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November 28, 2024
Whether caused by an injury, circulation problems, or a chronic condition, foot and ankle swelling shouldn't be ignored. In this blog, we'll explore potential causes of swelling, when it might be a sign of something more serious, and how seeing a foot specialist at a Toronto foot clinic can help you get back on your feet.
What is Foot Swelling?
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The medical term for foot and ankle swelling is called edema. This term can also be used for swelling in other body parts. It is an accumulation of fluid leaking from small blood vessels into the tissues of the foot and ankle. This causes the area to appear puffy or enlarged.
Swelling in the feet often occurs because of circulation issues, injuries, infections, or underlying health conditions. The lower extremities are especially vulnerable to swelling because gravity naturally pulls fluids downwards.
The body’s circulatory and lymphatic systems typically manage this fluid, but when they’re not functioning optimally, fluid retention can occur. Your body’s inflamatory response to foot and ankle injuries, hormonal changes (pregnancy, etc.) and increased blood volume can also lead to swelling.
Edema in the feet can range from a mild inconvenience to extremely distressing and debilitating. It can affect your gait pattern (the way you walk), make buying shoes that fit almost impossible, and coincide with other uncomfortable symptoms. You shouldn’t ignore foot and ankle swelling, even if you think you know the cause. This is because:
It can get progressively worse
It can signal a health condition you weren’t aware you had
It can be a sign that a foot injury is more serious than you thought
It can lead to other complications
It may require prompt treatment
Causes of Swollen Feet and Ankles
There are numerous causes of swollen feet and ankles. Some are mild and going away over time, while others are more severe and debilitating and may require consistent assessments and check-ups with either a physician or a foot specialist, like a chiropodist or podiatrist. If you notice swelling within your feet that is new then discuss with with you physician. Common causes of foot and ankle swelling include:
Injury. Sprains, fractures, and strains can cause localized swelling due to inflammation in the injured tissues. To protect yourself, check out the best ways to prevent foot injuries.
Infections. Conditions like cellulitis, a bacterial skin infection, can lead to swelling, redness, and warmth in the affected area.
Venous insufficiency. This is a term for damaged vein valves and in some circumstances be caused by deep vein thrombosis (DVT) or malformation in the leg veins. General venous insufficiency is common especially as we age. Poor blood flow from the legs back to the heart causes fluid buildup, leading to swelling in the lower legs and feet.
Lymphedema. Blocked or damaged lymphatic vessels prevent fluid drainage, causing chronic swelling, often in one leg or foot.
Heart, kidney, or liver disease. These conditions can disrupt fluid balance in the body, leading to retention in the feet and ankles.
Pregnancy: Increased blood volume and pressure from the growing uterus can cause fluid accumulation, especially in the lower extremities.
Prolonged standing or sitting. Sitting in one position OR standing for extended periods can cause fluid to pool in the legs and feet due to gravity. Office workers, restaurant servers, cooks, flight attendants, and more can experience mild swelling simply due to their occupation.
Gout. Gout is a type of arthritis caused by high levels of uric acid in the blood, leading to the formation of urate crystals in joints. The result is intense burning pain, redness, and swelling, particularly in the big toe. Improving your diet may be able to help with flair ups.
Diabetes: The top of the feet and ankles can swell due to nerve damage caused by diabetic neuropathy.
Diet. High sodium diets can cause excessive swelling in the legs.
Signs Your Swollen Feet and Ankles May be Serious
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Below are some coinciding symptoms that may be tell-tale sign of a health condition. As always, if anything is new, then to see your physician rather than to leave it:
Burning sensation. Persistent burning in the feet along with swelling could indicate nerve damage.
Redness and warmth. Swelling accompanied by redness, warmth, and tenderness may signal an infection, such as cellulitis, that needs attention.
Sudden onset of swelling. Rapid or sudden swelling in one leg could indicate a blood clot or deep vein thrombosis (DVT)s. This condition requires urgent care.
Pain: Severe pain along with swelling, especially after an injury, may point to a fracture or ligament damage.
Swelling in one foot only: Sometimes localized issues can indicate a more severe and specific problem.
Shortness of breath or chest pain. These symptoms can indicate heart or lung issues, like congestive heart failure, and requires immediate medical help.
