Understanding the Connection: Diabetes and Foot Health Concerns

Written by Erica Halpern on December 21, 2023

Last updated August 24, 2024

Diabetes is a chronic condition experienced by millions of people worldwide, including 11 million Canadians. Chances are, diabetes affects you, or someone you’re close with. Diabetes can have a significant impact on various aspects of your health, including your feet.

Foot health is a top priority for individuals with diabetes, as the condition can lead to a range of complications that affect the lower extremities.

Understanding the connection between diabetes and foot health can help you address the condition and thwart potential issues. In this blog post, you’ll learn more about how diabetes and foot health concerns are intertwined.

The link between diabetes and foot health

Diabetes is known to cause problems related to blood circulation and nerve function, and these issues can take a toll on your feet. Here are some key factors to consider:

1. Poor blood circulation

Diabetes can damage blood vessels, reducing blood flow to the feet. This diminished blood circulation can result in slower wound healing and an increased risk of infection.

2. Neuropathy

Diabetes often causes peripheral neuropathy, a condition characterized by nerve damage that predominantly affects the feet and legs. Neuropathy can lead to numbness, tingling, or a loss of foot sensation. Reduced sensation makes it difficult to detect injuries, blisters, or sores. This lack of sensation increases the risk of complications.

3. Foot ulcers

Diabetes patients are prone to developing foot ulcers due to reduced sensation and delayed healing. Ulcers may become infected and become more severe if not addressed promptly.

4. Calluses and corns

Closeup of dry corn on woman toe. Treatment of corns

Diabetes can alter foot anatomy, leading to abnormal pressure points on the feet. These pressure points can form calluses and corns, causing foot discomfort and an increased risk of ulcers.

5. Fungal infections

Diabetes is thought to cause dysfunction of the immune response. A weakened immune system fails to control the spread of invading pathogens. As a result, those with diabetes are at a greater risk of fungal infections, like athlete’s foot and toenail fungus.

6. Reduced ability to heal

Elevated blood sugar levels can impair the body’s ability to heal wounds. Even minor cuts, blisters, or abrasions can become problematic if improperly managed or untreated.

How to care for your feet when you have diabetes

Proper foot care is critical for individuals with diabetes. To maintain good foot health and minimize the risk of complications, consider the following tips:

Regular foot inspections

Perform daily foot checks to look for any signs of injury, blisters, sores, or changes in colour and temperature. Early detection is critical to preventing more significant problems. You can also schedule annual foot assessments at Feet First Clinic, during which a chiropodist will thoroughly examine your feet and your foot health history.

Maintain healthy blood sugar levels

Understanding the Connection: Diabetes and Foot Health Concerns

Aim to keep your blood sugar within the target range your healthcare provider recommends. Controlling your blood sugar levels will help your overall health, including your feet.

Choose appropriate footwear

Opt for comfortable, well-fitting shoes that reduce the risk of pressure points and provide adequate support. We carry a wide range of footwear and orthapedic footwear here at Feet First Clinic. See more in our complete guide on how to choose the perfect pair of shoes for you and your feet.

Moisturize your feet

Keep your skin hydrated to prevent dryness and cracking. Avoid applying lotion between the toes to prevent fungal growth.

Trim your nails carefully

Trim your toenails straight and avoid cutting them too short to prevent ingrown nails. People with diabetes should avoid nail salons. Instead, you should see a chiropodist for routine diabetic foot care. That way, you feel comfortable knowing the trimming is performed correctly.

Stay active

Engage in regular physical activity to promote better circulation. If you have trouble being physically active, consider low-impact activities like swimming, stationary cycling, or walking.

Your diabetic foot care solutions live here

Your feet carry you through life, so giving them the care they deserve is essential. Our team of chiropodists can help you manage your foot health concerns. Book your assessment today using our form below, or call us at (416) 769-3338.

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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February 7, 2020

