Podiatrist and Chiropodist: The Difference

Written by Erica Halpern on October 31, 2022

In Ontario, there are two terms for a foot specialist: a chiropodist and a podiatrist.

Many prospective patients ask themselves if there is a difference between the two occupations. They assume there must be since there wouldn’t be two words for one specialty, right?

But the truth is, there are very few differences between chiropodists and podiatrists. Even if you research the definition of both professions, you can be left feeling just as confused as when you started. You’ll often find that the internet tells you that they are healthcare professionals who tend to the feet, so what gives?!

Despite your confusion, there are some reasons medical experts split foot care experts into two categories. Let’s explore why the healthcare world doesn’t simply settle on one term!

Podiatry and Chiropody: Key Differences

Now that we have a clear understanding of each profession, the question remains; why does the medical industry insist on preserving two terms for foot specialists?

The terms are not interchangeable, despite how similar they are. Let’s look at why.

Education

It takes longer to become a podiatrist. According to the Ontario Podiatric Medical Association, podiatrists must complete a Doctor of Podiatric Medicine (D.P.M.) degree. This is a four-year post-baccalaureate program. On the other hand, chiropodists complete a post-secondary diploma in chiropody. Furthermore, both often have additional education in a science-related field from an accredited university.

Terminology and Word Choice

Even though they don’t go to a traditional medical school, you can use the term “foot doctor” to describe a podiatrist, as podiatrists obtain their D.P.M. You should not use this term to describe a chiropodist, although “foot care expert” and “foot specialist” certainly qualify.

Diagnoses Communication

Podiatrists can “communicate a diagnosis” to their patients, which stems from Ontario law granting them one of the six primary care professions in the province. This does not mean that a chiropodist cannot participate in effective communication with their patient.

Specialties

With their background in sports medicine, a podiatrist may be a better fit for someone experiencing a foot/ankle fracture or sprain. They’re also the only foot specialists able to perform surgeries on the forefoot bones. One may be able to argue that a podiatrist is better suited for a severe condition requiring surgical intervention. For example, surgery for severe heel spurs or bunions.

However, a chiropodist can also address foot conditions and may be a better fit for establishing follow-up visits, ongoing care, foot care treatments, and giving advice on managing your foot health.

For more information about the things a chiropodist can and cannot do, visit our FAQ.

Availability

As of May 2022, there are over 600 chiropodists and only 60 podiatrists in Ontario. With limited access to podiatry, it’s important to reiterate that those suffering from foot issues can explore chiropody and don’t have to wait for a podiatrist to become available. Of course, the exception is if you require bone surgery.

In addition, unlike a podiatrist, you do not need a referral to see a chiropodist (although your private extended benefits may require one for coverage).

Coverage

Podiatrists can bill OHIP. Chiropodists cannot bill to OHIP, but they can bill companies that offer extended healthcare coverage, like Manulife and Sunlife.

Can a Chiropodist and Podiatrist Treat the Same Conditions?

Unless you require surgery on the bones in your feet, or you are not covered by extended health insurance and need OHIP coverage, you can see a chiropodist instead of a podiatrist.

It can be difficult to schedule an appointment with a podiatrist, so there’s no reason to neglect the expertise, kindness and care a chiropodist can offer you. Plus, they treat the same conditions as podiatrists, which include (but are not limited to):

Skin conditions such as calluses, corns, plantar warts, and cracked heels.
Toenail conditions like ingrown toenails, cracked toenails, and discoloured toenails.
Structural abnormalities that cause foot pain, like Plantar fasciitis, osteoarthritis, Rheumatoid arthritis, gout, and bunions.
Contagious conditions such as fungal toenail and athlete’s foot.
Additional conditions like foot odour.
Diabetic foot care, assistance and guidance.

Don't Wait Around for Foot Health Advice!

Some people make the mistake of assuming they need a podiatrist for treatment, but this couldn’t be further from the truth! Only under specific circumstances do you require a podiatrist.

Feet First Clinic offers expert foot care. We offer a wide range of services that help you get back on your feet as quickly as possible – No referral required!

Call us at 416-769-FEET (3338) or use our online booking form to book your appointment today!

About Author: Erica Halpern

Erica is the operations manager at Feet First Clinic. Since 2021, she has been writing, researching and editing website and social media content. She also oversees Feet First Clinic’s daily and strategic operations to ensure the best possible experience for our clients. Her goal is to ensure patients are equipped with the knowledge and solutions they need to help with their pain.