Skin Changes: Discolored, tight, or shiny skin over swollen areas may suggest lymphatic or circulatory issues needing evaluation. Red toes or dark blue skin can signify peripheral artery disease, coronary heart disease, high blood pressure and more.
Persistent or worsening swelling. Swelling that doesn’t improve or worsens over time could be a sign of an underlying health condition that needs treatment.
When to See a Podiatrist or Chiropodist: Treatment
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You should always see a physician or foot specialist if you’re experiencing discomfort in any capacity. Remember: foot issues are not “normal.”
Because foot and ankle swelling is usually caused by an underlying medical condition, you should first see your family doctor. They can refer you to the appropriate specialists and run the necessary testing to determine what is causing the swelling. Your treatment options may target edema directly, or they may target the underlying health condition.
Once you determine the underlying cause of the foot swelling, a foot specialist or foot clinic can provide solutions to manage and accommodate the condition, so you can live your life as comfortably as possible. Below are some services a foot clinic can offer to help foot and ankle swelling:
Compression Socks
Compression stockings are a great option for venous insufficiency, pregnancy, fatigue-related swelling, and sometimes even underlying health conditions like lymphadema. They reduce swelling by promoting blood flow and limiting fluid buildup in the lower extremities. A common myth is that they are clunky, noticeable medical devices that clash with your clothing, but they are actually quite fashionable and sleek. Most people will not even realize you are wearing them.
You can get standard knee-high socks or even pantyhose, depending on how your activities and how you want to dress them up. You can get a prescription from a physician, and then stop by our Toronto foot clinic, where our certified fitters can measure you and help you select the best stockings for you.
As compression stockings can be contraindicated for some conditions (like diabetes and periphery artery disease), it's strongly recommended that you first visit discuss compression stockings with your family doctor if you have any underlying health concerns.
Orthopedic Footwear
Orthopedic shoes can accommodate swelling by offering several key features designed to provide comfort and support:
Adjustable straps and laces. Many orthopedic shoes come with adjustable fastenings that allow for a customizable fit, accommodating changes in foot size due to swelling.
Wide toe boxes. These shoes often have a wider, more spacious toe area, which helps to prevent pressure on swollen feet and allows room for expansion.
Elastic materials. Some orthopedic shoes are made with elastic or stretchable fabrics, allowing them to gently conform to the shape of the foot and adjust to fluctuations in swelling throughout the day.
Extra depth. Orthopedic shoes often have a deeper design, providing more room for foot swelling and preventing tightness that could worsen discomfort.
By combining these features, orthopedic shoes can help manage swelling while providing the support needed for optimal foot health.
Diabetic Foot Care
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If your edema is caused by diabetic neuropathy or periphery artery disease, diabetic foot care at a foot clinic should be a part of your monthly routine. At a diabetic foot care appointment, your chiropodist will monitor your foot health. They'll examine your feet to check for sensation, circulation, and check for any potential causes for concerns - like disease progression and worsening circulation issues. Routine diabetic foot care also involves wound and nail care, diabetic foot education, and more. While these practices don’t directly target swelling, they are all interconnected and help reduce the risk of complications that can worsen swelling.
Biomechanical Assessment
If your swelling coincides with an injury and other chronic foot pain, a biomechanical assessment and gait analysis with a chiropodist can help. A chiropodist can then diagnose any underlying muscular or biomechanical issues that are causing or contributing to the foot pain, and make treatment recommendations like custom orthotics.
Additional Swollen Foot and Ankle Treatments
RICE Method
The RICE method is an acronym for a popular at-home treatment routine for acute foot injuries: rest (avoiding activities that strain the foot), ice (applying cold packs to reduce swelling and pain), compression (using bandages, tape, compression socks, and more to limit swelling), and elevation (raising the foot above heart level to help drain excess fluid). If you're
Treatments That Target Underlying Health Conditions
When foot swelling is linked to serious underlying health conditions, treatments aim to address the root cause and prevent further complications.
For example, conditions like heart failure, managing the condition with medications can help reduce fluid retention and ease swelling. In cases of kidney disease, doctors may adjust medications and recommend dietary changes to help the kidneys function more effectively, reducing the build-up of excess fluid in the body.
