November 16, 2023
When it comes to self-care and pampering, we often focus on treating ourselves to facials, massages, or spa days while neglecting one of our body's hardest working and overlooked parts: our feet.
Enter the world of medical pedicures, a rejuvenating and therapeutic experience that goes beyond the typical nail salon visit. In this blog post, we look at medical pedicures and uncover the many benefits they offer for the health of your feet.
Whether seeking relief from foot-related ailments or well-deserved self-care, a medical pedicure might be the secret to the happy and healthy feet you've been waiting for.
What's a medical pedicure?
A medical pedicure, also known as a medi-pedi, is a specialized foot treatment performed by a trained medical professional, typically a podiatrist or chiropodist.
Unlike a cosmetic pedicure you might receive at a spa or nail salon, a medical pedicure focuses on the medical aspects of foot care - there is no nail polish or foot soaking. It ususally involves the following:
Examination and consultation. Before the procedure, a chiropodist assesses your feet, discusses any concerns or foot-related issues you may have, and creates a treatment plan tailored to your needs.
Nail and callus care. A chiropodist trims and shapes your toenails, carefully avoiding ingrown toenails. They will also remove calluses and corns to relieve discomfort and prevent further complications.
Hygiene. A medical pedicure places a strong emphasis on hygiene. The instruments used are sterilized (or disposable) to prevent the risk of infection.
Skin and cuticle care. Your provider will moisturize and care for the skin on your feet, paying particular attention to dry or cracked areas. They will also address overgrown or problematic cuticles.
Why should I get a medical pedicure?
Only you can decide whether you need a medical pedicure, but we want to lay out the benefits to help you make an informed decision. There are several reasons why you may need one:
Treatment of Specific Foot Conditions
Medical pedicures are not just about pampering but about addressing specific foot conditions. Whether you're dealing with fungal infections, plantar warts, ingrown toenails, or thickened and discoloured nails, your healthcare specialist can offer treatments and recommendations for future care.
Proper Nail Care
While traditional pedicures focus primarily on nail aesthetics, medical pedicures focus on nail health. Sure, they will properly trim and file your toenails, but they'll also go the extra mile in preventing ingrown toenails and addressing any nail conditions like toenail fungus.
Healthy Skin
The skincare aspect of a medical pedicure involves moisturizing and nurturing the skin on your feet. Dry, cracked, or rough skin patches will be taken care of. Plus, we can provide product recommendations to help you maintain healthy, soft feet between appointments.
Education and Guidance
A significant part of a medical pedicure is education. You'll receive valuable guidance on proper foot care practices. In addition, with conditions like recurring calluses or ingrown toenails, the chiropodist can determine whether there could be any biomechanical factors at play. These insights empower you to take better care of your feet daily, reducing the likelihood of future issues.
October 5, 2023
When it comes to toenail anatomy, a lot can change the structure and growth pattern of your toenails. Case in point: curly toenails. They don't look quite right and, the truth is, there are several potential causes behind their development. Sometimes it can be an underlying health condition wreaking havoc on your nails, and other times it may be a more direct toenail condition. It's also wise to ensure curling toenails don't co-exist with/turn into ingrown toenails, which may become infected.
Let's take a look at what might be causing your curling toenails, and what you can do about it!
Causes of Curly Toenails
Image Credit: Istock
Onychomycosis
This is a fungal toenail infection in the nail unit (the nail plate, surrounding soft tissues and nail folds). It usually results in nail thickening and the formation of pincer nails (curly toenails). Diabetes patients in particular should be on the lookout for diabetes-related onychomycosis, or “ram horn,” and other severe abnormalities caused by toenail thickening and curling.
Autoimmune Illnesses and Deficiencies
Lupus, psoriasis, psoriatic arthritis and thyroid disorders can all cause thickened toenails that eventually degrade and curl. Severe iron deficiency can also cause curly toenails since iron is so critical for maintaining our nail and foot health.