Learn more about Erica Halpern

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May 15, 2025

How Gut Health Affects Foot Pain: Exploring the Inflammation Connection

Gut Inflammation and Foot Pain – What’s the Link? Foot pain is often blamed on overuse or injury—but new research highlights a less obvious cause: gut health. Specifically, gut inflammation and foot pain are more connected than you might expect. When the gut lining becomes compromised, harmful particles can leak into the bloodstream, triggering systemic inflammation. This inflammation may impact muscles, joints, and soft tissues—especially in the feet, where stress is frequent. Systemic Inflammation and Plantar Fasciitis One of the most common causes of heel pain, plantar fasciitis, is already driven by inflammation. But when systemic inflammation is present due to poor gut health, it can make symptoms worse and recovery slower. People with inflammatory diseases like rheumatoid arthritis or inflammatory bowel disease often experience foot pain, suggesting a deeper, whole-body link. Reducing systemic inflammation through gut care may provide relief for conditions like plantar fasciitis. Gut Microbiome and Joint Health in the Feet The gut microbiome—the complex ecosystem of bacteria in your digestive tract—plays a critical role in regulating inflammation and immune response. When the microbiome is imbalanced (a condition known as dysbiosis), inflammation can increase, affecting joint health across the body, including in the feet and ankles. Emerging studies show a strong connection between gut microbiome and joint health, indicating that good gut bacteria may help reduce chronic foot pain linked to inflammation. Nutrient Absorption: A Key to Musculoskeletal Foot Health Beyond inflammation, poor gut health also affects how your body absorbs nutrients, such as: Vitamin D Magnesium Omega-3 fatty acids These nutrients are essential for maintaining strong bones, muscles, and connective tissues. A gut that’s not absorbing nutrients efficiently could contribute to foot fatigue, pain, or slow injury recovery. How to Support Gut Health for Better Foot Health If you're dealing with persistent foot pain—especially conditions like plantar fasciitis—supporting your gut could be a game changer. Here are some steps to consider: Adopt an anti-inflammatory diet: Reduce processed foods, sugar, and excess alcohol. Add probiotics and fiber: These help maintain a balanced gut microbiome. Stay hydrated and active: Movement supports both gut motility and foot health. Get tested: A healthcare provider can check for nutrient deficiencies or inflammatory markers. By improving your gut health, you may also be reducing the underlying inflammation contributing to your foot issues. When to See a Chiropodist Foot pain shouldn’t be ignored. If your discomfort persists despite footwear changes or home remedies, a professional assessment is key. At Feet First Clinic, we look at the bigger picture—including possible systemic factors like gut health that may be influencing your pain. Final Thoughts on Gut Health and Foot Pain The body is more interconnected than we often realize. Research on gut inflammation and foot pain, systemic inflammation and plantar fasciitis, and the gut microbiome’s role in joint health is still growing—but one thing is clear: taking care of your gut may help your feet feel better too. Featured Photo by Sora Shimazaki

April 30, 2025

Top Neutral Running Shoes

Finding the best neutral running shoes is an important “step” for runners who want a natural, supported stride. Neutral running shoes are designed for those who don't require extra corrective features and benefit most from balanced cushioning and stability. Many people also look for lightweight running shoes that deliver comfort and speed without feeling bulky. In this guide, we’ll help you find the right pair! Many of these shoes, and others, are available at our Toronto foot clinic, Feet First Clinic, and foot specialists like chiropodists and podiatrists often suggest them for people with a normal gait or who supinate. https://www.youtube.com/shorts/0bVBNNUAUOc What are Neutral Running Shoes? To understand what neutral shoes are, it helps to look at different foot types and the way each moves during walking or running. Foot types are typically defined by the height of the arch and associated gait patterns: Flat feet: Minimal or no visible arch, often leading to overpronation, where the foot rolls excessively inward during movement. Around 40% of runners overpronate, and without the right shoes, overuse injuries like plantar fasciitis can develop. Runners with flat feet should consider stability shoes, sometimes the more restrictive motion control shoe. High arches: A very pronounced arch, often leading to underpronation (also called supination), where the foot rolls outward. Normal arch: A moderate, well-formed arch that’s about “halfway full.” It supports a relatively neutral walking or running gait without excessive rolling inward or outward. Neutral shoes are designed for individuals with a normal arch and a natural gait, meaning their foot doesn't overly roll in (overpronate). Neutral running shoes are also suitable for people with high arches who underpronate. These shoes prioritize cushioning and shock absorption over structural support or corrective features, offering a more flexible and natural ride. Unlike stability shoes or motion control shoes, which are more rigid, built to control motion and guide the foot into proper alignment, neutral shoes allow the foot to move more freely and