In some lymphatic conditions, such as lymphedema, may be treated with specialized therapy, including manual lymph drainage to help encourage the movement of fluid away from the swollen areas. Compression therapy is also helpful for lymph conditions.
Each treatment is tailored to the specific health condition causing the swelling, and addressing the underlying issue can significantly reduce or even prevent the recurrence of swelling. Regular monitoring and early intervention are key to managing these conditions effectively.
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July 1, 2024
Gout is one of the most painful foot conditions and types of arthritis. It also has a deep connection to the foods and drinks you consume on a regular basis. The benefits of good nutrition are two-fold: they can help with gout prevention and manage your flare-ups. Let’s look at the science behind a gout diet, what to avoid, and what delicious and nutritious foods you can add to your daily menu.
Gout and Dietary Health: What to Avoid
Gout management and prevention through diet mainly involves avoiding purine.
This is a chemical compound found in food and drink. It leads to high uric acid levels (hyperuricemia) that then form the crystals around the joints that trigger inflammation and ultimately result in the onset of a gout attack.
Arthritis-Health tells us there is no way to fully avoid purine since it is found in the cells of virtually everything we consume. But you can maintain a low-purine diet by avoiding foods and drinks with high levels.
One of the main culprits is alcohol. Not only does it contain a lot of purine, but it can prevent your body from metabolizing and eliminating uric acid. Beer has the most purine compared to spirits and wine. However, fortified wine, stouts and ports are also high in purine.
Other drinks to sip sparingly include high-sugar juices and sodas — there is a lot of purine in high-fructose corn syrup!
When it comes to food, seafood like sardines, anchovies and shellfish are full of purine, as are red meats, organ meats and processed meats like hot dogs, salami, etc. Of course, everything in moderation is key, but these proteins should be avoided when you have other alternatives.
The Best Gout-Friendly Foods
The word "diet" can be frustrating because it represents restriction. But sometimes for our health, we have to do what's best for us. This is the case for a gout diet.
Remember, the lifestyle changes you make to control this condition don’t mean that you can’t enjoy delicious foods. Here is a list of just some of the nutrient-dense and low purine foods you can have:
Eggs
Nuts and legumes
Fresh fruit with natural sugars. Be careful of preserves, packaged, or canned fruits as they often sneak in high-fructose corn syrup.
Tomatoes
Poultry
Salmon
Leafy greens
Popcorn
Whole grains
Low-sugar desserts
When planning your new menu, you may be surprised to see a lot of healthy foods, like mushrooms, asparagus and cauliflower, have moderate purine levels. It’s okay to eat them on occasion.
Another simple thing you can add to your diet to prevent gout flare-ups is to drink enough water! The Arthritis organization recommends a daily intake of 8 cups of water and to increase your intake to 16 glasses if you are experiencing a flare up.
Click here to learn what foods are great for general foot health; just be sure to double check purine levels.
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.
February 6, 2023
Age is just a number, but age starts to catch up with us at a certain point. As much as we want aging to slow, getting older comes with its fair share of aches and pains.
Few people age the same; it is a complex process. Environment, genetics, exercise, and many other factors mould who we become as we enter our elderly years. This also applies our feet. As we age, our feet become more susceptible to various conditions such as arthritis, plantar fasciitis, bunions, foot injuries and chronic pain.
Our latest blog is all about common foot conditions in the elderly and how to treat them.
What happens to our feet as we age?
Did you know that when you turn 70, you'll be 25,550 days old? That helps put the body's remarkable ability to withstand constant wear and tear into perspective.
Beyond just a number, there are also physiological changes that occur as we age. Your feet may get bigger. Your feet may widen. Muscles, tendons, and ligaments also wear down, putting you at greater risk of certain foot conditions.
You may notice you experience foot pain and other problems more often. Any number of the following may happen:
Weakness
Frailty
Exhaustion
Gait alteration
Balance difficulties
Increased swaying while walking
Decreased walking
Walking speed
As we age, it's essential to check how you feel regularly. A bonus would be to have your feet checked regularly. Our team of expert foot specialists can help you manage acute and chronic conditions that affect the toes, feet, and ankles.
