The Importance of Foot Care for People with Rheumatoid Arthritis

March 16, 2023

If you suffer from Rheumatoid arthritis, chances are you’re already scheduling regular appointments with a chiropodist. And if you aren’t, you may be overdue. This serious condition requires assistance and guidance from a healthcare professional.

That said, it’s truly amazing what practicing foot care on your own time can help you achieve. The two main goes of foot care for people with rheumatoid arthritis (RA) are pain management and avoiding complications.

Today we will discuss how lifestyle factors such as shoe choices and exercises can help you structure your life around RA with less discomfort. But first, let’s break down everything we’ll discuss today:

What is Rheumatoid arthritis?
Best shoes for Rheumatoid arthritis
Rheumatoid arthritis and exercises
Additional foot care practices for RA

What is Rheumatoid Arthritis?

Rheumatoid arthritis (RA) is an autoimmune and inflammatory disease that wreaks havoc on your joints by mistakenly targeting the body’s healthy cells, leading to inflammation. It most commonly affects the feet, hands, wrists and knees.

It’s critical to take Rheumatoid arthritis seriously. If you don’t pay attention to foot care and neglect regular check-ups, you may be putting yourself at risk of developing complications. These include osteoporosis, an increased body mass index (BMI), heart and lung problems, and a compromised immune system that leaves you more vulnerable to infections.

Click here to read more on RA, including symptoms, treatments from a chiropodist, and helpful medications.

Best Shoes for Rheumatoid Arthritis

One way to practice foot care and pain management with RA is to be extremely vigilant about your shoes.

Medical News Today notes that people with RA should look for shoes with a wide-toe box, rocker bottoms and cushioning with arch support. Adjustable straps and breathable materials can also be beneficial to maximize comfort levels.

Rocker bottoms: Also called rocker soles, this shoe feature can reduce pain and help with mobility and activity limitation in RA patients. They are designed to reduce pressure under the ball of the foot and excessive toe motion.
Wide toe box: Rheumatoid arthritis can lead to foot deformities in the form of severe bunions, claw toes and hammertoes. It can also cause severely flat feet, and a widened forefoot, sometimes called splay foot. Rheumatoid nodules (firm bumps of tissue) can also pop up anywhere along the affected area. Wearing shoes with a wide toe box is imperative for maintaining a certain comfort level and accommodating these deformities.
Adjustable straps: When you have Rheumatoid arthritis, having more room in the entire shoe to accommodate stiff joints and deformities can be a major plus.
Breathable materials: A 2019 study highlighting important features of retail shoes for women with RA found that breathable materials (such as soft mesh uppers) were crucial for most patients.
Cushioning and arch support: The same study reported that most women found shoes with adequate rearfoot and forefoot cushioning most comfortable. Women said the same about longitudinal arch support.

Rheumatoid Arthritis and Exercise

An exercise routine can help most people with arthritis in the lower extremities. We’re not talking about exerting energy levels you aren’t comfortable with or practicing difficult workouts and training. We know that mobility constraints will always be an issue.

Exercises should simply work the muscles in your feet and lower half to prevent atrophy from a lack of use and help with pain management and mobility.

Here are some multi-purposeful exercises that can also help with RA:

Toe Flex and Raise

https://www.pinterest.ca/pin/782007922800908317/

Ankle Circles / Alphabet

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Calf Stretch on a Stair

https://www.pinterest.ca/pin/782007922800908193/

Be sure to also check out our two-part series on the best exercises for arthritis!

Additional Foot Care Practices for RA

The RICE Method: Sometimes, your pain may flare up to the point where all you can do is be patient and wait until it passes. Luckily the magical combination of rest, ice (or heat), compression, and elevation can help you accommodate severe pain and swelling.
Summer footwear: During the warm months, wear sandals with open toes.
Warmth: Keep your feet as warm as possible, as cold air can worsen joint pain. A heating pad can also be very helpful for loosening stiff muscles.
Foot baths: The warm water in foot baths can loosen up stiff joints. Try adding Gehwol foot bath products for added comfort!
Meditation: Stress can often trigger RA flare-ups, so reducing anxiety via healthy, quiet rumination can be a wonderful preventative measure. Other stress-reducing lifestyle habits include taking walks (when physically able) and listening to soothing music.

Don't Forget to Visit Feet First Clinic!

