the task at hand. Place small objects (like marbles) on the floor in front of you while seated. Use your toes to pick up each object and drop them into a nearby bowl or container. Repeat with both feet, aiming for 10-15 picks per foot.

October 10, 2024

Common Fall Foot Problems and How to Prevent Them

Toronto's summer is behind us and the warm days of sandals won’t return until next year. But fall brings its own charm and many folks are excited for a new chapter. At the same time, you may also be looking to prevent foot issues this fall in as many ways as possible, and luckily, you’ve come to the right place! For top tips on blisters and dry skin prevention, as well as how you can fight some other common fall foot problems, keep reading today’s article! Cracked Heels As summer’s humid air is replaced with dryness, the skin on your feet may dehydrate and over time, cracked heels can form. One of the best fall foot care tips to prevent this is regular moisturizing. Use a nutrient-dense product like Gehwol’s Lipidro Cream, available at Toronto’s Feet First Clinic. It helps lock in moisture and prevent further damage. Containing high-quality ingredients like avocado oil and urea, this cream helps your skin absorb water into its layers and supplies dry skin with the lipids it needs. Properties like allantoin can also soothe irritation sometimes associated with cracked heels. Fungal Infections You may have heard how fungal infections like athlete’s foot are easy to contract during the summertime. Public pools, shared locker rooms and showers, and other communal spaces are all summer hot spots where this foot fungus can breed. But did you know that foot fungi is still a threat in the fall? It can thrive when people wear closed shoes for longer periods, trapping moisture and warmth. To prevent this, keep feet clean and dry, wear breathable socks, and choose shoes that allow proper ventilation. Shoes should also be waterproof to prevent extra water getting into your shoe’s environment. To find the right pair for fall, visit your local Toronto foot clinic for a shoe fitting. While you’re at it, learn all about the best foot hygiene here! Musculoskeletal Foot Conditions Musculoskeletal foot conditions can flare up as the fall chill starts to bite, making each step feel a little extra uncomfortable. Cold temperatures cause the tissues in your joints to contract, putting pressure on nerve endings and leading to more foot pain and aggravated osteoarthritis. The cold can also worsen foot conditions like plantar fasciitis and other sources of arch and heel pain. Get ahead of this issue by wearing boots with solid insulation that traps warmth. Also, keep your feet extra cozy with warm socks — a Toronto chiropodist may even suggest a pair of compression stockings (like Sigvaris' Thermoregulating Wool or Merino Wool compression stockings). Blisters Autumn foot health often involves managing painful blisters. As new footwear makes its debut, a tight squeeze can slowly wreak havoc and cause discomfort. To keep your feet happy and blisters at bay, make sure your shoes fit securely and snugly (but not tight!) to prevent excessive friction rubbing against your skin. Wear your boots with other products like moisture control socks, foot powders, blister bandages and insoles to prevent this frustrating issue.

