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

Written by Erica Halpern on March 25, 2019

Last updated March 14, 2026

Medically reviewed by Peyman Alishahi, D. Ch.

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 an ingrown toenail further down can worsen the problem and increase the risk of infection. Instead of trying to treat it yourself or visiting a salon, people with diabetes should seek care at a foot clinic. A licensed chiropodist can safely treat the ingrown toenail using sterilized tools, reducing the risk of infection and ensuring the issue is resolved correctly and without complications.

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.

Warts may seem harmless, but for people with diabetes they can pose serious risks. Diabetes can impair circulation and weaken the immune system, making it harder for the body to fight infections. Even a small wart can lead to skin breakdown, ulcers, or secondary bacterial infections, which can be difficult to heal and may result in serious complications. For this reason, it’s important for people with diabetes to have warts evaluated and treated promptly by a licensed chiropodist. Don’t try to treat warts using DIY over-the-counter solutions if you have diabetes.

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 a 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.

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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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April 9, 2026

Why Does My Toe Hurt?

There are several reasons why your toe may be painful. The important thing to do is not ignore it, especially if the pain is accompanied with redness and swelling. Keep reading to find out what your next steps should be to find out the culprit to your pain. 1. Ingrown toenail An ingrown toenail is when the sides of your toenail grow into the surrounding skin. Once the nail pierces the skin, your body reacts by creating an inflammatory response to this, which leads to redness, swelling, warmth, and pain in the area. The longer the toe is left in this condition, the higher the risk of infection. How can you tell if you have an infection? The signs of an infection are somewhat similar to those of the body’s natural inflammatory response to a cut or wound, but greater in a sense. For instance, an infected ingrown toenail will increase in redness, swelling, pain, and warmth in addition to being accompanied by any of the following: a foul odor, maceration (moisture), pus (cloudy, creamy liquid), blood. If you have an ingrown toenail, it is best to see a chiropodist for treatment - especially if it's showing signs of infection. A chiropodist can remove the ingrown portion of the toenail, prescribe antibiotics, and properly trim and file the toenails to ensure they grow back healthy. To find out more about ingrown toenails, such as what causes them and how they can be managed, click the link here. 2. Paronychia Paronychia is the medical term to describe an infection of the hand or the foot at the location where the skin meets the nail, either on the sides of the nail or along its base. This infection can be bacterial or fungal in nature and is usually the result of damage to the skin (via biting or picking or any other physical trauma). Excessive and chronic moisture can also make the skin more vulnerable to these infections. Similar to an ingrown toenail, paronychia will also present as a red, swollen, warm, and tender digit. If you have a red, swollen, painful toe, regardless of the cause, book an appointment with a chiropodist at the first signs! They'll be able to properly diagnose and treat the condition. 3. Tinea Pedis Although Tinea pedis also known as Athlete’s Foot, usually presents as itchy, dry, and flaky skin on the bottom of the foot, it can also be localized between the digits or along the sides of a single or multiple digit(s). Sometimes, Tinea Pedis features a cluster of small red vesicles along a digit and may spread to adjacent digits. When left untreated, the toe may become red, swollen, and tender to the touch. The infection can also spread under the toenail. When this happens, treatment can become very difficult and take a long time to resolve. Fungal infections can spread very quickly, and the earlier you start treatment, the easier it is to treat. Therefore it's best to be proactive and see a professional at the first signs of infection. Treatment includes a topical prescription antifungal medication and debriding the areas of fungal growth. Fungal infections most often cannot be treated without professional intervention, and over-the-counter treatments rarely work. 4. Onychophosis Onychophosis is a buildup of callus that forms between the nail and the surrounding skin (sulcus). It can become irritated and mimic the discomfort of an ingrown nail due to pressure, but it’s not a true ingrown nail—the nail itself remains healthy and does not grow into the skin. 5. Reynaud's Disease This condition causes toes to turn stark white and then bright red, often after moving from a cold environment to a warm one. While usually asymptomatic, it can cause numbness, tingling, and alarm due to the dramatic color changes. It’s a vasospastic response, where the blood vessels temporarily spasm and restrict proper blood flow. 6. Chilblains These are small, painful, or itchy bumps that develop on the toes after exposure to extreme cold followed by rapid warming. They are usually harmless and tend to resolve on their own within a few weeks. All the above conditions require medical attention. In the meantime, as you wait for your appointment, try soaking your feet in an Epsom salt water bath for 10-15 minutes a day. Use half a cup of Epsom salts to a gallon of lukewarm water - not hot as hot water will cause more swelling. When you’re not soaking your feet, practice good hygiene and keep your feet clean and dry. Wear a new pair of clean socks everyday and let your feet breathe at home. Most microorganisms thrive in moist, dark environments.