Foot care from home is valuable, but combining that with the insight and skills of a chiropodist guarantees that you are doing everything you can to manage your Rheumatoid arthritis!

Contact our office to book an appointment! Please fill out our online booking form, or call us at 416-769-3338!

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June 12, 2021

5 Types of Arthritis That Affect Our Feet

Arthritis is a medical condition that affects our joints, causing pain, swelling and stiffness. One of the most common risk factors is age. That said, while arthritis mainly affects people over the age of 40, it can develop at any age. Here at Feet First Clinic, our chiropodists regularly treat patients who have arthritis in their feet. Likewise, foot-care experts note that 5 types of arthritis can target our feet. Today, we'll go over those with you, as well as the signs and symptoms of each type. We'll also give you a list of treatment options that have been known to help patients live a normal, healthy life. What Types of Arthritis can Affect our Feet? 5 types of arthritis can affect our feet and ankles: Osteoarthritis Psoriatic arthritis Rheumatoid arthritis Post-traumatic arthritis Gout Osteoarthritis Osteoarthritis is the most common form of arthritis and can affect any of the 33 joints in the foot. Commonly referred to as "wear-and-tear" arthritis, it is caused by the gradual erosion of cartilage on the ends of our bones. This cartilage cushions our joints, so when it gets worn down, bones rub against each other, which causes foot pain. Women over the age of 50 are the most at risk of developing osteoarthritis. That said, other risk factors include obesity and pre-existing foot conditions such as Bunions and clawed toes. Psoriatic Arthritis Psoriatic arthritis is a form of arthritis specifically affecting those who suffer from psoriasis. Psoriasis is an auto-immune disease that affects the skin. Patients typically notice painful patches of redness and bumps on the skin, sometimes covered by white, scaly skin. Not every person with psoriasis is guaranteed to experience psoriatic arthritis, but some patients are at risk. Mayo Clinic notes that most patients develop the skin disorder first and notice joint pain later, although the joint pain can sometimes be experienced first. Those experiencing psoriatic arthritis in their feet typically notice swollen and stiff joints. Rheumatoid Arthritis Rheumatoid arthritis is another form of arthritis that can affect your feet. Age is not a common risk factor for rheumatoid arthritis; it can affect younger people too. It is an autoimmune condition that causes excessive inflammation buildup in your joints. The inflammation severely damages the joints and typically affects both feet. Most doctors or foot specialists can distinguish rheumatoid arthritis from other types by looking for damage in both feet. In many cases, rheumatoid arthritis can ultimately lead to deformities in your feet in the form of curled toes(claw toes) and bunions. Other symptoms include: Joint stiffness and soreness Other foot deformities, including flat feet, splay foot, and hammertoes Difficulty with simple activities, such as walking, standing, etc. Enlarged joints Swelling and warmth Intermittent pain that can flare up or subside at random Post-Traumatic Arthritis Post-traumatic arthritis in the foot is a form of osteoarthritis that targets a joint that has sustained an injury. Arthritis commonly develops in older people, but post-traumatic arthritis can affect someone who was not at risk of developing arthritis before their injury. Likewise, the US National Library of Medicine notes that post-traumatic arthritis can occur in people from age 30-40. If they have sustained an injury in their foot, it can "strongly contribute to premature development of osteoarthritis." Sports injuries, falling and spraining your ankle, and other forms of physical trauma can weaken your joints, putting them at risk of developing osteoarthritis. Specifically, if a foot or ankle injury doesn't heal properly, the joint weakness puts extra strain on your feet. This speeds up the wear-and-tear process in the feet, erodes the cartilage and leads to bone damage. Symptoms include joint pain, swelling, fluid accumulation in the affected joint, and difficulty walking. Gout Some people are surprised to learn that Gout is a form of arthritis. Gout is an inflammatory foot condition and is quite serious and debilitating. The pain can be intermittent, and gout flare-ups often come on suddenly and severely. The pain is so severe that even bedsheet touching your foot can be excruciating. Gout is caused by excessive uric acid production, which triggers an autoimmune response that results in a gout attack. Most gout patients are men over age 40. Additionally, living a sedentary lifestyle and alcoholism are risk factors. Gout normally targets the big toe, but if left unaddressed it can affect other joints in the foot too. Other symptoms including redness, swelling, and protrusions that look similar to bunions. What Are Some Treatment Options for Arthritis in the Feet? Lifestyle Changes: You should speak to a chiropodist about exercises you can perform from home that can help ease your foot pain. These exercises can be performed quickly and fit easily into a daily routine. The goal is to strengthen your muscles and improve your mobility. You should also try sticking to a healthy diet: many unhealthy foods can cause inflammation buildup, which can trigger arthritis flare ups and gout attacks. Maintenance with a foot specialist: A qualified chiropodist can provide services that can ease foot pain and help with mobility. These include Splinting or bracing your feet, prescribing Custom orthotics and fitting you for Orthopaedic shoes. Other forms of foot care, such as nail care and preventing infection, can also be performed by a chiropodist. If you suffer from arthritis, it is wise to regularly see a chiropodist, as it can be almost impossible for those with debilitating joint pain to maintain proper foot care on their own. Medications: Medications such as NSAIDs (non-steroidal anti-inflammatory agents) can be prescribed for gout, psoriatic arthritis and rheumatoid arthritis. If you suffer from gout, you may also need a medication that slows uric acid production, or removes it from your system. If you suffer from psoriatic or rheumatoid arthritis, your doctor may prescribe DMARDs (disease-modifying anti-rheumatic drugs). Over-the-counter anti-inflammatory medicines such as Aspirin can also help manage pain associated with arthritis in the foot. Skincare: Routine self-care from home can work wonders for conditions that also affect our skin, like psoriatic arthritis. One of our favourite brands is Gehwol. They make a wide array of foot care products containing various medicinal ingredients, including menthol and vaseline. Check out this blog on some of our favourite Gehwol products! Do you Have Arthritis in Your Feet? Worry Not! If you suffer from arthritis in your feet, we want to hear about it. We strongly believe that no one should live their life in discomfort. Our licensed chiropodists are trained to help you manage your foot pain. Our downtown Toronto foot clinic is open 6 days a week! Call us to ask about how you can achieve your goal of happy and healthy feet! Call us at 416-769-FEET (3338) or Book Your Assessment Today!

