Small Skin Problems Can Be a Big Issue When you Have Diabetes

March 25, 2019

One of the symptoms that comes from long-standing and untreated diabetes is peripheral neuropathy, which means nerve damage experienced in the feet and legs. Peripheral neuropathy causes numbness, making it difficult to feel minor injuries. A cut, blister or wart could go completely unnoticed for a long time.

What’s worse is that diabetes can affect your ability to heal from an injury, which can lead to a serious infection. If you are living with diabetes, here are three small skin problems that you should respond to right away for the sake of your health.

Ingrown Nails

An ingrown toenail is a toenail that breaks into the border of the nail bed instead of straight-ahead, causing pain and swelling. An ingrown toenail is often caused by footwear that is too small, poor trimming or injuries. Sadly, the problem can also be hereditary.

Clipping the nail further down could make the situation much worse and expose the toe to greater infection. One of our chiropodists can help you tackle the problem. If you haven’t come into the clinic before, you can meet our Toronto foot specialists today online or meet them at your first appointment.

Plantar Wart

A plantar wart is a form of the Human Papillomavirus that grows on the bottoms of your feet. The virus enters through a crack in the skin, causing a wart that looks similar to a corn or foot callus. Putting pressure on the wart can be painful and make walking difficult.

To ensure safe removal and prevent further infection, you should avoid DIY wart removal. Book an appointment with a chiropodist at the clinic if you need a foot wart removed — they will figure out what medicinal or surgical treatment plan works for you.

Blisters

The blister begins as a fluid-filled pocket covering the injured area. Your first instinct may be to lance it at home, but you should fight the temptation. The pocket guards the vulnerable area against infections from fungus, viruses and bacteria. Signs of infection are inflammation and unusual colouring like yellow or purple.

If you have a foot blister, you should gently clean it and dry it without bursting the fluid pocket. Cover it with a gauze bandage and avoid putting pressure on it. Then, you can see our podiatry clinic today to get a chiropodist to safely remove it and treat the damage left behind.

Diabetes Canada recommends that people living with the condition practice daily foot care so that they can take stock of injuries and skin problems. Look at the bottoms of your feet, your nails, your heels and even between your toes for any red flags. If you have difficulty seeing the bottoms of your feet, you can use a mirror or ask for a confidante to do the investigation for you.

These problems start out small, but they can spiral out of control when you don’t have a strong enough immune system to combat them. This doesn’t mean you should panic every time you spot a wart or a blister forming. It just means you should make note of the change and head on over to the clinic to sort it out as quickly as possible.

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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July 17, 2023

Black Toenail: Causes, Treatment, and Prevention Tips

Black toenails can be an unsightly but under-discussed topic for some individuals. The condition can stem from an injury, an underlying health issue, or ill-fitting shoes. A black toenail is likely a bruise under the nail, called a subungual hematoma. Seeing a black toenail at first glance can be alarming and uncomfortable, especially for first-timers. Fortunately, the discolouration and potential pain associated with blackened toenails are generally not a cause for concern. While the condition may not always be serious, understanding its possible causes, prevention methods, and treatment options is crucial for maintaining overall foot health and finding relief. Today, we'll focus on black toenails. In this article, you'll learn more about the common causes, treatment options, and prevention tips for black toenails: Causes of black toenails Causes of black toenails typically fall under three categories: injury, footwear, or an underlying health issue like a fungal infection. Below we dive into the three most likely culprits in more depth. Trauma or injury Stubbing the toe, dropping something heavy on your foot, or repetitive pressure from running or soccer can lead to a black toenail. Repeated pressure or friction to the nail bed can damage the blood vessels under the nail, ultimately creating a black toenail. For instance, marathon runners often get black toenails after running long distances. Ill-fitting footwear Shoes that are too tight or do not provide adequate toe room can cause repeated pressure and friction on the toenail. Whether on the job or wearing the wrong shoes for your partaking activity, ill-fitting footwear can be the culprit for black toenails. Fungal infection Sometimes, a black toenail can result from a fungal infection that affects the nail bed. Rare causes If none of the above apply to you, you shouldn't necessarily rule out rarer causes. In this case, consult a medical professional for a proper diagnosis. Rare causes of black toenails include: Malignant melanoma Chronic ingrown nail Other health problems Treatment for a black toenail Generally, black toenails aren't severe and are more of a sight for sore eyes. If you have a black toenail, you can do the following: Observation and self-care: If the black toenail is painless and there are no signs of infection, you can let the nail heal independently. It will typically take several weeks for the discoloured nail to grow naturally. The discolouration could take 6-8 months to disappear as the nail grows and you trim away the culprit. Rest and elevation: Resting and elevating the foot above heart level can help reduce swelling and promote healing. Ice: Applying ice packs wrapped in a cloth to the affected area can help reduce pain, inflammation, and swelling. Pain relief: Over-the-counter pain medications, such as acetaminophen or ibuprofen, can alleviate pain if necessary. Protective padding: You can use cushioned bandages or moleskin padding to protect the affected toe to prevent further irritation. Professional treatment: Sometimes, a foot specialist may need to drain the blood from under the nail to relieve pressure and facilitate healing. Paint your nails: If aesthetics are a primary concern, you can cover the nail with nail polish to hide the visible signs of a black toenail. Just first make sure you don't have any exposed skin or abrasions, as this can then lead to infection. Prevention tips for black toenails Prevention for black toenails hones in on proper nail care and hygiene and investing in the proper footwear: Invest in your footwear: Ensure that your shoes fit well and provide enough room for your toes to move freely. Avoid tight or narrow shoes that can cause pressure on the toenails. Investing in the proper footwear also means having specific footwear for each purpose - for instance, at work, casually, or while playing a sport. Protect your feet: If you engage in activities that pose a higher risk of a toe injury, such as sports or heavy lifting, consider wearing protective footwear or toe guards. Trim your toenails: Trim your toenails straight and avoid cutting them too short to prevent trauma or ingrown nails. For more tips on how to cut your toenails, read our nail trimming guide. Further, use toenail clippers for your toenails, not fingernail clippers. Maintain good foot hygiene and habits: Keep your feet clean and dry to minimize the risk of fungal infections affecting the nails. Regular inspections: Regularly examine your feet and nails for any signs of damage or discolouration. Promptly address any issues to prevent further complications. If the black toenail is accompanied by severe pain, signs of infection (such as redness, swelling, or discharge), or if it doesn't improve within a few weeks, it's advisable to consult a healthcare professional. They can assess the condition, provide appropriate treatment, and ensure no underlying issues require further attention.