Ill-Fitting Footwear
Perhaps the least serious cause of curly toenails is also the most avoidable — simply neglecting foot care and failing to buy shoes that fit well. Wearing shoes that are far too tight for years (perhaps because you’re procrastinating a proper shoe fitting) is a mistake. When you wear shoes with minimal space in the toe box, the shoe will squeeze both sides of the toe, disrupting normal nail growth and bending the nail root or matrix.
Image Credit: Studio4art From Freepik
Medications
Drug-induced nail disease is a very real concern for those taking necessary medicines. Some examples of medications that cause curly toenails and other nail growth disruptions include antibiotics, chemotherapy drugs, lithium, and Retinoids.
Genetics
Sometimes your gene pool is responsible for your curly toenails. Your mom and dad can pass down hereditary characteristics like the shape and thickness of your toenails, as well as how much skin you have surrounding the toenails. But don’t worry if you feel like you have no control over genetic traits - proper foot care can still help you manage curly toenails.
Image credit: FreePik by kroshka__nastya
Here are some of the best treatments for curly toenails:
Medical Pedicures: Chiropodists can properly clean and trim the nails to promote healthy growth.
Antifungal Medicines: These can help with onychomycosis.
OnyFix: Modern, non-invasive treatment that involves using a special paste to correct nail growth.
At-home foot care: Remember to keep your feet and nails clean, but don’t try to trim them on your own if they're severely curled or ingrown. If your toenails become severely curled or ingrown, it's best to contact a chiropodist.
Image Credit: Istock
July 17, 2023
Black toenails can be an unsightly but under-discussed topic for some individuals. The condition can stem from an injury, an underlying health issue, or ill-fitting shoes. A black toenail is likely a bruise under the nail, called a subungual hematoma.
Seeing a black toenail at first glance can be alarming and uncomfortable, especially for first-timers. Fortunately, the discolouration and potential pain associated with blackened toenails are generally not a cause for concern.
While the condition may not always be serious, understanding its possible causes, prevention methods, and treatment options is crucial for maintaining overall foot health and finding relief. Today, we'll focus on black toenails.
In this article, you'll learn more about the common causes, treatment options, and prevention tips for black toenails:
Causes of black toenails
Causes of black toenails typically fall under three categories: injury, footwear, or an underlying health issue like a fungal infection. Below we dive into the three most likely culprits in more depth.
Trauma or injury
Stubbing the toe, dropping something heavy on your foot, or repetitive pressure from running or soccer can lead to a black toenail. Repeated pressure or friction to the nail bed can damage the blood vessels under the nail, ultimately creating a black toenail. For instance, marathon runners often get black toenails after running long distances.
Ill-fitting footwear
Shoes that are too tight or do not provide adequate toe room can cause repeated pressure and friction on the toenail. Whether on the job or wearing the wrong shoes for your partaking activity, ill-fitting footwear can be the culprit for black toenails.
Fungal infection
Sometimes, a black toenail can result from a fungal infection that affects the nail bed.
Rare causes
If none of the above apply to you, you shouldn't necessarily rule out rarer causes. In this case, consult a medical professional for a proper diagnosis.
Rare causes of black toenails include:
Malignant melanoma
Chronic ingrown nail
Other health problems
Treatment for a black toenail
Generally, black toenails aren't severe and are more of a sight for sore eyes. If you have a black toenail, you can do the following:
Observation and self-care: If the black toenail is painless and there are no signs of infection, you can let the nail heal independently. It will typically take several weeks for the discoloured nail to grow naturally. The discolouration could take 6-8 months to disappear as the nail grows and you trim away the culprit.
Rest and elevation: Resting and elevating the foot above heart level can help reduce swelling and promote healing.
Ice: Applying ice packs wrapped in a cloth to the affected area can help reduce pain, inflammation, and swelling.
Pain relief: Over-the-counter pain medications, such as acetaminophen or ibuprofen, can alleviate pain if necessary.
