May 8, 2023
Bunions can be a debilitating condition, but there is still plenty of hope to manage it and reduce the pain it causes.
Bunions are joint deformities located at the base of the big toe. You may see bony bumps on the foot's inner side, which can be painful and uncomfortable. Bunions can also affect the alignment of the foot and cause the big toe to point inward toward the other toes. (They can also exist along the outer edge of the foot at the base of the little toe. These are known as bunionettes.)
Understanding the causes, symptoms, and treatment methods can help spot bunions early and get you back to feeling better soon. Below you'll find a comprehensive guide to understanding and treating bunions.
Causes of bunions
Various factors, including genetics, foot shape, and footwear, cause bunions. Family history can dictate the likelihood of bunions due to inherited foot shape. People with foot shape abnormalities or imbalances like flat feet, low arches, or loose joints are also at a greater risk of developing bunions as these underlying conditions put more pressure on your big toe and surrounding areas. All of these risk factors are quite common; roughly six percent of Canadians yearly have foot injuries, bunions, and flat feet or fallen arches.
Additionally, external factors like tight or narrow shoes or high heels can squeeze your toes together, which adds pressure and restricts movement across the toes. Over time, your big toe joint may shift, causing it to protrude outwards. Shoes with narrow toes can trigger and catalyze developing bunions, but footwear alone is not solely to blame.
Symptoms of bunions
The most prominent symptoms of bunions are pain and discomfort in your big toe. You may also experience swelling and redness and have a large bony protrusion at the base of your big toe. Due to the outgrowth and irritation, the skin over the bunion may become thickened and callused.
The toe may become rigid and difficult to move in more severe cases. You may also experience difficulty wearing your regular footwear as the protrusion (resulting from your bones shifting) increases your feet's surface area. The rigidness of the big toe makes the big toe more susceptible to strain and over-exertion. Lack of flexibility further imbalances the weight across your feet and toes. This causes a vicious cycle that can further aggravate the bunion.
Treatment for bunions
Although bunions can be painful, not all hope is lost. You can do plenty to recognize bunions early or treat them via surgical or non-surgical methods to improve your quality of life. Depending on the severity, you can slow the progression of bunions or find ways to manage the discomfort effectively.
The exact treatment typically depends on the severity of the bunions, a person's lifestyle demands, and their age. Milder cases may be managed and treated with non-surgical treatments, including specific devices, such as bunion splints or custom orthotics, or physical therapy. The more severe cases may require surgery, which in and of itself has its pros and cons.
Non-surgical treatments for bunions
Non-surgical treatment for bunions focuses on limiting further aggravation of the affected joint and slowing the bunion's progression. This in turn decreases pain and improves quality of life. Such treatments include:
Alter your footwear: Wear shoes with a wide and deep toe box to reduce pressure on the bunion. Avoid wearing high heels or shoes with pointed toes.
Use padding and taping: Apply a pad or cushion to the bunion to reduce pressure and protect the skin. Taping can also help to keep the foot in a more natural position. You can also try bunion splints and bunion aligners to properly align the joint as you go about your daily activities.
Custom-made orthotic inserts or generic inserts like Superfeet may help to redistribute pressure and support the foot. Padding or cushions to protect your feet may also help.
OTC pain relievers like ibuprofen can help reduce and keep swelling and inflammation at bay.
Stretching and strengthening exercises can improve the flexibility and strength of the foot and ankle. Strengthening the muscles around the joint also halts the vicious cycle of bunion growth.
Maintain a healthy weight to prevent sudden impact on your feet and toes.
If non-surgical treatment for bunions hasn't improved the condition, you can explore surgical treatments, which we dive into below.
Surgical treatments for bunions
More than 100 different types of surgeries for bunions exist. An orthopedic surgeon or podiatrist may perform the surgery, depending on the nature and type of procedure. With surgery, the goal is physically to eliminate the bunion. However, surgical treatments have risks, and a bunion may still return in the future, so you should consult a medical professional. No one surgery is perfect for everyone; it's highly individual.