comfortably, simply because this is okay for a normal arch and a normal gait doesn’t need guidance. The focus is on lightweight materials, responsive cushioning, and smooth transitions from heel to toe. Comfortable neutral shoes are ideal for runners or walkers who have an efficient gait cycle and don’t require additional support to prevent injury. They can also be a good option for individuals with high arches, who often benefit from extra cushioning to protect against the increased impact that comes from less natural shock absorption. How Do Neutral Shoes Prevent Foot Pain? Neutral shoes help prevent foot pain by offering ample cushioning and promoting the foot’s natural motion without interference. For people with normal arches and a stable gait, or high arches, too much corrective structure can actually cause discomfort or alter natural biomechanics. Neutral shoes support a smooth stride while providing the soft, consistent underfoot feel needed to absorb the repeated impact of walking or running. One of the key ways neutral shoes protect against foot pain is by reducing the jarring forces that travel up through the feet and legs with every step via shock absorption. High-quality cushioning materials, such as EVA foam or advanced proprietary foams, spread out impact forces and minimize stress on the heels, arches, and forefoot. This protection helps prevent common issues like plantar fasciitis (heel pain), metatarsalgia (pain in the ball of the foot), and even joint discomfort in the knees and hips. Additionally, neutral shoes are often lighter and more flexible than stability or motion control shoes, which can reduce fatigue over longer distances. With less weight to lift and more natural foot mechanics, you can stay active longer and more comfortably. The result? A smoother, more enjoyable experience every time you move. And your feet aren’t too tired at the end of the day! Top Neutral Running Shoes in 2025 Where do you start when you want to find the right pair? Luckily, we’re going to talk about some of the best options. Some of these are available at our Toronto foot clinic, Feet First Clinic, and come highly recommended by chiropodists and podiatrists. You can always call or visit us to determine what high quality footwear we have in stock at any given time. ASICS Gel-Nimbus 27 The ASICS Gel-Nimbus 27 is a premium neutral running shoe designed for comfort and durability. It features a high stack height of 43.5 mm at the heel and 35.5 mm at the forefoot, providing ample cushioning for long-distance runs and everyday walking. The midsole utilizes ASICS' FF Blast Plus Eco foam, offering a soft yet responsive ride. A PureGel insert under the heel enhances shock absorption, which reduces joint strain. The engineered jacquard mesh upper is both breathable and supportive, contributing to the shoe's overall comfort. Despite its cushioning, the Gel-Nimbus 27 maintains a relatively lightweight profile, making it suitable for daily training. This model is ideal for runners seeking a plush, cushioned experience during long runs or recovery days. But it's not just for runners! It's also ideal for people with foot pain, arthritis, or who want to keep their feet comfy and supported as they go about their daily activities. Its premium cushioning makes it feel like you're walking on a cloud. Whether you're training for a marathon or enjoying a leisurely jog, this shoe offers the support and comfort needed to keep you going. It's also fantastic for non-runners who just want a comfortable walking shoe. Saucony Triumph 23 The Saucony Triumph 23 is another top-tier neutral running shoe with a stacked heel, known for its plush cushioning and smooth ride. It features PWRRUN+ foam in the midsole, delivering a soft yet responsive feel underfoot. The shoe's geometry promotes a natural stride, and the updated upper provides a secure, comfortable fit. Its durable outsole offers reliable traction, ensuring confidence on various terrains. Overall, the Triumph 23 combines cushioning, support, and durability, making it a versatile choice for runners and non-runners alike. The cushioning also delivers great shock absorption, while the mid-rocker sole reduces strain on the forefoot - great for people with high arches and joint rigidity. This shoe is particularly well-suited for runners who prioritize comfort and support over speed. The Triumph 23's design caters to those who spend extended periods on their feet, whether during training sessions or daily activities. Its combination of cushioning and stability makes it a reliable choice for a wide range of runners. Brooks Ghost For those who don’t want a stacked heel, the Brooks Ghost is renowned for its balanced cushioning and reliable performance. This neutral running shoe offers a 12 mm heel-to-toe drop, catering to runners who prefer a traditional feel. Its DNA LOFT v3 midsole provides a smooth, responsive ride, while the engineered mesh upper ensures breathability and comfort. The durable rubber outsole enhances traction, making it suitable for various surfaces. The Ghost 16's consistent performance and comfort make it a go-to option for daily training and long-distance runs. Ideal for runners seeking a dependable and straightforward shoe, the Ghost 16 delivers a comfortable experience without unnecessary frills. Its design focuses on providing a smooth transition from heel to toe, accommodating a variety of running styles. Whether you're a seasoned runner or just starting out, the Ghost 16 offers the support and comfort you need. It's also great for people who wear custom orthotics.

