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 25, 2023
Compression stockings are very popular amongst people with varicose veins. As the veins become painful and your legs feel heavy and tired, wearing them every day is often one of the only ways people feel comfort and relief (don't worry, most types are stylish or discrete). Finding the best compression stockings for varicose veins involves visiting a doctor and then attending a fitting at a foot clinic where you will discover:
The type of compression stocking you need
The right level of compression
Your size
According to the National Library of Medicine, doctors and chiropodists recommend compression stockings not only because they help patients manage pain, but they're also easier to use than bandages and pneumatic devices. Let's discuss everything you need to know about varicose veins and compression stockings.
Types of Compression Stockings for Varicose Veins
Varicose veins often develop in the calf area towards the back of the leg. This is because walking and standing tend to put more pressure on the leg veins closer to the feet.
As a result, knee-high compression socks are often the best type of compression stockings to invest in for varicose vein treatment. However, any vein in the leg can become varicose, so you may need thigh-high or pantyhose compression hosiery.
Compression Levels for Varicose Veins
Compression stockings have different compression levels, and stockings with more compression are tighter. You can often buy stockings in the 8-15 or 15-20 mmHg range at drug stores, but someone with varicose veins will need more compression from medical-grade stockings.
To adequately support blood flow and circulation and provide comfort and support, Sigvaris recommends a compression level of 20-30 mmHg for varicose vein treatment. However, if your varicose veins are severe, you should look into graduated compression in the 30-40 mmHg range. Lastly, compression levels should always be the highest in the area with the varicose veins.
While this should give you a general idea, your family doctor will know the right level of compression you need. Once you've gone to your family doctor and received your compression stockings prescription, you can then bring the prescription to your local foot clinic to get measured and fitted. Note: only a medical doctor can issue a prescription for compression stockings with the appropriate level of compression.
Compression Stocking Sizes
During your compression stocking fitting, a certified fitter at your foot clinic will determine what size you need and order the stockings after selecting from a size chart. Sizes for medical grade compression stockings (20-30 mmHg and above) are quite specific and require measuring; compression stockings will not work if they don't fit well.
To ensure they order the right size, your fitter will measure your calf circumference, calf length, and ankle circumference. They may also need to measure your hip circumference, leg length, and thigh circumference. Your fitter will also go over the various style and material options and help you select the option that works best for your activities.
May 22, 2023
Custom orthotics and shoe inserts (i.e.: over-the-counter insoles) have a lot in common. Both inserts provide support and cushioning to your feet and aim to correct the biomechanics that can lead to certain foot conditions. Custom orthotics and over-the-counter shoe inserts also have their differences. So, how do you know which one is best?
Well, the most appropriate option depends on your specific feet, the foot condition, the issue you're trying to correct, and more. This article discusses the differences between custom orthotics and shoe inserts to help you choose the best option.
What are custom orthotics?
Custom orthotics are shoe inserts designed to fit you. The personalized fit comes from a mould of your foot, meaning the orthotic matches the foot's unique size and shape. Custom orthotics aim to address structural issues like flat feet or high arches, which, if left untreated, can cause a wide range of foot and lower limb conditions.
There are four stages to getting orthotics:
The orthotic assessment
Casting
Fitting
Repairs
What are Over-the-Counter Shoe Inserts?
Over-the-counter shoe inserts (or off-the-shelf insoles) are pre-made insoles for your footwear which add cushioning and support. Shoe inserts are available in various materials, including foam, gel, and cork. They can relieve foot pain caused by plantar fasciitis, heel spurs, and metatarsalgia. The critical difference with shoe inserts is they are pre-fabricated and sold as-is. One of the most common brands of over-the-counter shoe inserts is Superfeet.
Which one is right for you? Custom orthotics vs. over-the-counter shoe inserts
The choice between custom orthotics and over-the-counter shoe inserts comes down to your specific needs and the nature of your foot or lower limb condition.
The case for off-the-shelf shoe inserts
If you have a mild foot condition, such as flat feet or plantar fasciitis, over-the-counter shoe inserts may provide sufficient support and cushioning to alleviate your symptoms. They are also a more affordable option compared to custom orthotics. If you prefer multiple pairs of shoe inserts, for instance, for your hiking boots, skates, or ski boots, shoe inserts may be a better option as they are more disposable. Shoe inserts can also be beneficial for lower-impact activities like walking as they provide additional support to your feet.
The case for custom orthotics
If you have more severe foot or lower limb conditions, such as severe flat feet, bunions, or diabetic foot conditions, custom orthotics may be the better option. They provide a higher level of customization and support and can address the specific needs of your feet to help alleviate pain, improve gait, and prevent further damage. Custom orthotics can also be beneficial for higher-impact activities like long-distance running.
May 11, 2023
It's easy to forget that leg health is just as important as foot health. In fact, one of the most effective medical devices to target both foot and leg conditions is compression stockings. By gently squeezing your lower extremities, they help you manage aches and swelling and boost blood circulation. Many people can benefit from these special socks for relief for foot and leg problems, but worry about how they look or don't know how to wear them. Today's blog will discuss the different types of compression stocks and advise on how to wear them so you make the most of this amazing product!
Different Types of Compression Stockings
Compression gear looks just like standard versions of hosiery and stockings and blends in well with your outfits. Here are some of the most common types:
Pantyhose
Maternity stockings
Knee-high stockings
Thigh-high stockings
Open-toe stockings
How to Wear Compression Stockings
While appearing fashionable may be on your mind, Mayo Clinic notes that the most important thing is to wear compression stockings as your health care provider prescribes. This may mean wearing them all day or only in the morning or before bed (do not wear compression stockings when sleeping). Whether you have varicose veins, are pregnant, have edema (swelling), venous insufficiency, or deep vein thrombosis (DVT), the symptoms you struggle with can easily flare up if you neglect to wear them as intended. Improper use can also cause blood clotting or skin irritation.
