Rheumatoid & Psoriatic Arthritis

September 25, 2019

Other than osteoarthritis, most other forms of arthritis are described as “Inflammatory Arthritis” because in these cases, inflammation itself is the source of cartilage damage.

Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease, which means it occurs when the body’s immune system starts to mistakenly attack its own tissues. With rheumatoid arthritis, the immune system targets the lining of the joints, leading to chronic inflammation, cartilage damage, joint impairment and joint deformity. In addition, this disease is not only localized to the joint, but also has systemic implications, such as a low-grade fever, loss of appetite, fatigue, and anemia. In some cases, inflammation can even affect nearby organs like the nerves, eyes, skin, heart, and lungs.

Rheumatoid arthritis is characterized by flares and remissions of disease activity, including swelling, pain, and stiffness in multiple joints, usually presenting in a symmetrical fashion. For instance, when a joint in your left hand is swollen, the same joint in your right hand will also be swollen. The disease starts by affecting the smaller joints in the body such as those found in the hands, wrists, and feet, and will spread to larger joints as the disease progresses.

Psoriatic Arthritis

Psoriatic arthritis is an inflammatory arthritis associated with an inflammatory dermatological condition called, psoriasis. Psoriasis is characterized by red, silvery, scaly patches that are itchy and sometimes painful. Nails can also be involved and become thickened, discoloured, pitted, and crumbly, mimicking nails infected with fungus.

Psoriatic arthritis usually affects a joint or a few joints of the fingers and toes, resulting in a swollen, red digit. In some cases, the spine and knee may also be affected.

How Can a Chiropodist Help?

Rheumatoid and psoriatic arthritis can lead to joint disability and joint deformity. Therefore, wearing orthopedic footwear to accommodate the foot can help to manage pain and inflammation, thereby, slowing down the progression of the disease. In general, look for a wide set shoe with a wide and deep toebox and a cushioned insole. A biomechanical assessment and gait analysis will determine if there are any biomechanical faults that are exacerbating your symptoms. The best custom foot orthotic will control, stabilize, and support the foot, reducing stress on joints and evenly redistributing pressures.

If you have rheumatoid or psoriatic arthritis affecting the joints of your feet, stop living in pain and book an appointment with one of our Licensed Chiropodists at Feet First Clinic today. Chiropodists can help to restore and preserve function as well as maintain mobility in the joints of your feet, significantly improving the quality of your life.

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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April 11, 2024

The Role of Nutrition in Foot Health

You are what you eat! This statement could not be more true, as the foods we consume help our bodies function at their best. The connection between nutrition and foot health isn’t widely known or obvious, but a healthy diet can work wonders for bone and joint health in the lower extremities. Eating the right foods for strong feet may also help you avoid painful foot conditions when combined with other foot care practices. Keep reading to discover nutrition and foot health secrets! How Good Nutrition Benefits Foot Health Healthy eating can lead to stronger feet by helping prevent excess inflammation. Inflammation can be protective and healing, but on the flip side, too much can lead to the following: Tissue damage Joint degradation (arthritis) Injuries and mobility issues Reduced bone density Moreover, a healthy diet supports proper blood circulation, which is essential for delivering oxygen and nutrients to the feet. Poor blood circulation can lead to cramping in the lower extremities, fatigue, varicose veins, and even ulcers, which are very dangerous for diabetics. Lastly, when we fuel our bodies with whole foods and don’t overeat (it’s okay to indulge on occasion!), we can maintain a healthy weight. Living your life at a healthy weight poses many benefits for your feet, including: Enhanced mobility and flexibility Decreased strain on the foot (your feet are carrying less weight, which is extra important when you have flat feet) Improved circulation to the feet Less edema and water/salt retention The Best Healthy Diet for your Feet Now let’s get to the fun part — exploring all of the yummy and nutrient-rich foods you should eat for strong feet! Check below for a list of the top choices to help your feet feel great. Keep in mind you can eat many more foods than these; we just think these options stand out as foot health power foods! Salmon: Rich in omega-3 fatty acids, which help reduce inflammation and promote joint health. Leafy greens: High in vitamins and minerals like calcium, magnesium, and vitamin K, which are essential for bone health. Berries: Packed with antioxidants that help reduce inflammation and improve circulation. Nuts and seeds: Good sources of healthy fats, vitamins, and minerals that support overall foot health. Greek yogurt: Contains calcium and probiotics, beneficial for bone density. Turmeric: Contains curcumin, a compound with anti-inflammatory properties that can alleviate foot pain and swelling. Avocados: Provides healthy fats and potassium, essential for maintaining proper muscle function and reducing cramping. Beans and legumes: High in fiber, protein, and various nutrients that support overall health and can help prevent foot-related complications like diabetes. To learn more about great foods for foot health, read here. In terms of what to avoid or eat in moderation, foods that cause inflammation are the main culprits. These include: Red and processed meats Baked goods and pasta made with refined carbohydrates Deep fried foods High-sugar foods like candy and soda Foods with trans fat (certain types of butter, chips, etc)