September 18, 2023

Why Your Ankle Cracks When Rotating: A Comprehensive Guide

Although it may sound scary, ankle cracking isn't necessarily a sign to worry about. Often, ankle cracking is normal and, fortunately, harmless. There's a minor chance ankle popping can signify an underlying condition like a sprain or tendon damage, but that's not generally the case. Ankle cracking or popping when rotating can be a common occurrence for some people. However, this doesn't mean you should ignore ankle cracking altogether. You should monitor and assess whether you experience pain elsewhere or any other symptoms associated with the ankle popping (for instance, deep pain that could be a sign of a stress fracture). Understanding your recent history also helps - be extra careful if you've experienced a recent injury or trauma. Whether severe or a non-issue, we recommend brushing up on the possible reasons your ankle cracks when rotating. Read more in our comprehensive guide below. Gas bubble release The most common cause of ankle cracks when rotating is cavitation. When you rotate your ankle, the movement can cause tiny gas bubbles to form and collapse within the synovial fluid that lubricates the joint. This sudden collapse of gas bubbles can produce an audible cracking or even popping sound. Ankle cracking in this context is normal and harmless. Ligament or tendon movement Ankle cracks when cracking can also be due to the movement of ligaments or tendons over bony structures in the ankle joint. They may produce a popping sensation or sound as they shift during rotation. Tendon snapping Why Your Ankle Cracks When Rotating Sometimes, a tendon can snap over a bony prominence in the ankle, leading to a popping sensation or sound. This typically occurs due to repetitive movements or increased physical activity. Scar tissue or adhesions Past injuries or trauma to the ankle may create scar tissue or adhesions around the joint. These tissues may stretch or release during ankle rotation, causing a cracking noise. Joint instability Ankle cracking can be associated with joint instability. If the ligaments supporting the ankle are lax or weakened, the bones may move more than usual during rotation, leading to a popping sensation. Arthritis Occasionally, arthritis or inflammation in the ankle joint can cause cracking or popping sounds during movement. This is often accompanied by pain and stiffness. Synovial cysts Synovial cysts are fluid-filled sacs that can develop within the ankle joint. These cysts may cause cracking or popping sensations when they move or change position during ankle rotation. Bone-on-bone movement In rare cases where there is existing significant wear and tear in the ankle joint, bone surfaces may rub against each other during movement. This results in cracking sounds. Be careful with bone-on-bone friction; it's a recipe for developing bone spurs, which are calcium deposits that build up over time into outgrowths. How do I know when ankle cracking is severe? In most cases, ankle cracking during rotation is benign and not a cause for concern. However, we recommend seeing a professional if you experience pain, swelling, or instability along with the cracking or other concerning symptoms accompanying the cracking. They can thoroughly evaluate and provide appropriate advice or treatment based on the underlying cause. How do I prevent or reduce ankle cracking? To reduce the occurrence of ankle cracking and maintain ankle health, you can consider the following preventive measures: Regularly perform ankle exercises to strengthen the muscles supporting the joint. Warm up properly before physical activity to prepare the ankles for movement. Avoid excessive or forceful rotation of the ankles, especially if it causes pain or discomfort. Wear appropriate footwear that provides support and cushioning for the ankles.