April 10, 2025

Curved Toenails? Here’s What You Need to Know

Curved toenails can indicate various underlying toenail conditions, each with unique causes and additional characteristics. They also don’t always look the same. Toenail curvature issues can range from having a severe Ram’s Horn toenail, accompanied by other symptoms like thickening and discoloration, or small pincer nails that pierce your skin. Let’s learn about curved toenail causes, and most importantly, how a chiropodist or podiatrist can treat curved toenails at a foot clinic so complications don’t arise. Why Do Toenails Curve? https://www.youtube.com/shorts/Z6VYvI6CJQs To understand the best ways of preventing curved toenails, it’s important to learn how healthy toenails grow. They should naturally grow forward in a slightly arched but mostly flat shape, following the contour of the toe. This process begins in the nail matrix, the tissue under the skin at the base of the nail, where specialized cells produce layers of keratin—the protein that makes up the nail. As new cells form, older cells are pushed outward, harden, and form the visible nail plate. Ideally, the nail grows evenly and straight across, guided by both the shape of the matrix and the direction of mechanical forces applied to the toe, like walking or wearing shoes. The nail bed beneath provides support and helps keep the nail anchored and flat as it grows. A balance between nail thickness, width, and surrounding skin tension is key to maintaining this typical shape. Toenails start to curve when something disrupts this balance. Repetitive Trauma from Ill-Fitting Footwear One common reason is uneven pressure and toe crowding. Tight footwear or repetitive trauma can push the nail’s edges downward or inward over time. That’s why one of the best ways of preventing curved toenails, or virtually all foot conditions for that matter, is purchasing and wearing only shoes that fit properly, allow your toes to splay comfortably, and have ample cushioning, arch support and shock absorption. It’s better to have a small selection of solid, high-quality shoes that support foot health than several pairs of low-quality, poorly designed shoes that cramp your toes. https://www.youtube.com/shorts/rwNLRZ-MN_M Genetics Genetics also play a role in abnormal toenail growth; some people naturally have a more curved nail matrix or a narrower nail bed, both of which can encourage curling. If keratin production is uneven—say, one side of the nail grows faster than the other—the nail can begin to twist or curve as it extends. Underlying Health Conditions Inflammatory conditions, infections, poor circulation, or chronic diseases like diabetes can also interfere with normal nail growth by altering cell turnover in the matrix or causing changes to the skin and tissue around the nail. As a result, curved toenails are often not just a cosmetic issue—they can signal deeper structural or health-related concerns. Curved Toenail Causes Whether your curled toenails are the result of a sinister condition or simply a genetic growth pattern you’ve inherited, preventing them from getting worse is key. No matter the cause, proper trimming (straight across with simple nail clippers) and wearing shoes that fit well are two of the best things you can do from home to prevent painful complications and live life as comfortably as possible. Below you’ll find some of the most common causes of curved toenails: Ingrown Toenails (Onychocryptosis) Ingrown toenails are tricky as they look deceptively mild. But complications, like painful infections, can arise if you ignore them. They develop when the edge of a curved toenail grows into the surrounding skin, causing swelling, redness, and sensitivity. They can look curved, but they also look like a small “extra nail” on the edge of the main nail. It most commonly affects the big toe, and naturally curved toenails (involuted nails) are more likely to become ingrown because their growth pattern is already unusual. Trimming the nails too short or rounding the edges can also encourage the skin to fold over the nail edge, allowing it to grow inward instead of outward. Repeated pressure or trauma from sports, stubbing the toe, or restrictive footwear (in the toe box, like narrow, pointed high heels) can also disrupt normal growth and set the stage for an ingrown nail to form. https://www.youtube.com/shorts/B5a3yIgokh8 Pincer Nails (Trumpet Nails) Classified by podiatrists and chiropodists as “the most painful type of ingrown toenail,” pincer nails, or trumpet nails, occur when the sides of the toenail curve inward toward each other, sometimes so dramatically that the edges look like they want to meet underneath the toe! This shape creates a pinching effect on the nail bed and surrounding tissue. While some people are born with a naturally curved nail structure that gradually tightens over time, others develop this condition due to external pressures. Long-term use of tight shoes, particularly those with narrow toe boxes, is a major contributing factor. Certain systemic conditions, such as autoimmune disorders or circulatory problems, may also affect the nail matrix and contribute to this unusual curvature. Additionally, aging can play a role, as nail shape and growth patterns tend to change over time. Onychogryphosis (Ram’s Horn Nails) View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Onychogryphosis is a condition where the toenail becomes dramatically thickened and begins to grow in a distorted, curved, or spiraled shape that resembles a ram’s horn. It often affects the big toe and progresses gradually over time. The nail’s irregular growth is usually the result of uneven cell production in the nail matrix, where one side grows faster than the other. The most common causes include repetitive trauma (like years of wearing ill-fitted shoes), long-standing fungal infections, or neglect of nail trimming. It’s more frequently seen in older adults or individuals with limited mobility who may struggle with basic foot care. Certain systemic conditions, including psoriasis and vascular disorders, may also interfere with healthy nail growth and lead to this thickened, curved form. Curved Toenail Pain Relief and Solutions: Nail Disorder Treatment Toenail curvature can cause pain and nagging discomfort that disrupts your daily life. Remember, the nail should not be growing this way, and it’s up to you to take the first step towards finding a solution. Chiropodists and podiatrists offer several effective treatments to address curved toenails, tailored to the severity and underlying causes. Below are some common treatments available at foot clinics: Proper Fitting Footwear Wearing shoes that are the correct length 0with a wide toe box is crucial for preventing and alleviating discomfort associated with curved toenails. Footwear that allows ample space for the toes reduces pressure on the toenails, minimizing the risk of them growing into the surrounding skin. Properly fitting shoes not only aid in preventing the development or worsening of curved toenails, but also provide some pain relief for existing conditions that need accommodation. Ensuring that shoes complement the natural shape of the foot without squeezing or compressing the toes is a simple yet effective measure in maintaining toenail health. Medical Pedicures Medical pedicures are performed by trained chiropodists or podiatrists and focus on the health and hygiene of the feet and nails. Unlike cosmetic pedicures, these procedures address underlying issues and focus more on nail maintenance and health than aesthetic appearances (although the nails always look clean and fresh afterwards!). During a medical pedicure, the specialist will carefully trim and reshape the toenails using sterilized instruments, reducing the risk of further complications. They are a common treatment for people with diabetes who cannot cut and clean their nails properly without assistance, and who need an extra set of eyes and expertise to spot abnormalities. OnyFix Nail Correction System The OnyFix system is a non-invasive, highly innovative, and pain-free treatment designed to correct curved toenails—especially ingrown toenails. It involves applying a specialized composite material to the nail, which hardens and acts as a brace, guiding the nail to grow in its natural shape without exerting direct force. This method is suitable for various nail shapes and is particularly beneficial for patients seeking an alternative to surgical interventions. The Onyfix system allows individuals to continue their daily activities without restrictions, including swimming and wearing nail polish. https://www.youtube.com/shorts/LoCcoKOhV7E Nail Avulsion Surgery In severe cases, such as with ram's horn toenail, surgical intervention may be recommended. This procedure involves the partial or complete removal of the affected toenail under local anesthesia. By removing the deformed nail, the underlying tissue can heal properly, and a healthier nail may regrow. Alternatively, a solution called phenol may be used to prevent nail regrowth.

