Diabetes And Foot Health In The Fall And Winter

August 30, 2018

The fall is a busy time of year, as students are resuming classes and many of us are heading back to the “real world” after our summer holidays. The fact remains, as temperatures drop and flu season hits, people with underlying health conditions are more at risk. For instance, one thing that we don’t often make the connection between is Diabetes and foot health.

Diabetes treatment has expanded and improved throughout history. There are plenty of ways to treat the Metabolic disorder, notably by way of a computer powered pump that reads your blood levels and knows when the system needs more insulin. In the past, diabetes was a very difficult disease to treat. In fact, it almost always lead to severe complications. It is a testament to modern medical technology that we’ve come so far.

Despite this, diabetes can greatly affect one’s feet; the disease can cause nerve damage in your feet and lower legs, which means that when you get a minor cut or sore on your feet, your Pain receptors may not pass this information along to your brain. Therefore, diabetes patients should take extra care in the fall, and eventually the winter, when it comes to their foot health.

Screen Shot 2020-11-02 at 12.51.49 PM — Photo by Tatiana Syrikova from Pexels – Thank you!

Risk Factors For Diabetes Patients in Fall and Winter

Low temperatures: Those who suffer from diabetes are at risk of developing foot ulcers in colder, wet conditions.
Poorly designed Winter boots: Those who suffer from diabetes are more likely to experience foot ulcers, blisters and cuts if they wear low quality footwear.
Snow/Wetness: Dampness in the feet can cause bacterial build up.

Diabetes patients should avoid foot ulcers at all costs. Foot ulcers have the potential to progress dangerously, as observed below. You should seek immediate treatment if you think you may have a foot ulcer.

Diabetes And Making Foot Care a Priority

If you have diabetes, you should make foot care a priority and take it seriously. For example, you can put together a foot care kit consisting of:

Toenail trimmers
Nail file
Hand mirror (for better visibility on the bottom of the foot)
Warm socks (incase temperature drops)

You should also be sure to check your feet for:

Cracks
Cuts
Sores
Whiter, pale skin – indicates dampness

These preventative steps will work wonders and are great ways to head off problems at the pass. Additionally, there are investments you can make that will greatly improve your quality of life. Compression stockings and custom made orthotics can work wonders for diabetes patients in the colder months.

Diabetes and Compression Stockings

If you experience severe swelling because of a diabetes related infection, you should definitely invest in a pair of Compression stockings. Compression stockings need to be custom fitted to provide the precise amount of pressure to stimulate blood circulation. Many people with diabetes swear by compression stockings and wear them all year round to promote strong blood flow in the lower legs. Compression stockings last about six months before they need to be replaced.

Diabetes, Custom Orthotics and Orthopaedic Footwear

Many people with diabetes praise the benefits of Custom orthotics, as well as Orthopaedic footwear. If your shoes are too tight, it is going to create problems. Your shoes should come with lots of room (wide, high toe box), so that the foot can breathe and blood can flow freely. You also should avoid buying shoes that are too big just for the extra space. Your feet will slide around, eventually causing problems for your feet, back and knees. Finding the right shoes and having the right orthotics are crucial to promoting good foot health, and if you have diabetes, promoting good foot health is essential.

We Can Help!

Diabetes can be a lot to manage, so let us take care of any related foot concerns. 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!

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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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June 5, 2023

