The Best Ways to Deal with a Stubborn Plantar Wart

Written by Bianca Charles on February 26, 2019

Last updated July 11, 2019

You notice that the bottom of your foot hurts. The pain gets worse as you walk or stand for too long. After taking off your shoes, you investigate the sole to check what’s wrong and spot a small rough-looking wart on your skin. This is called a plantar wart.

What are plantar warts?

Plantar warts are a form of the human papillomavirus (HPV) that reveals itself through warts on the bottoms of your feet. While it shares the same virus family as other types of warts, it will not spread to your hands or other body parts.

If you have a fully-functioning immune system, plantar warts will not be a major concern. It can be annoying and painful because of walking, standing and other activities that put pressure on the foot. You should get it removed if it bleeds, changes colour or interferes with your daily activities.

Immuno-compromised people should try to treat their plantar warts immediately. Anyone living with diabetes should see the wart as a risk for a serious foot infection. Ignoring it could send you straight to the hospital.

How do you prevent them from happening?

One of the main reasons you should wear shower shoes in the gym locker room is that your bare feet are at risk of attracting infections like athlete’s foot and plantar warts. The same can be said for public showers, swimming pools and saunas. Anywhere that has a lot of attendees and moisture will have loads of bacteria coating the ground.

As with all forms of HPV, plantar warts are contagious. The virus finds you through small cuts or breaks in the skin on the bottom of your feet. By wearing a pair of shower shoes and keeping your cuts covered with clean bandages, you should be safe.

If you are living with diabetes, you should try hard to avoid foot infections as much as possible. Consider starting a daily footcare routine where you clean your feet carefully and inspect them to catch any catalysts for severe infections like warts and ingrown nails. You should also wear protective footwear in public and private spaces, not just the gym locker room. You can go to Feet First Clinic to find pairs of fantastic indoor and outdoor orthopedic shoes, along with specialized treatments for circulatory and dermatological foot complications.

How do you get rid of a plantar wart?

When it comes to warts, you will find a lot of questionable advice passed down from generation to generation. Strange wart home remedies will tell you to rub the area with the inside of a banana peel or soak the area in pineapple juice for weeks at a time. None of these seem to have many studies testing efficacy.

Instead of looking for answers in your kitchen fruit bowl, you should come to the Feet First clinic because we can remove those plantars warts as soon as possible. There are several techniques available for treating the infected area, like cryotherapy or wart excision. You should make an appointment today to meet with a chiropodist and see what treatment plan works best for you.

Ignoring the problem and waiting for it to go away isn’t always an option with plantar warts. You will irritate the infection and put pressure on it every day from standing, walking and exercising. Instead of enduring the discomfort for months on end, get it dealt with straight away.

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About Author: Bianca Charles

With 15 years of dedicated experience in podiatry, Bianca Carter offers a wealth of knowledge and expertise at Feet First Clinic. Throughout her career, Bianca has worked closely with leading chiropodists, continually deepening her understanding of all aspects of foot care.

Learn more about Bianca Charles

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December 26, 2024

What is the Difference Between Corns and Plantar Warts?

