What is inflammation? The good and the bad

Written by Bianca Charles on June 27, 2022

Last updated July 26, 2022

Redness, swelling, discomfort, hot upon touch. These are all symptoms of inflammation. Inflammation is triggered by the body’s inflammatory response. It’s the medical term for your body’s process of fighting against harmful substances. Thanks to our body’s inflammatory response, we’re able to fight off illness, regenerate muscle and tissue, and trap bacteria while our immune system fends for itself.

Everything good comes in moderation though, right? In some cases, your body’s inflammatory response is too much and, if it continues for a prolonged period, can cause a number of foot conditions. In this article, you’ll learn more about the various kinds (the good and the not-so-good) of inflammation, signs of the inflammatory response, and the two primary categories of inflammation.

What is inflammation?

Inflammation occurs when your body’s white blood cells release chemicals into your bloodstream. It does this to fight disease, damage, or harmful substances. As the blood flow to the area increases, you experience warmth, redness, and swelling. In many ways, inflammation is a good thing. It helps fight things that can harm your body. It also helps repair damage to your tissues and muscles, which is often why after an acute injury, you’ll have localized swelling. But too much inflammation or prolonged inflammation can do more harm than good.

What is the inflammatory response?

Think of the inflammatory response as your body’s firefighters. This defense mechanism is your body’s response to invaders that it deems harmful. It activates disease-fighting and muscle-generating cells and chemicals and dispatches them to the affected area.

There are five components of the inflammatory response:

Heat
Pain
Redness
Swelling
Loss of function

What’s “good” about inflammation?

Inflammation is a powerful reaction that can fight infection, heal injuries, and regenerate tissue, among other benefits.

How does inflammation help heal an injury?

Inflammation helps heal an injury by encouraging increased blood flow with the nutrients needed for your body to repair itself. These are immune cells. They include neutrophils and monocytes, antibodies, protein, and other fluids. The increased blood supply and fluids also causes swelling. Once the job is done, the inflammation subsides as your body relays signals that the healing process is complete.

Inflammation can also be purposely induced. For example, shockwave therapy uses high-intensity sound waves to purposely trigger the inflammatory response to treat chronic injuries like plantar fasciitis, Achilles tendinopathy, and patellar tendinopathy. Contact us today if you’d like more information about shockwave therapy and where you can get this treatment in Toronto.

How does inflammation fight infection?

Like with an injury, your immune system responds to infection by sending out inflammatory cells and cytokines to fight the bacteria. The goal here is to trap the area from additional bacteria and neutralize the site while the healing process occurs. Again, this is why you see swelling, and redness, while also experiencing some pain and discomfort.

What’s “bad” about inflammation?

Sometimes, inflammation doesn’t turn off when it should. Prolonged bouts of inflammation can be a “bad” kind of inflammation, and lead to many chronic conditions. This type of unintended inflammation occurs when your body thinks it’s fighting invaders when in fact it’s not needed. For instance, with arthritis, your body’s defense system – your immune system — triggers inflammation when there are no invaders.

Harvard Health Publishing writes, “intermittent bouts of inflammation directed at truly threatening invaders protect your health.” But, inversely, research shows that too much of a good thing can be bad. One such study concludes that “chronic, low-grade inflammation is a key factor in the pathogenesis of the cardiovascular disease, and is associated with the risk of developing diabetes, dementia, and depression.”

Excessive inflammation buildup also damages joints, muscles and ligaments. Too much inflammation (i.e.: chronic inflammation) is linked to various foot diseases and conditions, such as rheumatoid arthritis, gout and psoriatic arthritis. Excessive inflammation buildup can also occur with persistent and chronic Achilles tendonitis and plantar fasciitis.

Chronic or acute inflammation? Which is it?

Primarily, there are two types of the inflammatory response: acute inflammation and chronic inflammation.

Acute inflammation

Acute inflammation is your body’s immediate inflammatory response. It can last hours to days for minor injuries, and up to 3 months for more severe injuries (i.e.: a broken bone). Acute inflammation is temporary, only lasts for the time required for the injury to heal, and then goes away once the injury is healed. During acute inflammation, plasma and leukocytes travel via the blood supply to the damaged/infected area. Acute inflammation occurs when you stub your toe, sprain your ankle, have an infected ingrown toenail, or break a bone.