March 28, 2024

Ultimate Guide to Moisturizing Your Feet: Say Goodbye to Dry Skin

Wondering about top foot moisturizing tips and dry skin remedies? Look no further! Skin-related issues are common at Feet First Clinic, so we know a thing or two about the secrets behind soft feet! Keep reading to master our step-by-step guide on the perfect hydrated skin care routine for your feet. Foot Moisturizing Tips: A Step-by-Step Guide Numerous studies support the use of high-quality moisturizing creams on the feet to fight xerosis (the medical term for dry skin). Dry skin acts as a foundation for common foot problems, like pain and soreness, bleeding, cracked heels, peeling skin, and more, so moisturization not only makes your feet feel smooth to the touch, but it also gives you protection against future troubles. Moisturizing can also help you manage more serious concerns, like diabetes and psoriatic arthritis. Below are the steps you should follow to guarantee you are lathering your feet up the right way: Step 1: Get the right products Step 2: Cleanse and exfoliate your feet Step 3: Moisturize your feet Step 4: Protect and maintain Step 1: Get the Right Products For the best results, choose medicinal moisturizing creams from brands like Gehwol. These focus on hydration, are fragrance-free and made without harsh chemicals. Their Soft Feet Cream contains urea (which absorbs moisture and softens skin) and glycerin (which relieves dryness and retains moisture). It also contains soothing and pleasant ingredients like avocado oil and honey extract. Their Med Salve for Cracked Skin may be the best bet for a more aggressive moisturizing treatment. Due to it being a salve and not a cream, it is specially designed to penetrate the skin more thoroughly. Likewise, in addition to being a good choice for people prone to cracked heels, it is suitable for diabetics. Another good option is the deep penetrating heel care cream from Dermal Therapy. Step 2: Cleanse and Exfoliate Your Feet Before moisturizing comes foot hygiene! You should always start with a clean base. Clean your feet in warm water with fragrance-free, gentle soaps, and thoroughly dry, especially in between the toes (vulnerable area for fungal infections). To go the extra mile, exfoliate your feet with a scrub product and finish off with a foot file on the bottom of the feet. This eliminates dead skin cells, making your moisturizer more effective! Step 3: Moisturize Your Feet Moisturizing itself is pretty simple. Use a generous dollop (but not too much) of moisturizer and focus on dry areas, if you have any. Massage the moisturizer into your feet using circular motions, ensuring full coverage. Avoid the area in between the toes if you’re prone to infections or wounds (if you have diabetes). Moisture can build in the between the toes more easily than other areas. Step 4: Protect and Maintain Repeat this process regularly, ideally daily or at least a few times a week, to keep your feet soft, smooth, and well-hydrated. If your skin is especially vulnerable and sensitive, like for those with psoriasis and psoriatic arthritis, a regular routine is extra important to help you manage painful flar- ups.