While corns and plantar warts may look alike at first glance, they differ significantly in their causes, symptoms, and treatments. If you’re unsure about whether you have a corn or a plantar wart, visiting a chiropodist can help you receive an accurate diagnosis and appropriate treatment. Whether it’s corn enucleation or wart removal, timely intervention with a podiatrist or chiropodist at a foot clinic will ensure your feet stay healthy and pain-free. What are Corns? Corns are small, thickened areas of skin that develop in response to repeated friction, pressure, or irritation. They typically form on the feet, especially on weight-bearing areas like the tops and sides of toes or the soles. Foot corns are technically a protective response to friction, and an attempt to shield the skin beneath them. The hardened layer is your body’s method of preventing skin ulceration. There are different types of foot corns, each with its own characteristics. Hard corns are small, round, painful and often found on the top of the toes, caused by pressure or friction. Soft corns, which are usually located between the toes, are white and rubbery due to moisture. Seed corns are tiny, painless and appear on the sole of the foot. Corns: Causes, Risk Factors and Symptoms Generally speaking, corns are caused by foot care choices that lead to excessive friction on parts of the foot. They may also be linked to other foot conditions. For example, an abnormal gait pattern due to flat feet or plantar fasciitis can lead to pressure points. This can then cause corn formation in vulnerable areas of your foot. Here are some key risk factors and causes: Wearing high heels often. Wearing shoes that are the wrong size. Wearing uncomfortable shoes. Not wearing socks with your shoes. Irregular walking motion / abnormal gait. Corn Symptoms Include: Thickened, hardened areas of skin on the toes, sides, or soles of the feet Rough or waxy texture on the affected area Localized pain or tenderness, especially when pressure is applied Yellowish or greyish appearance, sometimes with a central core Discomfort during walking or wearing tight-fitting shoes Interference with daily activities in severe cases What are Plantar Warts? Plantar warts are localized skin infections caused by certain strains of the human papillomavirus (HPV), specifically types 1, 2, 4, 27, and 57, which target the epidermis—the outermost layer of the skin. Many people worry and assume HPV will lead to cancer, but there are actually over 200 types, many of which do not cause cancer. The strain of HPV can sometimes determine how painful a plantar wart may be. For example, HPV 1 may cause deeper, more painful warts, while HPV 2 causes more superficial ones. These warts develop on the plantar surface of the foot, which includes the sole and heel, areas that bear significant weight and endure pressure during standing and walking. Unlike some other HPV-related warts, plantar warts are non-cancerous and are confined to the feet, as the virus is adapted to thrive in the thicker, tougher skin found on the soles. Plantar warts can last anywhere from two months to several years, especially if left untreated. For individuals with a healthy immune system, plantar warts are generally not a significant health concern. However, they can make activities like walking, standing, or running very uncomfortable and painful. The pressure exerted on the wart may cause irritation and discomfort, which causes hardened skin to build up over the wart. The latter is also a big reason people confuse them with corns or calluses. It’s important to seek treatment as soon as you notice any symptoms: Even if it's not interfering with your daily routine, it is still contagious so you can infect others. In addition, addressing these symptoms promptly with a foot specialist like a chiropodist or podiatrist can prevent further complications. Plantar Warts: Causes, Risk Factors and Symptoms Plantar warts are contagious and similar to fungal infections like athlete’s foot in that you can contract them by walking barefoot in public, moist spaces. Here are some more details on what activities or risk factors may lead to plantar warts: You have a weakened immune system. Many people's immune system can recognize and fight off the HPV virus before warts form. However, people with a poorly functioning immune system are more susceptible as their body is less equipped recognize and fight the HPV virus. People who are immunocompromised may take longer to fight the virus, meaning that that the warts will take longer to treat. You’re 65 or older, or a child or teenager: Plantar warts can be more common in these age brackets. For children, their immune systems are still developing, and they’re more likely to share communal spaces like gyms and locker rooms. For seniors, the immune system may be compromised. Environment exposure and being barefoot: Frequenting warm, moist environments like swimming pools, locker rooms, and communal showers increases exposure to HPV. These areas are ideal breeding grounds for the virus, making it easy to contract through bare feet. Walking barefoot on abrasive surfaces, like pool decks or gym mats, can also create micro-injuries that allow HPV to enter. Skin cracks and abrasions: Any break in the skin, including cracks, blisters, or injuries, can act as an entry point for the virus. Poor foot hygiene practices: Neglecting foot care, such as not cleaning feet thoroughly or allowing them to remain damp for prolonged periods, can create conditions favourable for infection. Plantar Wart Symptoms Include: Rough, thick circular patches that have similar colouring and shape to a cauliflower. Warts that form on the heels, around your toes, or on the ball of the foot. Other discoloration: brown, pink, yellow or gray. “Wart seeds” – which look like a small black dot in the wart Pain, tenderness and general discomfort. Bleeding. Both cluster and solitary growth are possible. Corns and Plantar Warts: Key Differences While warts and corns can look and feel very similar, the main difference lies what causes them. Corns are caused by the body's response to excessive friction against the skin, whereas plantar warts are caused by strands of the contagious HPV virus. Here are two additional ways to help distinguish between corns and plantar warts. Pain type: Plantar warts may cause pain when pinched from the sides, whereas corns are tender when pressure is applied directly to them. Appearance: Corns have a “waxy” yellowish appearance, whereas plantar warts often have a black dot in the centre. And while difficult to tell, warts go much deeper into the skin than corns. Location: Corns tend to occur in the non-weight bearing parts of the foot, like between or on top of the toes. Conversely, plantar warts tend to occur on the weight-bearing parts of the foot, like the ball of the foot. Multiplication and Spreading: Corns are concentrated in pressure-points on the foot and don't typically "spread". Plantar warts, however, can multiply and spread to other parts of the foot if the virus is allowed to grow unchecked. Corns and Plantar Warts: Treatment and Prevention https://www.youtube.com/shorts/TDV3Dd98oOM Many services performed by a chiropodist or podiatrist are available at a foot clinic and can target both conditions. How to Treat Plantar Warts Plantar wart treatment requires a specialized approach. As they're caused by a virus, they cannot simply be "removed". Rather, depending on the severity of the warts, the frequency of re-exposure to the virus, and the person's immune system, warts can take multiple treatments spanning over several months. Here are the different treatment options for plantar warts, in order from most conservative to most aggressive: Salicylic acid, a common over-the-counter treatment, gradually softens the wart and sheds layers of skin. Although it is not painful, it may take longer to see results. For a faster alternative, a chiropodist can prescribe a higher-strength salicylic acid solution to be applied at home with follow-up visits. The chiropodist will then routinely debride the dead skin covering the wart to allow better penetration of the medication. Cryotherapy, or freezing, is another standard method where liquid nitrogen is applied to the wart to freeze and destroy the wart tissue. This treatment may cause temporary pain and requires multiple sessions, each 2 -3 weeks apart. Cantharone (canthacur) is an acid applied by a chiropodist that causes a blister to form and the wart to lift off the skin, typically within a few days. Although this treatment is more effective and doesn't take as long as cryotherapy, the resulting blister may be uncomfortable. This is the most common treatment used by chiropodists. It requires multiple treatments, each 2 - 3 weeks apart (though typically not as many as cryotherapy). Wart needling is a surgical procedure. It involves puncturing the wart multiple times with a sterile needle to trigger the body's immune response. It is a good option for multiple or resistant warts. Finally, excision involves surgical removal of the wart. It is reserved for stubborn warts that don't respond to other treatments, and has a risk of scarring. It is seldom used. How to Treat Corns A chiropodist or podiatrist can treat corns by gently shaving down the thickened skin with sterilized tools. The treatment is effective, safe, typically painless, and will discomfort without risking infection. Inserts and custom orthotics can also play a significant role in managing and preventing recurrent corns. Custom orthotics are specially designed to provide support and distribute pressure evenly across the foot. This reduces the friction and pressure points that can lead to corns. Over-the-counter insoles and inserts can also provide extra cushioning and improve the fit of shoes, offering relief and preventing further irritation. Self care can also go a long way. Soaking corns in warm water softens them, making it easier to reduce its size. It's also important to moisturize your feet regularly to make the skin stronger and more flexible, which will reduce its sensitivity to friction and hardened skin buildup. Toe pads or non-medicated patches can also protect corns from further irritation and promote healing. Lastly, but equally important, you must find the right shoes to wear for each season and choose shoes with a proper fit. This can help prevent the pressure and friction that causes foot corns. A complimentary shoe fitting at a foot clinic can help! https://www.youtube.com/shorts/R7GV0GbKhvQ