Most common foot conditions in the elderly
Foot conditions amongst the elderly may include bone injuries, toenail damage, foot deformities, and muscle and tendon damage. It's important to note that most of these conditions are not specific to the elderly, but age contributes to increased risk.
Below we break down the following common foot conditions in the elderly and how to treat them:
Bunions
Osteoarthritis
Fat Pad Atrophy
Thickened or Discoloured Toenails
Gout
Plantar Fasciitis
Stress Fractures
1. Bunions
What are bunions?
A bunion is a deformity of the first metatarsophalangeal joint ("MTP" joint for short). The first MTP is the joint of the big toe. (Essentially, the big toe's "knuckle.) Damage to this joint can cause bone misalignment over time. Eventually, the bone shifts and protrudes at the base of the big toe. Bunions affect approximately one quarter to one third of adults, and women experience the foot condition more often than men.
As we age, bunions worsen. Although there is no "cure" for a progressive foot deformity, you can lessen the effects and pain associated with bunions through several habitual changes.
How can I treat bunions?
You can choose either invasive treatment or non-invasive bunion treatment. In most cases, you can manage bunions with non-invasive treatments, though surgery is the only way to remove the bump altogether.
Footwear modification: Avoid tight shoes that squeeze the toes and ditch your high heels. You may also find that orthopedic shoes that stretch or come in wide widths effectively accommodate your bunion in your footwear. Shoe stretching is also an effective method for changing the structure of your current footwear.
Anti-inflammatories: Specific medication like NSAIDs or ibuprofen reduces joint inflammation and relieves pain.
Splints/aligners: Medical-grade bunion splints and bunion aligners help stabilize the joint. You can choose from medical-grade plastics or a toe sleeve based on your preferred rigidity.
Taping: A specialist tapes the joint to keep the big toe in place, prevent further misalignment, and manage pain and inflammation.
Supportive insoles or custom orthotics: Supporting your arches and correcting poor biomechanics can reduce pressure and strain on the first MTP joint.
Bunion exercises: Basic exercises to strengthen foot muscles can better support and stabilize the joint, thus decreasing pain over time.
The treatments you see above are all available at Feet First Clinic.
2. Osteoarthritis
What is osteoarthritis?
Osteoarthritis is not only the most common variant of arthritis; it is also one of the most common foot conditions in the elderly. Osteoarthritis is the "wear-and-tear" arthritis that causes degeneration of the cartilage in our joints. Reduced cartilage in our joints causes pain and can lead to other foot conditions like bone spurs. Your toes are most susceptible to osteoarthritis.
Age plays a significant role in developing osteoarthritis. Wear and tear of our joints accumulate over time. Also, post-menopausal women risk developing osteoarthritis through osteoporosis (low bone density).
How can I treat osteoarthritis?
Osteoarthritis is a degenerative condition, meaning what's done cannot reverse. The cartilage in your joints doesn't re-grow, so treatment aims to slow the effects of osteoarthritis and reduce pain. Effective treatment includes a combination of the following:
Active rehabilitation: Physiotherapy, massage, and exercise all help reduce the effects of osteoarthritis by promoting solid muscles. Stronger and more balanced muscles and feet reduce the strain on affected areas where you may have osteoarthritis.
Medication: Anti-inflammatories can help control inflammation.
Proper footwear: Specialized shoes can accommodate deformities of osteoarthritis (like bunions or hallux rigidus). The right shoes or boots can support your feet, provide balance, and offer cushion.
Custom orthotics: Orthotics can be customized to add or reduce your reliance on certain parts of your feet. Controlling the impact on affected joints can help prevent further joint damage by distributing the impact and weight elsewhere.
Limit awkward movements: If you find your joints are sore after a particular activity, consider reducing, modifying, or stopping the activity. For instance, if lunges hurt your foot, consider finding a replacement exercise.
Surgery: If the joint is damaged extensively, a doctor may recommend surgery. Surgery and removing part of a bony outgrowth can be effective if the sheer volume of bone buildup is the culprit.
If you experience osteoarthritis and are looking for orthotics, a gait analysis, or proper footwear, visit Feet First Clinic for solutions.