At-Home Diabetic Foot Care

What is Diabetes? Diabetes is a chronic disease that occurs when the body is unable to either sufficiently produce or properly use insulin. Insulin is a hormone secreted by the pancreas to help cells absorb sugar from the bloodstream and use it as an energy source. When insulin is not adequately produced or properly used, it can result in elevated levels of blood sugar, called hyperglycemia. Hyperglycemia can cause deterioration of the body’s blood vessels, nerves and organs, most commonly the kidneys, eyes, and heart. Elevated blood sugars can leave a person more susceptible to slow healing wounds and infection, most commonly seen in the feet. Type 1 diabetes is an autoimmune disease where the insulin producing cells of the pancreas are attacked, resulting in an insulin dependent body. It is also known as juvenile diabetes and is usually diagnosed in persons under 40, most commonly children. People that are diagnosed with Type 1 diabetes require an external source of insulin daily. Type 2 diabetes is an acquired disease where the body does not produce enough insulin or does not properly use the insulin produced. It is most diagnosed in persons who are overweight or inactive physically, in individuals over 40 years old, but is now seen more in children and those under 40. Type 2 diabetes can either be insulin or non insulin dependent based on the severity and chronicity of disease. As of 2008-09, 2.4 million Canadians were living with diabetes. It is estimated that 90-95% of Canadians diagnosed with diabetes have Type 2 diabetes and 5-10% have Type 1. How Does Diabetes Develop? Healthy Diabetes Diet Diabetes development can be multi-factorial. There are many risk factors of type 2 diabetes, including inactive lifestyle, poor diet, family history, smoking, advanced age, or certain ethnicity. Risk factors of Type 1 diabetes are currently not well understood, though there may be a genetic disposition or an environmental trigger that may initiate the autoimmune response. Diabetes is normally diagnosed as either Type 1, or Type 2 and you cannot have both types of diabetes concurrently. Hyperglycemia can be gradually increasing before onset of diabetes, and symptoms may go undetected. Diagnosis is usually made with a plasma glucose test. Hyperglycemic symptoms include; frequent urination, increased thirst, unexplained weight loss. Other symptoms can include blurred vision, fatigue, and nausea. Since these symptoms can be associated with other disorders or disease, diagnosis of diabetes may be delayed. It is best to control modifiable risk factors that may lead to diabetes: staying physically active, eating a healthy diet and eliminating smoking. Why is Taking Care of my Feet Important? At-home Diabetic Foot Care Since diabetes can affect the blood vessels and nerves, the feet, situated the furthest from our nerve and vessel centre, are commonly affected in persons with long standing diabetes. As other diabetes related complications can arise, the feet can become more affected and more difficult to manage. Complications include deteriorating eyesight, and decreased flexibility. Decreased nerve function can reduce sensation in the feet, meaning small cuts and callus that may normally cause pain in a person without diabetes will go undetected. It is important to look at the feet regularly and immediately treat any developing callus or dryness to avoid foot wounds. Decreased healing ability means infection may be a cause for concern in persons with diabetes. The feet generally see more sharp instruments than other areas including nail clippers, and files or blades to remove callus and corns and therefore are at higher risk for small cuts. Taking care of feet in persons with diabetes are very simple and should become habit. The skin should be kept hydrated and elastic with use of cream and water consumption. All nails should be trimmed and filed to avoid any sharp corners. Avoid applying devices or items that are too hot or too cold directly to the skin. Inspect the feet daily. If the feet are difficult to see, a mirror can be used. A friend or family member is the most helpful. The person should be looking for any of the following: increased redness, swelling, blood, foreign objects, callus, corns, dry skin, or deformity (bunion, hammertoe). If any signs are seen, visit a physician or book an appointment with one of our foot specialists. A foot specialist is recommended for regular assessments every 6 months. If there are any concerns with the feet, regular foot care every month or 2 may be indicated. Who Needs to Worry About Diabetes? As of 2008, over 200 000 Canadians are diagnosed with diabetes every year. The increasing age of baby boomers and increased life span are contributing factors to the increase in diabetes diagnoses. The people most likely to be affected by diabetes are those in certain ethnic groups (first nations, African, Caribbean, south Asian and Hispanic), age groups (over 40), and higher weight groups. In 2017, approximately 2.3 million Canadians (7.3% aged 12 and over) have been diagnosed with diabetes. What Problems does Diabetes Cause for my Feet? Diabetes can affect the feet in so many different ways: the skin becomes drier, the muscles start to change where foot deformities can develop, and the nerves are affected where sensation is reduced. Detection of problems can become difficult and due to decreased healing time and increased rates of infection; problems can progress rapidly. Serious cases include undetected wounds, subsequent infection and possible amputation. Undetected wounds can paint a picture of uncontrolled diabetes, where multiple vital systems can be affected (kidneys, vessels, nervous) At every age group, mortality rates are two times those in persons with diabetes than those without. So, What Products Can I Use? For persons with diabetes, it is important to avoid products with acid as an ingredient. Creams with mild acid solution can irritate the skin and cause small wounds. Sharp objects such as nail clippers and foot files may be used in persons with controlled diabetes and with prior instruction from a professional. Feel free to use a daily cream and emollient to hydrate the skin. Be careful using product between the toes, as that area can accumulate too much moisture which can breakdown the skin. Foot soaks can dehydrate the skin, please consult with your doctor or foot specialist before engaging in foot soaks. Persons with diabetes may require shoes that are healthier for their sensitive feet. Shoes with soft foot beds that can reduce friction and increase shock absorption are ideal. Avoid shoes that have rigid seams or stiff out-soles. When wearing shoes, keep an eye out for any red marks on the skin, these are ones to discard or avoid as they can one day leave a wound or laceration. Will it Get Worse? Persons with diabetes may feel their feet are too hot or too cold and try to use hot or cold packs to alleviate the discomfort. Due to decreased sensation, these hot/cold packs can cause hot or cold burns on the skin. Be sure to protect the skin with a towel prior to using these types of warming/cooling packs, and test first on the hands as sensation is usually not as diminished in the hands. Never use hot water or hot packs – make sure the temperature is lukewarm. If you have dry skin, make sure to moisturize; do not use harmful files or electric devices to remove callus or dry skin. Contact your chiropodist as you may be prescribed a cream. Inspect the feet daily, checking for cuts, callus or redness and swelling. Where Can I Get Help? Who Can I Ask? A licensed chiropodist is trained to treat feet, especially in those with diabetes. They can prescribe special creams, and carefully and safely reduce nail problems and callus. They can help reduce pressures by recommending orthopedic shoes or prescribing custom made orthotics. They can improve mobility by offering specific exercises and stretches to keep you moving. And they are primary care practitioners who can monitor and inspect your feet for any new concerns. Persons with diabetes should have a foot specialist examine their feet at least every 6 months. If you have callus or nail problems, a visit to the chiropodist can be a more routine visit at around 2 months. Regular examinations and visits can prevent foot complications that can occur with diabetes. Consult your doctor who can refer a foot specialist in your area or call our clinic today!