November 28, 2024

Why You Shouldn’t Ignore Foot and Ankle Swelling: Potential Causes and When to See a Specialist

Whether caused by an injury, circulation problems, or a chronic condition, foot and ankle swelling shouldn't be ignored. In this blog, we'll explore potential causes of swelling, when it might be a sign of something more serious, and how seeing a foot specialist at a Toronto foot clinic can help you get back on your feet. What is Foot Swelling? https://www.youtube.com/shorts/dFZVG-2ymxY The medical term for foot and ankle swelling is called edema. This term can also be used for swelling in other body parts. It is an accumulation of fluid leaking from small blood vessels into the tissues of the foot and ankle. This causes the area to appear puffy or enlarged. Swelling in the feet often occurs because of circulation issues, injuries, infections, or underlying health conditions. The lower extremities are especially vulnerable to swelling because gravity naturally pulls fluids downwards. The body’s circulatory and lymphatic systems typically manage this fluid, but when they’re not functioning optimally, fluid retention can occur. Your body’s inflamatory response to foot and ankle injuries, hormonal changes (pregnancy, etc.) and increased blood volume can also lead to swelling. Edema in the feet can range from a mild inconvenience to extremely distressing and debilitating. It can affect your gait pattern (the way you walk), make buying shoes that fit almost impossible, and coincide with other uncomfortable symptoms. You shouldn’t ignore foot and ankle swelling, even if you think you know the cause. This is because: It can get progressively worse It can signal a health condition you weren’t aware you had It can be a sign that a foot injury is more serious than you thought It can lead to other complications It may require prompt treatment Causes of Swollen Feet and Ankles There are numerous causes of swollen feet and ankles. Some are mild and going away over time, while others are more severe and debilitating and may require consistent assessments and check-ups with either a physician or a foot specialist, like a chiropodist or podiatrist. If you notice swelling within your feet that is new then discuss with with you physician. Common causes of foot and ankle swelling include: Injury. Sprains, fractures, and strains can cause localized swelling due to inflammation in the injured tissues. To protect yourself, check out the best ways to prevent foot injuries. Infections. Conditions like cellulitis, a bacterial skin infection, can lead to swelling, redness, and warmth in the affected area. Venous insufficiency. This is a term for damaged vein valves and in some circumstances be caused by deep vein thrombosis (DVT) or malformation in the leg veins. General venous insufficiency is common especially as we age. Poor blood flow from the legs back to the heart causes fluid buildup, leading to swelling in the lower legs and feet. Lymphedema. Blocked or damaged lymphatic vessels prevent fluid drainage, causing chronic swelling, often in one leg or foot. Heart, kidney, or liver disease. These conditions can disrupt fluid balance in the body, leading to retention in the feet and ankles. Pregnancy: Increased blood volume and pressure from the growing uterus can cause fluid accumulation, especially in the lower extremities. Prolonged standing or sitting. Sitting in one position OR standing for extended periods can cause fluid to pool in the legs and feet due to gravity. Office workers, restaurant servers, cooks, flight attendants, and more can experience mild swelling simply due to their occupation. Gout. Gout is a type of arthritis caused by high levels of uric acid in the blood, leading to the formation of urate crystals in joints. The result is intense burning pain, redness, and swelling, particularly in the big toe. Improving your diet may be able to help with flair ups. Diabetes: The top of the feet and ankles can swell due to nerve damage caused by diabetic neuropathy. Diet. High sodium diets can cause excessive swelling in the legs. Signs Your Swollen Feet and Ankles May be Serious https://www.youtube.com/shorts/dD0T2wUUFdQ Below are some coinciding symptoms that may be tell-tale sign of a health condition. As always, if anything is new, then to see your physician rather than to leave it: Burning sensation. Persistent burning in the feet along with swelling could indicate nerve damage. Redness and warmth. Swelling accompanied by redness, warmth, and tenderness may signal an infection, such as cellulitis, that needs attention. Sudden onset of swelling. Rapid or sudden swelling in one leg could indicate a blood clot or deep vein thrombosis (DVT)s. This condition requires urgent care. Pain: Severe pain along with swelling, especially after an injury, may point to a fracture or ligament damage. Swelling in one foot only: Sometimes localized issues can indicate a more severe and specific problem. Shortness of breath or chest pain. These symptoms can indicate heart or lung issues, like congestive heart failure, and requires immediate medical help. Skin Changes: Discolored, tight, or shiny skin over swollen areas may suggest lymphatic or circulatory issues needing evaluation. Red toes or dark blue skin can signify peripheral artery disease, coronary heart disease, high blood pressure and more. Persistent or worsening swelling. Swelling that doesn’t improve or worsens over time could be a sign of an underlying health condition