Putting your compression stockings on and removing them is often the most challenging part of using them. You have to be gentle and take your time when putting them on. Otherwise, it can affect the elasticity and compression levels. Depending on the type, it's also important to roll the stocking down to the heel, leaving the toe area open before you put them on. In addition, you need to smooth out wrinkles and ensure the stocking fully covers the part of the leg or foot that needs the most compression. Sigvaris, the brand we provide at Feet First Clinic, offers a detailed guide on how to put on your compression stockings and take them off.
Types of Compression Stockings
In addition to the above-noted conditions, compression stockings are recommended for people who stand at work for long periods or who travel on planes often. Your preferences, lifestyle, and specific condition can help your foot clinic choose the right type. Please also note that compression levels range from mild to firm, which are measured in mmHg; the higher the level of mmHg, the greater the benefit. The over-the-counter compression levels (like the ones you'd find at a drug store) range from 8-15 mmHg to 15-20 mmHg. Medical grade levels of compression start at 20-30 mmHg (the most common level of compression) and can go up to 40-50 mmHg. Your health care provider can help determine the level you need.
Pantyhose
Pantyhose compression hosiery is a good choice for women who work long hours, travel frequently, or have varicose veins or other circulatory issues above the knee. They start at the feet and go up to the waist, like standard pantyhose. They apply graduated pressure (like a gentle squeeze) along the leg, becoming less tight as they extend upwards. This stimulates blood flow back to the heart, thereby reducing pain and swelling. Compression pantyhose is available in various shades in sheer or opaque fabric, making them suitable as professional attire.
Maternity Stockings
Stockings for pregnancy-related symptoms are available in pantyhose, knee-high and thigh-high stockings. As hosiery, they can be opaque or sheer and include more wiggle room in the waist and hips to accommodate a growing belly. Pregnant women can also choose cotton and linen knee-high socks for pain and swelling in the lower legs (see below). Maternity stockings help prevent DVT and varicose veins often associated with pregnancy. Moreover, postpartum women may also be at risk of these vein issues and often experience prolonged circulation issues.
Knee-High and Thigh-High Stockings
Knee-high compression stockings provide compression and support to the calf muscles, ankle, and foot and usually resemble regular socks. Thigh-high stockings provide compression and support to the entire leg, from the ankle to the thigh and are generally opaque or sheer. Both come in a variety of materials for your individual needs.
Open-Toe Stockings
Open-toe stockings offer more ventilation than the standard closed-toe version, making them more appealing to wear in the warmer, humid months. They can also be helpful for individuals who have difficulty putting on traditional compression stockings or those who find them uncomfortable. Rest assured, open-toe compression stockings offer the same compression levels, just with the bonus of added breathability. You can also wear sandals with open-toe stockings as they're more discrete.
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.
May 1, 2023
Medical pedicures can significantly enhance and supplement your overall foot care routine. Think of a medical pedicure as a way to relax while having your feet inspected and relieved of pain. By working with a licensed chiropodist or foot care professional, you can ensure your feet receive the care they need to stay healthy and pain-free.
Medical pedicures perform double duty in that they're a blend of foot care and nail care, combined with the foot care benefits provided by chiropodists.
This article covers how a medical pedicure can benefit you and your feet.
1. Improved foot health
First and foremost, a medical pedicure can serve as both a treatment and a preventative method for common foot problems. During a medical pedicure, any number of the following can be prevented or treated:
Diabetes-related foot complications
Calluses
Corns
Blisters
Cracked Heels
Ingrown toenails
Athlete's foot
Fungal Toenails
Discoloured Toenails
Cracked toenails
We recommend routine medical pedicures for patients prone to foot issues or those with diabetes.
2. Reduced risk of infections
A medical pedicure can also help prevent you from developing infections in several ways. First, medical pedicures use sterile instruments and follow strict hygiene to reduce the risk of infections. Suppose you have any conditions or auto-immune diseases that increase your health risks. A medical pedicure performed by a chiropodist would be safe for you.
The second is that leaving certain foot care routines to a foot specialist - like toenail clipping, corn removal, blister care, or callus debridement - takes the unknown out of the equation. Sometimes, leaving treatment to a professional outweighs the risk of doing it yourself at home (and risking mishaps).
3. Pain relief
A medical pedicure can relieve pain for people with foot problems, such as corns, calluses or ingrown toenails. A foot care professional can safely treat these conditions, reducing pain and discomfort. Corns and calluses can have some side effects, including altering your gait and could lead to other foot conditions if you're not careful, so it's a good idea not to let these conditions linger.
4. An up-close look at your feet
A chiropodist takes a complete medical history for any underlying conditions or concerns you have. Additionally, they thoroughly examine your feet to diagnose unknown issues or conditions that may worsen. A complete picture of the health of your feet is reassuring for your feet's future, and you'll be provided with foot care advice and a treatment plan to keep your feet healthy going forward.
5. Relax and moisturize your feet
Beyond preventative and treatable measures, a medical pedicure can be a relaxing experience. In addition to tending to your skin and toenails, chiropodists apply an intense moisturization treatment with high-quality medical strength moisturizing products leaving your feet soft and smooth, stronger, and more elastic. Moisturizing isn't just about soft feet; it strengthens your skin's protective barrier and makes your feet less susceptible to future issues.