November 14, 2024

3 Tips to Prevent Winter Foot Injuries

Foot injuries can increase in cold weather, so it’s important to learn how to minimize your risk, practice fall prevention, and navigate slippery conditions. Not only that, but cold weather can cause muscle stiffness to worsen, making your feet more vulnerable than they were during the warmer months. Today we’ll talk about 3 safety tips—recommended by the foot specialists at our Toronto foot clinic—to prevent winter foot injuries. 3 Tips to Prevent Winter Foot Injuries Wear The Right Shoes Try Warm Ups and Foot Exercises Wear Supportive Insoles 1. Wear The Right Shoes The wrong winter boots can lead to numerous foot injuries. While fashion may be your top priority, you shouldn’t sacrifice protective and supportive features just for looks (plus, you can find fashionable and comfortable shoes at our Toronto foot clinic). Winter footwear should have good shock absorption and be made with waterproof materials. Avoid pointed toes and high heels in the winter—these features are a recipe for slips and falls! Stability And Motion Control Shoes Did you know there are different foot types, and your foot type can determine what shoes you should wear? For example, people with flat feet need extra stability or motion control features built into their shoes to help correct varying degrees of overpronation (when the ankle rolls inward during movement). A foot specialist, like a podiatrist or chiropodist, can assess your feet and tell you what type shoes you should be wearing: Stability Shoes Purpose: Stability shoes are aimed at those with mild to moderate overpronation (the inward rolling of the foot when walking or running). Features: These shoes typically have a supportive structure and posting around the arch and midsole to help guide the foot through a natural gait cycle and promote natural foot motion. Motion Control Shoes Purpose: These are designed for people with severe overpronation, providing maximum support to prevent excessive inward rolling of the foot. Features: Motion control shoes are more rigid and structured than stability shoes, with reinforced areas in the midsole. How does this link back to winter foot safety? If you have flat feet, especially if you’re a senior, and your feet overpronate, your hips, knees and ankles can weaken and become more painful and vulnerable due to years of walking with an abnormal gait. If you don’t have strong feet and joints, icy conditions become that much more threatening. Both stability and motion control shoes can help prevent winter foot injuries by providing extra support and control in conditions where icy, wet, or uneven surfaces make slips and strains more likely. Keep in mind these should also have solid traction performance! https://www.youtube.com/shorts/TnDaLrqYTac Traction Performance High traction performance in shoes (thick, rubber soles with grooves) is essential for winter injury prevention. It prevents slips and falls, which are especially common on icy or wet surfaces. Without reliable traction, even the smallest patch of ice can turn into a serious hazard, causing the foot to slide out from under the body and throwing balance off entirely. This can lead to falls, which are a primary cause of winter injuries, including sprains, fractures, and ligament tears in the foot, ankle, or knee. Good traction provides a stable, controlled grip on unpredictable surfaces, allowing each step to connect firmly with the ground. This stability reduces the risk of unexpected slips and ensures that the foot can maintain contact without sliding, even on slippery patches. People who enjoy running during the winter months should particularly focus on finding running shoes with traction. Many brands, like Saucony or ASICS, design shoes for this purpose. You can also add on ice cleats or cramp-ons to your footwear for extra grip when running on icy surfaces. When looking for traction performance, keep in mind that no shoes are built for traction on ice (although some may fare better than others). Only ice cleats or cramp-ons will provide proper grip on ice. 2. Try Warm-ups And Foot Exercises Before going for a run, warm up your feet and lower extremities with a nice, healthy stretch or foot exercise. This will prepare your feet for pounding the pavement (or snow) and give them an added layer of strength and protection. Runners should be doing this year round as part of their foot care routine, not just during the winter! These routines are not just for runners! Quite the opposite, in fact; they help people with mobility constraints and inflamed, weakened and damaged muscles/joints just as much as they do athletes. People with arthritis in the feet, plantar fasciitis and other conditions can help reduce their risk of winter injuries by strengthening their feet. For example, arthritis can lead to joint pain, stiffness, and reduced range of motion, making it challenging to maintain balance on slippery or uneven surfaces. On the other hand, plantar fasciitis involves inflammation of the plantar fascia, the ligament that runs along the bottom of the