that needs treatment. When to See a Podiatrist or Chiropodist: Treatment https://www.youtube.com/shorts/IryRcL4JPjI You should always see a physician or foot specialist if you’re experiencing discomfort in any capacity. Remember: foot issues are not “normal.” Because foot and ankle swelling is usually caused by an underlying medical condition, you should first see your family doctor. They can refer you to the appropriate specialists and run the necessary testing to determine what is causing the swelling. Your treatment options may target edema directly, or they may target the underlying health condition. Once you determine the underlying cause of the foot swelling, a foot specialist or foot clinic can provide solutions to manage and accommodate the condition, so you can live your life as comfortably as possible. Below are some services a foot clinic can offer to help foot and ankle swelling: Compression Socks Compression stockings are a great option for venous insufficiency, pregnancy, fatigue-related swelling, and sometimes even underlying health conditions like lymphadema. They reduce swelling by promoting blood flow and limiting fluid buildup in the lower extremities. A common myth is that they are clunky, noticeable medical devices that clash with your clothing, but they are actually quite fashionable and sleek. Most people will not even realize you are wearing them. You can get standard knee-high socks or even pantyhose, depending on how your activities and how you want to dress them up. You can get a prescription from a physician, and then stop by our Toronto foot clinic, where our certified fitters can measure you and help you select the best stockings for you. As compression stockings can be contraindicated for some conditions (like diabetes and periphery artery disease), it's strongly recommended that you first visit discuss compression stockings with your family doctor if you have any underlying health concerns. Orthopedic Footwear Orthopedic shoes can accommodate swelling by offering several key features designed to provide comfort and support: Adjustable straps and laces. Many orthopedic shoes come with adjustable fastenings that allow for a customizable fit, accommodating changes in foot size due to swelling. Wide toe boxes. These shoes often have a wider, more spacious toe area, which helps to prevent pressure on swollen feet and allows room for expansion. Elastic materials. Some orthopedic shoes are made with elastic or stretchable fabrics, allowing them to gently conform to the shape of the foot and adjust to fluctuations in swelling throughout the day. Extra depth. Orthopedic shoes often have a deeper design, providing more room for foot swelling and preventing tightness that could worsen discomfort. By combining these features, orthopedic shoes can help manage swelling while providing the support needed for optimal foot health. Diabetic Foot Care https://www.youtube.com/shorts/4P3UiDSFzr4 If your edema is caused by diabetic neuropathy or periphery artery disease, diabetic foot care at a foot clinic should be a part of your monthly routine. At a diabetic foot care appointment, your chiropodist will monitor your foot health. They'll examine your feet to check for sensation, circulation, and check for any potential causes for concerns - like disease progression and worsening circulation issues. Routine diabetic foot care also involves wound and nail care, diabetic foot education, and more. While these practices don’t directly target swelling, they are all interconnected and help reduce the risk of complications that can worsen swelling. Biomechanical Assessment If your swelling coincides with an injury and other chronic foot pain, a biomechanical assessment and gait analysis with a chiropodist can help. A chiropodist can then diagnose any underlying muscular or biomechanical issues that are causing or contributing to the foot pain, and make treatment recommendations like custom orthotics. Additional Swollen Foot and Ankle Treatments RICE Method The RICE method is an acronym for a popular at-home treatment routine for acute foot injuries: rest (avoiding activities that strain the foot), ice (applying cold packs to reduce swelling and pain), compression (using bandages, tape, compression socks, and more to limit swelling), and elevation (raising the foot above heart level to help drain excess fluid). If you're Treatments That Target Underlying Health Conditions When foot swelling is linked to serious underlying health conditions, treatments aim to address the root cause and prevent further complications. For example, conditions like heart failure, managing the condition with medications can help reduce fluid retention and ease swelling. In cases of kidney disease, doctors may adjust medications and recommend dietary changes to help the kidneys function more effectively, reducing the build-up of excess fluid in the body. In some lymphatic conditions, such as lymphedema, may be treated with specialized therapy, including manual lymph drainage to help encourage the movement of fluid away from the swollen areas. Compression therapy is also helpful for lymph conditions. Each treatment is tailored to the specific health condition causing the swelling, and addressing the underlying issue can significantly reduce or even prevent the recurrence of swelling. Regular monitoring and early intervention are key to managing these conditions effectively. https://youtube.com/shorts/2mS-9D7LHq4?si=bOOBryZI6ne5VrtP