Cold Sweats: Causes, Symptoms, and How to Manage Them

Cold sweats are episodes of excessive sweating involving feelings of coldness, clamminess, and a drop in body temperature. Our feet are particularly prone to cold sweats due to their position (away from the heart) and function. This blog post discusses the causes, symptoms, and ways to manage cold sweats. Causes of cold sweats There are several possible causes of cold sweats, including medical conditions, medication side effects, and emotional triggers. Learn more about the common cause of cold sweats in feet below: Hyperhidrosis Hyperhidrosis is the common term for excessive sweating. If you experience cold and sweaty feet without exercising or temperature changes, you may have hyperhidrosis. The underlying cause is an overreaction of your body's sweat glands. Stress and anxiety can also disrupt your body's sweat glands. There is an overall increased risk of infection in the presence of hyperhidrosis, including fungal, bacterial, and viral infections Peripheral Arterial Disease (PAD) Peripheral Arterial Disease is a condition of the body's lower extremities. The leg's blood vessels become blocked or narrowed, restricting blood flow between your lower legs and heart. Fatty plaque in the arteries is often the culprit. You may be at greater risk of PAD if you have diabetes, are over 60, or have elevated blood pressure and cholesterol. Menopause A common cold sweats culprit is menopause. Blood circulation can increase or decrease based on hormonal changes, triggering sweats. Overactive thyroid A thyroid disorder can cause plantar hyperhidrosis (excessive foot sweat) while deregulating body temperature. An overactive thyroid also messes with our blood circulation, giving the feet and skin only a quarter of the blood supply they usually need. Raynaud's disease Raynaud's disease causes cold hands and feet and numb toes. The condition decreases blood flow in certain body parts because of the blood vessels spasming in the area. Body temperature Sudden changes in core body temperature can trigger cold sweats. For instance, when sleeping, you may want to experiment with adjusting the room temperature up or down or even sleeping with your feet outside the blankets to thermoregulate your core body temperature. Other causes of cold sweats Wearing small shoes or shoes without proper ventilation: Shoes without proper breathing properties may trap in heat and cause your feet to sweat or have a cold sweat sensation. Neuropathy: Nerve damage, typical in diabetes patients, can cause excessive sweating and disrupt your average body temperature. Exercise: If you exercise and your feet continue to sweat or be moist afterwards, you may experience cold feet. Symptoms of cold sweats The top symptoms of cold sweats in the feet include Excessive sweating Feeling cold or clammy Shivering Paleness In addition to the symptoms in your feet, you may also experience these bodily feelings: Dizziness or lightheadedness Nausea or vomiting Weakness How to manage cold sweats The management of cold sweats will depend on the underlying cause. Here at Feet First Clinic, we recommend several treatment options, including: Foot deodorants, creams and sprays. Talk to your doctor about taking certain types of medications. For instance, antidepressants may lower triggers like stress and anxiety, which cause you to sweat more. Manage stress. Practice stress-reducing techniques such as deep breathing, meditation, or yoga. Ensure you're getting enough rest. A lack of sleep can trigger cold sweats, so try to get enough restful sleep. Daily foot hygiene practices. Keep feet clean and dry, regularly change socks, etc. Regularly air out your feet. Breathable footwear. Dress in layers. Removing or adding layers will stabilize your core body temperature and prevent significant shifts. Moisture-wicking socks. Schedule regular foot assessments to check for conditions that thrive in moist environments, like athlete's foot.

June 1, 2023

The Benefits of Custom Orthotics for Women

When it comes to custom orthotics for women, improved foot health is just around the corner. These days, women from all walks of life are enjoying the benefits of orthotics, from foot pain management to better posture and mobility. These perks combined reduce the average woman's chance of developing a painful foot condition. Let's look at how orthotics are becoming one of the best ways to support women's health. The Benefits of Custom Orthotics for Women Foot pain management Better posture Improved mobility Foot Pain Management Many women spend most of their time on their feet and use custom orthotics to relieve and prevent pain. WebMD notes top orthotic features that accommodate pain: Alignment and support: This corrects imbalances and abnormalities, distributing weight more evenly and reducing strain on the areas of the feet that need a break. Shock absorption and cushioning: Orthotics with shock absorbing qualities reduce the harsh impact of walking on the pavement and ground. Offloading, protection and injury prevention: Orthotics can offload specific areas of the foot or relieve pressure on injured or sensitive areas. This promotes healing and prevents irritation. Women with plantar fasciitis and sore spots on their feet (like blisters, painful corns, etc.) should try "soft orthotics" that have extra cushioning. "Rigid orthotics" are best for daily walking and working on your feet as they prevent strain and the resulting domino effect (pain throughout the lower extremities, hips, knees and back) that comes with wear and tear. If you're interested in orthotics, ask your chiropodist what type are best for your lifestyle. Posture Standing tall and maintaining good posture is important to a lot of women. It can boost self-confidence and mental well-being, but most importantly, it works wonders for your health by keeping your bones and muscles in proper alignment. Since orthotics address the misaligned position of your feet, they are a successful method of improving posture. According to the Journal of Applied Biomechanics, wearing custom orthotics over a certain period can support postural stabilization. This can help women by preventing circulation issues and the vast array of other problems that stem from poor posture. Better Health notes back pain, spinal dysfunction, joint degeneration (which can exacerbate osteoarthritis), rounded shoulders, headaches and muscle fatigue as side effects of bad posture. Improved Mobility For women struggling with daily movements, orthotics can make a world of difference. Many women adopt poor walking gaits to accommodate pain, but don't realize the long-term effects this can have. Moreover, issues like overuse injuries or arthritis can negatively impact quality of life. Luckily, orthotics enhance stability and provide more control with every step, mainly due to the support they give your foot arches. They reduce excessive motion or overpronation (inward rolling of the foot) during walking and ensure each movement has a purpose.