Protective padding: You can use cushioned bandages or moleskin padding to protect the affected toe to prevent further irritation.
Professional treatment: Sometimes, a foot specialist may need to drain the blood from under the nail to relieve pressure and facilitate healing.
Paint your nails: If aesthetics are a primary concern, you can cover the nail with nail polish to hide the visible signs of a black toenail. Just first make sure you don't have any exposed skin or abrasions, as this can then lead to infection.
Prevention tips for black toenails
Prevention for black toenails hones in on proper nail care and hygiene and investing in the proper footwear:
Invest in your footwear: Ensure that your shoes fit well and provide enough room for your toes to move freely. Avoid tight or narrow shoes that can cause pressure on the toenails. Investing in the proper footwear also means having specific footwear for each purpose - for instance, at work, casually, or while playing a sport.
Protect your feet: If you engage in activities that pose a higher risk of a toe injury, such as sports or heavy lifting, consider wearing protective footwear or toe guards.
Trim your toenails: Trim your toenails straight and avoid cutting them too short to prevent trauma or ingrown nails. For more tips on how to cut your toenails, read our nail trimming guide. Further, use toenail clippers for your toenails, not fingernail clippers.
Maintain good foot hygiene and habits: Keep your feet clean and dry to minimize the risk of fungal infections affecting the nails.
Regular inspections: Regularly examine your feet and nails for any signs of damage or discolouration. Promptly address any issues to prevent further complications.
If the black toenail is accompanied by severe pain, signs of infection (such as redness, swelling, or discharge), or if it doesn't improve within a few weeks, it's advisable to consult a healthcare professional. They can assess the condition, provide appropriate treatment, and ensure no underlying issues require further attention.
June 19, 2023
Toenails serve a critical role in the health of our feet. They are are sensory organs that act like a shield, providing a critical layer of protection. The various parts of the toenail comprise toenail anatomy. These parts work together to protect the underlying tissues of the toe and aid in walking and other activities.
Toenails may look like a singular unit, they're actually pretty complex. In this blog post, we'll dive into the structure and functions of the different parts of our toenail anatomy, providing a deeper understanding of this often-overlooked aspect of foot health.
Nail plate
The nail plate is the hard part of the nail and is comprised of a tough protective protein called alpha-keratin. Keratin adds strength and durability to the nail. The nail plate grows out from the nail matrix. It is translucent, and its colour can vary from white to yellowish-brown, depending on the thickness and the presence of underlying tissues. The end of the nail plate is part of the nail you trim away when clipping your toenails.
Nail bed
The nail bed is the skin under the nail. It nourishes and supports the nail. The nail bed is composed of blood vessels, nerves, and cells called melanocytes, all of which combine to produce the pigment that gives the nail its colour. When the nail bed is damaged, you may notice your toenail appears to change colour. For instance, your nail bed may produce a purple/darkish colour known as a black toenail, which occurs when the nail bed is damaged and pools blood.
Nail matrix
Did you know it takes roughly 18 months for a toenail to grow its entire length? This is thanks to the nail matrix, which helps dictate toenail growth. The nail matrix is the part of the nail bed that produces new nail cells. It is at the base of the nail plate, just beneath the cuticle. The nail matrix contains specialized cells called keratinocytes, which produce the protein that forms the nail plate.
Lunula
The lunula is the crescent-shaped white area at the base of the nail plate. It's the actively-growing component of the nail. The lunula is sometimes called the "half-moon" of the nail due to its curvature and half-ringed shape.
Cuticle
The cuticle is the thin skin layer covering the nail plate's base. It protects new nails from bacteria when they grow from the root, and also helps to keep the nail plate hydrated.
Nail folds
The nail folds are the skin folds surrounding the sides and base of the nail plate. They help to anchor the nail plate in place and provide support and protection to the surrounding tissues. Nail folds direct the nail growth in the correct direction and shape. When the nail folds are damaged, you may experience horizontal grooves across the nail, known as Beau's lines.