foot. The discomfort may lead to altered walking mechanics, such as favoring one foot over the other, which can compromise stability and increase the risk of falls. Stretches and exercises should target the intrinsic (small, stabilizing muscles located within the foot) and extensor muscles (primarily found in the lower leg), and your ankles. Your routine should include a variety of movements that target as many muscle groups as possible. Here are a few easy, effective stretches and exercises you can start today: https://www.youtube.com/shorts/gOwgyrmU6hM Toe Splays: While seated or standing, spread (or "splay") your toes as wide apart as possible, holding for a few seconds, then releasing. Repeat this 10–15 times per foot. Toe Flex and Raise: Stand with toes planted and lift the heels off the ground. This exercise strengthens the lower leg and foot muscles, improving balance and stability on icy surfaces. Ankle Circles: Sit or stand and slowly rotate each ankle in circles, first clockwise and then counterclockwise. This helps increase ankle mobility and flexibility, which can reduce the risk of sprains. Seated Hamstring Stretch: Sit on a chair, extend one leg straight in front. Lean forward slowly until you feel the stretch in your hamstring. Hold for about 30 seconds. In addition, click here for part 1 and part 2 for the best exercises for arthritis, and here for the best exercises for plantar fasciitis. https://www.youtube.com/shorts/AsuUXJYnUmQ The Importance of Balance We all know the direct link between losing your balance and sustaining an injury. We also know that people with disabilities or conditions that impact mobility need to be extra vigilant. With every step, strong balance allows you to react as quickly as possible to unexpected changes in winter terrain and surfaces, which will keep you safe. Here are two simple foot exercises that focus on improving balance: Single-Leg Stands: Stand on one foot for 20–30 seconds, then switch. This exercise builds balance and strengthens the muscles around the ankle, reducing the risk of falls on uneven surfaces. Heel-to-Toe Walk: Walk in a straight line, placing the heel of one foot directly in front of the toes of the other. This exercise improves balance and strengthens stabilizing muscles. 3. Wear Supportive Insoles Winter footwear is typically built for the elements - not for comfort. Therefore, it can be very difficult to find a supportive winter boot that will also protect your feet from winter weather. Fortunately, if you wear a supportive insole with your footwear, you won't need to sacrifice comfort for function. There are two types of supportive insoles you can wear with winter footwear: customer orthotics and over-the-counter insoles. Custom Orthotics Custom orthotics are designed to fit the unique contours of an individual's feet, helping to redistribute pressure and provide the necessary arch support. This is especially beneficial for individuals with flat feet or other conditions. Add winter to the mix, and this becomes even more crucial. By optimizing foot alignment, custom orthotics help maintain stability and balance, allowing individuals to navigate slippery surfaces with greater confidence. Custom orthotics can be made to fit in winter boots or winter running shoes, to keep your foot supported in all scenarios. They can even come in half-lengths to accommodate dress shoes for when you’re leaving the office and heading to your car (slippery sidewalks are everywhere in winter, so you can’t be too careful!). They provide cushioning that absorbs impact and reduces strain on the joints, particularly the ankles and knees, which are crucial during winter activities like walking, shoveling snow, or participating in winter sports. To learn if you can benefit from custom orthotics, you can consult a foot specialist like a chiropodist or a podiatrist. Check out these resources on custom orthotics to learn even more: 5 Ways Orthotics Can Be Customized for Maximum Comfort and Support The Role of Orthotics in Supporting Foot Health and Correcting Alignment Understanding Different Types of Custom Orthotics: How to Choose the Right Support for Your Feet https://www.youtube.com/shorts/IBXAXoUouFY Over-the-Counter Insoles (Superfeet) Over-the-counter insoles, like Superfeet, are also a great option to upgrade your winter footwear. Superfeet insoles have a deep heel cup, pronounced arch and a rigid, durable structure. They come in a variety of arch heights and cushioning levels to accommodate many foot conditions, like high arches, flat feet, plantar fasciitis and more! Whereas custom orthotics are custom-designed to your foot, Superfeet come in standard sizes and designs (each representing a different colour). They therefore can be more economical than custom orthotics. If you're interested in Superfeet insoles, bring your winter shoes to our Toronto foot clinic. You can then try different Superfeet options to see which one works best for you. Different insoles feel different in different shoes, so we strongly recommend trying on your Superfeet with your winter shoes before purchasing them.