March 14, 2024

Yoga for Feet: Strengthening and Flexibility Exercises

Yoga is a respected form of healthy, low-impact exercise. It fosters physical strength, mental well-being, and helps with flexibility training. But what you may not know about is what yoga can do for your feet. Yoga and foot health have a close connection. Your feet serve as the base for most exercises, so almost every famous yoga pose doubles as a foot strengthening exercise in some way! Specifically, studies show that yoga can help with musculoskeletal problems in the lower extremities. Whether it’s toe yoga exercises, yoga for ankle strengthening, or yoga for arch support, most poses work wonders for the feet. Today we’ll talk about the top four, how you should perform them, and what they do for your foot health. Top Yoga Foot Strengthening Exercises Downward-facing dog Tree pose Warrior pose Cat-cow pose Downward-Facing Dog This well-known pose provides a nice calf stretch, in addition to being a good ankle and foot strengthening exercise due its ability to target the smallest, stabilizing muscles in the feet. Try this yoga pose to protect against foot injuries, promote arch support, and help manage conditions like Achilles tendonitis. How to: Start in a tabletop position (this is a foundation pose for many yoga exercises, and basically just means being on your hands and knees) Lift your hips towards the ceiling, straightening your legs and arms. Form an inverted "V" shape with your body, keeping your hands shoulder-width apart and feet hip-width apart. Press your palms into the mat, lengthen your spine, and draw your heels toward the floor. Hold the position, breathing deeply, and feel the stretch in your hamstrings and shoulders. To release, bend your knees and return to the tabletop position. Tip: To liven up your downward-facing dog pose, you can incorporate toe raises (during step 4 and 5), where the body is supported by just your toes instead of the entire foot. This can do more when targeting conditions like flat feet and bunions. Cat-Cow Pose The cat-cow pose is praised for the way it engages your spine and helps manage back pain. But you can modify the traditional version to strengthen and stretch your feet more. Let’s take a look at the traditional way to perform the pose, and add our modifications so you can give your feet more attention. How to (traditional): Start on your hands and knees in a tabletop position. Inhale, arch your back, lift your head, and drop your belly (cow pose). Exhale, round your spine, tuck your chin to your chest (cat pose). How to (modified): While in the cow pose, press the tops of your feet into the mat and actively curl your toes, engaging the muscles in your feet. While in the cat pose, purposely point your toes away from you, stretching the tops of your feet and creating a gentle stretch in the ankles. Tree Pose Like downward-facing dog, the tree pose strengthens the small muscles in the ankles and feet. But another perk is how it can help you improve your balance, which people with foot and toe deformities, like bunions and hammertoes, and different types of arthritis, often need to focus on. The tree pose also helps strengthen the arches of the feet, providing support and stability for those with flat feet. How to: Stand on one leg, shifting your weight to the same foot as the leg you choose. Bring the sole of your other foot to the inner thigh or calf. Bring your palms together in front of your chest or reach them overhead. Hold the pose, maintaining balance as best as you can. Repeat on the other leg. Warrior II Pose Due to its wide stance, the Warrior II pose provides a balance challenge, calf engagement, and can be a solid means of targeting ankle stability. Also, as you ground the outer edge of your back foot and press down through the inner arch, you engage the muscles in the arch of the foot. The best part? This is one of the easiest yoga poses to master, and makes you feel confident and powerful! How to: Start in a standing position with your feet about 3-4 feet apart. Turn your right foot out 90 degrees, aligning the heel with the arch of your left foot. Extend your arms parallel to the floor.