June 19, 2023

Toenail Anatomy: Exploring the Structure and Functions of Different Parts

Toenails serve a critical role in the health of our feet. They are are sensory organs that act like a shield, providing a critical layer of protection. The various parts of the toenail comprise toenail anatomy. These parts work together to protect the underlying tissues of the toe and aid in walking and other activities. Toenails may look like a singular unit, they're actually pretty complex. In this blog post, we'll dive into the structure and functions of the different parts of our toenail anatomy, providing a deeper understanding of this often-overlooked aspect of foot health. Nail plate The nail plate is the hard part of the nail and is comprised of a tough protective protein called alpha-keratin. Keratin adds strength and durability to the nail. The nail plate grows out from the nail matrix. It is translucent, and its colour can vary from white to yellowish-brown, depending on the thickness and the presence of underlying tissues. The end of the nail plate is part of the nail you trim away when clipping your toenails. Nail bed The nail bed is the skin under the nail. It nourishes and supports the nail. The nail bed is composed of blood vessels, nerves, and cells called melanocytes, all of which combine to produce the pigment that gives the nail its colour. When the nail bed is damaged, you may notice your toenail appears to change colour. For instance, your nail bed may produce a purple/darkish colour known as a black toenail, which occurs when the nail bed is damaged and pools blood. Nail matrix Did you know it takes roughly 18 months for a toenail to grow its entire length? This is thanks to the nail matrix, which helps dictate toenail growth. The nail matrix is the part of the nail bed that produces new nail cells. It is at the base of the nail plate, just beneath the cuticle. The nail matrix contains specialized cells called keratinocytes, which produce the protein that forms the nail plate. Lunula The lunula is the crescent-shaped white area at the base of the nail plate. It's the actively-growing component of the nail. The lunula is sometimes called the "half-moon" of the nail due to its curvature and half-ringed shape. Cuticle The cuticle is the thin skin layer covering the nail plate's base. It protects new nails from bacteria when they grow from the root, and also helps to keep the nail plate hydrated. Nail folds The nail folds are the skin folds surrounding the sides and base of the nail plate. They help to anchor the nail plate in place and provide support and protection to the surrounding tissues. Nail folds direct the nail growth in the correct direction and shape. When the nail folds are damaged, you may experience horizontal grooves across the nail, known as Beau's lines. Nail groove The nail groove separates the nail plate and the nail fold. It helps to direct water and debris away from the nail bed.