November 7, 2024

6 Myths About Foot Odor

Foot odor is a frustrating problem; it goes to show that non-painful foot conditions can be as life altering as painful ones. There are many foot odour myths floating around the internet. In this article, we'll break down some of the most common foot odour myths, and give you the facts about foot odour causes and how to prevent it. 6 Myths About Foot Odour: Only People With Sweaty Feet Have Foot Odour Foot Odour Always Means You Have a Serious Health Condition All Foot Odour Smells the Same Going Barefoot Helps Eliminate Odour If You Have Foot Odour, you Aren’t Showering or Bathing Foot Odour Only Happens in Hot Weather Myth 1: Only People With Sweaty Feet Have Foot Odour Foot odour, also known as bromodosis, is the unpleasant smell that comes from the feet due to a combination of sweat and bacteria. The feet have numerous sweat glands, which produce moisture to regulate temperature and prevent skin from drying out. Plantar hyperhidrosis is the medical term for excessively sweaty feet. Sweat is a major contributor to foot odour and provides the moisture needed for it to thrive, however, other factors are also at play. The Main Causes of Foot Odour General bacterial buildup and everyday life! (wearing shoes all day long, etc). Fungal infections: Conditions like athlete’s foot can lead to odour as fungi produce waste products during growth. Diet: Certain foods, like garlic and onions, can affect sweat composition and lead to a noticeable foot odour. Health conditions: Conditions other than plantar hyperhidrosis can cause foot odour, including diabetes, particularly when ulcers and wounds omit a strong smell. Other conditions include thyroid disorders (they may cause excessive sweating) or kidney and liver issues. Footwear material: Shoes made from non-breathable materials trap even normal sweat production, increasing moisture and bacterial growth. Preventing foot odour often means choosing breathable, waterproof shoes. Hormonal changes: Puberty, pregnancy, or menopause can contribute to foot odour. https://www.youtube.com/shorts/1aaNATnXvWw Foot Odour Myth # 2: Foot Odour Always Means You Have a Serious Health Condition It’s true that one of the causes of foot odour can be an underlying health condition, but that doesn't mean it's serious. The most common cause of foot odour is a general build up of sweat and bacteria that you can tackle yourself. Foot odour is often caused by everyday factors like wearing shoes made from non-breathable materials or not changing socks frequently enough. In most cases, simple steps like improving hygiene, airing out shoes, or using foot deodorants (sprays, powders or creams) can help control the smell. While it's important to be mindful of persistent odour or other accompanying symptoms, the vast majority of foot odour issues are easily managed with at-home care and do not indicate a serious health condition. https://www.youtube.com/shorts/aFdZ042koME Foot Odour Myth # 3: All Foot Odour Smells the Same Foot odour can vary significantly based on several factors, including the underlying cause, personal hygiene, diet, and the type of bacteria or fungi present. For example, open wounds and sores will smell different than smelly, sweaty shoes. Here are some common smells: Sour: Often caused by bacteria breaking down sweat, resulting in lactic acid production. Musty: May be associated with fungal infections or warm, moist environments. Vinegar-like: Often linked to sweat and potentially neglectful hygiene. Ammonia: May indicate dehydration or a dietary imbalance. Rotten: This odour can be a sign of a more serious infection. Foot Odour Myth 4: Going Barefoot Helps Eliminate Odour While going barefoot might seem like a good idea for reducing foot odour, it can actually have the opposite effect in some cases. While it’s always good to air out your feet, going barefoot outside exposes your feet to various surfaces that may harbour bacteria and fungi. Walking on dirty or damp surfaces can lead to the accumulation of these microorganisms, potentially worsening foot odour. In fact, foot fungus (one of the most common causes of foot odour) is often caused by walking barefoot in public places. Additionally, sweat can still pool in the crevices of your feet without socks and shoes, allowing bacteria to thrive. Instead of eliminating odour, going barefoot may introduce new sources of smell. Wearing breathable footwear and moisture-wicking socks and changing them regularly is a much better idea. Myth 5: If You Have Foot Odour, You Aren’t Showering or Bathing This is completely untrue since foot odour is often linked to other conditions like plantar hyperhidrosis and fungal infections. Therefore, foot odour is is a symptom rather than a cause. It also often develops throughout the day, so you can shower every morning and still experience smelly feet when you get home at night. That said, you should pay more attention to foot-specific hygiene and clean your feet frequently. Check out this blog article on foot hygiene tips to learn what to do. Myth 6: Foot Odour Only Happens in Hot Weather Foot odour is commonly associated with hot weather, but it can occur year-round, regardless of the temperature. While warm conditions can exacerbate sweating and create a breeding ground for bacteria, factors such as personal hygiene, footwear choice, and lifestyle also play significant roles in foot odour. For example, wearing insulated shoes in fall or winter weather can trap moisture and heat, leading to odour even when temperatures are low. Additionally, individuals who sweat excessively—regardless of the season—are more likely to experience foot odour. Therefore, it’s essential to maintain proper foot care and hygiene practices throughout the year to prevent odour, not just during the warmer months.