April 3, 2025

Why Poor Blood Flow Causes Toenail Problems

Healthy toenails need healthy circulation, but when blood flow is compromised, they can become brittle, discoloured, or grow slowly. Additional toenail conditions can also develop. Poor circulation and toenail problems are closely linked, especially for those with health problems like diabetes or peripheral artery disease. Understanding why poor blood flow affects toenails can help you take the right steps to protect your foot health and prevent complications. https://www.youtube.com/shorts/3JAUqiqJfus The Importance of Blood Circulation In order to understand the link between poor circulation and toenail issues, we have to start by understanding what blood flow is and what it does. The circulatory system, comprising the heart, blood vessels, and blood, serves as the body's transportation network. Its primary function is to deliver oxygen and essential nutrients to cells while removing waste products like carbon dioxide. The heart pumps oxygen-rich blood through arteries, which branch into smaller arterioles and capillaries, reaching every tissue and organ. This process ensures that each cell receives the necessary components for energy production, growth, and repair. Efficient blood circulation is vital for overall health. Oxygen transported by red blood cells is crucial for cellular respiration, the process by which cells generate energy. Nutrients absorbed from digested food are distributed via the bloodstream to support various bodily functions. Key nutrients delivered by the bloodstream include: Glucose: A simple sugar derived from carbohydrates in our diet, glucose serves as the primary energy source for cells, fueling various physiological processes. Amino Acids: These are the building blocks of proteins, obtained from the digestion of dietary proteins. Amino acids are crucial for tissue growth, repair, and the synthesis of enzymes and hormones. Fatty Acids and Lipids: Essential components of cell membranes and energy storage molecules, fatty acids and lipids are transported to cells for incorporation into cellular structures and for energy production. Vitamins and Minerals: These micronutrients support a range of cellular functions, including maintaining bone health and facilitating nerve transmission. Hormones: Although not nutrients in the traditional sense, hormones are vital signaling molecules transported by the circulatory system to regulate various physiological activities, such as metabolism, growth, and mood. Impaired circulation can slow down healing processes—even for seemingly innocent and minor problems like cuts and scrapes. Likewise, organs and tissues deprived of adequate circulation can suffer damage over time, increasing the risk of conditions such as peripheral artery disease, stroke, and heart attacks. Toenail Health and Circulation: The Connection The circulatory system delivers oxygen and essential nutrients to the nail beds, supporting the growth and maintenance of strong, clear nails. When blood flow is compromised, the nails may not receive adequate nourishment, leading to various issues such as brittleness, discoloration, and slowed growth. In some cases, poor circulation can cause nails to develop ridges, indicating underlying vascular problems. Reduced blood flow can also increase the risk of infections like toenail fungus (onychomycosis). A weakened circulatory system impairs the body's ability to combat pathogens, making the toenail environment more susceptible to fungal overgrowth. This often results in yellowed, thickened nails that you can’t treat without the help of a chiropodist or podiatrist. They must remove the infected portion of the nail so they can apply the correct medicine. Poor blood flow on its own may not cause a problem with your foot health, but it can contribute to the following toenail conditions: Slow or halted nail growth: Inadequate blood flow deprives the nail matrix of essential nutrients and oxygen, resulting in reduced or ceased toenail growth. This can be very frustrating if your toenail falls off or cracks and you’re waiting for it to grow back, leaving your feet vulnerable. Brittle and discolored nails: Insufficient circulation can cause nails to become brittle and change color, often appearing yellowed or darkened. Thickened nails: Poor blood flow may contribute to the thickening of toenails, often via toenail fungus, making them difficult to trim and maintain. Poor blood flow also affects the nail growth process, which can cause nail cells to pile on top of each other and lead to thicker toenails. Ingrown toenails: While not directly caused by poor circulation, individuals with compromised blood flow, such as those with diabetes, are at higher risk for complications from ingrown toenails, including infections and delayed healing. Diabetes, Toenail Health and Circulation Diabetes can lead to two significant complications affecting foot health: diabetic neuropathy and peripheral artery disease (PAD). Diabetic neuropathy results from prolonged high blood sugar levels damaging the nerves, particularly in the legs and feet, causing numbness, tingling, or a loss of sensation. This diminished sensitivity means that innocent injuries, such as cuts or blisters, may go unnoticed, increasing the risk of infections and complications like ulcers, or in severe cases, life threatening problems like gangrene, which require amputation. This is also the case for seemingly minor problems with the toenails. Simultaneously, PAD causes blood vessels to narrow and harden, reducing blood flow to the extremities. This impaired circulation hampers the delivery of oxygen and essential nutrients needed for healing, making the feet and toenails even more susceptible. Regular foot inspections and nail care with a chiropodist or podiatrist, maintaining proper hygiene, and promptly addressing any abnormalities are crucial steps for diabetics to prevent toenail-related complications stemming from poor blood flow. https://www.youtube.com/shorts/QFWBwM6mGqM?feature=share Foot and Nail Care for Poor Circulation Maintaining proper foot and nail care is essential for individuals experiencing poor circulation, as reduced blood flow can lead to various complications. Here are some recommended practices and treatments: https://youtu.be/5PCZuM5E6RU Regular Exercise: Maintaining good circulatory health through regular exercise, a balanced diet, and avoiding smoking is essential for ensuring that the body's systems function as well as possible. One of the best circulation maintenance tips for foot health is working the muscles in the lower extremities. Exercises like toe splays, toe flexes and raises, massage ball rolls, pen pick-ups and seated toe pulls can work wonders. Click here to learn the five best foot exercises to improve blood circulation. They’re particularly helpful in the winter, but are useful all year round. Regular Self Inspections: Conduct daily checks for cuts, sores, or changes in nail color and texture to detect issues early. Moisturizing: Keep feet hydrated to prevent cracks and fissures that can lead to infections. Learn how to moisturize properly here. OnyFix Nail Correction System: For those with ingrown or involuted toenails, the OnyFix system offers a non-invasive, pain-free solution. This innovative treatment involves applying a composite material to the nail, which helps guide it back to its natural shape as it grows, without the need for surgery. It's suitable for various nail shapes. Medical Pedicures: Unlike traditional cosmetic pedicures, medical pedicures are performed by trained foot care professionals, such as chiropodists or podiatrists, in a sterile environment in a foot clinic. They focus on health, addressing issues like nail trimming, callus reduction, and infection prevention. They are especially helpful for dealing with irregular shaped toenails caused by poor circulation - cutting and maintaining these on your own can be very difficult. For people with diabetes, who are at higher risk for foot complications due to poor circulation and neuropathy, medical pedicures are a common and recommended treatment. These specialized pedicures help prevent complications like infections or ulcers by ensuring meticulous foot care. Proper Footwear: Wear well-fitting shoes that provide adequate support and reduce pressure points to promote better circulation. Proper Nail Trimming: Trim nails straight across and avoid cutting them too short to prevent ingrown toenails. And if your toenails are too thick or difficult to cut on your own, book an appointment with a foot specialist.