Chronic inflammation

Chronic inflammation is just that: chronic. This prolonged inflammation can last months, if not years. It can occur when the inflammatory response is delayed, halted, or incomplete after an acute injury. It can also occur when the inflammatory response continues even after an injury heals, or is unnecessarily triggered due to an auto-immune disease (i.e.: rheumatoid arthritis or lupus). Chronic inflammation involves a physiological shift of the body’s cells at the site of inflammation. Prolonged inflammation can be destructive to your joints and muscle as it both attempts to heal the area, but simultaneously does the opposite.

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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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October 28, 2024

5 Ways Cold and Wet Weather Impacts Your Feet

Taking care of your feet during winter might require a little extra effort, but it’s essential for preventing discomfort and long-term issues. The cold weather can impact your feet in its own unique ways, just like hot weather can. Whether you’re dealing with dry, cracked skin or trying to avoid slippery conditions, being mindful of your foot health will keep you a step ahead of the cold. 5 Ways Cold and Wet Weather Can Impact Your Feet Dry, cracked skin Skin conditions Reduced circulation Stiffness and joint pain Winter-related foot conditions 1. Dry, Cracked Skin https://www.youtube.com/watch?v=1-Sf43woLLE One of the first things you may notice during the winter is dry, cracked skin on your feet, especially your heels. The chilly air and low humidity can quickly sap the moisture from your skin, leaving your feet feeling rough and sore. Heating indoors doesn’t help either, as it dries out the air, exacerbating the issue. This is where cold weather foot care enters the picture! Since cracked skin can cause pain and even bleed, it becomes essential to protect your feet. This dryness isn’t just unsightly—if the cracks open up, it creates an easy pathway for infections. This can lead to debilitating pain and bleeding that makes walking difficult. Regular moisturizing with a medical-grade foot cream is a straightforward way to combat dry feet and cracked heels. Look for products that contains a high urea concentration, which will help your skin replenish and retain lost moisture. It's important to use a foot cream instead of a regular moisturizer for your feet because the skin on your feet is thicker than the skin elsewhere on our body. Therefore, a regular body or facial moisturizer won't cut it - especially during the dry, colder months. While you're at it, take your hydration to the next level by always remembering to drink your eight glasses of water per day. This advice still holds up today! 2. Reduced Circulation Cold weather can mess with your blood flow, which can pose a problematic obstacle for foot health. When temperatures drop, blood vessels constrict to preserve heat, meaning less blood flows to your extremities. This is called vasoconstriction. As a result, your feet may feel cold, numb, or even tingly. Poor circulation can also lead to prolonged healing times for cuts or blisters. This is concerning for diabetes patients with neuropathy who are already struggling with wound healing issues. That's why cold weather diabetic foot care should always include steps to monitor and improve blood flow— including daily foot inspections and easy foot exercises. Wearing thermal socks and ensuring your feet are properly insulated can help combat the impact of reduced circulation. Just make sure your thermal socks fit comfortably with your fall and winter footwear: if your shoes or boots are too tight, it will reduce circulation and make your feet more susceptible to cold-weather complications (more on that below). If you experience slippery conditions during winter, circulation issues can also increase your risk of falling or slipping. When your feet are numb, it’s harder to get a good sense of balance, so be cautious and wear shoes with good grip for FALL prevention. Moving around can also help keep your blood flowing. So, if you’re out and about, take small breaks to wiggle your toes and stretch to maintain circulation. There are even targeted foot exercises you can try to help trigger healthy blood flow. In fact, you should do these more often in the winter than the summer. 