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 15, 2023

How to Prevent and Treat Ingrown Toenails

Ingrown toenails can look harmless but can be pretty painful. What starts as abnormal nail growth can quickly turn into a full-blown ingrown toenail. When the nail edge grows into the surrounding skin, you'll experience pain, swelling, and redness. If left untreated, ingrown toenails can worsen and possibly lead to infection. We're here to help prevent that from happening. In this guide, you'll learn more about how to prevent and treat ingrown toenails. How to prevent ingrown toenails Prevention of ingrown toenails goes hand-in-hand with proper foot and toenail hygiene. Healthy nails are not just for show; they're a critical part of our feet. Trim your toenails straight across. The safest and most effective method to prevent ingrown toenails is to cut your toenails carefully. We recommend cutting your toenails straight across and avoiding clipping the corners to round them off. Use a high-quality toenail clipper, one sturdy enough to handle the toughness of toenails (rather than using tools meant for fingernails). Avoid cutting them too short, as the surrounding skin may grow over the nail. If you're ever in doubt about a proper toenail routine or how to cut your nails, book a medical pedicure so a foot specialist can eliminate the risk. Keep toenails at a moderate length. Trim toenails so they're in line with the tips of your toes as if you were to draw a straight line. Toenails cut too short may adversely affect the nail when you wear shoes. Pay close attention to any loose or jagged edges and those that can get caught and damage your nail. Wear suitable footwear Wear shoes that fit correctly and do not squeeze your toes together. Avoid shoes with a narrow-toe box. Tight shoes can force your toes together, putting your nail at risk of digging into the surrounding skin. Practice good foot hygiene. Foot hygiene involves a multi-faceted routine. Keep your feet clean and dry when possible. Regularly check your feet for any abnormalities or irregularities. And finally, book annual foot check-ups. Regular foot assessments are beneficial if you have diabetes or any other condition where you may be more vulnerable to foot issues. How to treat ingrown toenails Treatment of ingrown toenails typically comprises at-home treatment and professional treatment. There is more to risk by trying to treat ingrown toenails entirely by yourself, but at-home methods can help relieve pain and preserve the nail while waiting for an appointment at a foot clinic. Generally, we do not recommend cutting the toenail yourself, as it may exacerbate the issue. Instead, try the following: At-home treatment of ingrown toenails Soak your feet in Epsom salt water to help soothe pain and discomfort. After soaking, gently massage the area around the ingrown toenail to help relieve pain and pressure. Routinely clean the area of pus and blood, if needed. Apply sparing amounts of Polysporin ointment and cover with a bandage when going out. Wear shoes with a broader toe to accommodate added space in your footwear, thus reducing the pressure on the toes. Avoid or reduce physical activity if such activity impacts your feet and toes. Take pain relief medication as needed or as your doctor recommends to help control pain and discomfort. Apply an antiseptic, such as hydrogen peroxide, to the affected area to prevent infection. Professional treatment of ingrown toenails Next, a professional can effectively treat ingrown toenails by doing the following: Proper toenail care and trimming: A chiropodist can properly trim and cut your toenails in a way that promotes proper nail growth. Proper nail trims both treat existing ingrown toenails and can prevent them from occurring in the future. Softening the skin, lifting the edge of the nail from the skin, and then propping the corner of the nail up over the skin edge until the skin heals. Oral and topical antibiotics to prevent or heal the infection. Safely lancing and draining pockets of pus (the toe is numbed first with a local anesthetic). Applying a specially formulated composite material called Onyfix. It serves as a corrective brace for the nail's growth and can be used to treat recurrent ingrown toenails. In more severe cases, surgery may be performed. This can can involve removing a narrow strip down the length of the toenail (partial nail avulsion (PNA), or removing the entire toenail (total nail avulsion (TNA). These procedures may be performed if more conservative, non-surgical treatments don't work. Phenol can be applied to the nail's root beneath the cuticle to prevent regrowth. The method inhibits nail growth following PNA or TNA. All treatments from a chiropodist use medical-grade products and a fresh set of sterilized instruments for each client. The sterilization process used by chiropodists will remove and kill all microorganisms, such as fungi, bacteria, viruses, and spores. We also thoroughly cleanse your feet with an alcohol solution at the beginning of every appointment.