March 27, 2025

How Tight Calves Affect Your Body

Tight calves and foot health go hand in hand (or should we say foot in foot?). Our body parts are intricately connected, meaning discomfort in one area can lead to issues elsewhere. Likewise, muscle strain and fatigue in the lower legs can wreak havoc on the feet and other body parts if ignored for too long. Let’s explore the symptoms and causes of tight calves, how tight calves affect the body and feet, and how a chiropodist or podiatrist can help you manage pain. Tight Calves: What Are They? "Tight calves" is a general term describing the sensation of stiffness, pain and tension in the muscles at the back of the lower leg, often leading to restricted movement that affects your daily life. This tightness can manifest as muscle pain and stiffness when walking, balance issues, and more. Tight calves and posture even have a connection! Anatomy of the Calf Muscles The calf comprises two primary muscles: Gastrocnemius: The primary or chief muscle in the calf. It’s located on the back of your leg, relatively close to the skin’s surface. This superficial muscle has two heads, medial and lateral. It helps flex the knee and foot, and also plays a crucial role in walking and posture. Soleus: Located beneath the gastrocnemius, this wide and flat muscle is deeper, and originates from the posterior tibia while connecting to the Achilles tendon above the heel. This group helps stabilize ankle during activities like walking and running. Understanding the structure and function of these may be helpful in determining the cause of calf muscle tension. What Causes Calf Pain? Pain in the lower part of the back of the legs does not always feel the same. It may come on suddenly, or nag at you all day by way of a mild, dull ache. The former is often the result of a sudden injury or sharp movement, whereas the latter can build over time, resulting from lifestyle choices like wearing unsupportive shoes or working out too hard. Here are some common causes of calf pain: Muscle Cramps. Sudden, involuntary contractions of the calf muscles, known as cramps, can cause significant tightness and discomfort. These cramps may result from factors such as dehydration, general muscle fatigue, or electrolyte imbalances. Overuse. Engaging in repetitive activities that involve a lot of running or jumping can overwork the calf muscles and make them feel tight. This is especially common when increasing training intensity or duration without allowing yourself to rest. Muscle Strain. Overstretching or tearing the calf muscles, often due to sudden movements or excessive force, can result in tightness, pain, and swelling. Non-supportive and Ill-fitting Footwear. Shoes lacking arch support, shock absorption, or cushioning force the muscles to work harder with every step. Without proper arch support, the foot may put excessive strain on the calf muscles as they attempt to stabilize the lower leg. A lack of shock absorption further increases the impact of the ground on the feet and legs. Similarly, insufficient cushioning fails to distribute pressure evenly, leading to increased stress on the calves, especially during prolonged standing or walking. Poor Ankle Mobility. Limited flexibility in the ankle joint can place additional strain on the calf muscles, contributing to tightness. Some causes include having a history of ankle injuries or arthritis. Pre-existing Gait Abnormalities and Foot Type. Overpronation (excessive inward foot rolling — common in flat feet) or underpronation (excessive outward foot rolling — common with high arches), can lead to calf muscle tightness due to altered mechanics and increased strain. Dehydration and Mineral Deficiencies. Lack of adequate fluids or essential minerals like potassium, magnesium, and calcium can lead to muscle cramps and tightness in the calves. Inactivity. Prolonged periods of inactivity or sedentary behavior can cause the calf muscles to become tight due to lack of regular movement and stretching. Venous Insufficiency. Conditions like deep vein thrombosis (DVT) or varicose veins can cause calf tightness, as well as general venous insufficiency. How Tight Calves Affect the Body and Feet We can feel the effects of tight calf muscles in more ways than one. Our feet can become weaker, more vulnerable and fatigued, sometimes leading to a foot condition we didn’t have before. Tight calves can also cause experience mysterious back and knee pain. Here are common additional problems can arise from strain in the lower legs. Joint Pain Tight calves can have a significant impact on the body's overall alignment, posture and movement, often leading to joint pain in the knees, back, and feet. When the calf muscles are tight, they restrict proper ankle dorsiflexion (raising the foot upwards towards the shin). When ankle mobility is restricted, the body may lean forward slightly to maintain balance, causing strain on the lower back muscles and leading to chronic discomfort. This abnormality can put excessive strain on other joints, like in the knees. This perfect storm of joint problems and limited movement can contribute to conditions like osteoarthritis over time. Biomechanical Foot Conditions The feet often bear the brunt of tight calf muscles, as they have to absorb additional stress during movement. Calf pain can cause a disrupt our running or walking gait as we try to move through the pain. Further, since our calf muscles connect our knees to our ankles, when the calves become tight it puts strain on the ankle. This disrupts our foot mechanics and can cause painful, chronic overuse injuries like plantar fasciitis and Achilles tendonitis. In fact, tight calves is one of the leading contributing factors to Achilles tendonitis and plantar fasciitis. Increased Risk of Injury Aching, tense muscles are more susceptible to further strains and tears, in addition to also causing balance problems as you struggle with pain. All of this combined can be a recipe for disaster and lead to a slip or fall (especially in seniors) that may cause even more damage, like a broken bone. Tight calf muscles can also contribute to more mild conditions like shin splints (repetitive stress on the shin bone) and generally hinder athletic performance. Circulatory Problems The calf muscles assist in pumping blood back to the heart from the lower extremities. Tightness in these muscles can impede this process, resulting in swelling in the feet and ankles and, in severe cases, contributing to circulatory problems. How to Treat Tight Calves: Muscle Tightness and Foot Care https://www.youtube.com/shorts/sNdIAxZNOn8 A foot care professional can help with calf tightness and pain. With their guidance and your determination to improve your foot and leg health, you can live and move comfortably. Let’s explore some options. Compression Stockings Wearing medical-grade compression stockings can improve circulation in the lower legs, reducing muscle fatigue and tightness and giving your lower extremities a healthy, comforting and energizing boost. They work by applying gentle pressure to the legs, which helps prevent blood pooling and promotes better oxygen delivery to the muscles. Compression therapy is especially useful for individuals who spend long hours on their feet, live a sedentary lifestyle, spend prolonged periods sitting while travelling, pregnant women, or those with conditions like varicose veins. A physician can determine the right level of compression based on your specific needs. Custom Orthotics Custom orthotics can help address underlying biomechanical issues that contribute to tight calves. A chiropodist can assess foot structure to design orthotics that conform to your feet, and yours alone, providing tailored support and alignment for your unique needs. By correcting imbalances and reducing strain on the lower leg muscles, orthotics can help alleviate tightness and prevent further discomfort. These devices can be particularly beneficial for individuals with flat feet, high arches, or abnormal gait patterns that place excessive stress on the calves. Proper Footwear Shoes with adequate arch support, cushioning, and shock absorption that redistributes pressure away from the heel can help keep your feet comfortable, maintain proper lower limb alignment and reduce strain on the calf muscles. Chiropodists and podiatrists often advise against wearing unsupportive footwear like flip-flops or high heels for prolonged periods, as they can contribute to muscle tightness and discomfort in the calves and feet. Strengthening Exercises and Stretching Programs A structured exercise program focusing on calf flexibility and strength can significantly reduce tightness. Chiropodists can recommend targeted stretches that target the gastrocnemius and soleus muscles — helping improve range of motion in the lower leg and fighting off stiffness. Calf raises in particular (see demonstration below) can enhance muscle endurance and prevent recurring tightness. Incorporating these exercises into a daily routine can improve mobility and reduce the likelihood of calf-related discomfort. Some other good examples of stretches for calf muscles include the Soleus Stretch and Heel Stands. Click the links for Feet First Clinic demonstrations! https://www.youtube.com/shorts/ZVSfzY6so8w