October 7, 2024

5 Ways Orthotics Can Be Customized for Maximum Comfort and Support

Many people don’t know what goes into their custom orthotics – not just the materials, but the technology that creates a comfortable orthotic. In this post, learn about all the different accomodations and orthotic customizations available to make your feet happy! https://www.youtube.com/shorts/IBXAXoUouFY?feature=share What Are Orthotic Customizations and Accomodations Additions and Accommodations are very common parts of custom orthotics. They are used if a normal over-the-counter insole just won’t cut it. For example, if a patient has a neuroma or a misaligned gait, an orthotic without custom support won’t have anywhere near the same effectiveness. Here is a list of the most common orthotic customizations and accommodations for custom orthotics. Heel Modifications Firstly we have heel modifications. These are some of the most common additions to keep your feet comfortable and supported: Cushion – Adds additional padding and shock absorption on the heel. Heel cushions cover the whole heel. Cushioning the heel is helpful for a variety of foot conditions, like plantar fasciitis and arthritis. It essentially reduces the strain and impact of your step. Lift – Heel lifts can balance out differences in leg height and to prevent overpronation or supination. They can also be used to help with Achillies tendonitis. They're made of a harder material for balance. Hole – Heel holes are used to help with heel spurs. Cushioning can be added to increase comfort and distribute pressure in the heel. Seat – A Heel seat gives the patient more control if they overpronate. It's designed to hold the fatty tissue under the calcaneus in place. Metatarsal Modifications These orthotic customizations are designed to take pressure off of your metatarsals (the ball of your foot). They are helpful for anyone experiencing foot pain at the ball of their foot just below the toes. 1st Ray Cutout - Helps to offload pressure off 1st metatarsal head (the big toe). This is used to help with bunions and arthritis. 2-4 Metatarsal Pad – This is a teardrop shaped pad that sits below the metatarsals. It takes some of the load off the metatarsals by offloading pressure at ball of foot and elevating the second, third, and fourth metatarsals. Metatarsal Bar – This is similar to 2-4 metatarsal pads, but has more surface area and offloads more pressure from the metatarsal heads. It can provide more stress relief in some cases. Neuroma Pad – This is a small pad that sits between metatarsals and spreads them apart. It is designed to correct the transverse arch and help with pain in the metatarsals. As the name suggests, it is can help people experiencing a Morton's neuroma. Arch Support Moving on, we have arch support, which is important for everyone - regardless of whether you have a foot condition - but moreso for people who struggle with plantar fasciitis and arch pain. Arch Pad – Additonal support on the arch for patients who need more arch support. Fill – Arch fills make the orthotic more rigid. This is used to help the orthotic to support more weight. It can also be used to help somewhat with controlling the midtarsal joints. Additional Accommodations Finally, we have modifications that don't really fit into the previous categories. These are all very common additions that are often put in orthotics: Morton’s Extension – Extra length under 1st metatarsal to keep it rigid. It helps during the push off phase of gait and can be rigid if patient has hallux rigidus or limitus. It immobilizes and offsets pressure on the first met joint. Reverse Morton’s – This increases the mobility of the first met joint. The pad sits under the 2nd to the 5th met head and ends before the first. Dancer Pad – Offloads the ball of the foot. It works by taking weight off of the big toe joint and dispersing it. Scaphoid Pad - This is used to help support the mid and back foot. Helps take pressure off the joints and bones in the arch. While these are the most common accommodations found on orthotics, there are many more! To learn more about how orthotics can be modified and customized to suit your unique foot needs, check out this Website. What Orthotic is Right For Me? A licensed chiropodist can determine what orthotic customizations and features are best for you. The chiropodist would first do a biomechanical assessment and gait analysis. They'll then diagnose your foot condition and make recommendations. Remember - orthotics are just one part of the equation when it comes to treating foot pain. While they can be beneficial for many common foot conditions, it's recommended to also explore other treatment options first, like supportive footwear, exercises and stretches. If your chiropodist recommends orthotics, they'll discuss the different options and customizations available, and which ones will work best for your foot condition. They'll also take into account your activities and the footwear you'd be wearing the orthotics with. The chiropodist will then take a 3D scan of your foot and send it off to the lab to make your orthotics. You would then see the chiropodist a few weeks later for a fitting appointment, at which time the chiropodist will check that the orthotics are constructed properly and working the way they should. If everything checks out, you can take them home! We also recommend coming back about 6 to 8 weeks after your fitting for a follow-up appointment to see if your orthotics are helping with your foot pain. If they aren't, the chiropodist can modify the orthotics. https://www.youtube.com/shorts/pO5oWb6S5MA?feature=share

October 3, 2024

The Importance of Proper Footwear for Kids in Fall: What Parents Need to Know

Are you wondering how much you need to invest in your kids’ foot health this fall? Not sure what all the fuss is about over getting the best fall shoes for children? While it may seem like your child’s summer shoes can last a little while longer, it’s important to take their foot health needs seriously and make sure they're set up for the fall. We’ve crafted this parent's guide to kids’ shoes in the fall to help you out! Keep reading to learn the main reasons why proper footwear for kids is essential during this beloved season. 3 Reasons Why Your Kids Need Fall Shoes They support back-to-school activities They protect feet from the elements They provide support for growing feet Support Back-to-School Activities Remember the excitement of getting a new pair of athletic shoes every year before that first day of school? Well, there’s a reason your parents did that for you! Many kids up their activity game during back-to-school season. The excitement of reuniting with friends, outdoor recess time, extracurriculars and gym class are all contributing factors to this healthy boost in physical activity. Thus, comfortable athletic shoes for children land inside the fall shoes realm. The best shoes for kids should encourage proper gait patterns. They also feature cushioning for shock absorption, which reduces stress on growing bones and joints during activities like running and jumping. Additionally, supportive footwear can prevent common foot problems such as blisters, calluses, and ankle injuries, the latter of which is a common injury for kids. It's important to ensure shoes have a snug (but not tight!) and secure fit, breathable materials, and a durable outsole for safe performance and comfort. If your child's shoes put pressure on the side of their feet, opt for wide-width shoes. Protect Feet From The Elements Shoes are always designed with seasonality in mind, and just like you need new fall boots, so do your kids. One of the reasons is the slowly declining temperatures and damp, cold conditions. While September and early October are often pleasant weather-wise in Toronto, November can bring sudden frigid air and freezing rain. Wearing the wrong shoes in this weather may cause foot problems like chilblains, or small, itchy swellings caused by poor circulation in response to the cold. Studies show it often targets teenagers. Additionally, shoes designed with weatherproof materials and proper ventilation help ward off bacteria and fungi. Lastly, fall shoes for children correlate with FALL prevention. Colder weather + rain = slippery sidewalks and even black ice formation. For these, your kids need boots with a solid grip. Provide Support For Growing Feet Did you know that children’s bone, muscle and joint growth continues until they reach their early twenties? Child foot development is both fascinating AND fast paced, so you need to keep on top of your child’s needs and assess how much their feet have grown or changed shape when the fall season rolls around. Properly fitted shoes with arch support and cushioning are crucial during growth phases to ensure healthy foot alignment and prevent long-term issues. Likewise, teaching good footwear habits during the foot development phase sets your child up for success! Wearing ill-fitting shoes now can lead to problems in their adult years, and may even cause deformities like bunions and hammertoes decades down the road. Here are our top tips to make sure your child's shoes fit properly: When putting shoes on, get your kid to kick their heel back before lacing or strapping up the shoe. This puts their foot is in the proper position, with the heel in the heel cup and the arch lined up with the arch support. Then use the laces or straps to secure the foot into that position. This will ensure your kid's foot doesn't slide forward when they walk, and also allows you to properly gauge their toe room. If your kid's shoe isn't put on properly, you won't be able to determine whether it fits. Leave about 1 cm of toe room at the end of the shoe. While it's good to leave growing room, it's important not to leave too much room. Otherwise, the shoe will slip and slide around your child's foot and not be secure. And a shoe that's not secure won't provide good support. If you see a gap at the back of the shoe or the shoe moves as your child walks, go down half a size, or make sure the shoe is put on properly (see above). Use the laces to adjust the width and fit. If your child feels pressure on the sides, try loosening the laces. Don't pull the laces too tight. Instead, gently adjust them to the width of your child's feet. If the shoe still feels tight and there's enough room at the end of the shoe, look for a wide width shoe. Don't size up if there already is enough room at the end; you'll just end up with a long narrow shoe.