November 21, 2024

Why Do Older Women Get Bunions?

Bunions can target anyone, but they are more common in older women due to factors like foot anatomy and footwear choices. Luckily, there are ways you can prevent and manage bunions to the best of your ability, especially if you work with a chiropodist or podiatrist. Let’s explore everything there is to know about bunions, including the reasons why older women are more at risk for developing bunions. https://youtube.com/shorts/sXF8lWHad0g?si=w38l2AbSdGSpctbC This article will answer: What are bunions? Who's at risk? Why are older women at risk? How do you treat bunions? How do you prevent bunions? Do I need bunion surgery? What Are Bunions? Bunions are toe deformities in which the big toe shifts towards the second toe at an angle. This causes the joint at the base of the big toe (the first metatarsophalangeal joint, or MTP joint) to protrude outwards, forming a bump that can become swollen, tender, and uncomfortable. The MTP joint bears a lot of pressure while walking or standing, which can worsen the bunion over time. As the condition progresses, people with bunions often experience pain and difficulty wearing certain shoes. Another related condition common in older women is hallux rigidus, where arthritis or stiffness affects the big toe joint, limiting its movement. Hallux rigidus may not cause the same protrusion as bunions (it's usually seen on top of the joint), but it can still lead to pain and difficulty moving the toe. Many people may think that hallux rigidus is the same as a bunion, but they are different - the scientific term for bunions is hallux (abducto) valgus. Causes of Bunions: Who's at Risk? While bunions aren't typically caused by one thing alone, there are several risk factors that contribute to the likelihood of developing bunions. All these risk factors either weaken or cause extra strain on the MTP joint. These include: Age: Bunions can start to form as young as 30, but they are commonly associated with seniors and become more debilitating and noticeable with age. Some studies suggest 1 in 3 people over the age of 65 have a pronounced bunion, many of them being women. Genetics: Bunions are partly genetic because foot shape and structure, often inherited traits, can increase the risk of developing them. People with certain foot shapes—particularly flat feet—are more prone to bunions because this structure creates imbalanced pressure on the big toe joint. Wearing ill-fitting footwear: Frequently wearing narrow, tight, or high-heeled shoes that squeeze the toes can push the big toe inward, contributing to bunion formation. Pointed, unstready high-heeled shoes with very thin heels (like stilettos) are extra risky. Having Rheumatoid arthritis: Conditions that affect joint health and increase inflammation, such as rheumatoid arthritis, can lead to bunion formation. Previous foot injuries: Tendon tears, or having broken a bone in the past, can increase risk. Why are Older Women at Risk? Senior women are more likely than other groups to experience painful bunions for a handful of reasons: Older people are more susceptible to joint-wear-and-tear and other foot conditions like osteoarthritis (which is caused by wear-and-tear on the joints, and is commonly associated with age). And pre-existing joint issues make you more prone to bunions. Many older women have a history of wearing ill-fitting shoes with cramped toe boxes and unsteady high heels for decades. Tight shoes and high heels put extra strain and pressure on the MTP joint. The collective effects of this pressure accumulate over time and, compounded with other age-related risk factors, can accelerate, contribute to or exacerbate the formation of bunions. Women may have weaker connective tissue in their feet. This will reduce the big toe's ability to withstand the force and pressure of our movement. Bunions can worsen during menopause due to hormonal changes loosening ligaments and flattening the feet, making them more vulnerable. This can also happen during pregnancy and have long-lasting effects on the feet. Menopause can also affect bone density, which can accelerate joint degeneration, weaken joints, and therefore aggravate bunions. Bunions in Older Women: Treatment If you are struggling with bunion pain, visiting a foot specialist, like a chiropodist or podiatrist, at your local foot clinic can help. There are many solutions available that target the foot pain and mobility issues associated with bunions, while decreasing pressure on the big toe joint. While bunions cannot be reversed (without surgery), by strengthening your feet and reducing pressure on the big toe, you can manage the bunion growth so that it doesn't get worse. Bunion Exercises and Stretches https://www.youtube.com/shorts/H3SogJ8FIas A chiropodist or podiatrist may suggest some bunion exercises and stretches. These are great for both prevention and treatment, mostly target the toes, are easy to memorize, and accommodate seniors. The exercises may feel awkward at first, but you’ll get used to them in no time. Here are five easy-to-learn exercises you can incorporate into your daily routine to help manage bunion discomfort: Toe Circles Grip your big toe and move it in circular motions to maintain joint mobility. Do 10 circles in each direction per foot. Toe Stretches Use your fingers to press your big toe down and hold for 30 seconds, then stretch it in the opposite direction for another 30 seconds. Repeat 5 times on each foot. Towel Grip and Pull Place a towel on the floor and use your toes to scrunch and pull