March 4, 2024

Foot Massage Techniques for Relaxation and Relief

Similar to practicing exercises and stretches at home, learning how to perform your own foot massage and relaxation techniques can work wonders. Whether you’re looking to manage your own pain, or tending to a loved one, foot massages can provide comfort and stress relief. Since foot massages are a major component of DIY foot care, we want to give you some handy tips on how to make the most of them. Let’s discuss how to massage each part of the foot, and highlight foot massage benefits you may not even be aware of! Today's blog will explore: Main benefits of a foot massage Foot massage techniques Additional benefits of a foot massage Main Benefits of a Foot Massage Foot massages can be empowering for those on a pain management journey. Regularly performing them before bed and when you wake up adds value to your treatment plan, and can make your daily life more comfortable! Here are the numerous benefits: Targeted treatment of foot conditions Relaxation and stress relief Swelling (edema) management Restless leg syndrome management Reduces foot fatigue and boosts energy Improves blood circulation Foot Massages Techniques A comprehensive foot massage should target as much of the foot as possible, but sometimes foot pain and conditions tend to affect certain areas and you want to focus on what you're struggling with. Heel Can help with plantar fasciitis, Achilles' tendonitis, etc. Apply gentle pressure to the heel, using circular motions with your thumbs to loosen up the area. Foot Arch / Bottom of the Foot Can help with flat feet, high arches, metatarsalgia, etc. While standing, place your arch on top of a therapeutic massage ball, and roll back and forth. This doubles as a useful foot exercise! Use your knuckles to knead and massage the arch in a back-and-forth motion. Apply firm yet comfortable pressure with your thumbs in small circular motions, addressing as much tension as possible. Toes Can help with arthritis, bunions, etc. Apply a light, pinching motion to the base of each toe, working your way towards the tip. Use your thumbs to press and release along the toe joints, addressing any tension. Gently pull each toe away from the foot until you feel a subtle stretch. Top of the Foot Can help with extensor tendonitis, arthritis, stress fractures, etc. Apply gentle pressure with your thumbs along the top of the foot, from the base of the toes to the ankle. Use your knuckles or thumbs to knead the area in small circular motions, focusing on any tightness or tension. Incorporate long, sweeping strokes with your palms, moving from the toes towards the ankle. Additional Benefits of a Foot Massage You may also find acupressure points in the feet and foot reflexology worth exploring. Some studies suggest that “meridian points on the feet correspond with various organs in the body,” which is the concept behind foot reflexology. These organs include the kidneys, liver, small intestine, and many more. Essentially, applying gentle pressure to the appropriate acupressure points is believed to stimulate the flow of energy along the body's meridians. In addition to pain management and stress relief, foot reflexology may also help with sleep, digestion, and eyesight. Your DIY massages may somewhat reflect what reflexology can achieve, but it’s important to discuss the concept with a healthcare professional if it interests you.

February 20, 2024

Bunion Basics: Understanding and Managing Foot Bunions

Bunions, bony protrusions that often develop at the base of the big toe, are a common foot ailment affecting millions worldwide. While they may not be life-threatening, they can be a source of persistent discomfort and impact one's quality of life. This blog explores the causes, symptoms, and effective management strategies for understanding and coping with bunions. Understanding Bunions What are bunions? Bunions, or hallux valgus, occur when the joint at the base of the big toe misaligns. The misalignment causes the big toe to point toward the other toes. Over time, the shifting joints and bones lead to a bony bump on the side of the foot. What causes bunions? Bunions often develop due to a combination of genetic and environmental factors. High heels and shoes with narrower toe boxes can exacerbate the condition, as can specific foot shapes and abnormalities. Additionally, conditions such as rheumatoid arthritis can contribute to their development. Activities with excessive pressure and strain on the toes and joints at their base, such as ballet or running, can also lead to a bunion. What are the symptoms of bunions? Common symptoms of bunions include pain, swelling, redness, and restricted movement of the affected toe. The prominence of the bony bump can also lead to the development of calluses and corns. Managing Bunions Choose the correct footwear One of the primary ways to manage bunions is by wearing shoes that provide ample room for the toes. Opt for shoes with a wider toe box and lower heel height to reduce pressure on the affected joint. Avoid high heels and pointed shoes, as they can exacerbate the condition. Additionally, you can supplement footwear with bunion splints and aligners, or toe taping, all of which help realign the big toe to its natural position. Custom orthotics Orthotic inserts can provide additional support and help alleviate discomfort associated with bunions. These inserts can be purchased over the counter or customized by a chiropodist to suit the specific needs of your feet. Toe exercises Regular toe exercises can improve the flexibility and strength of the toes, potentially relieving some of the pressure on the affected joint. Simple exercises like toe stretch and toe-tapping can be beneficial. Cold compression and elevation When experiencing pain and swelling, applying a cold compress and elevating the foot can help reduce inflammation. Cold compression can be beneficial after prolonged periods of standing or walking. Shockwave therapy This non-invasive treatment can help treat tight muscles and other soft tissue injuries that can often coincide with bunions. Pain management Photo credit: iStock Over-the-counter pain relievers and anti-inflammatory medications can effectively manage pain associated with bunions. However, consulting a healthcare professional before starting any medication regimen is essential. Surgical options In cases where conservative measures prove ineffective, surgical intervention may be considered. Bunion surgery aims to realign the joint, remove the bony bump, and alleviate pain. Generally, surgery is considered a final resort for severe cases or when conservative methods have failed. Side effects from the surgery include nerve damage, wound-healing problems, and, in rarer cases, osteoarthritis of the metatarsal bone.