Some of the more common surgeries for bunions are:
Bunionectomy is a surgical procedure in which the bony bump is removed from the joint. The goal is to realign the joint with the rest of the foot to improve the position.
Osteotomy is a procedure that involves cutting a portion of the bone to improve the toe's position.
Arthrodesis (commonly known as joint fusion surgery) is a procedure that adjoins joints together.
Resection arthroplasty is a procedure that removes the damaged joint. The joint is then rebuilt during the procedure.
Artificial implant insertion is a procedure where an implant replaces the deformed first metatarsophalangeal (MTP) joint.
April 20, 2023
Since women are more likely to experience foot pain and conditions, a significant focus of women's health should always be foot health. According to Foot Health Facts, narrow footwear that cramps the forefoot and squeezes the toes is the primary reason women are prime targets for foot health issues. Furthermore, common foot problems in women can arise after years of wearing shoes with little arch support and unstable heels. Today's article will discuss the most common foot problems women struggle with and prevention and treatment options.
Common Foot Problems in Women
Bunions
Plantar fasciitis
Arthritis
Hammertoes
Plantar Fasciitis
Medical News Today notes women risk developing plantar fasciitis more than men. This may be due to post-pregnancy foot changes and the effects of wearing unsupportive footwear for years; both can lead to plantar fascia strain and subsequent stabbing heel pain. The best way for women to prevent and treat this painful condition is to only wear high heels on special occasions and choose comfortable heels with cushioning and a stable heel. For daily activities, opt for shoes with sufficient arch and heel support (most important) and thick soles and cushioning. But it's also important to find shoes with that create a healthy environment for your feet (i.e.: enough room in the toe box, breathability, etc.) to prevent other conditions.
Maintaining a healthy weight can also prevent too much pressure on the plantar fascia. To help, women can stretch their feet and perform daily exercises that work the plantar fascia and calf muscles (see an example below!). And lastly, orthotics with arch support can distribute the pressure on your feet more evenly.
https://www.pinterest.ca/pin/782007922800908317/
Bunions
Again, low-quality shoes are the main culprit behind women developing bunions, but genetics may also play a role. Bunions may also be at their worst during menopause or pregnancy.
Some women may require intervention from a surgeon to eliminate severe bunions. But many can try non-invasive methods like bunion pads, inserts and orthotics, and frequent rest periods with compression and ice packs. The most worthwhile preventative measure is changing your shoes and giving your feet the support and room they deserve. Ensure all shoes have enough room in the toe box (cramped toes are a major risk factor for bunions) and are not too narrow.
Arthritis
Research suggests post-menopausal women suffer more from osteoarthritis than men because of estrogen fluctuations. There may be a connection between pre-menopausal estrogen levels and joint and cartilage health.
Targeted exercises are one of the best ways to prevent and treat most types of arthritis (not just osteoarthritis!). Moreover, Feet First Clinic's beginner's guide to exercises for arthritis Part 1 and Part 2 outline beneficial exercises, the steps involved and why they're so useful. These routines also consider that arthritis can be very limiting and ensures all movements are manageable. Other forms of treatment include braces or canes (in severe cases), anti-inflammatory pain relievers, orthotics that support the ankle and the foot (also good for prevention), physiotherapy and orthopedic footwear.
Hammertoes
Like bunions, hammertoes affect women because they are more likely to wear excessively tight and unsupportive shoes, causing the toes' middle joints to bend more and more over time.
To avoid and manage pre-existing hammertoes, ensure your shoes have at least half an inch of room between the toes and the end of the shoe. Additionally, women should avoid high heels on most days and only wear them if the heel is a "reasonable" height. It may also be wise to buy shoes with stretchy fabrics and avoid excessive fabric layers. They can force your toes into uncomfortable positions and make it difficult to accommodate pre-existing hammertoes. Inserts and pads can also be helpful for women by positioning the toes and feet more favourably. Furthermore, a chiropodist can use a splint or some tape to fix your toe in the proper, straight position.
Several medical devices can help with toe conditions
April 13, 2023
It’s a fact that your body changes as you age. Your hair, your skin’s elasticity, your weight --- pretty much everything requires more attention. This is also true for your feet, and foot care for women over 40 is much more important than you may think.