it toward you. This helps strengthen the small muscles in your feet. Toe Curls and Spreads Curl your toes down tightly, hold for a few seconds, then spread them wide. Repeat this motion 10 times per foot to improve flexibility and strength. Toe Resistance Exercises View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Use your fingers to apply light pressure against your big toe in various directions, pressing up, down, and sideways. Hold each for 10 seconds. Repeat 5 times on each foot. You can also wrap a resistance band around your big toes and then spread your feet apart while keeping your heels planted, as shown in the video above. Other bunion treatment options provided by a foot specialist include: Footwear recommendations: We'll get more into this later, but opt for shoes with a wide toe box that give your toes enough room. You should also look for features like cushioned insoles and good arch support to reduce pressure on the bunion. Custom orthotics: A foot specialist will assess your feet and design custom orthotic insoles tailored to your feet. Orthotics work by reducing pressure and force on the big toe joint, which will then reduce bunion pain and help prevent the bunion from getting worse. Custom orthotics for bunions provide support and help realign the foot, redistributing pressure away from the bunion. You can then put the orthotics into your footwear and go about your daily activities with less pressure on the big toe. Shockwave therapy: This treatment uses powerful acoustic pulses to reduce pain in the affected area by increasing blood flow and triggering a process that helps the body heal injured tissue. While shockwave therapy doesn't target the bunion itself, it helps with the tight muscles and ligaments around the bunion, which reduces pain and pressure on the joint. Bunion devices: These devices help realign the toes to varying degrees. Silicone toe separators are great for when you're walking around at home, whereas ultra-thin bunion aligners fit comfortably in most footwear and are great for athletic people. For more significant correction, rigid bunion splints help stabilize the joint. Therapeutic taping: A foot specialist can apply therapeutic tape to provide support, reduce pain, and help correct the alignment of the bunion, allowing for better mobility. Shoe stretching: If your shoes are too tight, professional shoe stretching can help relieve pressure on the bunion, making footwear more comfortable. https://www.youtube.com/shorts/8g43ZWreZ1g Best Bunion Prevention Tips There isn’t much you can do about your genetics or age, but you can be mindful about other lifestyle factors to manage bunion formation. Wearing the Right Footwear The best preventative measure you can take to try and avoid bunions is wearing the right shoes for your feet. You should be especially vigilant about finding shoes that are wide enough for your toes to rest comfortably and wiggle without crowding and overlapping. Ideally, your shoes need between ⅜” to ½” of space between the end of your longest toe and the front of the shoe. You can try an at-home test to see how wide your feet really are before visiting your Toronto foot clinic for a shoe fitting that will help you find the perfect fit. Toe space is the biggest factor for bunion prevention, but there are many other things to consider when finding the right shoes. Check out the best footwear for healthy feet to learn what else you should look out for. Try to avoid high heels, only wearing them for special occasions. Even then, opt for healthy heel options. Heels shouldn’t be too high or too thin—look for a block, shorter heel or wedges instead. Your shoes also shouldn’t be severely pointed and squish your toes together. Additional Bunion Prevention Tips: Regular exercise and a good fitness regimen will help keep your muscles strong. Strong muscles reduce strain on the joints, which will then make you less susceptible to joint degeneration and wear-and-tear as you age. In addition, a healthy conditioned lower body and core helps with alignment and weight-bearing, meaning your big toe won't need to work as hard when you move around. Since having a previous injury can be a risk factor, practice healthy foot injury prevention and FALL prevention. If you notice early signs of bunion formation, such as redness or swelling around the big toe joint, consult a foot specialist promptly. You should also consult a foot specialist if you have any family members with bunions, notice any issues with your alignment, have flat feet, or any other biomechanical concerns, as faulty biomechanics increase strain on the big toe joint. Excess weight can put additional pressure on your feet, increasing the risk of bunion development. Maintaining a healthy weight can help reduce this strain. Do I Need Bunion Surgery? Seniors may be more likely to seek a surgical consult after living with bunions for a longer period than young people, and trying other non-invasive treatment options with a podiatrist or chiropodist first. That said, these days there are more non-surgical treatment options than ever before and your chances of needing a surgery are still somewhat low. Surgeries are typically recommended for older women or any individual who experiences significant pain or functional limitations; surgeries are not usually performed solely for cosmetic reasons. At FeetFirstClinic you will start with a full foot assessment to determine the severity of your condition and your foot specialist will form a treatment plan with you. https://www.youtube.com/shorts/XZUfVhny5pY