3. Skin Conditions https://www.youtube.com/shorts/xZ4RQwPmCzg It might seem strange to consider blisters a winter problem, but they can definitely crop up due to cold weather foot care challenges. Wearing heavy boots and thick socks can cause friction, leading to blisters on your heels or toes. This is why it’s extremely important for boots to fit snugly, but not be too tight. So if the socks you like to wear in the winter are causing your boots to constrict your feet, they don’t fit! And if your feet are already dry, cracked, or dealing with reduced circulation, they’re even more susceptible to developing painful blisters. Combat this by ensuring your boots and sock combo always fit perfectly together, and opt for moisture wicking socks to go the extra mile. Another common winter foot problem is athlete's foot. Though often associated with the hot summer months and public swimming pools, athlete's foot is no stranger to winter either. Athlete's foot thrives in wet, damp areas, so instead of crowded public summer pools, fungal infections change their habitat to the wet-from-the-snow environment inside your boots. And keep in mind, you can get athlete’s foot simply by coming into contact with someone who already has it. When you’re tackling wet feet, whether it’s from snow or rain, you need to dry them thoroughly before putting on warm socks. Athlete’s foot loves moist environments, so making sure your feet are dry is key. If you start to notice itchy or peeling skin between your toes, it’s a sign that athlete's foot might be setting in. Treat it promptly with your Toronto chiropodist, who can provide the right antifungal products. Make sure you also keep your feet clean and dry and avoid sharing shoes and socks to protect your feet from a future infection. 4. Stiffness and Joint Pain https://www.youtube.com/shorts/n46k32OZgco Cold weather tightens your muscles, which in turn can lead to stiff joints. This discomfort can be particularly noticeable if you already have arthritis or any other joint-related issues. Without the right cold weather foot care, your feet can end up feeling stiff, which can affect your overall mobility. To help counteract this, regular stretching and low-impact exercises, such as foot rotations, can keep your joints limber. This season also requires some extra attention to footwear. Choose shoes with ample support to keep your feet cushioned against the impact of walking on hard, cold surfaces. Slippery conditions can further aggravate joint pain because your body works overtime to stay balanced, putting extra pressure on your feet. Adding orthotics or insoles that provide added arch support can also reduce some of this strain and make your steps feel more cushioned and less jarring. 5. Winter Related Foot Conditions Winter brings its own set of unique foot problems, including chilblains, frostbite, and Raynaud’s disease, all of which can make cold weather foot care a bit trickier. Chilblains occur when your feet are exposed to cold, damp environments, causing painful, itchy red patches. This is particularly common in teenagers, or people who quickly reheat their feet after being in the cold, so it’s best to warm up slowly. Frostbite is another concern in extreme cold, as it can severely damage your skin and tissues. Frostbite can occur more quickly than you might expect, especially if you don't protect your feet from the weather. Signs of frostbite include numbness, skin discolouration, and a hard, waxy texture. If you think you may be experiencing frostbite, it’s essential to seek medical help immediately. To prevent frostbite, be sure to layer up and wear weatherproof boots that keep your feet dry and warm. Lastly, Raynaud’s disease can be exacerbated by cold weather. People with Raynaud’s experience an exaggerated response to cold, which restricts blood flow to the toes, leading to reduced circulation and making your feet even more vulnerable. Keeping your feet constantly warm and avoiding sudden temperature changes can help manage Raynaud’s symptoms, but if you experience persistent pain or numbness, you should consult a healthcare provider.