February 5, 2026

Top 5 Common Foot Care Mistakes

If you are like most people, you want your feet to stay healthy and pain free. However, even with the best intentions, many people unknowingly develop habits that can damage their feet over time. From improper nail trimming to walking barefoot in public spaces, foot care mistakes are more common than you might think. The good news is that most of these issues can be prevented with proper education and routine care. Below, our team of experienced chiropodists at Feet First Clinic outlines the top five most common foot care mistakes and how to avoid them. We specialize in preventive foot care and the treatment of both common and complex conditions, offering services such as routine care, assessments, and custom orthotics. 1. Cutting Your Toenails Incorrectly Toenail trimming may seem simple, but doing it improperly can lead to painful ingrown toenails and infections. Cutting nails too short, rounding the edges, or cutting into the cuticle increases the risk of the nail growing into the surrounding skin. To reduce this risk, soften your nails by soaking them in warm water before trimming. Always cut straight across and avoid cutting too close to the skin. If you develop a painful or infected ingrown toenail, it is important to seek professional care promptly. Another common mistake when it comes to ingrown toenails: trying to treat them yourself or at a salon. Some of the worst ingrown toenails we've seen at the clinic are due to botched DIY attempts. If your toenail is ingrown, especially if it's irritated, it's recommended that you book an appointment immediately with a chiropodist; they're trained to treat ingrown toenails properly and prevent them from getting worse. A chiropodist will also trim your toenails so that they grow back properly and straight. 2. Walking Barefoot in Damp Areas Many people walk barefoot in public locker rooms and showers. Although this may not seem like a huge issue to some people, doing this can seriously harm your feet. It's recommended to wear some sort of protective footwear while you’re walking in moist areas. Some examples of reliable footwear include: Sandals Flip-flops (just for those public spaces) Water shoes Shower shoes Doing this is important for preventing issues like toenail fungus. This will cause your nails to become yellow, thick and foul-smelling; they may even fall off! Men tend to have a higher chance of developing foot fungus, along with elderly people and individuals that suffer from athlete’s foot. Once fungus gets underneath the toenail, it becomes very difficult to treat; at-home treatment is typically ineffective. This is because the toenail blocks anti-fungal medication from penetrating and reaching the fungus. That's why it's important to see a chiropodist at the first sign of toenail fungus. They can debride the toenail to make it easier for anti-fungal medication to penetrate to the fungus living in the nailbed. Walking barefoot in public places can also cause warts. Warts are a contagious virus that spreads when bare skin comes into contact with an infected surface. The wart-causing virus especially thrives in warm, damp places, like locker room floors and the puddles on pool decks. Left untreated, warts can multiply and spread to other people. Sometimes you can treat warts in the early stages with over-the-counter treatments. However, if those are ineffective, it's recommended to see a chiropodist to eradicate your warts once and for all. Unlike family doctors and dermatologists, chiropodists can debride the dead skin and callus that forms over the wart, which helps the treatment penetrate through the wart tissue and treat the warts faster. 3. Ignoring Early Signs of Foot Problems Many people dismiss early symptoms such as redness, thickened nails, calluses, or mild discomfort. Unfortunately, delaying treatment often allows minor issues to develop into more serious foot conditions. Addressing concerns early can prevent pain, reduce complications, and keep your feet healthy long term. 4. Wearing Poorly Fitting Footwear Did you know that between 63% to 72% of the population are wearing shoes that don't fit correctly? Shoes that are too tight, too loose, or lacking proper support can contribute to problems such as blisters, corns, bunions, and heel pain. While style may be important, proper fit and support should always be the priority. Well fitted footwear helps support proper foot function and reduces strain on the feet, ankles, knees, and lower back. It's also important to make sure your shoes accommodate your foot type and gait pattern. If you don't know your foot type, you can get a biomechanical assessment with a chiropodist to find out. 5. Skipping Preventive Foot Care Many people only think about foot care when pain develops. Regular foot assessments, proper hygiene, and preventive treatment are essential for maintaining healthy feet, especially for individuals with diabetes or circulation concerns. Routine visits to a chiropodist can help identify potential problems early and keep your feet comfortable and functional. Something as simple as a medical pedicure can go a long way.

December 11, 2025

FootCare 101: What Is A Chiropodist?