October 14, 2024

The Importance of Regular Foot Check-Ups: What to Expect During a Foot Clinic Visit

There are many at-home and natural remedies for foot pain that work, but there’s no denying the importance of foot exams with a top Toronto chiropodist. Some conditions require foot check-ups throughout the year and your foot clinic visits can make a big difference in not only your comfort levels, but your long-term health. Let’s take at what you can expect at a foot clinic appointment and why you should get your check-ups. What You Can Expect at a Foot Clinic This depends on if you’re visiting your foot clinic for the first time or are following up with a specific service, such as a custom orthotic casting and fitting or a medical pedicure. At Toronto’s Feet First Clinic, your first foot check-up—an initial foot assessment—helps determine your unique needs. It’s your chance to discuss any concerns so your chiropodist can tailor the care to what matters most to you. Many people schedule one if they have persistent foot pain, but you may also do it for diagnostic purposes, footwear recommendations and more. Why Schedule Regular Foot Check-ups? Regular foot care is mandatory if you have diabetes. Studies show that neglecting your feet and failing to visit your foot specialist may lead to infections, ulceration and limb loss. While they sound extreme and scary, chiropody services can help you prevent these problems. Chiropodist visits for diabetes include full examinations (particularly to assess for neuropathy), nail and skin care, wound debridement, and more. Some experts recommend coming in every 4-6 months, but this may be more or less, depending on your condition. Foot check-ups are also a must for anyone with arthritis, circulatory issues, a history of strain injuries like plantar fasciitis, chronic fungal infections, to name a few. They’re especially important as we get older. But really, anyone can benefit from a little foot TLC—whether you're on your feet all day or just looking to prevent future problems, regular check-ups help keep your feet healthy, pain-free, and ready to go wherever life takes you! An annual foot assessment is also a great preventative form of self care, like a wellness check for your feet. You don’t have to wait until you notice symptoms — assessments can catch early signs of the most common foot issues before they become painful.

October 7, 2024

5 Ways Orthotics Can Be Customized for Maximum Comfort and Support

Many people don’t know what goes into their custom orthotics – not just the materials, but the technology that creates a comfortable orthotic. In this post, learn about all the different accomodations and orthotic customizations available to make your feet happy! https://www.youtube.com/shorts/IBXAXoUouFY?feature=share What Are Orthotic Customizations and Accomodations Additions and Accommodations are very common parts of custom orthotics. They are used if a normal over-the-counter insole just won’t cut it. For example, if a patient has a neuroma or a misaligned gait, an orthotic without custom support won’t have anywhere near the same effectiveness. Here is a list of the most common orthotic customizations and accommodations for custom orthotics. Heel Modifications Firstly we have heel modifications. These are some of the most common additions to keep your feet comfortable and supported: Cushion – Adds additional padding and shock absorption on the heel. Heel cushions cover the whole heel. Cushioning the heel is helpful for a variety of foot conditions, like plantar fasciitis and arthritis. It essentially reduces the strain and impact of your step. Lift – Heel lifts can balance out differences in leg height and to prevent overpronation or supination. They can also be used to help with Achillies tendonitis. They're made of a harder material for balance. Hole – Heel holes are used to help with heel spurs. Cushioning can be added to increase comfort and distribute pressure in the heel. Seat – A Heel seat gives the patient more control if they overpronate. It's designed to hold the fatty tissue under the calcaneus in place. Metatarsal Modifications These orthotic customizations are designed to take pressure off of your metatarsals (the ball of your foot). They are helpful for anyone experiencing foot pain at the ball of their foot just below the toes. 1st Ray Cutout - Helps to offload pressure off 1st metatarsal head (the big toe). This is used to help with bunions and arthritis. 2-4 Metatarsal Pad – This is a teardrop shaped pad that sits below the metatarsals. It takes some of the load off the metatarsals by offloading pressure at ball of foot and elevating the second, third, and fourth metatarsals. Metatarsal Bar – This is similar to 2-4 metatarsal pads, but has more surface area and offloads more pressure from the metatarsal heads. It can provide more stress relief in some cases. Neuroma Pad – This is a small pad that sits between metatarsals and spreads them apart. It is designed to correct the transverse arch and help with pain in the metatarsals. As the name suggests, it is can help people experiencing a Morton's neuroma. Arch Support Moving on, we have arch support, which is important for everyone - regardless of whether you have a foot condition - but moreso for people who struggle with plantar fasciitis and arch pain. Arch Pad – Additonal support on the arch for patients who need more arch support. Fill – Arch fills make the orthotic more rigid. This is used to help the orthotic to support more weight. It can also be used to help somewhat with controlling the midtarsal joints. Additional Accommodations Finally, we have modifications that don't really fit into the previous categories. These are all very common additions that are often put in orthotics: Morton’s Extension – Extra length under 1st metatarsal to keep it rigid. It helps during the push off phase of gait and can be rigid if patient has hallux rigidus or limitus. It immobilizes and offsets pressure on the first met joint. Reverse Morton’s – This increases the mobility of the first met joint. The pad sits under the 2nd to the 5th met head and ends before the first. Dancer Pad – Offloads the ball of the foot. It works by taking weight off of the big toe joint and dispersing it. Scaphoid Pad - This is used to help support the mid and back foot. Helps take pressure off the joints and bones in the arch. While these are the most common accommodations found on orthotics, there are many more! To learn more about how orthotics can be modified and customized to suit your unique foot needs, check out this Website. What Orthotic is Right For Me? A licensed chiropodist can determine what orthotic customizations and features are best for you. The chiropodist would first do a biomechanical assessment and gait analysis. They'll then diagnose your foot condition and make recommendations. Remember - orthotics are just one part of the equation when it comes to treating foot pain. While they can be beneficial for many common foot conditions, it's recommended to also explore other treatment options first, like supportive footwear, exercises and stretches. If your chiropodist recommends orthotics, they'll discuss the different options and customizations available, and which ones will work best for your foot condition. They'll also take into account your activities and the footwear you'd be wearing the orthotics with. The chiropodist will then take a 3D scan of your foot and send it off to the lab to make your orthotics. You would then see the chiropodist a few weeks later for a fitting appointment, at which time the chiropodist will check that the orthotics are constructed properly and working the way they should. If everything checks out, you can take them home! We also recommend coming back about 6 to 8 weeks after your fitting for a follow-up appointment to see if your orthotics are helping with your foot pain. If they aren't, the chiropodist can modify the orthotics. https://www.youtube.com/shorts/pO5oWb6S5MA?feature=share