September 14, 2023

Bunions 101: Causes, Symptoms, and Effective Management Strategies

Bunions - or for those who have them, the painful, bony nuisances that form at the big toe joint - are a common foot condition for older people, especially women. While surgical intervention can sometimes help those with debilitating bunions, lifestyle changes and effective management strategies can help you avoid a bunionectomy in many cases. Moreover, surgeries are usually only necessary if your bunions cause regular functional and mobility problems and chronic pain, which is often not the case. Let’s look at the causes and symptoms of bunions and explore how you can manage them without invasive measures. Image Credit: Fabrikasimf from Freepik Symptoms of Bunions Bunions protrude from the side of your big toe, forming an “L” shape angle. Additional symptoms of bunions include: More corns and calluses than you would normally have due to the big toe rubbing against the second toe Mild redness, pain, and swelling Limited movement in the big toe Severe bunions can cause overlapping toes, pain that doesn’t subside, and toe angulation of more than 40 degrees. Photo credit: istock Causes of Bunions The main culprit? The wrong shoes! Wearing high heels may make you feel good about yourself aesthetically, but they can damage your physical health over time and are one of the main causes of bunions in women. Narrow, tight, and pointed shoes (often the design of stilettos and other types of heels) squeeze and push your toes together and forward unnaturally, increasing pressure on the big toe and leading to bunion formation. Having another condition that targets the joints, like osteoarthritis or Rheumatoid arthritis, or one that causes an abnormal gait, like flat feet, can also hint at bunions in your future. Activities where your toes are more vulnerable than the rest of your feet, like dancing, may also be a risk factor. Image by rawpixel.com from FreePik Bunions: Management Strategies You can tackle a mild bunion problem from home and with regular visits to the chiropodist. Here are some of the best ways you can prevent bunions from ruining your day or getting worse: Change your footwear: Ditch the high heels for comfortable alternatives and shoes with extra room in the toe box. If you’re not sure where to start, attend a shoe fitting. Try bunion splints or aligners. They can hold the affected joint in place. Therapeutic taping can help hold the joint in place and temporarily relieve pain. Shoe stretching may help secure more room in the toe box and take pressure off the bunion. Try these 5 simple exercises for bunions. They are relatively easy, low-impact, and don’t require exercise equipment. Get custom orthotics. Orthotics might reduce excess pressure on the big toe joint and correct any biomechanical issues that are contributing to your bunions (plus they're also super comfortable!). Ask about shockwave therapy. This innovative, non-invasive, and quick procedure is an effective management strategy for bone and joint conditions. It can help relieve pain caused by muscle tightness around the bunion. It's important to remember that bunions don't disappear like other conditions sometimes do. But successfully practicing these treatment methods can help you avoid surgery. If you suspect your bunions are too severe for these strategies, speak to your family doctor. Bunion products available at Feet First Clinic