Our feet are pretty amazing structures. With over 52 bones, over 250,000 glands and nerves, they're certainly a complex parts of our bodies, and so they deserve a dedicated specialist to keep them in peak condition. How exactly do these specialists work? And why might you need to see one? Read on and find out. What's A Chiropodist? A Chiropodist (pronounced "kerr-op-o-dist") works to support the prevention and management of acute and chronic conditions that affect our feet and lower limbs. Think: skin conditions like warts and calluses, nail conditions like ingrowns or fungus, and musculoskeletal conditions like Plantar Fasciitis and Gout. These are just a few examples of the foot conditions a chiropodist can treat. Click to learn more about other Common Foot Conditions. Is a Chiropodist Different than a Podiatrist? It depends on where you live. ChatGPT said: In Ontario, both chiropodists and podiatrists are regulated foot care professionals, but their training and scope of practice differ slightly. Chiropodists are the most commonly licensed foot specialists in the province and provide comprehensive care including assessments, routine and advanced treatments, custom orthotics, minor procedures, and certain injections. Podiatrists are less common and were grandfathered into practice prior to 1993, when Ontario transitioned to licensing only chiropodists. A podiatrist can perform bone surgeries like bunion or hammertoe corrections, whereas a chiropodist cannot (they can still do other surgeries). Regardless of the title, both professionals are highly qualified to help you manage foot pain and keep you moving comfortably. What Do Chiropodists Check For? When a chiropodist sits down to assesses your feet, they'll be able to spot and treat minor problems right away, like hard skin, Warts, and Ingrown Toenails. For people with diabetes, the chiropodist will check the sensation and circulation in the feet, as well as examine the feet for any potential irregularities or cause for concern. If you have foot pain, a chiropodist can do a biomechanical assessment and gait analysis. They'll check your alignment when you walk, and will then be able to recommend or prescribe solutions including, but not limited to, Orthotics or Insoles, to get the feet working in peak condition. Either way, you'll leave your first visit knowing your feet are being properly cared for. As you can see, foot health isn't just about feet! When feet are in good condition, the whole body can be properly supported. When they're not, you'll likely notice problems elsewhere. Foot health is every bit as much about your legs, hips, and spine as it is about the way your toes look in sandals. Chiropodists are trained to see the bigger picture of your physical health and the role your feet play in it. Even if you don't have foot pain, we urge you to visit a chiropodist. Your feet, after all, are your body's foundation, and having them assessed could save you aches and pains later on. Foot problems affect well over half the population. Don't be one of those people who finds themselves at risk of long-term consequences.

September 18, 2025

All About Involuted & Curved Toenails: Causes, Symptoms, and Treatment Options

Toenail health is an important part of overall foot care, yet conditions like involuted toenails often go unnoticed until discomfort arises. If you’ve noticed your toenails curling inward or becoming unusually curved, you might be dealing with an involuted toenail. Understanding this condition can help you manage symptoms and seek proper treatment before complications occur. What Are Involuted Toenails? Involuted toenails, also called curved or pincer nails, occur when the edges of the toenail curl inward toward the skin. This excessive curvature can cause the nail to pinch the nail bed and surrounding skin, leading to discomfort or pain. It also makes them prone to becoming ingrown. Causes of Involuted Toenails Several factors can contribute to the development of involuted toenails, including: Genetics: Some people inherit a tendency toward curved toenails. Improper Footwear: Tight, narrow shoes can exert pressure on the nails, encouraging them to curl. Injury: Trauma to the toe can alter nail growth patterns. Fungal Infections: Nail infections may cause thickening and distortion of the nail plate. Aging: Toenail shape and growth can change with age. Underlying Medical Conditions: Certain diseases like psoriasis or circulatory problems may affect nail health. Symptoms to Watch For Toenails that curve sharply inward, sometimes forming a tube shape. Discomfort or pain along the sides of the toenail. Redness, swelling, or signs of infection around the nail edges. Difficulty trimming nails due to their shape. Formation of calluses or corns near the nail edges. Treatment Options for Involuted Toenails Conservative Care Proper Footwear: Choose shoes with wide toe boxes to reduce pressure. Regular Nail Care: Careful trimming and filing can help manage nail shape. Moisturizing: Keeping nails and surrounding skin hydrated may reduce brittleness. Padding: Using protective pads can cushion the nail and reduce irritation. Medical and Professional Treatments Nail Bracing or OnyFix: Special braces can gently correct nail curvature over time. Debridement: A podiatrist can carefully trim thickened or curved nails. Treatment of Infections: Antifungal medications if infection is present. Surgical Options: In severe cases, part or all of the nail may be removed to relieve pain and prevent recurrence. When to See a Foot Specialist If you experience persistent pain, signs of infection, or difficulty managing your involuted toenails, it’s important to consult a foot care professional. Early intervention can prevent complications such as ingrown nails or infections. You should also see a specialist if you find you're having difficulty trimming your toenails; curved toenails are notoriously difficult to trim.