May 29, 2023

Running with Ingrown Toenails: How to Manage Discomfort and Avoid Infection

Ingrown toenails are the most common nail problem. And with toenails being put under pressure when running, combining the two can be challenging, but not totally out of the question. Although running with ingrown toenails can be uncomfortable and increase the risk of infection, it is doable. There are steps you can take to manage the discomfort and reduce the risk of complications. This article discusses tips on managing the pain associated with running with an ingrown toenail and ways to prevent infection. Don't let an ingrown toenail stop you from your running routine; read on to learn more! Can I run with an ingrown toenail? Yes. If the ingrown toenail is mild, and you take the proper precautions, you can safely run. The key is to manage discomfort and do your best to reduce the risk of complications or infection. However, there is a difference between whether you can run versus should run, and you should weigh the pros and cons outlined below. First, it's important to note that running with an ingrown toenail can worsen the condition and increase the risk of complications. If the pain is severe or you experience signs of infection, like redness, swelling, or discharge, seek medical attention immediately. If the ingrown toenails worsen, see a chiropodist or other healthcare professional. They may recommend antibiotics, specialized treatment or surgery to remove part of the affected nail. How to manage discomfort when running with an ingrown toenail To enjoy running with ingrown toenails, you must take steps to control the discomfort, reduce the risk of complications and keep the pain at bay. Here are some tips: Monitor pain and symptoms: There's no denying that physical activity can aggravate ingrown toenails. Sports with ground forces due to athletic activity, obesity or constricting footwear aid overlapping lateral nail fold penetration. Trim the toenail properly: If the ingrown toenail is mild, you can trim it yourself. Use a clean pair of nail clippers and cut the nail straight across without rounding the edges. Cutting straight across prevents the nail from growing into the adjacent skin. If your ingrown toenail is more persistent, inflamed or painful, you should see a chiropodist for treatment to prevent any risks and complications. Trim the toenail using toenail clippers: Avoid using fingernail clippers for your toenails. The strength and thickness of our toenails demand a more rigid tool to trim effectively. Wear proper shoes: Wear shoes that fit correctly and provide enough room for your toes to move freely. Tight or narrow shoes can crowd the toes and increase the risk of ingrown toenails. Take pain medication: Pain relievers can help to manage the discomfort associated with ingrown toenails. See a chiropodist for professional treatment: If your ingrown toenail is painful, inflamed, or has persisted for a long time, you should book an appointment with a chiropodist to have it properly and safely treated. This will reduce the risk of infection and allow you to resume running pain-free. How to avoid infection when running with an ingrown toenail? To prevent your ingrown toenail from worsening while running, taking the proper measures to avoid infection is vital. You can take steps to manage the discomfort and reduce the risk of complications when running with ingrown toenails. Here are some tips: Keep the affected toenail clean: Wash the affected toe with soap and water daily, and keep it dry. A clean and dry site will help to prevent the spread of bacteria and reduce the risk of infection. Apply topical treatments: You can use over-the-counter antiseptic or antibiotic ointments to the affected area to help prevent infection. Use clean toenail clippers (and maybe one from our top picks): Don't use someone else's nail clippers; clean them off before use. Bacteria are invisible to the eye, so be safe with what you put your feet in contact with. For instance, you wouldn't want to risk catching the fungus that causes athlete's foot. Apply a bandage over the ingrown toenail: Once you've cleaned the affected toenail, apply a bandage over the toenail before starting your run. This will help prevent any outside bacteria from penetrating the nail and surrounding skin.