According to an article from UChicago Medicine, women’s feet change during middle age because the tissues become looser, leading to a “sagging” arch and a wider foot. Getting older will also reduce your foot’s natural cushioning ability as the sole's fat pads get thinner.
Women over 40 must also pay attention to their foot health because menopause can cause additional issues, like foot odour due to excessive perspiration and swollen feet due to high blood pressure.
Foot Care For Women Over 40
Foot checks with your chiropodist, preventative care to address common foot problems, and investing in medical products and supportive footwear are some of the best practices. But here are some simple, specific ways to execute foot care:
Exercises
Footwear
Orthotics
Additional foot care ideas
Exercises
Regular stretching and exercising can help treat and prevent several common foot problems women over 40 may struggle with, like arthritis, bunions, hammertoes and diabetes. These exercises are easy to perform and suitable for anybody with mobility issues. Gentle exercises can do the following:
Loosen up the muscles, tendons and ligaments in the feet.
Strengthen your feet so you can withstand everyday activities as you get older. This is especially important for the foot’s tiny intrinsic muscles (which stabilize the foot and support the arches).
Increase your range of motion, balance and flexibility.
Check out these resources for the best exercises and stretches for women over 40:
Feet First Clinic Stretches Pinterest Board
A Beginner’s Guide to Exercises for Relieving Arthritis: Part 1
A Beginner’s Guide to Exercises for Relieving Arthritis: Part 2
The Perfect Stretching Routine
5 Foot Pain Stretches for Women Over 65
Footwear and Orthotics
Women in their 40s should ditch unsupportive shoes. While it may be okay to wear certain types of high heels on rare occasions (there are comfortable options!), wearing them too often can worsen pre-existing arthritis (or increase your chances of developing it) by wearing down your joints. High heels, while tempting to wear, can also force your toes into a cramped position, leaving you at risk of developing bunions (or making them worse). The unsteady nature of high heels can also pose an ankle injury risk. Flip-flops and flats with no arch support are big no-nos as well.
Instead, opt for shoes with enough arch support, and try stability shoes if you experience ankle arthritis. Choose shoes with a wide toe box to accommodate age-related foot widening, and consider looking into wide footwear.
Wearing custom orthotics with your everyday footwear also adds an extra layer of protection and comfort. They provide stability and support, correct any abnormal gait patterns you may develop due to foot changes, and protect joints and muscles from wear and tear.
Additional Foot Care Ideas for Women Over 40
Skincare: Clean and thoroughly dry your feet, and use a moisturizer twice a day. Women over 40 are more likely to experience calluses, cracked heels, and dryer skin. This is because the foot’s fat pad cushioning diminishes with age, placing more pressure on the area and wearing down the skin. Clean, moisturized skin will also combat foot odour.
Shoe sizing: Women over 40 (especially those who have been pregnant) have flatter arches, which increases your foot’s width. This will leave your old shoes feeling too small and increases your risk of developing bone deformities (bunions, hammertoes). Make sure you don't buy new shoes until you try them on and know they fit properly. Remember: different brands have different sizing systems, so don't get attached to the number - fit is what matters most.
Medical pedicures: These pedicures help your toenails look amazing and focus on skin and callus care, as well as foot odour - so you can sit back, relax and let your foot care specialist do the work for you.
April 3, 2023
Are your feet giving you a hard time? Foot pain can have many causes, including injury, overuse, medical conditions, and poor footwear. The underlying cause will dictate how to treat your foot pain, which can include anything from supportive footwear, to stretching exercises, to rest, to medication.
In this article, we'll go through six common causes of foot pain and how to treat them:
Plantar Fasciitis
Achilles Tendonitis
Bunions
Ingrown Toenails
Osteoarthritis
Plantar fasciitis
Causes
Plantar fasciitis occurs when the plantar fascia (the band of tissue that connects the heel bone to the toes) becomes inflamed. It is caused by inadequate arch support or overexerting the plantar fascia. For instance, poorly constructed shoes, obesity and pregnancy, high-impact activity, and long periods of standing (like if you have a standing desk or work in a standing-first occupation) cause strain on the plantar fascia.