September 7, 2023

Foot Arch Pain: Causes, Prevention, and Treatment Strategies

Foot arch pain is a common issue that affects many individuals. The foot arch is the curved part inside your foot, consisting of several small bones, ligaments, and tendons. Various factors can cause pain in this area, and it's essential to identify the underlying cause to develop an effective treatment plan. Foot arch pain can be frustrating, limiting mobility and challenging even simple tasks. Today, we explore the causes of foot arch pain and effective prevention and treatment strategies to help you regain footing and enjoy life without discomfort. Read more about common causes, prevention tips, and treatment strategies for foot arch pain. Causes of Foot Arch Pain Flat Feet or Fallen Arches Flat feet (sometimes called fallen arches) occur when the feet have very low or non-existent arches. Collapsed arches cause the bottom of the entire foot to contact the ground. Up to 30% of the population has flat feet, and the condition can cause strain on the ligaments and muscles in the area. Overuse or Excessive Physical Activity Engaging in activities that stress the feet, such as running or jumping, can lead to arch pain. High-impact or sports with repetitive movements are particularly tough on the body as they can overwork the muscles and supportive tendons in the foot. When the arch is pushed beyond its limits, you may experience pain in the region. Plantar Fasciitis Plantar fasciitis is a painful condition where the tissue at the bottom of your foot (the plantar fascia) becomes inflamed. It is one of the leading causes of heel and arch pain. The condition starts with microtears from the repetitive stress of standing upright and weight-bearing. The constant stretching of the plantar fascia causes the fascia to break down, eventually leading to pain during sleep or at rest. Achilles tendonitis Achilles tendonitis is a condition of the tendon connecting calf muscles to the heel (the Achilles tendon). It involves inflammation of the Achilles tendon and causes pain and swelling when running or walking. Since the Achilles tendon helps support the foot, tendonitis in the back of the heel can lead to nearby arch pain. Footwear Wearing shoes that lack proper or have inadequate arch support can strain the arches, leading to pain. Footwear can also be used for the wrong purpose or not fit your feet correctly. Uneven weight distribution or ill-fitting footwear can stress the arch, causing pain over time. Acute Injury or Trauma An acute injury or trauma to the foot can cause arch pain. Injuries like a sprain, fracture, or slip and fall can damage the arch's muscles, ligaments, tendons and surroundings, leading ot arch pain. Prevention of Foot Arch Pain Proper Footwear Choose shoes that provide adequate arch support and cushioning for your feet. Avoid wearing high heels or unsupportive shoes for extended periods. Arch-Supporting Insoles or Orthotics Consider using arch-supporting insoles or custom orthotics, especially if you have flat feet or a history of foot pain. Custom orthotics are corrective shoe inserts with moulded support for your feet. Orthotics act to correct or accommodate biomechanical abnormalities with your feet and arch to improve your gait and manage pain. The correction occurs as weight is redistributed evenly across our muscles and joints. Gradual increase in activity If you're starting a new exercise program or sport, gradually increase the intensity and duration to allow your feet to adapt. Doing too much too quickly can overload your feet and arch, which makes it challenging to reverse. Maintain a healthy weight If you're overweight, losing weight can help alleviate stress on your feet and reduce arch pain. Stretching and strengthening exercises Perform foot and calf stretches to maintain flexibility and strength in the foot muscles and tendons. Here are three lower leg stretching exercises that can reduce the risk of foot arch pain: Calf Stretch: Stand facing a wall an arm's distance away, place one foot a step back, and lean towards the wall. Hold for 20-30 seconds. You should feel a light stretch in your extended leg. Towel Curl: Sit on a chair with both feet on the floor, and place a towel before you. Using your toes, grip and curl the towel to scrunch it up. Hold for a few seconds, release, and repeat. Plantar Fascia Stretch: Sit cross-legged on a chair, and with your hand, grab your toes and gently pull them upwards until you feel a stretch in the arch of your foot. Hold lightly for 20-30 seconds. Treatment Strategies for Foot Arch Pain Rest, ice, compression, elevation Rest: Give your feet ample time to rest and avoid activities exacerbating pain. Ice: Applying ice to the affected area can help reduce inflammation and alleviate pain. Use an ice pack for 15-20 minutes several times a day. Compression: Use compression socks or stockings if you find inflammation and swelling build-up. Elevation: Elevate your feet and legs above the plain of your heart to help alleviate pain and pooling. See more about the RICE method of recovery in our blog spotlight. Pain relief NSAIDs Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Reducing intense pain caused by inflammation can also help prevent longterm joint damage. Physical Therapy Light stretching (as outlined in the prevention section) can help increase blood flow to the area and encourage healing. However, refrain from forcing stretches, as overworking an inflamed area can exacerbate the issue. When in doubt, consult with a chiropodist on a proper treatment plan, depending on the length and severity of your discomfort. Taping or bracing Taping the foot or using arch-supporting braces can provide additional support during healing. Its purpose is to stabilize and reduce a joint's range of motion. At the same time, tape enables functionality in the affected area. The tape helps lock joints in place to encourage specific movements and function while reducing unwanted movements (like twisting or bending). The actual tape can be either pressure-sensitive (which activates based on the pressure applied) or something as basic as surgical tape. Shockwave therapy Shockwave therapy is a non-surgical treatment that utilizes high-frequency, high-energy pulses to help promote recovery and muscle repair. A chiropodist determines the frequency, pressure and number of pulses best suited for your injury and can customize the treatment based on the severity of the pain. Night splints A night splint can help stretch the plantar fascia and Achilles tendon, reducing morning pain associated with conditions like plantar fasciitis. Surgery In rare cases where conservative treatments fail, surgery may be considered for certain foot conditions. Surgery has pros and cons, as it's generally considered a last resort, so we recommend learning more about whether surgery suits your scenario.