April 3, 2023

Foot Pain: Causes and Treatment

Are your feet giving you a hard time? Foot pain can have many causes, including injury, overuse, medical conditions, and poor footwear. The underlying cause will dictate how to treat your foot pain, which can include anything from supportive footwear, to stretching exercises, to rest, to medication. In this article, we'll go through six common causes of foot pain and how to treat them: Plantar Fasciitis Achilles Tendonitis Bunions Ingrown Toenails Osteoarthritis Plantar fasciitis Causes Plantar fasciitis occurs when the plantar fascia (the band of tissue that connects the heel bone to the toes) becomes inflamed. It is caused by inadequate arch support or overexerting the plantar fascia. For instance, poorly constructed shoes, obesity and pregnancy, high-impact activity, and long periods of standing (like if you have a standing desk or work in a standing-first occupation) cause strain on the plantar fascia. Treatment Plantar fasciitis treatment involves rest and recovery, which should be the first course of action. Then physical therapy, like massaging your arch and stretching and strengthening exercises, are effective. Additional treatment methods include shockwave therapy, taping, wearing a splint or boot cast, and custom orthotics designed to provide additional arch support. Read more: See our complete guide on plantar fasciitis. Achilles tendonitis Causes Achilles tendonitis is an injury to the Achilles tendon, the part of the leg that connects the calf to the heel bone. It is usually caused by overuse. Overworking the Achilles heel is done through various avenues. The most common causes include overexercising, weight gain, joint disorders like rheumatoid or psoriatic arthritis, bursitis, a sudden fall or past trauma, and biomechanical abnormalities. Treatment Within 72 hours of injury, the first form of treatment you should pursue is rest and recovery. Good R&R prevents aggravation and stops the condition from worsening at its most vulnerable. Once you remove the cause, effective treatment methods include shockwave therapy, strengthening and stretching exercises (see our how-to), custom orthotics, and anti-inflammatories. Read more: See our complete guide on Achilles tendonitis. Bunions Causes Bunions are a type of joint deformity where the base of the big toe shifts outwards. There is a combination of factors that can either cause, directly or indirectly, bunions. Genetics (namely foot shape or joint-related), tight footwear or high heels, flat arches, and activities that stress the toe base (like running or ballet) can lead to bunions. Treatment Treatment options include footwear modification, anti-inflammatories, bunion splints, bunion aligners, taping, shoe stretching, orthotics, shockwave therapy, and surgery. Note that bunions are progressive, meaning non-invasive treatment focuses on preservation rather than reversing damage already done. Surgery is an option if you'd like to remove the bunion. Read more: See our complete guide on bunions. Ingrown toenails Causes Ingrown toenails occur when the edges of the toenail grow into the skin, causing pain and swelling. Ingrown toenails can be caused by: Cutting the nail too short or too far down along the edges Poorly fitted shoes. Injury to the nail bed. A genetic disposition to ingrown toenails. Treatment In some cases, you can treat ingrown toenails at home; otherwise a foot specialist can treat the condition. To treat your ingrown toenail at home, soak your foot daily in warm water with Epson salts, massage the skin at the edges of the nail, wear shoes with a wide toe box, and let the toenail grow out. When it does, cut the nail straight across. Never try to cut out your own ingrown toenail as this can lead to infection. If the toenail doesn't improve within 3–5 days, it's time to call the foot specialist. A foot specialist can safely treat ingrown toenails at any stage. In-office ingrown toenail treatment includes antibiotics, softening the skin around the nail, removing or cutting open the area to drain pus, Onyfix nail correction system, partial or complete nail avulsion, phenol, or surgery. Read more: See our complete guide on ingrown toenails. Osteoarthritis Causes Osteoarthritis is the most common form of arthritis and is caused by wear-and-tear of the cartilage between the joints. Getting old is the most common cause of osteoarthritis. Our joints get more mileage as we age and eventually wear down. Low bone density (for instance, in post-menopausal women) can also lead to osteoporosis, contributing to osteoarthritis (it would be like having defective brake pads). Additionally, unhealed trauma or injury, weakened deconditioned muscles, sudden weight gain, and biomechanical abnormalities like hammer toes or bunions can all lead to osteoarthritis. Treatment Treatment of osteoarthritis focuses on management, as it's a progressive condition. Physiotherapy, stretching, and light exercise to strengthen the muscles in the lower body is vital for managing osteoarthritis symptoms and preventing the condition from worsening. This can be done in conjunction with proper footwear and medication like anti-inflammatories. Custom orthotics can also help by effectively rebalance the weight distribution across your feet while adding support. Read more: See our complete guide on osteoarthritis.

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Small Skin Problems Can Be a Big Issue When you Have Diabetes

Ingrown Nails

Plantar Wart

Blisters

Here’s to Many More Years of Foot Care!

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Related Posts

Black Toenail: Causes, Treatment, and Prevention Tips

Toenail Anatomy: Exploring the Structure and Functions of Different Parts

The Benefits of Custom Orthotics for Women

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

How to Prevent and Treat Ingrown Toenails

Foot Pain: Causes and Treatment

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416-769-FEET(3338) 2481 Bloor St. W, Toronto info@feetfirstclinic.com

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Small Skin Problems Can Be a Big Issue When you Have Diabetes

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Carolina Charles

Patient Relation Coordinator (She/Her)

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Sun : 10:00 am – 4:00 pm *
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