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September 5, 2024
Athlete's foot is a fungus that infects the skin on your feet. Many people get it, and it can cause a lot of problems. Your feet may itch, turn red, and peel when you have it. This fungus grows best in places that are warm and damp. The good news is that you can treat and stop athlete's foot if you know what to do. Here are some tips from chiropodists (foot specialists) to help you keep your feet healthy and free from fungus.
Treatment strategies
See a Chiropodist
Because of all the moisture buildup on our feet, fungal infections can grow out of control very quickly; they're stubborn and persistent, and once the infection gets under the toenail, it becomes very difficult to treat. In addition, over-the-counter anti-fungal medications are not very effective unless the infection is in the very early stages. That's why it's important to see a chiropodist as soon as you notice any symptoms. A chiropodist will debride and clean up any fungal growth on the skin and prescribe a topical anti-fungal medication to help nip the athlete's foot in the bud before it spreads to the toenails. Oral anti-fungal medications, while effective, are often not recommended due to their side effects. Often, topical prescription anti-fungal medication and persistence are the best way to go.
Maintain a rigid hygiene routine
Your feet and body will thank you if you keep the infected area clean and dry. Wash your feet daily with soap and water and dry them well between your toes. Fungus grows best in damp places, so ensure your feet are dry before putting on socks and shoes. If you're particularly prone to sweaty feet, you can also try an anti-bacterial foot deodorant like Gehwol's Foot Deodorant spray. This can help prevent Athlete's foot, and even treat it in its very early stages.
Avoid scratching
Scratching the infected spot can cause other bacterial infections. To soothe the itch, try using antifungal creams or powders. If the infection gets worse or spreads, talk to a doctor.
Change socks regularly
Choose cotton or merino wool socks that let your feet breathe and wick away sweat. Wear fresh socks every day and change them after physical activity or when they get wet. This helps reduce moisture build-up, which can worsen the fungal infection.
Prevention Tips
Avoid walking barefoot in public
Athlete's foot, along with other fungal infections, are contagious and spread when skin comes into contact with an infected surface. Therefore, always make sure you are wearing some kind of protective footwear in public spaces - like flip flops or slippers - in locker rooms, communal showers, pool decks and gymnasiums.
Stick to a foot care routine
Clean your feet and dry them well between your toes. Also make sure you cut and clean your toenails often, as fungi can hide under the toenails. Just make sure you don't cut them too short, or you can get an ingrown toenail.
Put on the right shoes
Pick shoes that let air flow through them. Avoid (if possible) wearing the same shoes all day, every day, and ensure they're dry before putting them on. Use flip-flops or water-safe sandals in public spots like pools or gym showers to avoid touching infected surfaces.
Clean Your Shoes
Fungal spores can hang around in shoes, which will feed the infection. To combat this, spray your shoes and socks with antifungal and antibacterial products, such as hypochlorous acid, zinc oxide or zinc incoleate, and dry them out before you put them on again.
You can use Gehwol Foot & Shoe Deodorant Spray in your shoes, or dust Gehwol Foot Powder into your socks. These products contain zinc oxide and zinc ricinoleate, respectively, which are great for maintaining a healthy environment in your shoes. You can find these products at our Toronto foot clinic.
Keep personal items to yourself
Don't let others use your towels, socks, or shoes, and vice versa. Fungal infections are contagious and spread through touching or sharing personal items with people who have a fungal infection.
August 15, 2024
Whether they're discoloured, cracked, ingrown, curly, or on the verge of falling off, toenail anatomy can be fragile and our nails can do funny things. A less commonly discussed issue is a secondary toenail. Also known as an accessory toenail or petaloid toenail, a secondary toenail is a sneaky little extra nail twin that grows alongside or beneath the pinky toenail. This abnormal toenail growth can be concerning, so it’s natural to have questions.
Signs You Have a Secondary Toenail
It’s important to know the difference between an ingrown toenail and an accessory toenail.
First, ingrown toenails can grow on any toe, whereas a secondary toenail appears on the fifth, smallest toe.
Ingrown toenails are also far more common, and pierce the skin rather than growing alongside the nail.
Secondary toenails are thin in nature and often don’t cause pain, infection or swelling like ingrown toenails do (although it is possible).
Lastly, ingrown toenails form on the side of the nail unit, whereas secondary toenails grow underneath the proper nail.
What Causes a Secondary Toenail?
A secondary toenail is a rare phenomenon.
It often makes an unexpected appearance after trauma or injury to the nail bed. You may notice your nail growing differently after stubbing or hurting it. Chronic pressure from tight shoes or less-than-perfect nail trimming can also coax this extra nail into existence.
Do You Need Surgery For Secondary Toenails?
Studies show that the treatment of choice for this extra pinky toenail is an excision, especially if it’s infected. A partial or total nail avulsion from Toronto’s Feet First Clinic may be the solution you need, but you’ll have to schedule a proper foot assessment to determine the best course of action.
Treatment of accessory toenails targets the original toenail, not the second one. The second toenail should grow properly after the “main” nail is removed.