Nail groove
The nail groove separates the nail plate and the nail fold. It helps to direct water and debris away from the nail bed.
May 29, 2023
Ingrown toenails are the most common nail problem. And with toenails being put under pressure when running, combining the two can be challenging, but not totally out of the question.
Although running with ingrown toenails can be uncomfortable and increase the risk of infection, it is doable. There are steps you can take to manage the discomfort and reduce the risk of complications.
This article discusses tips on managing the pain associated with running with an ingrown toenail and ways to prevent infection. Don't let an ingrown toenail stop you from your running routine; read on to learn more!
Can I run with an ingrown toenail?
Yes. If the ingrown toenail is mild, and you take the proper precautions, you can safely run. The key is to manage discomfort and do your best to reduce the risk of complications or infection. However, there is a difference between whether you can run versus should run, and you should weigh the pros and cons outlined below.
First, it's important to note that running with an ingrown toenail can worsen the condition and increase the risk of complications. If the pain is severe or you experience signs of infection, like redness, swelling, or discharge, seek medical attention immediately.
If the ingrown toenails worsen, see a chiropodist or other healthcare professional. They may recommend antibiotics, specialized treatment or surgery to remove part of the affected nail.
How to manage discomfort when running with an ingrown toenail
To enjoy running with ingrown toenails, you must take steps to control the discomfort, reduce the risk of complications and keep the pain at bay. Here are some tips:
Monitor pain and symptoms: There's no denying that physical activity can aggravate ingrown toenails. Sports with ground forces due to athletic activity, obesity or constricting footwear aid overlapping lateral nail fold penetration.
Trim the toenail properly: If the ingrown toenail is mild, you can trim it yourself. Use a clean pair of nail clippers and cut the nail straight across without rounding the edges. Cutting straight across prevents the nail from growing into the adjacent skin. If your ingrown toenail is more persistent, inflamed or painful, you should see a chiropodist for treatment to prevent any risks and complications.
Trim the toenail using toenail clippers: Avoid using fingernail clippers for your toenails. The strength and thickness of our toenails demand a more rigid tool to trim effectively.
Wear proper shoes: Wear shoes that fit correctly and provide enough room for your toes to move freely. Tight or narrow shoes can crowd the toes and increase the risk of ingrown toenails.
Take pain medication: Pain relievers can help to manage the discomfort associated with ingrown toenails.
See a chiropodist for professional treatment: If your ingrown toenail is painful, inflamed, or has persisted for a long time, you should book an appointment with a chiropodist to have it properly and safely treated. This will reduce the risk of infection and allow you to resume running pain-free.
How to avoid infection when running with an ingrown toenail?
To prevent your ingrown toenail from worsening while running, taking the proper measures to avoid infection is vital. You can take steps to manage the discomfort and reduce the risk of complications when running with ingrown toenails. Here are some tips:
Keep the affected toenail clean: Wash the affected toe with soap and water daily, and keep it dry. A clean and dry site will help to prevent the spread of bacteria and reduce the risk of infection.
Apply topical treatments: You can use over-the-counter antiseptic or antibiotic ointments to the affected area to help prevent infection.
Use clean toenail clippers (and maybe one from our top picks): Don't use someone else's nail clippers; clean them off before use. Bacteria are invisible to the eye, so be safe with what you put your feet in contact with. For instance, you wouldn't want to risk catching the fungus that causes athlete's foot.
Apply a bandage over the ingrown toenail: Once you've cleaned the affected toenail, apply a bandage over the toenail before starting your run. This will help prevent any outside bacteria from penetrating the nail and surrounding skin.
May 15, 2023
Ingrown toenails can look harmless but can be pretty painful. What starts as abnormal nail growth can quickly turn into a full-blown ingrown toenail. When the nail edge grows into the surrounding skin, you'll experience pain, swelling, and redness.
If left untreated, ingrown toenails can worsen and possibly lead to infection. We're here to help prevent that from happening. In this guide, you'll learn more about how to prevent and treat ingrown toenails.