May 25, 2023

The Best Compression Stockings for Varicose Veins: How to Choose the Right Pair

Compression stockings are very popular amongst people with varicose veins. As the veins become painful and your legs feel heavy and tired, wearing them every day is often one of the only ways people feel comfort and relief (don't worry, most types are stylish or discrete). Finding the best compression stockings for varicose veins involves visiting a doctor and then attending a fitting at a foot clinic where you will discover: The type of compression stocking you need The right level of compression Your size According to the National Library of Medicine, doctors and chiropodists recommend compression stockings not only because they help patients manage pain, but they're also easier to use than bandages and pneumatic devices. Let's discuss everything you need to know about varicose veins and compression stockings. Types of Compression Stockings for Varicose Veins Varicose veins often develop in the calf area towards the back of the leg. This is because walking and standing tend to put more pressure on the leg veins closer to the feet. As a result, knee-high compression socks are often the best type of compression stockings to invest in for varicose vein treatment. However, any vein in the leg can become varicose, so you may need thigh-high or pantyhose compression hosiery. Compression Levels for Varicose Veins Compression stockings have different compression levels, and stockings with more compression are tighter. You can often buy stockings in the 8-15 or 15-20 mmHg range at drug stores, but someone with varicose veins will need more compression from medical-grade stockings. To adequately support blood flow and circulation and provide comfort and support, Sigvaris recommends a compression level of 20-30 mmHg for varicose vein treatment. However, if your varicose veins are severe, you should look into graduated compression in the 30-40 mmHg range. Lastly, compression levels should always be the highest in the area with the varicose veins. While this should give you a general idea, your family doctor will know the right level of compression you need. Once you've gone to your family doctor and received your compression stockings prescription, you can then bring the prescription to your local foot clinic to get measured and fitted. Note: only a medical doctor can issue a prescription for compression stockings with the appropriate level of compression. Compression Stocking Sizes During your compression stocking fitting, a certified fitter at your foot clinic will determine what size you need and order the stockings after selecting from a size chart. Sizes for medical grade compression stockings (20-30 mmHg and above) are quite specific and require measuring; compression stockings will not work if they don't fit well. To ensure they order the right size, your fitter will measure your calf circumference, calf length, and ankle circumference. They may also need to measure your hip circumference, leg length, and thigh circumference. Your fitter will also go over the various style and material options and help you select the option that works best for your activities.

May 22, 2023

Custom Orthotics and Shoe Inserts: Which One Is Right for You?

Custom orthotics and shoe inserts (i.e.: over-the-counter insoles) have a lot in common. Both inserts provide support and cushioning to your feet and aim to correct the biomechanics that can lead to certain foot conditions. Custom orthotics and over-the-counter shoe inserts also have their differences. So, how do you know which one is best? Well, the most appropriate option depends on your specific feet, the foot condition, the issue you're trying to correct, and more. This article discusses the differences between custom orthotics and shoe inserts to help you choose the best option. What are custom orthotics? Custom orthotics are shoe inserts designed to fit you. The personalized fit comes from a mould of your foot, meaning the orthotic matches the foot's unique size and shape. Custom orthotics aim to address structural issues like flat feet or high arches, which, if left untreated, can cause a wide range of foot and lower limb conditions. There are four stages to getting orthotics: The orthotic assessment Casting Fitting Repairs What are Over-the-Counter Shoe Inserts? Over-the-counter shoe inserts (or off-the-shelf insoles) are pre-made insoles for your footwear which add cushioning and support. Shoe inserts are available in various materials, including foam, gel, and cork. They can relieve foot pain caused by plantar fasciitis, heel spurs, and metatarsalgia. The critical difference with shoe inserts is they are pre-fabricated and sold as-is. One of the most common brands of over-the-counter shoe inserts is Superfeet. Which one is right for you? Custom orthotics vs. over-the-counter shoe inserts The choice between custom orthotics and over-the-counter shoe inserts comes down to your specific needs and the nature of your foot or lower limb condition. The case for off-the-shelf shoe inserts If you have a mild foot condition, such as flat feet or plantar fasciitis, over-the-counter shoe inserts may provide sufficient support and cushioning to alleviate your symptoms. They are also a more affordable option compared to custom orthotics. If you prefer multiple pairs of shoe inserts, for instance, for your hiking boots, skates, or ski boots, shoe inserts may be a better option as they are more disposable. Shoe inserts can also be beneficial for lower-impact activities like walking as they provide additional support to your feet. The case for custom orthotics If you have more severe foot or lower limb conditions, such as severe flat feet, bunions, or diabetic foot conditions, custom orthotics may be the better option. They provide a higher level of customization and support and can address the specific needs of your feet to help alleviate pain, improve gait, and prevent further damage. Custom orthotics can also be beneficial for higher-impact activities like long-distance running.