Treatment
Plantar fasciitis treatment involves rest and recovery, which should be the first course of action. Then physical therapy, like massaging your arch and stretching and strengthening exercises, are effective. Additional treatment methods include shockwave therapy, taping, wearing a splint or boot cast, and custom orthotics designed to provide additional arch support.
Read more: See our complete guide on plantar fasciitis.
Achilles tendonitis
Causes
Achilles tendonitis is an injury to the Achilles tendon, the part of the leg that connects the calf to the heel bone. It is usually caused by overuse. Overworking the Achilles heel is done through various avenues. The most common causes include overexercising, weight gain, joint disorders like rheumatoid or psoriatic arthritis, bursitis, a sudden fall or past trauma, and biomechanical abnormalities.
Treatment
Within 72 hours of injury, the first form of treatment you should pursue is rest and recovery. Good R&R prevents aggravation and stops the condition from worsening at its most vulnerable. Once you remove the cause, effective treatment methods include shockwave therapy, strengthening and stretching exercises (see our how-to), custom orthotics, and anti-inflammatories.
Read more: See our complete guide on Achilles tendonitis.
Bunions
Causes
Bunions are a type of joint deformity where the base of the big toe shifts outwards. There is a combination of factors that can either cause, directly or indirectly, bunions. Genetics (namely foot shape or joint-related), tight footwear or high heels, flat arches, and activities that stress the toe base (like running or ballet) can lead to bunions.
Treatment
Treatment options include footwear modification, anti-inflammatories, bunion splints, bunion aligners, taping, shoe stretching, orthotics, shockwave therapy, and surgery. Note that bunions are progressive, meaning non-invasive treatment focuses on preservation rather than reversing damage already done. Surgery is an option if you'd like to remove the bunion.
Read more: See our complete guide on bunions.
Ingrown toenails
Causes
Ingrown toenails occur when the edges of the toenail grow into the skin, causing pain and swelling. Ingrown toenails can be caused by:
Cutting the nail too short or too far down along the edges
Poorly fitted shoes.
Injury to the nail bed.
A genetic disposition to ingrown toenails.
Treatment
In some cases, you can treat ingrown toenails at home; otherwise a foot specialist can treat the condition. To treat your ingrown toenail at home, soak your foot daily in warm water with Epson salts, massage the skin at the edges of the nail, wear shoes with a wide toe box, and let the toenail grow out. When it does, cut the nail straight across. Never try to cut out your own ingrown toenail as this can lead to infection.
If the toenail doesn't improve within 3–5 days, it's time to call the foot specialist. A foot specialist can safely treat ingrown toenails at any stage. In-office ingrown toenail treatment includes antibiotics, softening the skin around the nail, removing or cutting open the area to drain pus, Onyfix nail correction system, partial or complete nail avulsion, phenol, or surgery.
Read more: See our complete guide on ingrown toenails.
Osteoarthritis
Causes
Osteoarthritis is the most common form of arthritis and is caused by wear-and-tear of the cartilage between the joints. Getting old is the most common cause of osteoarthritis. Our joints get more mileage as we age and eventually wear down. Low bone density (for instance, in post-menopausal women) can also lead to osteoporosis, contributing to osteoarthritis (it would be like having defective brake pads). Additionally, unhealed trauma or injury, weakened deconditioned muscles, sudden weight gain, and biomechanical abnormalities like hammer toes or bunions can all lead to osteoarthritis.
Treatment
Treatment of osteoarthritis focuses on management, as it's a progressive condition. Physiotherapy, stretching, and light exercise to strengthen the muscles in the lower body is vital for managing osteoarthritis symptoms and preventing the condition from worsening. This can be done in conjunction with proper footwear and medication like anti-inflammatories. Custom orthotics can also help by effectively rebalance the weight distribution across your feet while adding support.
Read more: See our complete guide on osteoarthritis.
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.
The Clarks Wave 2.0 has a rocker sole
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
https://www.pinterest.ca/pin/782007922798992582/
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!
Part 1
Part 2
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.