August 31, 2023

Foot Callus Treatment: When to Seek Professional Help

Often, a foot callus will go away independently if you change your shoes and eliminate friction and discomfort. Specialized creams and foot soaks can also help speed up the process. But for an unfortunate minority, calluses can become thicker and thicker, eventually causing pain and discomfort and making it necessary to seek foot callus treatment from a chiropodist. Source: iStock At-Home Treatment for Foot Calluses You don't need to rush to the doctor every time you see a callus. In fact, many people will have a mild callus on their foot at any given time, and they aren't typically a medical priority without signs of severity. As far as foot conditions go, they are one of the most common. But it's still a good idea to keep on top of them by practicing foot care from home so you can ensure they don't get worse! Gehwol's Med Callus Cream loosens hard callus layers and may even completely remove a mild callus in up to 28 days. For additional foot health benefits, try Gehwol's Extra Universal Foot Cream, which targets calluses using a combination of natural oils and medicinal ingredients. It also has deodorizing properties and strengthens and invigorates tired feet. Moreover, you can include foot soaks in your at-home callus care routine. Try Gehwol's Refreshing Foot Bath, which keeps the skin resistant to callus formation while smoothening existing calluses. Source: Gehwol Canada Source: Gehwol Canada Seeking Professional Help For Calluses Sometimes taking care of your foot health means visiting your local foot clinic for foot callus treatment from a chiropodist. Here are some signs to look out for: Your callus is causing discomfort Your callus looks inflamed Your callus is very thick Your calluses keep coming back It hurts to put pressure on a callus when walking You see signs of an infection, like pus and drainage. This is especially dangerous if you have diabetes. You just want smooth feet, and to ensure your calluses are treated in a safe, sterile setting. Chiropodists treat calluses using sterilized tools to shave down the area. Following this, they will apply ointment or moisturizing cream to help the skin heal. Your chiropodist can also tend to calluses during a medical pedicure. In addition, foot health specialists can recommend using products to help protect pressure points from friction, like foot protection pads and custom orthotics, to ward off painful, recurring calluses. Source: iStock