May 11, 2023

The Different Types of Compression Stockings and How to Wear Them

It's easy to forget that leg health is just as important as foot health. In fact, one of the most effective medical devices to target both foot and leg conditions is compression stockings. By gently squeezing your lower extremities, they help you manage aches and swelling and boost blood circulation. Many people can benefit from these special socks for relief for foot and leg problems, but worry about how they look or don't know how to wear them. Today's blog will discuss the different types of compression stocks and advise on how to wear them so you make the most of this amazing product! Different Types of Compression Stockings Compression gear looks just like standard versions of hosiery and stockings and blends in well with your outfits. Here are some of the most common types: Pantyhose Maternity stockings Knee-high stockings Thigh-high stockings Open-toe stockings How to Wear Compression Stockings While appearing fashionable may be on your mind, Mayo Clinic notes that the most important thing is to wear compression stockings as your health care provider prescribes. This may mean wearing them all day or only in the morning or before bed (do not wear compression stockings when sleeping). Whether you have varicose veins, are pregnant, have edema (swelling), venous insufficiency, or deep vein thrombosis (DVT), the symptoms you struggle with can easily flare up if you neglect to wear them as intended. Improper use can also cause blood clotting or skin irritation. Putting your compression stockings on and removing them is often the most challenging part of using them. You have to be gentle and take your time when putting them on. Otherwise, it can affect the elasticity and compression levels. Depending on the type, it's also important to roll the stocking down to the heel, leaving the toe area open before you put them on. In addition, you need to smooth out wrinkles and ensure the stocking fully covers the part of the leg or foot that needs the most compression. Sigvaris, the brand we provide at Feet First Clinic, offers a detailed guide on how to put on your compression stockings and take them off. Types of Compression Stockings In addition to the above-noted conditions, compression stockings are recommended for people who stand at work for long periods or who travel on planes often. Your preferences, lifestyle, and specific condition can help your foot clinic choose the right type. Please also note that compression levels range from mild to firm, which are measured in mmHg; the higher the level of mmHg, the greater the benefit. The over-the-counter compression levels (like the ones you'd find at a drug store) range from 8-15 mmHg to 15-20 mmHg. Medical grade levels of compression start at 20-30 mmHg (the most common level of compression) and can go up to 40-50 mmHg. Your health care provider can help determine the level you need. Pantyhose Pantyhose compression hosiery is a good choice for women who work long hours, travel frequently, or have varicose veins or other circulatory issues above the knee. They start at the feet and go up to the waist, like standard pantyhose. They apply graduated pressure (like a gentle squeeze) along the leg, becoming less tight as they extend upwards. This stimulates blood flow back to the heart, thereby reducing pain and swelling. Compression pantyhose is available in various shades in sheer or opaque fabric, making them suitable as professional attire. Maternity Stockings Stockings for pregnancy-related symptoms are available in pantyhose, knee-high and thigh-high stockings. As hosiery, they can be opaque or sheer and include more wiggle room in the waist and hips to accommodate a growing belly. Pregnant women can also choose cotton and linen knee-high socks for pain and swelling in the lower legs (see below). Maternity stockings help prevent DVT and varicose veins often associated with pregnancy. Moreover, postpartum women may also be at risk of these vein issues and often experience prolonged circulation issues. Knee-High and Thigh-High Stockings Knee-high compression stockings provide compression and support to the calf muscles, ankle, and foot and usually resemble regular socks. Thigh-high stockings provide compression and support to the entire leg, from the ankle to the thigh and are generally opaque or sheer. Both come in a variety of materials for your individual needs. Open-Toe Stockings Open-toe stockings offer more ventilation than the standard closed-toe version, making them more appealing to wear in the warmer, humid months. They can also be helpful for individuals who have difficulty putting on traditional compression stockings or those who find them uncomfortable. Rest assured, open-toe compression stockings offer the same compression levels, just with the bonus of added breathability. You can also wear sandals with open-toe stockings as they're more discrete.

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Diabetes And Foot Health In The Fall And Winter

Risk Factors For Diabetes Patients in Fall and Winter

Diabetes And Making Foot Care a Priority

Diabetes and Compression Stockings

Diabetes, Custom Orthotics and Orthopaedic Footwear

We Can Help!

Here’s to Many More Years of Foot Care!

Related Services & Conditions

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Related Posts

Cold Sweats: Causes, Symptoms, and How to Manage Them

The Benefits of Custom Orthotics for Women

Running with Ingrown Toenails: How to Manage Discomfort and Avoid Infection

The Best Compression Stockings for Varicose Veins: How to Choose the Right Pair

Custom Orthotics and Shoe Inserts: Which One Is Right for You?

The Different Types of Compression Stockings and How to Wear Them

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