February 23, 2023
Foot health isn't just important because it keeps the foundation of your body in good condition. There is also a direct link between foot health and overall wellness!
Forgetting to practice foot care and foot pain management can trigger a domino effect that leads to other health problems. If you have a nagging sense that your body and mind feel generally "unwell," it could all stem from neglecting to take care of your body's foundation and lower extremities.
Here are some of the most common problems associated with poor foot health that we'll discuss today:
Back, hip and knee pain
Posture and balance
Heart health and diabetes
Mental health
Back, Hip and Knee Pain
Our body's joints, ligaments, tendons and nerves need our feet to be in good shape. If they aren't, it can lead to a concerning trickle-down (or trickle-up!) effect that jeopardizes the rest of our body. The most common symptoms of this effect are back pain, hip pain and knee pain.
First, your lower back will take a hit if you don't wear shoes with proper shock absorption and arch support. The effects will transfer upwards, resulting in low back pain. People who work long hours without the right footwear often notice this and not know the reason why.
Furthermore, if you have frequent foot pain, it will alter your gait. This means you adopt abnormal walking patterns to navigate life with chronic pain, such as using your tip-toes or the outside of the feet to bear weight. The unusual walking pattern causes extra strain on the joints and muscles in your lower body from having to move in ways they weren't designed to move. This kickstarts feelings of pain and tightness in the lower back and knees. Your ankles may also roll slightly inwards or outward while walking. People with flat feet or high arches are at risk of experiencing gait-related back and knee pain.
Plantar fasciitis and bunions can also trigger back pain. If you neglect to treat plantar fasciitis, the plantar fascia ligament can become so inflamed that other muscles have to compensate in order to support your weight. This ultimately affects your back. Likewise, bunions cause a misshapen structure in the feet, which can alter your posture and make it difficult to fit into supportive shoes.
Modifying movements due to foot pain also takes a toll on your hips. Bilateral foot pain can lead to pain in the corresponding hips, often due to multi-joint arthritis.
Photo by Karolina Grabowska from Pexels
Heart Health and Diabetes
These connections aren't as farfetched as you think!
Your heart is responsible for transferring oxygen-enriched blood and nutrients to your lower extremities, so if the heart cannot do this for any reason, your feet can mirror your general heart health and wellness. For example, illnesses like diabetes can be a major sign of extremely restricted blood circulation; foot swelling and numbness can be symptoms of this.
Your feet can also show signs of serious heart issues, like heart disease and peripheral artery disease. You may not be able to feel a pulse in your feet, or you may notice excessively shiny skin or hair loss on your toes. Heart failure can also cause foot swelling due to excessive fluid build-up. Plaque accumulation in the arteries can also lead to foot numbness and pain, warning you of peripheral artery disease.
Photo by Puwadon Sang-ngern from Pexels
Posture and Balance
There is a direct correlation between foot and ankle health and posture and balance. According to a study on gait posture published by the National Library of Medicine, poor postural balance in the upright position can pose a greater risk of sudden falls and resulting foot injuries in older people. The study found that improving toe flexor strength via foot stretches and exercises contributes to overall improved postural balance in people over 60.
But it could also be the shape of your foot that lets you down. For instance, people with flat feet risk experiencing muscular imbalances in the legs, ankles and hips. Luckily, simple and non-invasive foot clinic services can help people with flat feet curb this problem, such as wearing custom orthotics or shoes that support a flat arch.
Mental Health
Can't hike on your favourite trails due to foot pain? Or perhaps you simply struggle to get out of the house due to mobility issues.
Since our feet keep us moving, there is a clear link between mental and foot health. Time and time again, fitness proves to be helpful to those struggling with mental illness. But without cooperative feet, it can feel impossible to be physically fit, which leads to a sedentary lifestyle. Feeling stuck inside too often can also cause psychological stress and loneliness. Furthermore, the feeling of consistent pain can cause anxiety and depression.
It can also work both ways. According to a study in Arthritis Care and Research Vol. 66, chronic foot pain can also be a symptom, or manifestation, of major depression.
Photo by Suzy Hazelwood from Pexels