How to prevent ingrown toenails
Prevention of ingrown toenails goes hand-in-hand with proper foot and toenail hygiene. Healthy nails are not just for show; they're a critical part of our feet.
Trim your toenails straight across.
The safest and most effective method to prevent ingrown toenails is to cut your toenails carefully. We recommend cutting your toenails straight across and avoiding clipping the corners to round them off. Use a high-quality toenail clipper, one sturdy enough to handle the toughness of toenails (rather than using tools meant for fingernails).
Avoid cutting them too short, as the surrounding skin may grow over the nail. If you're ever in doubt about a proper toenail routine or how to cut your nails, book a medical pedicure so a foot specialist can eliminate the risk.
Keep toenails at a moderate length.
Trim toenails so they're in line with the tips of your toes as if you were to draw a straight line. Toenails cut too short may adversely affect the nail when you wear shoes. Pay close attention to any loose or jagged edges and those that can get caught and damage your nail.
Wear suitable footwear
Wear shoes that fit correctly and do not squeeze your toes together. Avoid shoes with a narrow-toe box. Tight shoes can force your toes together, putting your nail at risk of digging into the surrounding skin.
Practice good foot hygiene.
Foot hygiene involves a multi-faceted routine. Keep your feet clean and dry when possible. Regularly check your feet for any abnormalities or irregularities. And finally, book annual foot check-ups. Regular foot assessments are beneficial if you have diabetes or any other condition where you may be more vulnerable to foot issues.
How to treat ingrown toenails
Treatment of ingrown toenails typically comprises at-home treatment and professional treatment. There is more to risk by trying to treat ingrown toenails entirely by yourself, but at-home methods can help relieve pain and preserve the nail while waiting for an appointment at a foot clinic.
Generally, we do not recommend cutting the toenail yourself, as it may exacerbate the issue. Instead, try the following:
At-home treatment of ingrown toenails
Soak your feet in Epsom salt water to help soothe pain and discomfort. After soaking, gently massage the area around the ingrown toenail to help relieve pain and pressure.
Routinely clean the area of pus and blood, if needed.
Apply sparing amounts of Polysporin ointment and cover with a bandage when going out.
Wear shoes with a broader toe to accommodate added space in your footwear, thus reducing the pressure on the toes.
Avoid or reduce physical activity if such activity impacts your feet and toes.
Take pain relief medication as needed or as your doctor recommends to help control pain and discomfort.
Apply an antiseptic, such as hydrogen peroxide, to the affected area to prevent infection.
Professional treatment of ingrown toenails
Next, a professional can effectively treat ingrown toenails by doing the following:
Proper toenail care and trimming: A chiropodist can properly trim and cut your toenails in a way that promotes proper nail growth. Proper nail trims both treat existing ingrown toenails and can prevent them from occurring in the future.
Softening the skin, lifting the edge of the nail from the skin, and then propping the corner of the nail up over the skin edge until the skin heals.
Oral and topical antibiotics to prevent or heal the infection.
Safely lancing and draining pockets of pus (the toe is numbed first with a local anesthetic).
Applying a specially formulated composite material called Onyfix. It serves as a corrective brace for the nail's growth and can be used to treat recurrent ingrown toenails.
In more severe cases, surgery may be performed. This can can involve removing a narrow strip down the length of the toenail (partial nail avulsion (PNA), or removing the entire toenail (total nail avulsion (TNA). These procedures may be performed if more conservative, non-surgical treatments don't work.
Phenol can be applied to the nail's root beneath the cuticle to prevent regrowth. The method inhibits nail growth following PNA or TNA.
All treatments from a chiropodist use medical-grade products and a fresh set of sterilized instruments for each client. The sterilization process used by chiropodists will remove and kill all microorganisms, such as fungi, bacteria, viruses, and spores. We also thoroughly cleanse your feet with an alcohol solution at the beginning of every appointment.