June 27, 2024
Construction workers face challenging demands on the job site, including long hours, potential safety hazards, and variable weather conditions. There are few jobs where footwear is more important than on a construction site. Proper footwear is critical for comfort, safety, and overall health.
This blog explores how to find the best shoes for construction workers. We dive into the balance between durability, safety features, and foot health, which are vital for your job.
Durability
Construction sites are full of heavy equipment and sharp objects and tools. Hazards range from sharp objects to heavy machinery. The best shoes and boots for construction workers should be durable, made from leather or synthetic blends, and be able to withstand abrasions and falling objects. Keep your toes and feet safe with toe caps or sturdy outsoles - ideally both.
Refined safety features
Safety is a top priority on the job site. When choosing footwear, opt for models that meet or exceed industry safety standards set forth by the Canadian Centre for Occupational Safety and Health.
Features like steel or composite toe caps provide essential protection against impact and compression injuries, while puncture-resistant midsoles shield your feet from sharp objects on the ground.
Additionally, slip-resistant outsoles help prevent accidents on wet or slippery surfaces, reducing the risk of slips and falls. Refer to the CCOSH's guide for symbols, or markings, on footwear to determine which is appropriate for the job.
Comfort
Long hours spent on your feet can be grueling. It's not uncommon for construction workers to be on their feet for 10+ hours per day. Shop for shoes with adequate support through the arch and heel, and invest in removable insoles or orthotic inserts for even greater support. If you're a construction worker in Toronto, our licensed chiropodists can do a biomechanical assessment to determine the best insoles for your foot condition.
Grip and footing
The type of flooring used in the workplace influences comfort, especially on feet. Unforgiving surfaces like concrete are the least comfortable to work on—your feet and legs absorb all the impact compared to a softer surface. Further, slippery floors (whether smooth or wet) are hazardous for slips and falls. If not careful, you can be exposed to injuries like sprained ankles or broken foot bones.
Fit
Durability and safety features are effective only when your shoes fit the contours and mould of your foot. When trying construction footwear, test out the fit with the same socks and attire you'd be wearing on the job site. If you decide to purchase online, we recommend using the manufacturer's sizing guide for directions, or finding a local retailer to try the shoes on in-store.
June 20, 2024
At first glance, our toenails look like a single nail, and that's about it. However, beneath the surface is a more complex structure that makes up the nail and the bed below it. This is our toenail anatomy.
Toenails and fingernails are made of Keratin. Keratin is a type of protein that gives the nail strength and protection. (There are many types of Keratin. It also comprises hair and your epidermis.) Toenails differ from fingernails in a few ways, namely their thickness and growth rate, as the external forces on your toenails are greater than those on your hands.
Today, we explore toenail anatomy and how each component affects foot health.
Layers of the toenail
Nail plate
The nail plate is the easiest part of the toenail anatomy to recognize. It's the nail itself. The colour and texture of the nail plate can vary based on factors like health, genetics, and lifestyle habits.
Nail bed
Next, we go a bit deeper. The nail bed is beneath the nail plate. Just like sheets and blankets are the nail plate, imagine the nail bed is the mattress or bed frame below. The nail bed is a layer of skin that nourishes the nail as it contains blood vessels and nerves. It is also the growth engine behind the nail plate.
If you damage the nail bed, you'll notice nail plate abnormalities or reduced growth rates. Sometimes, a damaged nail bed will cause you to lose a toenail or experience a discoloured toenail. A subungual hematoma occurs within the nail bed and can cause a black toenail.
Lunula
The lunula, or "half-moon," is the pale, crescent-shaped area visible at the base of the nail. It represents the edge of the nail matrix, where new nail cells are generated. Eventually, nail growth from the lunula extends out to the outer edges of the nail, at which point you'd trim them.
Nail matrix
The nail matrix is the tissue beneath the cuticle at the base of the nail. It produces new nail cells, pushing older cells forward and resulting in nail growth. Damage to the nail matrix can affect the quality and growth rate of the toenail. Each nail matrix produces 196 layers of cells that combine to make your toenails.
June 6, 2024
Our feet and toes change in various ways as we age. One of these changes is toenail thickening.
For some of us, toenail thickening can be more than just a minor inconvenience. It can make it difficult to cut and maintain our toenails, and can even cause pain and discomfort. In this article, we'll explain the causes of thickened toenails, and some possible treatments.
Why Do Toenails Thicken with Age?
Nails are made from a protein called keratin, which is produced at the nail plate at the base of the nail. Nail growth happens when nail cells multiply within the base of the nail and are pushed forward. However, as we age, the growth rate slows down, so the nail cells just pile up on top of each other, which causes them to get increasingly thicker.
Toenail thickening is often a result of several factors:
Reduced blood circulation
The most common cause of toenail thickening is decreased blood circulation to our feet. This diminished circulation means fewer nutrients and oxygen reach the toenails, causing them to thicken over time. Age is one of the risk factor for reduced blood circulation to the feet.