August 12, 2024

Managing Bunions: Treatment Options and Lifestyle Tips for Relief

Dealing with bunions can be a pain—literally. For those managing bunions, finding effective solutions can greatly improve quality of life. Let's dive into various bunion treatment options and explore lifestyle tips that can help alleviate discomfort and prevent further issues. Bunion Treatment Options: Finding What Works for You When it comes to managing bunions, there's no one-size-fits-all approach. Remember, they are bony protrusions and can vary in pain level and size. While they can occur in both men and women, they are most common in women. Non-surgical bunion treatment is often the first line of defense. Non-Surgical Bunion Treatment Ill-fitting and unsupportive footwear - particularly narrow shoes and high heels - is one of the most common causes of bunions. A chiropodist can suggest footwear for bunions that provide ample toe space and cushioning. They'll help you discover fashionable footwear for sensitive feet from your local Toronto foot clinic. Additionally, they can do a biomechanical assessment to determine if custom orthotics can help manage the bunion's progression and reduce your pain. A chiropodist can also recommend bunion cushioning techniques and products, such as: Silicone toe separators Bunion aligners Rigid, yet walkable, bunion splints These non-invasive measures can help reduce pressure on the affected area and offer bunion pain relief. Lifestyle Tips For Bunion Relief and Preventing Bunion Progression As with any foot condition, lifestyle changes go a long way! Implement simple bunion exercises into your routine to strengthen the muscles around the joint. To give it your best shot, refer to these 5 simple exercises for bunions! It is also strongly recommended that you avoid high heels. If you have a special event, visit your local foot clinic to talk about comfortable heel and wedges you may be able to wear, for a limited amount of time. In addition, avoid activities that put excessive pressure on your feet, such as long periods of standing on hard surfaces. You can try beginner-level, low-impact yoga to keep moving, but make sure it isn't too intense for your feet. Surgical Solutions In severe situations, bunion surgery from a podiatrist or orthopaedic surgeon can offer significant relief. Surgery realigns the toe joint, providing a long-term solution and eliminating the need to accommodate the bunion at all times. However, it's crucial to consult with a healthcare professional to determine if surgery is the right step for you. Most of the time, surgery is only an option for severe bunions as it can be a lengthy and inconvenient process for you. In addition, there's no guarantee the bunion will not return: some studies indicate a reoccurence rate of up to 25% after bunion surgery. It's important to note that bunion surgery alone isn't going to permanently get rid of your bunions: you still need to do non-surgical bunion treatment options after surgery to prevent reoccurence, namely: Wear proper fitting footwear and avoid high heels Strengthen and condition the muscles in your feet and ankles Address any underlying biomechanical issues to reduce pressure and strain on the affected joint.