March 20, 2025

Ram’s Horn Toenails: What They Are and How to Treat Them

Ram’s horn toenails? Sounds like a serious foot issue! And it is—this condition, medically known as onychogryphosis, causes thickened, curved nails that can become painful and difficult to manage over time. It doesn’t just affect nail appearance; it can lead to discomfort, infection, and mobility issues if left untreated. Fortunately, onychogryphosis treatment options from a chiropodist or podiatrist are available to help you manage comfort and nail health. What Are Ram’s Horn Toenails? View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Ram’s horn toenails (onychogryphosis), one of the many types of toenail conditions, is classified as a nail disorder or nail disease where the toenail becomes extremely thick, abnormally curved, and overgrown, often resembling the spiraled shape of a ram’s horn. This happens because the nail plate—made of keratin—grows unevenly due to disruptions in the nail matrix, the part of the nail bed responsible for new cell production. Instead of growing outward smoothly, the nail thickens, hardens, and may curl or twist due to uneven pressure and irregular cell turnover. They have a similar appearance to a severe fungal toenail infection. The texture of a ram’s horn toenail is usually rough, ridged, and extremely hard, making it difficult to trim with standard nail clippers. Over time, the nail can develop a yellowish, brownish, or even grayish hue due to keratin buildup and potential fungal infections. In severe cases, the nail may grow so long and misshapen that it presses into the surrounding skin, causing pain, tenderness, and difficulty wearing shoes or walking comfortably. Because the thickened nail loses its normal flexibility, it can crack or split, increasing the risk of infection. The appearance of onychogryphosis can also affect confidence and make it difficult to find shoes that accommodate their size and abnormal shape. Although onychogryphosis most commonly affects the big toe, it can develop on others as well. It tends to progress gradually, meaning that early signs—such as mild thickening or slight discoloration—can go unnoticed until the nail has significantly changed in shape and texture. Causes of Ram’s Horn Toenails https://www.youtube.com/shorts/3JAUqiqJfus These toenails do not generally form spontaneously without an underlying cause or risk factor. Let’s take a look at what generally causes this nail disorder. Risk Factors for Ram’s Horn Toenails: Trauma and Ill-Fitting Footwear Repeated or acute trauma to the toenail can disrupt normal nail growth, leading to thickening and deformation. Continuous pressure and friction, such as from ill-fitting footwear, can cause microtrauma to the nail bed, contributing to the development of onychogryphosis. Essentially, the toenail thickens and starts growing in a different direction to protect itself. Age In general, our feet become more vulnerable with age due to several physiological changes that can occur, which can predispose us to onychogryphosis. For instance, reduced peripheral circulation, common in older adults, impairs blood flow to the extremities, leading to diminished oxygen and nutrient delivery to the nails. This alters the nail's natural growth process, causing nails to grow slower and nail cells to pile up on top of each other (rather than growing out). As a result, they thicken and can change shape. Additionally, decreased mobility in the elderly may lead to inadequate foot care, contributing to nail abnormalities. https://www.youtube.com/shorts/gEi59gq5g54 Diabetes Diabetes significantly increases the risk of developing onychogryphosis, particularly due to the effects of diabetic neuropathy. Diabetic peripheral neuropathy reduces sensation in the feet, so individuals may not notice pressure, injuries, or trauma to the toenails, which can lead to deformities like onychogryphosis. Without the ability to feel discomfort, they may unintentionally cause damage to the nail, leading to thickening, curling, and other changes associated with the condition. Additionally, poor circulation caused by diabetes can impede healthy nail growth, making the nails more prone to abnormalities. Peripheral Vascular Disease (PVD) As already discussed, poor circulation affects the nail growth process and can lead to nail deformities. In particular, peripheral vascular disease involves the narrowing of peripheral arteries, reducing blood flow to the limbs. The diminished circulation can cause various symptoms, including slow or unusual nail growth. Without proper blood flow, the nails may become thickened and misshapen, potentially progressing to onychogryphosis if left untreated. Cognitive Impairment Relating back to age as a risk factor, conditions such as dementia can lead to neglected foot care due to cognitive decline. Individuals with dementia may forget or be unable to perform regular foot hygiene practices, increasing the risk of nail deformities like onychogryphosis. Self neglect, or infrequent cutting of toenails