September 26, 2024

The Role of Orthotics in Supporting Foot Health and Correcting Alignment

Orthotics are supportive, custom devices designed to improve the alignment and function of the feet, ankles, and lower limbs. They aim to address specific issues like flat feet, overpronation, or arch support. This can help alleviate discomfort and prevent injuries by redistributing pressure and correcting abnormal movement patterns. Adequately fitted orthotics can significantly enhance comfort and mobility, making daily activities more manageable and pain-free. Custom orthotics can make a big difference, but how exactly do orthotics correct foot alignment? And how do they work? Let's explain. What are orthotics? Orthotics are specialized, custom-designed insoles that you place inside your shoes. They come in many forms, and are molded and constructed specific to your unique foot needs. Their main job is to support and correct the alignment of your feet, which can help address various foot and lower limb issues. They essentially promote healthy biomechanics to ensure your body moves the way it's designed to. Orthotics are custom-made specifically for your feet by a chiropodist (foot specialist). The chiropodist will do a biomechanical and gait analysis, and then take a mold of your foot (typically with a 3D digital scanner). The chiropodist then custom-designs the orthotics according to your specific needs, and a lab then constructs the orthotics according to the chiropodist's instructions. It's important to note that while orthotics can be beneficial, they may not be suitable for everyone and can have some drawbacks, such as initial discomfort and the need for regular maintenance. Custom orthotics are more expensive than over-the-counter options, but they are an investment in your future — they may allow you to avoid more severe issues and chronic pain long-term, and can address foot concerns that over-the-counter insoles cannot. Not to mention, they are longer-lasting. How orthotics correct foot alignment? Orthotics are meant to modify how your foot moves and distributes pressure. They can help with several conditions, including: Flat feet: Orthotics can support fallen arches to maintain and prop up the natural contours of your foot. High arches: When you have high arches, excessive pressure is placed over a very small area of your foot. Orthotics help by cushioning and distributing pressure more evenly. If pressure is unevenly distributed across your feet, you're at a higher risk of overworking neighbouring parts of your foot. Overpronation: If your feet roll inward too much when you walk or run (called "overpronation), orthotics can help correct this movement. They do this by creating a barrier to your foot's inward movement, which corrects the overpronation. (Interesting fact: people with flat feet are prone to overpronation, so the treatment for the two conditions is often the same). Heel pain: Orthotics can reduce the strain on the plantar fascia and help alleviate heel pain. By correcting foot alignment, orthotics can provide significant relief from pain and prevent future issues. The feet are our body's foundation, so when your feet are moving properly, it helps the rest of our body move properly. That allows muscles and joints to work the way they were designed to without being over-stressed. This then helps reduce pain - not only in our feet, but the rest of our body too! Types of orthotics There are many different types of orthotics designed for different footwear and activities. Click here to learn more! Benefits beyond pain relief Orthotics don't just help with pain—they can also play a proactive role in enhancing overall foot and body health. Proper alignment can lead to better posture, reduced knee and hip stress, and improved gait. Athletes often use orthotics to boost performance by optimizing foot mechanics, which then reduces the strain on the rest of their joints. How to choose the right orthotics If you're considering orthotics, here's what to keep in mind: Consult a professional: A chiropodist can help determine if you need custom orthotics through a biomechanical assessment. They can then prescribe, design and fit your orthotics based on your activities and specific foot concerns. A chiropodist may also recommend footwear and over-the-insole options to test out first before going the custom route. Consider your activities: Choose orthotics that match your lifestyle. For instance, if you're a runner, look for ones designed to absorb shock and provide stability. If you work in a setting with a formal dress code, you may want to opt for slimmer dress orthotics that will fit into your dress shoes. Look at the full picture: Orthotics alone likely won't solve all your foot concerns. They're just part of the equation. You'll also want to ensure your wearing proper footwear and maintaining an active, healthy lifestyle. If you have chronic pain or a conditions like arthritis, regular exercise and stretching is very important to build strength in your feet and ankles. Orthotics are essentially meant to supplement a healthy lifestyle - not substitute it. How to get the most out of your orthotics Once you have your orthotics, wear them regularly to see the best results. They take some time to get used to, so gradually increase the time you wear them daily. Also, remember that orthotics are just one part of foot health—maintaining a proper exercise routine and suitable footwear are equally important. To ensure the longevity of your orthotics, clean them regularly and follow any specific care instructions provided by the manufacturer or your chiropodist.