October 17, 2024

6 Foot Exercises to Strengthen and Protect Your Feet

Studies show that 8 weeks of a solid foot health workout can increase intrinsic foot muscle volumes by up to 22.8%. These are the various small muscle groups located entirely within the foot. They play a key role in stabilizing the arch, supporting balance, and enabling precise movements of the toes. Foot exercises can also help maintain extrinsic muscle strength. These are the muscles that connect to the foot, but are located just outside it, mainly in the lower leg, calf and Achilles tendon area. Foot exercises can also work your toes and the bottom of the foot, soothe pain, strengthen your ankles and prevent foot injuries. This article will list some of the best foot pain relief exercises you can incorporate into your daily routine, starting today! Ball Stretch View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Simply rolling your back and forth on a small ball can help with plantar fasciitis, arch pain, bottom of the foot pain, and general foot fatigue. You don’t need a therapeutic massage ball—a tennis, lacrosse or golf ball will work. Sit or stand comfortably and place the ball under your foot. Roll the ball slowly from your heel to your toes, applying gentle pressure for 2-3 minutes. Switch to the other foot. Toe Pulls View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) This exercise can help relieve plantar fasciitis, Achilles tendonitis, and general foot or calf tightness. Sit with your legs extended in front of you and your back straight. Use your hands to gently pull back on your toes, stretching the bottom of your feet and calves. Hold for 20-30 seconds. Release and repeat 2-3 times, focusing on a slow, controlled stretch. (Optional) Incorporate a resistance band by looping it around your feet and pulling back to deepen the stretch. Toe Flex and Raise View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) Work out your tibialis anterior, improve toe flexibility and balance and strengthen your feet with this fun exercise. Stand with your feet flat and toes planted firmly on the ground. Lift your heels off the ground, keeping your toes pressed down, then slowly lower your heels back to the floor. Repeat the movement 10-15 times, focusing on control. Ankle Circles View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) This stretch helps strengthen your ankles and can improve general mobility. Sit or stand with one foot lifted slightly off the ground. Rotate your ankle slowly in large circles, first clockwise, then counterclockwise. Repeat 10 times in each direction, then switch to the other ankle. Calf Stretch on a Step A great choice for calf strengthening and targeting the extrinsic muscle group, this is a simple stretch that just requires a set of stairs! Stand on a step with your heels hanging off the edge and hold onto a railing or wall for balance. Lower your heels slowly below the step, feeling a stretch in your calves. Hold for 20-30 seconds, then raise your heels back up and repeat 2-3 times. Marble Pick-Ups View this post on Instagram A post shared by Feet First Clinic (@feetfirstclinic_) This exercise can help with your general coordination and improve toe strength and flexibility, which may alleviate discomfort from conditions like bunions and arthritis. There are no time constraints with this one, simply focus on the task at hand. Place small objects (like marbles) on the floor in front of you while seated. Use your toes to pick up each object and drop them into a nearby bowl or container. Repeat with both feet, aiming for 10-15 picks per foot.

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 10, 2024

Common Fall Foot Problems and How to Prevent Them

Toronto's summer is behind us and the warm days of sandals won’t return until next year. But fall brings its own charm and many folks are excited for a new chapter. At the same time, you may also be looking to prevent foot issues this fall in as many ways as possible, and luckily, you’ve come to the right place! For top tips on blisters and dry skin prevention, as well as how you can fight some other common fall foot problems, keep reading today’s article! Cracked Heels As summer’s humid air is replaced with dryness, the skin on your feet may dehydrate and over time, cracked heels can form. One of the best fall foot care tips to prevent this is regular moisturizing. Use a nutrient-dense product like Gehwol’s Lipidro Cream, available at Toronto’s Feet First Clinic. It helps lock in moisture and prevent further damage. Containing high-quality ingredients like avocado oil and urea, this cream helps your skin absorb water into its layers and supplies dry skin with the lipids it needs. Properties like allantoin can also soothe irritation sometimes associated with cracked heels. Fungal Infections You may have heard how fungal infections like athlete’s foot are easy to contract during the summertime. Public pools, shared locker rooms and showers, and other communal spaces are all summer hot spots where this foot fungus can breed. But did you know that foot fungi is still a threat in the fall? It can thrive when people wear closed shoes for longer periods, trapping moisture and warmth. To prevent this, keep feet clean and dry, wear breathable socks, and choose shoes that allow proper ventilation. Shoes should also be waterproof to prevent extra water getting into your shoe’s environment. To find the right pair for fall, visit your local Toronto foot clinic for a shoe fitting. While you’re at it, learn all about the best foot hygiene here! Musculoskeletal Foot Conditions Musculoskeletal foot conditions can flare up as the fall chill starts to bite, making each step feel a little extra uncomfortable. Cold temperatures cause the tissues in your joints to contract, putting pressure on nerve endings and leading to more foot pain and aggravated osteoarthritis. The cold can also worsen foot conditions like plantar fasciitis and other sources of arch and heel pain. Get ahead of this issue by wearing boots with solid insulation that traps warmth. Also, keep your feet extra cozy with warm socks — a Toronto chiropodist may even suggest a pair of compression stockings (like Sigvaris' Thermoregulating Wool or Merino Wool compression stockings). Blisters Autumn foot health often involves managing painful blisters. As new footwear makes its debut, a tight squeeze can slowly wreak havoc and cause discomfort. To keep your feet happy and blisters at bay, make sure your shoes fit securely and snugly (but not tight!) to prevent excessive friction rubbing against your skin. Wear your boots with other products like moisture control socks, foot powders, blister bandages and insoles to prevent this frustrating issue.