for a significant amount for any reason, is also a risk factor. High-Friction Sports and Activity Participating in high-friction sports like running, soccer, or ballet can increase the risk of developing onychogryphosis. Repetitive pressure and friction from constant movement or improper footwear during these activities can cause trauma to the toenail, leading to thickening, curling, and potential deformity. Runners, for example, often experience repeated impact on their toenails, particularly the big toe, which can cause them to become damaged or misshapen over time. Additionally, athletes who wear shoes that are too tight or too loose, which cause friction and rubbing, are more likely to develop toenail issues. As is the case with ill-fitting footwear, over time, the nail thickens and changes growth direction in order to protect itself from the repetitive trauma. Hyperuricemia High levels of uric acid in the blood is often associated with gout, but it can also contribute to the development of onychogryphosis. Elevated uric acid can lead to the deposition of urate crystals in joints and tissues, including the nails, which can cause inflammation and damage. This buildup may result in nail thickening, distortion, and a rough appearance. While gout primarily affects joints, the condition’s systemic nature can also have an impact on nail health Fungal Infections Also known as onychomycosis, fungal infections cause thickening and nail distortion. These infections often thrive in warm, moist environments and can infiltrate the nail, leading to changes in color, texture, and shape. In diabetic patients, onychomycosis prevalence is notably higher, reaching up to 31.5%, due to factors like elevated blood glucose levels and compromised immune response. Psoriasis / Psoriatic Arthritis Psoriasis or psoriatic arthritis can cause nail changes in roughly half of affected individuals. Proper management of psoriasis through medical treatments can help alleviate these nail changes and improve overall nail health. Treating Ram’s Horn Toenails: Nail Care for Curved Toenails https://www.youtube.com/shorts/QFWBwM6mGqM Routine Professional Nail Care It’s very important to visit a Podiatrist or Chiropodist, both types of foot specialists in Ontario, if you have Ram’s horn toenails. This is because it is far too difficult, even dangerous, to manage them yourself. Their thickness, abnormal shape and unsightly appearance and positioning on your foot make it impractical to try cutting them with standard nail clippers, and is not advised. A chiropodist or podiatrist can tend to your nails properly with specialized tools designed to maintain nail disorders. They can also perform toenail debridement, smooth out nail edges, clean out debris, and apply sprays that help with discoloration. Other nail care treatment options may vary depending on the severity of the condition. In more extreme cases, surgical interventions such as nail avulsion—removal of the nail plate—may be considered. If an infection is present, a chiropodist or podiatrist can prescribe the appropriate antifungal or antibacterial treatments to address the underlying cause (you can't treat fungal infections from home). In addition to the specialized care provided by podiatrists and chiropodists, treatment for Ram’s horn toenails can also include regular monitoring to track any changes in the condition. They may suggest specific at-home care practices, such as gentle cleaning and moisturizing, to support the overall health of the nails and surrounding skin. For individuals with chronic conditions, like diabetes, it is especially important to maintain close contact with a foot care specialist to ensure the toenails remain manageable and complications are avoided. Diabetes patients who neglect their foot health can experience severe ulcer formation. Onyfix Onyfix is just one of the many unique ways a foot specialist can help treat curved, curled or Ram's Horn Toenails. It's a non-surgical treatment that involves the placement of a band across the toenail. This band then corrects the nail's growth pattern and shape. It's great for Ram's Horn Toenails because it will help flatten out the toenail on the nail bed and "train" the toenail to grow in the correct direction. Proper Fitting Footwear But all the treatment in the world won't matter without eliminating one of the most common causes of curved, curled and abnormal toenails: ill-fitting footwear. As we already discussed, ill-fitting footwear causes repetitive trauma on the nailbed, which disrupts the toenail's growth process. Prioritizing footwear that minimizes pressure and allows for adequate toe room to alleviate discomfort and prevent further nail distortion is key. Opting for shoes with a wide toe box provides ample space for the toes to spread naturally, reducing friction and pressure on the affected nails. Shoes may also require extra depth, and orthopedic footwear may be required for sufficient comfort. Featured Photo By PixaBay

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