September 23, 2024

Preparing Your Feet for Fall: Essential Tips for Comfort and Support

The leaves are starting to change colour and the temperatures are taking a dip! What does that mean for your feet? A lot! Seasonal changes have a big impact on our foot health, which is why it's important to prepare your feet for fall — especially if you have a foot condition. To help you our, we compiled our Toronto foot specialists' top foot care tips for fall to keep your feet comfortable and healthy as you transition into cooler days. From selecting the right footwear to vigilant skin care, a little preparation can go a long way in keeping you cozy and supported. Moisturizing, Skin Care and Protection We all get thirsty, and the same thing happens to your skin — especially when the summer’s humidity is replaced with colder air that prevents it from retaining moisture. One of the best ways to prepare your feet for fall is by focusing on hydrating your skin. Moisturizing your feet regularly will help you fight painful issues, like cracked heels. Incorporate a rich foot cream, like Gehwol’s Salve for Cracked Skin, if you notice dry cracks in your heels. For a more preventative approach, moisturize every day to lock in moisture and keep your skin soft, and then exfoliate to remove dead skin cells. This lets the moisturizer penetrate deeply. Try the universally beneficial Soft Feet Cream from Gehwol; it binds moisture to the deepest layers of the skin and strengthens its natural defence. Learn more with our comprehensive moisturizing guide. Fall Shoe Tips and Supportive Fall Footwear Cold air can exacerbate foot pain by messing with your blood circulation. Healthy shoes can help offset this and make a world of difference. Look for cozy fall boots, ideal for everyday wear. These include ankle boots with sturdy soles, a solid grip to prevent falls, good arch support, and cushioning. Additionally, consider shoes made from waterproof materials, like Gore-Tex fabric, to protect against the elements. Not only will this help with fall foot comfort, but it will also keep your feet dry and warm as the weather cools down. Damp feet can cause issues like infections and foot odour. For those extra cold days, you should wear boots with soft materials, like fleece or shearling, for insulation against the cold. You never know when the snow falls and below-zero temperatures will begin, so having a pair of boots like this ready to wear is always wise. Lastly, your fall shoes might work even better if you wear them with custom orthotics or high-quality Superfeet insoles. Ask your chiropodist if they can help you. Our Toronto foot clinic is known for our excellent shoe shopping tips, particularly for the fall and winter. We can also provide a complimentary shoe fitting service for when you don’t know where to start with your fall shoe hunting. Foot Conditions Requiring Extra Care in Fall If you have arthritis or diabetes, fall foot care is even more important. That's why one of our top fall foot care tips is to pay close attention to your foot health and regularly visit your chiropodist so they can keep an eye on your feet - especially if you have vulnerable feet. Arthritis sufferers may find that the cold exacerbates joint stiffness and pain. The lower temperatures can cause muscles to tighten, putting additional strain on already sensitive joints. For people with diabetes, the reduced blood circulation can be extra dangerous and worsen the body’s already compromised healing abilities. Ulcers, infections and even frostbite can be big problems during the chilly months.

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