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

October 3, 2024

The Importance of Proper Footwear for Kids in Fall: What Parents Need to Know

Are you wondering how much you need to invest in your kids’ foot health this fall? Not sure what all the fuss is about over getting the best fall shoes for children? While it may seem like your child’s summer shoes can last a little while longer, it’s important to take their foot health needs seriously and make sure they're set up for the fall. We’ve crafted this parent's guide to kids’ shoes in the fall to help you out! Keep reading to learn the main reasons why proper footwear for kids is essential during this beloved season. 3 Reasons Why Your Kids Need Fall Shoes They support back-to-school activities They protect feet from the elements They provide support for growing feet Support Back-to-School Activities Remember the excitement of getting a new pair of athletic shoes every year before that first day of school? Well, there’s a reason your parents did that for you! Many kids up their activity game during back-to-school season. The excitement of reuniting with friends, outdoor recess time, extracurriculars and gym class are all contributing factors to this healthy boost in physical activity. Thus, comfortable athletic shoes for children land inside the fall shoes realm. The best shoes for kids should encourage proper gait patterns. They also feature cushioning for shock absorption, which reduces stress on growing bones and joints during activities like running and jumping. Additionally, supportive footwear can prevent common foot problems such as blisters, calluses, and ankle injuries, the latter of which is a common injury for kids. It's important to ensure shoes have a snug (but not tight!) and secure fit, breathable materials, and a durable outsole for safe performance and comfort. If your child's shoes put pressure on the side of their feet, opt for wide-width shoes. Protect Feet From The Elements Shoes are always designed with seasonality in mind, and just like you need new fall boots, so do your kids. One of the reasons is the slowly declining temperatures and damp, cold conditions. While September and early October are often pleasant weather-wise in Toronto, November can bring sudden frigid air and freezing rain. Wearing the wrong shoes in this weather may cause foot problems like chilblains, or small, itchy swellings caused by poor circulation in response to the cold. Studies show it often targets teenagers. Additionally, shoes designed with weatherproof materials and proper ventilation help ward off bacteria and fungi. Lastly, fall shoes for children correlate with FALL prevention. Colder weather + rain = slippery sidewalks and even black ice formation. For these, your kids need boots with a solid grip. Provide Support For Growing Feet Did you know that children’s bone, muscle and joint growth continues until they reach their early twenties? Child foot development is both fascinating AND fast paced, so you need to keep on top of your child’s needs and assess how much their feet have grown or changed shape when the fall season rolls around. Properly fitted shoes with arch support and cushioning are crucial during growth phases to ensure healthy foot alignment and prevent long-term issues. Likewise, teaching good footwear habits during the foot development phase sets your child up for success! Wearing ill-fitting shoes now can lead to problems in their adult years, and may even cause deformities like bunions and hammertoes decades down the road. Here are our top tips to make sure your child's shoes fit properly: When putting shoes on, get your kid to kick their heel back before lacing or strapping up the shoe. This puts their foot is in the proper position, with the heel in the heel cup and the arch lined up with the arch support. Then use the laces or straps to secure the foot into that position. This will ensure your kid's foot doesn't slide forward when they walk, and also allows you to properly gauge their toe room. If your kid's shoe isn't put on properly, you won't be able to determine whether it fits. Leave about 1 cm of toe room at the end of the shoe. While it's good to leave growing room, it's important not to leave too much room. Otherwise, the shoe will slip and slide around your child's foot and not be secure. And a shoe that's not secure won't provide good support. If you see a gap at the back of the shoe or the shoe moves as your child walks, go down half a size, or make sure the shoe is put on properly (see above). Use the laces to adjust the width and fit. If your child feels pressure on the sides, try loosening the laces. Don't pull the laces too tight. Instead, gently adjust them to the width of your child's feet. If the shoe still feels tight and there's enough room at the end of the shoe, look for a wide width shoe. Don't size up if there already is enough room at the end; you'll just end up with a long narrow shoe.

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