3. Fat pad atrophy
What is fat pad atrophy?
The heel fat pad is a cushion to absorb shock and distribute plantar force on impact. As we age, the heel fat pad gets atrophies and gets thinner. This can put you at a greater risk of heel injuries and other foot conditions. The increased pressure on the heel can cause you to overcompensate with other parts of your body, and weight distribution becomes unevenly distributed.
How can I treat fat pad atrophy?
You should reduce the pressure on your heel if you suffer from fat pad atrophy. Custom orthotics are effective as the personalized insoles provide padding and support and help distribute weight across the complex network of foot muscles. Be sure to also wear shoes with lots of padding and cushioning, like the ASICS Gel-Nimbus.
4. Thickened or Discoloured Toenails
What are thick or discoloured toenails?
Thick toenails and discoloured toenails are a byproduct of aging and are one of the most common foot conditions in the elderly.
As we get older, toenail growth declines. As such, nail cells begin to accumulate at a faster rate than nail growth. The accumulation of onychocytes (nail cells) causes thickened toenails. Alternatively, reduced circulation or acute trauma can cause thickened toenails.
Discoloured toenails, on the other hand, indicate damage to the nail or nail bed. Acute trauma to the nail causes discolouration, but so does reduced circulation. At an older age, we're at a greater risk of diabetes and peripheral vascular disease. Both diabetes and peripheral vascular disease cause reduced circulation in our feet and discoloured toenails.
How can I treat thick or discoloured toenails?
Toenail treatment for thickening and discolouration varies. To properly diagnose your feet and nails, book an appointment with a specialist at Feet First Clinic. Our nail care services involve proper trimming and filing of the toenails, addressing any pain or discomfort, and educating patients on proper hygiene and care.
For more information, visit our nail care and treatment page.
5. Gout
What is gout?
Gout is a form of inflammatory arthritis targeting the foot's joints. You may experience intermittent bouts of severe pain, including inflammation and hypersensitivity. During these episodes, any kind of activity becomes challenging, leaving you less mobile.
The prevalence of gout increases in older people. Elderly people are susceptible to gout for a few reasons: Renal function declines with age, there can be dietary changes, you may experience sudden weight gain, and certain medications for age-related conditions have indirect side effects that may lead to gout (i.e.: water pills, blood pressure medication).
How can I treat gout?
Before any treatment, the first step is to see a family doctor and a rheumatologist. Once diagnosed, you may be prescribed the following treatments, all of which aim to prevent future attacks, reduce pain, and improve quality of life:
Change your diet: Ditch food containing excessive purines. Avoid foods like red meat, certain types of seafood like sardines and mussels, alcohol, high fructose beverages, and yeast. Diet also impacts your weight. Maintaining a healthy and consistent diet can help reduce sudden weight gain and keep inflammation at bay.
NSAIDs: Non-steroidal anti-inflammatory drugs reduce joint inflammation. Alternatively, corticosteroids are an option if one doesn't react to NSAIDs.
Stay or become active: Light-strengthening exercises, relaxing physical activity, and physiotherapy can improve quality of life and mobility in people with gout. Keeping your muscles strong also makes them less susceptible to inflammation build-up, which can trigger gout attacks.
Supportive footwear: Proper footwear can help you deal with any pain associated with gout as it reduces the impact on the joints.
6. Plantar fasciitis
What is plantar fasciitis?
Plantar fasciitis is a condition of the heel. The band of tissue on the underside of the foot gets inflamed and causes pain. Often, plantar fasciitis develops gradually over time. Changes in our body as we age can make this condition more common in the elderly.
How can I treat plantar fasciitis?
With proper care and treatment, most cases of plantar fasciitis heal with time. A foot specialist can guide you through the healing process and provide options for preventing it from recurring in the future.
There are several treatment methods available for plantar fasciitis.
Rest: Take a break, and let your heel recover by staying off your feet.
Supportive footwear: Wearing supportive footwear with strong arch support and a good heel counter is essential for managing and even preventing plantar fasciitis. Stability shoes are particularly helpful. Check out this article for our top recommended shoes for plantar fasciitis.