July 24, 2025

Runner’s Toenails: How Running Affects Your Toenails

Running is great for your overall health but your toenails might disagree. Many runners deal with painful or unsightly toenail problems, especially after long distances or hill training. Issues are so common that "runner's toenails" is a commonly used term to describe all the toenail damage. Understanding how running impacts toenail health can help you prevent injury and keep your feet in peak condition. View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Common Toenail Issues Runners Experience Black Toenail from Running (Subungual Hematoma): One of the most recognizable issues, a black toenail develops when repeated impact causes bruising or bleeding under the nail. It’s often due to shoes that are too tight or downhill running. Toenail Lifting or Falling Off: Constant pressure on the nail bed can cause nails to lift or fall off completely, especially after a marathon or long run. This is usually painless, but it takes months for the nail to regrow. Thick Toenails After Running: Repeated trauma can lead to thickened toenails, which may resemble fungal infections. This thickening is the nail’s response to long-term micro-damage and may become permanent if untreated. Ingrown Toenails: Tight shoes or improper nail trimming can lead to ingrown toenails, which are common among runners and can become infected if ignored. What Causes Running-Related Toenail Damage? Improper shoe fit: Shoes that are too tight, too loose, or worn out can lead to friction and trauma. Long toenails: Long nails hit the front of the shoe with every stride, increasing the risk of bruising or lifting. Downhill running: Increases the impact on the toes. Sweaty feet: Create a moist environment that can encourage fungal growth. Inadequate socks: Thin or poorly fitted socks allow for extra movement inside the shoe. Runner’s Toenail Care: Prevention Tips Trim your nails regularly – Straight across, not too short, and never rounded at the corners. Wear proper footwear – Choose shoes with about a thumb’s width of space at the front, and consider a running-specific fit. Choose the right socks – Moisture-wicking and snug, with no bunching or seams that rub. Replace shoes as needed – Most running shoes last 500–800 km. Worn-out soles contribute to poor foot mechanics. Moisturize your feet – Prevent cracking and fungal buildup with a good daily foot care routine. When to See a Foot Specialist If your "runner's toenails" are persistently discoloured, painful, or thickened, it’s time for a professional assessment. What seems like a harmless black toenail from running could be a fungal infection, ingrown nail, or even an injury needing care. A chiropodist or foot specialist can safely treat nail trauma, provide custom foot care advice, and help you run pain-free. View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Final Thought You train hard so don’t let toenail trouble slow you down. By caring for your feet proactively, you can avoid common nail issues and keep running comfortably year-round.

April 17, 2025

Why Do My Warts Keep Coming Back?