August 19, 2023

Back to School Shoes for Kids 2023: A Comprehensive Guide

Your child is about to return from summer camp and gear up for the school year. As a parent, it's time to shift your shoe guide focus from summer adventures to 2023 footwear trends for the classroom, playground, school gym, and more! This guide will discuss the best 2023 school shoes for kids and other vital foot health tips for children: Know your child's condition Invest in orthotics Get the right shoes Get ready for the elements Sizing, sizing, sizing Prepare for gym change rooms Image Credit: Katerina Holmes from pexels Know Your Child's Condition There are a wide variety of foot conditions unique to children. Knowing if your kid is struggling with one is the first step towards securing quality footwear and the best kids shoes for 2023. Common foot conditions in children include: Pediatric Flat Feet: Most kids have flat feet in their toddler years before arches form by age 5. However, some kids struggle with flat feet for much longer. Arch support is extremely important for little ones with flat feet. Studies show that kids who wear footwear with added arch support enjoy less physical foot pain, improved mobility and even bonuses like faster stair ascent time (although kids shouldn't be running on the stairs at school!). A stability shoe like the ASICS GT-1000 runner, or custom orthotics, are highly recommended for kids with flat feet as the GT-1000 series is for people who overpronate (meaning the foot lands on the outside of the heel, which transfers weight incorrectly and causes pain over time). Sever's Disease: This disease occurs when the growth plate on the back of the heel becomes inflamed. It is common in growing kids, especially young athletes. One of the major risk factors of Sever's disease is having an overactive child exert energy without considering the proper shoe recommendations. Choosing school shoes with a deep-heel cup can help relieve pain. Osgood-Schlatter Disease / Growth Spurts: Running and jumping kids can develop Osgood-Schlatter disease in the knee, which feels like swelling and pain below the cap. It can also sometimes be attributed to growing pains and spurts. You can soothe symptoms by suiting your kids up with shoes with good shock absorption. Shock absorption dilutes the hard ground and gym floor's effect on your child's joints. Pigeon-toeing: Children who walk with their feet pointing inward are pigeon-toeing or in-toeing. Dealing with pigeon-toeing can be tricky because some specialists suggest you shouldn't use corrective shoes until the child is around nine or 10 so they have a chance to naturally grow out of it. ASICS GT-1000 for grade school kids. image credit: asics website Invest in Orthotics From flat feet to growing pains, custom orthotics help with most musculoskeletal foot conditions common in children. School floors are notoriously hard and flat, so the extra arch support, shock absorption and cushioning can help with a pre-existing condition and keep it from progressing into more painful territory by putting more strain on vulnerable areas. Get the Right Shoes Quality footwear can make the difference between a painful day at school and a day with some relief and comfort. But how do you know what school shoes to buy for your kids? It may depend on their foot type: Kids with low arches and flat feet that persist after age five should consider a stability shoe like the ASICS GT-1000 for kids. It will correct the overpronation we discussed earlier with extra support in the midsole and arch area and prevent their abnormal gait pattern from causing more discomfort. You should also consider the needs of children with neutral gaits. The ASICS Novablast is built to accommodate growing feet and may be a solid choice for its extra cushioning and energetic bounce underfoot. ASICS Novablast for kids. Image credit: Asics Website Sizing, Sizing, Sizing Some kids may need to attend a shoe fitting before returning to the classroom. To ensure shoes fit for the whole school year, leave half an inch of room from the toe to the end of the toe box to account for growth spurts. If your child feels like their toes are being squished on the sides, look for shoes with added width. Prepare for Gym Change Rooms We all know schools are a breeding ground for the common cold. But your child can also contract highly contagious foot conditions like warts, athlete's foot and toenail fungus if they don't protect their feet in the locker rooms and change rooms. To prevent this, ensure your kid heads to school with flip-flops, shower shoes or sandals in their gym bag. Get Ready for the Elements Hopefully, your child already has a pair of the Saucony Peregrine from their camp adventures. But if not, it’s never too late! Your kids should always be prepared for mud, rain, sudden light snowfalls, and other weather events. The Peregrine ice is perfect for the fall months leading into winter and shields your child’s feet from moisture while offering an excellent grip on the ground and slippery pavement. Saucony Peregrine for Kids. Image Credit: Saucony Website