Rolling: Gently massage your heel using a tennis ball or frozen water bottle under the foot. Rolling helps massage and relieve the plantar fascia and encourages faster recovery.
Add stretching and strengthening exercises to your routine.
Shockwave therapy: Shockwave therapy delivers sound wave pulses to the injured fascia. This triggers your body's the healing process, making for a natural recovery. Shockwave therapy is extremely effective for cases of plantar fasciitis persisting more than 6 months.
Taping: Taping the heel engages other muscles and tendons of the foot, reducing the load on the plantar fascia.
Wear a splint: A splint helps keep your foot stable while you sleep.
Supportive Insoles or Custom Orthotics: A good supportive insole, like Superfeet Green, is tried, tested and true for helping with plantar fasciitis. If that doesn't work, or if there are biomechanical factors contributing to your plantar fasciitis, you can look into custom orthotics.
7. Stress fractures
What are stress fractures?
Stress fractures are micro-breaks of bones are another common foot condition in the elderly. When we age, bone growth slows, losing more bone than we generate. Our bone density also reduces. If your bone density drops too much, you develop osteoporosis. Weaker bones put the elderly at greater risk of stress fractures, whether acute, like when you fall or by too much repetition, like walking.
How can I treat a stress fracture?
The RICE method is critical to treating a stress fracture. Rest, ice, compression, and elevation. Untreated stress fractures can lead to bone shift, permanently altering the foot's biomechanics.
December 19, 2022
Christmas and the holidays are naturally stressful as we hunt for the perfect gifts. But it's important to take a moment to reflect on what gifts are the most meaningful rather than the most expensive or luxurious. One example of a loved one we may struggle to shop for is our grandma. But finding the perfect stocking stuffers for grandma may not be as challenging as you think!
Shopping for health and wellness gifts is a great angle to take. Seniors are more prone to suffering from foot conditions than we are, and many products that help alleviate these problems are affordable and perfect for stockings.
Let's take a look at some of our top picks!
Stocking Stuffers For Grandma
Gehwol's Fusskraft Leg Vitality
Foot File
Medilogics Massage Ball
Sigvaris Compression Stockings
Dermal Therapy Heel Care
Misc Gehwol Products
Photo by Nicole Michalou from Pexels!
Gehwol's Fusskraft Leg Vitality
Price: $27
The perfect gift for grandma can be something that helps her with mobility. Joint problems and muscle weakness are quite common in elderly people and can lead to instability, difficulty standing up after sitting, and even falls. So why not enhance her Christmas stocking this year with a multi-beneficial leg product?
Now, this trusty balm won't eliminate mobility problems --- it takes a lot of attentive care, exercises, and visits with healthcare professionals to improve mobility. However, gently massaging Gehwol's Leg Vitality does produce a soothing effect for tired, achy muscles.
The ingredients are scientifically proven to positively affect the circulation and vascular system. Gehwol's Leg Vitality also prevents skin irritation, tightens the skin, and prevents dry, scaly dead skin. These benefits can be extremely valuable for people who have difficulty moving since discomfort can lead to skin care neglect.
Foot File
Price: $8 (2 for $14)
One of the best gift ideas for grandma is a foot file. This pedicure tool scrapes the dead skin off the bottom of the feet. As a result, happy foot filers enjoy fewer calluses and cracked heels and a lower chance of developing a fungal infection.
But a lesser-known benefit of using a foot file is the boost in blood circulation, which can help relax your feet and prep them for a day of walking.
Now, you may be wondering why this is a good Christmas gift for grandma versus someone else. To answer that, studies show that seniors are more at risk of developing plantar keratosis, also known as a "painful, discrete, and focused callus" resulting from dead skin buildup. Aging also leads to the reduction of natural collagen production, which can result in even more dead skin and calluses. A good foot file can help with all of that!
At Feet First Clinic, we have quality double-sided foot files available. Use the coarse side to exfoliate, and the other side to smooth and soften the skin. They also come with a free GEHWOL foot scrub to use with the foot file.
Medilogics Massage Ball
Price: $11
This year, grandma can stimulate blood circulation and soothe her sore muscles with a therapeutic massage ball. This gift is meaningful since countless older adults suffer from bottom of the foot pain.