If you're wondering why your plantar warts keep returning, you're not alone. But the good news is, you have options! Today’s article delves into the reasons behind recurrent plantar warts and effective prevention and treatment strategies. Keep reading to learn more! What is a Plantar Wart? A plantar wart is a non-cancerous skin growth that appears on the soles of the feet, caused by specific strains of the human papillomavirus (HPV), notably types 1, 2, 4, 60, and 63. The virus infiltrates the skin through tiny cuts or abrasions, often occurring in communal areas like public showers or swimming pools where the virus thrives. This is also the same type of communal environment that breeds athlete’s foot and fungal toenail, although those are fungal infections and not caused by HPV. Once inside, HPV infects the basal layer of the epidermis, leading to the proliferation of keratinocytes and the formation of a wart. Due to the pressure from walking or standing, plantar warts often grow inward beneath a hard, thick layer of skin, which can cause discomfort or pain during weight-bearing activities. Plantar warts are characterized by their rough, grainy appearance and may have small black dots on the surface, which are thrombosed capillaries. They can occur as solitary lesions or in clusters known as mosaic warts. The body's immune response to the virus varies, and in some cases, the wart may persist for months or even years without treatment. Plantar warts can sometimes look like other skin conditions, namely corns. Differentiating between them is essential, as their treatments differ. While both can appear as thickened skin on the foot, corns are caused by repeated friction or pressure, leading to a buildup of dead skin cells. Depending on the type, corns have a hard center and are surrounded by inflamed skin. In contrast, plantar warts are viral in origin. Additionally, warts may bleed when the surface is pared down, revealing pinpoint bleeding, whereas corns do not. Plantar Warts: Risk Factors and Symptoms In addition to walking barefoot in communal high-risk areas (i.e.: locker rooms, pool decks, etc.), there are other risk factors for plantar warts worth noting. Risk Factors Weakened immune system: Individuals with compromised immunity, such as those with HIV or undergoing immunosuppressive therapy, are more prone to infections. History of plantar warts: Previous occurrences can indicate a higher likelihood of recurrence. Children and teenagers: Younger individuals are more susceptible due to their developing immune systems, and they may spend more time in communal areas like gyms, pools, and locker rooms. Excessive foot moisture: Constantly moist or sweaty feet can create an environment conducive to HPV infection. Symptoms of Plantar Warts Rough, grainy growths: Small, rough lesions on the bottom of the foot, often on the heel or ball, that may interrupt normal skin lines. Black pinpoints: Tiny black dots, known as wart seeds, which are small, clotted blood vessels. Pain or tenderness: Discomfort when walking or standing, especially if the wart is located on a weight-bearing area. Callus formation: A thickened layer of skin may form over the wart as it grows inward due to pressure. Why Do My Warts Keep Coming Back? Plantar warts often recur because the HPV strain can persist beneath the skin even when visible warts seem like they're fading away. This type of virus has developed mechanisms to evade the immune system, allowing it to remain undetected and cause warts to re-form later. That's why it's important to see your chiropodist one final time to verify that your warts are gone. The immune system plays a crucial role in controlling HPV infections. Individuals with weakened immune responses or those on immunosuppressive therapies are more susceptible to recurrent warts . Additionally, certain HPV strains are more adept at evading immune detection, leading to higher rates of recurrence. Even in immunocompetent individuals, the virus can persist in a latent state and reactivate under certain conditions, which causes warts to come back. Warts can also come back if you're re-exposed to the virus. For instance, you can get warts again if your feet come into contact with a surface that came into contact with the virus before being disinfected (i.e.: shared showers, locker rooms, gymnasiums, pools, etc.). That's why athletes and people who do barefoot sports (i.e.: swimming or gymnastics) are especially prone to wart reoccurrence. That's why it's important to disinfect footwear, along with high-risk surfaces with moisture buildup (i.e.: tubs and showers) with a 99% disinfectant solution that kills virus. This will kill any residual virus remaining in your belongings and residence and reduce the likelihood of re-exposure. View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) How to Stop Warts from Coming Back? Preventative plantar warts care - both before and after contracting plantar warts - can help you avoid persistent foot warts. Remember, successfully treating warts doesn't make you immune to them in the future: It's important to keep your feet clean and dry, especially after showers or swimming. Always wear shower shoes or any suitable protective footwear in communal areas like pools and locker rooms. Don’t share shoes or socks, and avoid touching or picking at existing warts to reduce the chance of spreading the virus. Regularly disinfect home surfaces like bathroom floors and tubs if someone in the household has a wart. Moisturizing cracked heels can also help create a stronger skin barrier. After your last wart treatment, disinfect any footwear worn while you had the infection with a 99% disinfectant spray that kills viruses (i.e.: Lysol disinfectant spray). These simple habits can go a long way in preventing warts recurrence. What to do if my Warts Come Back? If your plantar warts won’t go away on their own, wart removal treatment at a foot clinic from a chiropodist or podiatrist should be your next step. Here are some ways foot care professionals remove plantar warts: Prescription Topical Solutions (Salicylic Acid): This medicated treatment involves applying a high-strength salicylic acid compound directly to the wart over time. It works by gradually breaking down layers of the skin until the wart tissue is removed. Fun fact: salicylic acid can also be used to treat acne! Cryotherapy: This method uses liquid nitrogen to freeze the wart, causing it to blister and eventually fall away. The extreme cold damages the wart tissue and triggers the body to shed it during the healing process. Cantharone/Cantharone Plus: A potent topical solution is painted onto the wart to create a blister between the wart and the healthy skin beneath it. This separation allows the wart to be lifted away once the blister dries out and peels off. It may cause more discomfort than other treatments but results may be faster. Needing: A sterilized needle is used to puncture the wart multiple times after numbing the area. This process helps stimulate your immune system to recognize and fight off the virus that caused the wart. Excision: In this procedure, the wart is surgically removed under local anesthesia. It’s typically used when other treatments haven’t worked and involves cutting the wart out and sealing the area to reduce the chance of it returning. Remember that enjoying other routine foot clinic services can be a great preventative step in keeping your feet clean and healthy, and warts at bay. Even a service like callus removal, a medical pedicure or simply your first initial foot assessment can be helpful if your chiropodist or podiatrist spots a plantar wart during the process! https://www.youtube.com/shorts/LjYyCurn_BM

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

Ingrown Nails

Plantar Wart

Blisters

Everything You Need for Healthy Feet - All Under One Roof

About Author: Erica Halpern

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