July 25, 2024

What’s A Crossover Toe: Understanding Causes, Symptoms, and Treatment Options

Foot pain can be debilitating, affecting our ability to walk, exercise, and perform daily activities comfortably. One common foot condition that causes discomfort and requires attention is crossover toe. This blog post delves into crossover toe, its symptoms, and available treatment options. First off, we'll explain exactly what is a crossover toe. What is a crossover toe? Crossover toe, also known as floating toe or floating fifth toe, is a type of deformity in which the toe drifts out of its normal position and crosses over or under a neighbouring toe. The condition is also known as overlapping toe. The condition generally affects the fourth and fifth toes, leading to pain, swelling, and difficulty wearing shoes comfortably. However, any combination of toes may become an overlapping toe. Roughly 7% of adults—men and women equally — have overlapping toes of some sort. Symptoms of crossover toe Toe pain: Discomfort is often felt at the base of the affected toe, especially when walking or standing for long periods. Swelling and inflammation: The affected area may become swollen and inflamed due to the abnormal positioning of the toe. Uncomfortable shoe fit: Shoes may feel tight or uncomfortable, especially in the toe box area where the affected toe rubs against adjacent toes or the shoe itself. Visual appearance: The affected toe may appear to cross over or under the adjacent toe, giving it a visibly different appearance than the other toes. Corns: Corns will often form on top of crossover toes due to excessive friction and rubbing on the affected toes. Causes of crossover toe Crossover toe can develop due to several factors, including: Foot injuries: Joint and ligament damage caused by unhealed trauma and foot injuries can change the toes' alignment over time. Additionally, arthritis, including rheumatoid arthritis, can shift the alignment of your toes as it progresses and damages the joints. Foot structure: People with high arches or flat feet are prone to developing overlapping toes. Genetics: Overlapping toes may also be inherited. Many conditions that make one prone to developing an overlapping toe, like arthritis and Morton's toe, have genetic contributing factors. Improper footwear. Wearing shoes that are too short, too narrow or too tight can force the toes into an unnatural position and curl up, which will ultimately lead to the development of a crossover toe. Treatment options for crossover toe Footwear adjustments: Proper-fitting footwear is one of the most important ways to manage a crossover toe. Switching to shoes with a wider toe box can ease pressure on the affected toe and reduce discomfort. You should also make sure you have sufficient space at the end of your shoes (typically 1 cm) for your toes to properly splay. If shoes are too short, your toes will curl up. Many companies, like ASICS, APEX and Saucony, offer a wide-width options to give your feet the extra room it needs. Shoes with a mesh or soft upper are also recommended, as this will reduce pressure and friction on the top of the toes. Orthotics Custom orthotic inserts or pads can help support the arch and redistribute pressure across the foot. This can help promote proper toe alignment and reduce pressure on the crossover toes so that they don't get worse. Foot and Toe exercises: Performing specific exercises to strengthen the muscles and tendons around the toes can improve flexibility and prevent the condition from progressing. Splinting or taping: A foot specialist can tape the affected toe to encourage proper alignment and reduce pain. You can also buy a splint or toe spacer to help stabilize and align the toe. Corn and Callus Treatment: Since crossover toes are extremely prone to corns and calluses, it is very important to see a licensed chiropodist for routine foot care. A chiropodist can safely debride any corns and calluses on your crossover toe, which will reduce pain and irritation.

July 18, 2024

Morton’s Toe: When Your Second Toe Is Longer Than Your Big Toe

Feet come in all shapes and sizes, and while many people have heard of common foot conditions like bunions or flat feet, there's another lesser-known but equally interesting foot characteristic called Morton's foot or Morton's toe. The condition occurs when the second toe is longer than the big toe, leading to potential biomechanical implications and foot-related issues. Let's delve into Morton's Foot, its potential effects on foot health, and how to manage it. What is Morton's foot/toe? Morton's Foot, also known as Morton's toe/foot or Greek foot, is a foot structure in which the second toe is longer than the big toe. The big toe is the longest in a typical foot, followed by the second toe. (Despite sharing the same name, Morton's neuroma and Morton's toe are not the same.) However, in individuals with Morton's foot, the second toe extends beyond the big toe, sometimes significantly. The condition is quite common. As many as 40%+ individuals have a longer second toe than a big toe. Potential biomechanical implications But here's the twist: while Morton's foot is generally considered a variation of normal foot anatomy rather than a medical condition, it can have some surprising biomechanical implications that affect gait and foot function. Let's explore these potential issues associated with Morton's foot. Added pressure on the second toe The longer second toe may bear more weight during walking or standing, leading to increased pressure and potential discomfort or pain in the ball of the foot, which may contribute to clawing of the toe and hammertoes. Gait changes Morton's foot can alter the distribution of weight and pressure across the foot, potentially affecting gait mechanics and posture. This may contribute to overpronation, increasing the risk of injuries such as plantar fasciitis, shin splints and bunions. Footwear challenges Finding the right footwear can be a real challenge for individuals with Morton's foot. Shoes often fail to comfortably accommodate the longer second toe, leading to issues such as rubbing, irritation, or the development of thickened or ingrown toenails, corns or calluses on the affected toe. How to manage Morton's foot While Morton's Foot may not require medical intervention, there are steps individuals can take to manage associated discomfort or mitigate potential issues proactively: Choose footwear wisely. Opt for shoes with a wide toe box to comfortably accommodate the longer second toe—Asics is a great choice for a roomier and wider toe box. Avoid narrow or pointed shoes that can squeeze or crowd the toes. Consider orthotic support. Custom orthotic inserts or insoles can offset pressure on the toes and support the foot. This can alleviate any discomfort associated with Morton's Foot and improve your overall foot mechanics. Foot-strengthening exercises. Engaging in exercises to strengthen the muscles of the foot and ankle can help improve stability and support, reducing the risk of overuse injuries or discomfort associated with Morton's foot. Regular foot care. Practicing good foot hygiene and monitoring for signs of irritation or injury can help prevent complications such as corns, calluses, or ingrown toenails on the longer second toe.

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