January 1, 2024

Senior Shoe Shopping 2024: Your Complete Guide to Comfortable and Supportive Footwear

Shopping for senior footwear can be challenging. Older people have to consider individual preferences in addition to specific foot conditions like bunions, arthritis, diabetes (swelling, neuropathy), and more. But in 2024, everyone can enjoy a wide array of shoes that encourage foot health and also look great. It's just a simple case of knowing what to look out for! Comfortable Shoes for Seniors: Key Features to Look For Source: iStock Arch and Ankle Support The foundation of our feet can weaken with age, leading to issues like decreased muscle strength and joint flexibility. Shoes with proper ankle support help stabilize the ankle joint, reducing the risk of sprains and falls. Additionally, good arch support is essential to treat conditions common in seniors, like flat feet, providing cushioning and encouraging a better gait. Easy to Put On Seniors struggling with arthritis, edema, balance issues and instability, mild cognitive impairment, and other pain-related mobility issues need shoes that are easy to put on. When shopping, keep your eyes peeled for the following: Slip-on shoes and sneakers Shoes made with flexible fabric Zipper shoes Orthopedic shoes Avoid high heels (too unstable), shoes with poor traction and slippery soles (can lead to slips and falls), and pointed-toe shoes (poor environment for bunions). Mobility Accommodation Many older people need shoes that adapt to ankle instability, foot swelling, foot pain and leg pain. Moreover, stability and motion control sneakers can prevent injuries that may arise due to the unpredictability and vulnerability of daily movement. These shoes typically feature a firm and supportive midsole that helps control excessive foot motion. Best Senior Footwear 2024 Any helpful senior shoe shopping guide should include some examples of supportive footwear to try. Let’s take a look at some shoe recommendations that benefit foot health for seniors! APEX X-Last Double Strap Walker X920M APEX X-Last Double Strap Walker X920M. Source: APEX This motion-control shoe is easy to put on and comes with secure fasteners and stabilizing technology in the rear foot and ankle. It also features a wide toe box, something that can help older people struggling with bunion and hammertoe pain. The extra depth can also help accommodate swelling. ASICS Gel-Nimbus ASICS Gel-Nimbus. Source: ASICS This shoe provides extra cushioning, making it a good choice for seniors struggling with osteoarthritis and sensitive feet. It’s a great choice for performing low-impact exercises and for walking. Portofino Velcro Strap Winter Boot Portofino Velcro Strap Winter Boot. Source: Portofino An excellent option for surviving the winter, this boot is highly insulated, water resistant and the solid grip helps prevent slips and trips. The velcro strap allows for a cozy fit and makes it easy to put on and take off, and the fur lining is a stylish finishing touch. Portofino Indoor Slipper Portofino indoor slipper. Source: Portofino. Orthopedic footwear does not just include orthopaedic shoes. These days, there are several orthopaedic slippers on the market that seniors can wear comfortably at home. This slipper also comes with a removable insole that can be replaced with custom orthotics or over-the-counter inserts.

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Rheumatoid & Psoriatic Arthritis

Rheumatoid Arthritis

Psoriatic Arthritis

How Can a Chiropodist Help?

Here’s to Many More Years of Foot Care!

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Related Posts

The Role of Nutrition in Foot Health

Ultimate Guide to Moisturizing Your Feet: Say Goodbye to Dry Skin

Yoga for Feet: Strengthening and Flexibility Exercises

Foot Massage Techniques for Relaxation and Relief

Bunion Basics: Understanding and Managing Foot Bunions

Senior Shoe Shopping 2024: Your Complete Guide to Comfortable and Supportive Footwear

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