More specifically, elderly people are more at risk of succumbing to stress fractures, poor circulation, gout (typically in the big toe but it can target the heel), and plantar fasciitis, so comforting and strengthening all of the foot muscles is important.
The textured surface of this massage ball helps it stand apart from other therapeutic balls or the standard tennis balls some use for foot pain exercises.
Sigvaris Compression Stockings
Price Range: $60-190
Fashionable, discrete, and snug compression stockings from Sigvaris can help make daily life easier for seniors. They help preserve health in older adults by preventing fluid buildup and blood clots and improving circulation. Medium-pressure (20 to 30 mmHg) stockings are generally sufficient for seniors experiencing mild swelling and aching legs and feet.
The only issue with choosing compression stockings for Christmas gifts is that you need to arrange a fitting for your grandma, so the surprise element isn't there. However, gifts aren't all about the surprise. When a present is meaningful and used daily, it can be much more valuable than other gifts.
Dermal Therapy Heel Care
Price: $15
This heel care cream is all your grandma needs to get through the bitterly cold winters.
Cracked heels can be more common in older adults as the skin around the rim of the heel dries out and thickens. As the fat pad under the heel bears a lot of pressure throughout one's lifetime, it only makes sense for cracked heels to develop if seniors don't take proper precautions. Furthermore, seniors are more prone to dry skin due to water loss in the stratum corneum (outermost layer of the skin), causing cracking, itching, and bleeding.
But Dermal Therapy Heel Care can be a lifesaver of a Christmas gift. The ingredients (such as urea and silk amino acids) actively hydrate the skin by imitating the body's natural moisturizing system. It also works as an exfoliant, replacing the dead, old skin with new skin. Lastly, it can restore skin tone in the feet and provide a silky, smooth feel.
Miscellaneous Products From Gehwol
Price Range: Roughly $18-30
When pondering stocking stuffers, it's important to shine a light on all products from Gehwol. They continue to master the art of combining natural ingredients and medicinal properties to create multipurpose foot care products.
The following products are perfect as stocking stuffers and are all available at Feet First Clinic:
Gehwol's Foot Bath
Gehwol's Lipidro Cream
Gehwol's Med Express Foam
Gehwol's Fusskraft Soft Feet Cream
Gehwol's Fusskraft Herbal Foot Bath
Gehwol's Foot and Shoe Deodorant
Gehwol's Med Lipidro Cream
Gehwol's Med Salve for Cracked Skin
Gehwol's Extra Universal Foot Cream
GEHWOL foot care products for dry feet for Christmas stocking stuffers
October 10, 2022
Inflammation is your body's natural and beneficial reaction to fight off invaders. From illness to injury, inflammation protects our bodies from damage that would worsen without this bodily response. However, sometimes there may be too much inflammation. And too much of a good thing can have damaging effects.
When addressed and managed correctly, you can reduce pain and discomfort associated with inflammation.
In this article, we'll show you how to control inflammation. Additionally, you'll learn more about inflammation, its causes and symptoms, and finally, how to relieve and reduce pain associated with inflammation.
What is inflammation?
Inflammation is your body's reaction to an irritant. Specifically, inflammation occurs when your immune system triggers white blood cells to release chemicals into your blood or tissues to fight off invaders. As a result, blood flow to the area increases, causing redness, warmth, and enlargement.
However, in some cases, certain conditions trigger inflammation when it's not needed. When your body produces too much inflammation, you may experience discomfort, pain, and other issues.
Generally, there are two types of inflammation: acute and chronic.
Acute inflammation is a short-lived bodily reaction, usually to some injury, foreign substance, or illness.
Chronic inflammation is a long-term reaction from your body's immune system. This type of inflammation can damage your body. Conditions linked to chronic inflammation include cancer, rheumatoid arthritis, psoriatic arthritis, gouty arthritis, heart disease, diabetes, asthma, and Alzheimer's.
Next, let's get into the symptoms of inflammation.
What are the symptoms of inflammation?
Those with inflammation may experience any number of symptoms you'll find below, but not necessarily all of them.