Natural wear and tear
Years of use can damage our toenails. Factors such as ill-fitting shoes, repetitive stress from activities like running or walking, and even minor trauma can contribute to thickening. Essentially, when our toenails experience trauma, they thicken to protect themselves. As we age, wear and tear on our toenails can accumulate, which can cause them to thicken.
Fungal infections
Older individuals are more prone to fungal infections of the toenails, which can cause thickening, discoloration, and brittleness. These infections often thrive in warm, moist environments like sweaty shoes or communal areas.
Underlying health conditions
Medical conditions like psoriasis, diabetes, and peripheral arterial disease can also influence toenail health. These conditions affect circulation, which in turn slows toenail growth and causes toenails to thicken.
Tips for toenail care as you age
As you age, proactive steps can be taken to maintain healthy toenails and minimize thickening. By following these tips, you can feel more in control of your foot health and well-being.
Regular trimming
Toenail thickening can make trimming and maintaining your toenails extremely difficult. Fortunately, a licensed chiropodist is trained to specifically deal with this. A licensed chiropodist can ensure your toenails are trimmed properly to prevent ingrown toenails, promote healthy toenail growth and reduce thickening. A licensed chiropodist can also use special tools over the toenail to thin it out, which will make the toenail easier to cut and maintain. Best of all, this is all done in a sterilized environment, so you don't need to worry about fungal infections (did you know 52% of people get fungal infections after visiting nail salons?) If you decide to trim your toenails at home, make sure you invest in quality toenail clippers and avoid cutting them too short.
Proper foot hygiene
Wash your feet daily with soap and water, ensuring they dry thoroughly, especially between the toes. Also, wear flip flops in public spaces to avoid contracting fungal infections.
Comfortable footwear
Choose shoes that fit well and provide adequate support. Avoid narrow or tight shoes that can put pressure the toenails and contribute to thickening.
Moisturize regularly
Apply moisturizer to your feet to keep the skin and nails hydrated. This can prevent cracking and thickening of the toenails, especially in dry climates.
Foot protection
Wear protective footwear in risky environments like communal areas or outdoors. This can help prevent injury and reduce the risk of fungal infections.
Manage underlying conditions
If you have underlying health issues like diabetes, it's important to remember that they can be effectively managed. By working closely with your healthcare provider, you can improve foot circulation and reduce the risk of complications like toenail thickening.
May 13, 2024
Summer foot care and pedicures - can you name a more iconic duo? Showing off a sleek pedi is one of the best ways to enjoy the warm months. But safe pedicures differ greatly from your run-of-the-mill cosmetic pedicure, so it’s important to be on the lookout for the safest way of avoiding pedicure infections. We’ve got 3 pedicure safety tips you should follow before you hit the salon!
Top 3 Pedicure Safety Tips
Choose clean salons or foot clinics
Avoid certain tools
Practice aftercare
Choose Clean Salons or Foot Clinics
Only visit nail salons that demonstrate good practices. Be on the lookout for:
An organized workspace.
Equipment sanitization protocols. An autoclave with steam sterilization is best.
Employees visibly maintaining hygienic standards.
Employees using disposable liners in the foot baths, and cleaning and filtering them between uses.
Fresh linens (if applicable).
Clean floors and surfaces.
Clean uniforms on employees.
Clear labels on products.
Clients wearing protective footwear when walking around.
Another good tip is visiting your nail salon when they first open in the morning, when everything is cleanest!
Pedicures at Feet First Clinic
Foot clinics are where you can get a medical pedicure, which tends to be safer than a cosmetic pedicure.
Appointments don’t happen in communal areas, unlike salons, so you’re already in a safer environment with less people spreading contagious fungal infections. And although you’ll be skipping the polish (you can always apply it yourself afterwards!) and foot bath (again, you can do this at home - foot baths at nail salons are not hygienic, especially if the bath has jets), you’ll be enjoying so much more than you can get from many salons. This includes:
Guaranteed use of sterilized, safe tools.
A thorough cleaning of the entire foot with alcohol.
An inspection of your feet from a chiropodist who can recognize foot conditions.
Thorough cleaning of dead skin(onychophosis) under the nails.
Callus softening or removal.
Learn more about what happens during a medical pedicure and the differences between a cosmetic vs. a medical pedicure.
Avoid Certain Tools
Nail technicians in salons use many tools, but you should kindly request they skip some of them. One of these is the foot rasp or “grater” they use to scrape the bottom of the feet. It can be overly abrasive and damage the skin, leading to irritation and cuts. Strong skin is a barrier for contaminants, and damaged skin welcomes dirt and infections.
To protect your feet even more, you can skip tools that don’t appear to be properly sanitized or cleaned between uses, or avoid tools with visible signs of wear and tear.
Practice Aftercare
After getting your pedicure, it’s up to you to keep on top of proper foot care! Here’s what to do:
Avoid tight shoes that crowd the toes. This can cause ingrown toenails.
Wash your feet every day with gentle soap before thoroughly drying.
If you must cut your own toenails, only trim straight across, avoiding shaping.
Moisturize and exfoliate your feet.
Wear clean cotton socks and change them frequently.