September 30, 2024

Fall Footwear Trends: What’s Safe and Healthy This Fall

It's time to refresh your wardrobe with the latest fall footwear trends! While staying stylish is important, it's equally crucial to ensure your feet remain safe, comfortable, and healthy throughout the season. In this guide, we’ll explore the best shoe types and features that offer protection from the elements and minimize foot pain. The Best Fall Shoe Styles Just because safe fall shoes are practical, it doesn’t mean they can’t be fashionable. While shopping, look for designs that complement your wardrobe while still offering the comfort and protection you need. You also need to make sure your shoe always corresponds properly with your activity of choice. Also, consider specific needs: from seniors to children to construction workers, every foot is unique. Fall shoe styles for this season include: Foot-friendly fall ankle boots for everyday wear. These can be simple in style and include laces or easy slip-ons made mostly of leather with pull-tabs or pull-loops. But, there are also versions designed for fall adventures and challenges with extra shock absorption and waterproofing. Speaking of shock absorption and waterproofing, this also applies to running shoes and athletic shoes for fall. Look for extra traction to prevent falls and foot injuries on slippery wet surfaces and on your favourite trail excursions. Our top picks are the Saucony Excursion GTX or the ASICS Gel-Sonoma. They're both hiking shoes with great grip and cushioning. They have a Gore-TEX upper, which is both waterproof and breathable. The Saucony Excursion GTX Heeled or platform boots that pair with your favourite dressy attire. Combat boot with an elevated sole, like the Clarks Torhill Rise, are on trend. These boots are out there, and waiting to be worn with your best duds! Brand That Make Healthy Fall Footwear Our downtown Toronto foot clinic carries only the best-of-the-best trendy and comfortable shoes. These may rotate sometimes, so be sure to stop by or call to ask what we have in stock. We often carry these brands that make first-rate fall footwear: Saucony: A great source for waterproof hiking shoes to keep your feet dry in wet conditions. ASICS: Another great option for waterproof hiking shoes. They also make waterproof running shoes. Ara: Ara makes stylish cushioned dress shoes, waterproof ankle boots and winter boots for when the weather starts to turn. Clarks: Clarks carries an array of fashionable boots. Mephisto: Mephisto's All Rounder collection has a variety of ankle-hiking boots, like the Nigata-TEX and Satika-TEX. They also have some great waterproof walking shoes that are perfect for fall. More Fall Footwear Essentials to Consider: Shoes may steal the spotlight in fall footwear, but they’re not the whole show. Here are more fall must-haves: Orthopedic slippers you can wear inside: These are great for people with musculoskeletal conditions like plantar fasciitis, Morton’s neuroma, metatarsalgia, and more, because they often have moulded foot beds and deep heel cups to provide arch support. One example is the Aetrex Mandy (below). Custom orthotics or insoles to wear with your footwear:. Check that your fall shoes have removable footbeds to accommodate these. Compression stockings to stimulate blood flow and keep your feet extra toasty. Moisture-wicking socks to control foot odour and ward off fungal infections.

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