The most common symptoms of inflammation include:
Redness (a red tinge to your skin)
Swelling (warm to the touch and slightly enlarged in some cases, like if you sprain an ankle, for example)
Sharp or dull pain, especially in the joints
Stiffness
Deterioration of your joint's motor function. For instance, a loss of range of motion or reduced weight-bearing ability.
Now that you understand the signs and symptoms of inflammation, how does one know what causes inflammation? Let's get into the causes of inflammation next.
What causes inflammation?
Many things can trigger either low-level regulatory or quick, intense inflammatory responses. The source of the inflammation directly ties back to the type of inflammatory response: acute or chronic.
Below you'll find an extensive list of instances and causes where your body may trigger a swelling and inflammatory response:
An autoimmune disorder mistakes a healthy component of your body for a foreign antigen. As a result, your body attacks healthy tissues. Such diseases include rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE).
Exposure to toxins and particular chemicals
Infections
An acute injury
Pregnancy can increases inflammation for several reasons. When pregnant, your body holds more water, and the added water may pool in your legs. The weight and pressure of your womb may also cause increased swelling in your legs, especially if you stand a lot.
Your diet has a direct connection with inflammation. Foods high in fat, fried foods, and refined carbohydrates can induce inflammation. More on that further along in the article.
Your age contributes to elevated inflammation levels. For example, Aging may cause higher levels of several inflammatory molecules. The age-associated increase in inflammatory molecules may be due to mitochondrial dysfunction, free radical accumulation over time, and other age-related factors like an increase in visceral body fat.
Obesity
Smoking cigarettes can reduce the production of anti-inflammatory molecules in your body.
Poor and a lack of sleep can cause increased inflammation. But not just a few poor nights of sleep. Being consistently sleep deprived interferes with the normal function of the brain's housecleaning system, and your body cannot clear itself of specific beta-amyloid proteins.
How can I reduce and relieve pain from inflammation?
Whether it's medication or altering your diet, the best treatment method for inflammation depends on the type of inflammatory response. For some, it may be a simple change to your lifestyle that can help relieve inflammation. For others, it may be a lifelong challenge where treatment methods aim to improve quality of life.
Exercise & Physical Activity
Exercise is a natural anti-inflammatory. The movement breaks up inflammation and stiffness. Physical activity also strengthens your muscles, which helps them better withstand your everyday activities without becoming over-exerted and getting injured. Since over-exertion can trigger an inflammatory response, strong muscles are your body's best defence and treatment against inflammation and injury. Check out our Pinterest Exercise and Stretching Board for recommended exercises to keep your inflammation at bay.
Pain relief cream
Over-the-counter topical creams can help provide pain relief associated with inflammation. These can be in the form of analgesic creams, rubs, and sprays. Diclofenac, known for its brand name Voltaren, for example, can help provide pain relief as well as provides a cooling sensation. Salicylates and topical NSAIDs may also provide relief.
Oral medications
Nonsteroidal anti-inflammatory drugs (NSAIDs like ibuprofen or naproxen)
Corticosteroids
Anti-inflammatory diet
The adage that you are what you eat has particular relevance for inflammation. Certain foods can cause inflammation, while other foods can help reduce inflammation. Foods like tomatoes, olive oil, greens, nuts, fish, and fruit all have anti-inflammatory properties to reduce inflammation. Conversely, avoid processed foods, fried foods, refined carbs, and sugary drinks, as these all have inflammation-inducing ingredients.
Cold therapy
Cold therapy, for instance icing, can be effective against pain related to swelling and inflammation for acute injuries. For sprained ankles, icing can help numb the area and encourage blood flow away from the site, which can help reduce swelling and discomfort. However, be careful when using cold therapy for chronic inflammation associated with rheumatoid arthritis, as cold can sometimes cause your muscles to stiffen.
Elevate
Elevating your legs about your heart can help reduce inflammation by promoting blood flow back towards your heart and away from your feet. Elevating your legs is as simple as resting your legs up at an upward angle against the wall for 5-10 minutes.
Compression socks
Compression is a common and effective way of controlling and limiting swelling and inflammation. Custom garments exist to specifically increase circulation and help prevent swelling. These garments are called compression socks. Compression socks can be particularly handy when standing for long periods, travelling, or if you're sedentary for prolonged lengths.