July 24, 2023

Heel Spur Relief: Non-Surgical Treatment Options and Lifestyle Changes

Heel spurs are bony growths on the heel bone that look like small bumps on the heel. Although they can’t be removed entirely without surgery, there are several non-surgical treatment options that can provide heel spur relief and maximize your quality of life. Heel spurs often cause pain and discomfort, especially during weight-bearing activities. The most common form is called a calcaneal spur, which is a bony projection that forms around the calcaneal bone, the strongest, most significant, and posterior-most bone in the feet. Surgery is only sometimes the best option. Exhausting non-surgical treatment options should come before more intrusive options, especially considering heel spur pain can be managed in several ways. If conservative measures do not provide relief or the pain worsens, you should consult a healthcare professional or foot specialist who can evaluate the condition and recommend further treatment options. This article outlines some non-surgical treatment options and lifestyle changes for heel spur relief. Regular rest and icing Resting the affected foot and applying ice packs for 15-20 minutes several times daily can help reduce inflammation and pain. Allowing adequate rest between activities or when your heel spur flares up provides time to reduce inflammation and swelling. Additionally, rest allows the surrounding muscles to rebound and recover so you don’t overstress certain parts of your foot. Pain relief medication Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation associated with heel spurs. However, following the recommended dosage and consulting a healthcare professional is essential. Physical therapy Specific exercises and stretches can help elongate and strengthen the muscles and tendons in the foot, providing relief from heel spur pain. A chiropodist can recommend the proper exercises to incorporate into your routine to help strengthen and stretch the calf muscle, which is often the culprit for heel pain. Regularly performing stretching exercises for the calf muscles and plantar fascia can help relieve tension and reduce pain associated with heel spurs. These sorts of exercises and stretches shouldn’t just be done when you’re in pain. Incorporate them into your daily routine as part of your lifestyle. A chiropodist may also recommend treatments such as shockwave therapy, a non-invasive treatment method that uses soundwave pulses. While the name may cause you to assume electrical impulses are at work, they’re actually mild-frequency soundwaves. These soundwaves penetrate through the skin at the site of an injury, which triggers your body to amp up its healing abilities. Very little (if any) pain is involved in the process. Custom orthotics or inserts Custom or over-the-counter orthotic shoe inserts can help support the arch and cushion the heel, reducing pressure on the heel spur and providing pain relief. These inserts can be used in both athletic and everyday shoes. You can supplement your shoes with heel cushions or pads for extra heel relief. Supportive footwear Wearing shoes that provide proper arch support, cushioning, and shock absorption can help alleviate heel spur pain. Look for shoes with a padded heel and good arch support. For instance, ASICS provides a variety of lines of shoes for various foot types. Night splints Wearing a night splint while sleeping can help stretch the plantar fascia and calf muscles, reducing morning heel pain associated with heel spurs. Heel spur pain is typically at its most intense in the morning, and wearing a night splint helps stretch out your calf, reducing tension on your heel during the first few steps of the day. Weight management and diet Maintaining a healthy weight, specifically aiming to reduce sudden and significant fluctuations in weight, can help alleviate stress on the feet and reduce heel spur pain. Sudden weight changes or changes to diet can put added stress on your feet and legs while your body adjusts. Following a healthy diet while also exercising can help improve the feeling of your feet and body overall.

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

Mon – Fri: 9:00 am – 6:00 pm
Sat : 9:00 am – 4:00 pm
Sun : 10:00 am – 4:00 pm *
*alternating

Book an Appointment

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The Importance of Foot Care for People with Rheumatoid Arthritis

What is Rheumatoid Arthritis?

Best Shoes for Rheumatoid Arthritis

Rheumatoid Arthritis and Exercise

Here are some multi-purposeful exercises that can also help with RA:

Be sure to also check out our two-part series on the best exercises for arthritis!

Additional Foot Care Practices for RA

Don't Forget to Visit Feet First Clinic!

Related Services & Conditions

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Related Posts

5 Types of Arthritis That Affect Our Feet

Why Your Ankle Cracks When Rotating: A Comprehensive Guide

Bunions 101: Causes, Symptoms, and Effective Management Strategies

Foot Arch Pain: Causes, Prevention, and Treatment Strategies

Foot Callus Treatment: When to Seek Professional Help

Back to School Shoes for Kids 2023: A Comprehensive Guide

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Useful Links

About Us

Our Newsletter

Carolina Charles

Patient Relation Coordinator (She/Her)

Book an Appointment

Book an Appointment

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

Mon – Fri: 9:00 am – 6:00 pm Sat : 9:00 am – 4:00 pm Sun : 10:00 am – 4:00 pm * *alternating

Book an Appointment

Share:

The Importance of Foot Care for People with Rheumatoid Arthritis

What is Rheumatoid Arthritis?

Best Shoes for Rheumatoid Arthritis

Rheumatoid Arthritis and Exercise

Here are some multi-purposeful exercises that can also help with RA:

Be sure to also check out our two-part series on the best exercises for arthritis!

Additional Foot Care Practices for RA

Don't Forget to Visit Feet First Clinic!

Related Services & Conditions

Newsletter Signup

Related Posts

5 Types of Arthritis That Affect Our Feet

Why Your Ankle Cracks When Rotating: A Comprehensive Guide

Bunions 101: Causes, Symptoms, and Effective Management Strategies

Foot Arch Pain: Causes, Prevention, and Treatment Strategies

Foot Callus Treatment: When to Seek Professional Help

Back to School Shoes for Kids 2023: A Comprehensive Guide

Heel Spur Relief: Non-Surgical Treatment Options and Lifestyle Changes

Useful Links

About Us

Our Newsletter

Carolina Charles

Patient Relation Coordinator (She/Her)

Mon – Fri: 9:00 am – 6:00 pm
Sat : 9:00 am – 4:00 pm
Sun : 10:00 am – 4:00 pm *
*alternating