Tuesday, 09 September 2025 00:00

Elderly Foot Care

Like any other part of the body, the feet are vulnerable to wear and tear throughout our lives. As we age, our feet may require more care and attention. Elderly people are especially prone to developing a variety of foot problems, including dry skin, corns, calluses, blisters, ingrown toenails, deformities, arthritis, fungal infections, and plantar warts. Additionally, systemic conditions such as diabetes or poor circulation can have noticeable effects on foot health. 

The first step to preventing foot health problems at any age is to establish a good daily foot care routine. Washing the feet with soap and warm water daily, then drying them thoroughly is very important. Applying a moisturizer to the soles of the feet can help prevent dry skin. When trimming the toenails, use nail clippers to trim them straight across. This can prevent painful ingrown toenails. Doing daily foot exercises and stretches can help maintain the strength and flexibility of the feet. 

A critical step of the daily foot care routine, especially for those who have systemic conditions like diabetes, is the daily foot inspection. Check your feet each day for any cuts, scrapes, sores, or other abnormalities. By catching and treating any foot problems early, you can prevent infection and other serious complications. A hand mirror can be used to help you see any hard-to-reach areas. 

Another important aspect of caring for your feet is wearing the right shoes and socks. Footwear should be comfortable, supportive, flexible, and made of breathable materials. For some people, orthotic inserts can help make shoes more comfortable. 

If you have any foot problems, or questions about maintaining the health of your feet, please consult with a chiropodist. 

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 02 September 2025 00:00

When Your Toenail Turns Painful

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, leading to pain, swelling, and sometimes infection. Common symptoms include redness, tenderness along the nail border, and drainage if the skin becomes infected. This condition often develops from trimming nails too short, wearing tight shoes, or experiencing repeated trauma to the toe. Prevention begins with proper nail care, such as cutting toenails straight across, avoiding shoes that pinch the toes, and keeping feet clean and dry. A chiropodist can treat the ingrown portion of the nail and offer long-term solutions to prevent recurrence. If you have ongoing pain or signs of infection, it is suggested that you see a chiropodist for professional care.

Ingrown toenails may require medical attention. If you have significant pain or notice signs of infection from an ingrown toenail, please consult with Cynthia Chan, B.Sc., D.Ch from Healthy Advantage Foot & Orthotic Clinic. Our practitioner will assess your condition and provide you with quality foot and ankle treatment. 

What Is an Ingrown Toenail? 

An ingrown toenail occurs when the edges of a toenail grow into the surrounding skin. The toenails of the big toe are usually affected, however, an ingrown toenail can happen on any toe. Sometimes, the area can become infected leading to potentially serious complications. The ingrown toenail may be caused by improper trimming of the toenail, wearing ill-fitting shoes, or injury to the nail.

Symptoms

The symptoms of an ingrown toenail include: 

  • Pain
  • Swelling
  • Redness
  • Warmth
  • Pus or drainage from the affected nail or a fever may indicate an infection of the area. 

Treatment

Treatment depends on the severity of the ingrown toenail. In less severe cases, home treatment may be adequate. Soaking the affected foot in warm water and gently lifting the nail from the skin with a piece of clean cotton can help. In more severe cases, you may need to use topical or oral antibiotics to treat an infection. Surgical removal of the ingrown toenail may be required if more conservative treatments fail. 

Ingrown toenails may be prevented by wearing well-fitted shoes and properly trimming the toenails. Toenails should be trimmed straight across and not too short when using nail clippers. 

If you have any questions please feel free to contact our office located in Scarborough, ON

Read more about Ingrown Toenails
Tuesday, 02 September 2025 00:00

Ingrown Toenails

Ingrown toenails occur when a toenail grows into the surrounding skin rather than over it. This can affect any toe, but most often happens on the big toe. Signs of an ingrown toenail include the surrounding skin becoming tender, painful, swollen, red, and warm. In some cases, the area can become infected, and white or yellow pus may drain from the area. If an ingrown toenail is showing signs of infection, it is recommended that you seek medical treatment. 

Ingrown toenails are usually caused by wearing poorly fitting shoes or trimming the toenails improperly. Shoes that are too tight and have narrow, pointed toes or high heels can compress the toes and cause the toenails to curl and grow into the skin. Trimming your nails into a rounded shape or cutting them too short can cause the edges of the nail to grow into the skin. Other potential causes for ingrown toenails include sustaining an injury near the toenail, having a fungal nail infection, using certain prescription medications, and having an abnormal nail shape. Some people also have a genetic predisposition to developing ingrown toenails. 

Preventing ingrown toenails begins with proper trimming. Trim your nails regularly using nail clippers rather than nail scissors. Nail clippers cut the nail straight across, avoiding the rounded edges that can make ingrown toenails likely to develop. Make sure that while trimming the nails that you do not cut them too short. Wear comfortable shoes with low heels and a wide toe area to keep your toes from squishing together. 

For more information about ingrown toenails, please consult with a chiropodist. 

Tuesday, 26 August 2025 00:00

Foot and Ankle Pain in Runners

Foot and ankle pain is a common issue for runners, often resulting from muscle imbalances, over-training, prior injuries, poor foot biomechanics, or inappropriate footwear. The specific location of the pain can help identify the cause. Pain on the top of the foot may indicate extensor tendonitis, tight shoes, or a stress fracture. Pain on the side of the foot could be caused by a ligament sprain, tendonitis, or a stress fracture. Pain on the outer edge of the foot is often linked to peroneal tendonitis, cuboid syndrome, or a ligament sprain. Heel pain is frequently caused by Achilles tendonitis, bursitis, or a bone spur. Arch pain can be related to plantar fasciitis, muscle cramps, or plantar fibroma. Additionally, ankle pain may stem from ligament sprains, muscle imbalances, or ankle impingement. A chiropodist can help by diagnosing the cause and offering appropriate treatments. If you are experiencing foot or ankle pain during or after a run, it is suggested that you schedule an appointment with a chiropodist for expert advice and guidance.

Although running is a wonderful exercise to keep you in shape, it can wreak havoc on your feet and ankles if you don’t take preventive measures. If you have sustained a foot and ankle injury from running, please consult with Cynthia Chan, B.Sc., D.Ch from Healthy Advantage Foot & Orthotic Clinic. Our practitioner can help you maintain the health of your lower limbs and your mobility. 

Some common running injuries include:

  • Achilles tendonitis
  • Shin splints
  • Ankle sprains
  • Stress fractures
  • Plantar fasciitis
  • Bursitis 

What causes injuries? 

These injuries are usually caused by overtraining, wearing the wrong shoes, running on hard surfaces, having tight and inflexible muscles, or having biomechanical issues in the feet or ankles. 

What can I do to prevent injuries? 

  • Train slowly and gradually
  • Give yourself plenty of time to recover following a run
  • Wear shoes that fit properly and support your foot
  • Avoid running on hard surfaces, like concrete
  • Stretch and strengthen the muscles of your lower legs
  • Warm-up prior to a run
  • Have your gait analyzed and your feet examined by a chiropodist to determine if there are any biomechanical problems that need to be treated 

If you have any questions please feel free to contact our office located in Scarborough, ON

Read more about Preventing Running Injuries
Tuesday, 26 August 2025 00:00

Preventing Running Injuries

Running injuries are a serious cause for concern. Not only are they painful, but they can also become chronic or take a while to fully heal. This makes running even more difficult in the future. To maintain your mobility and keep on running, it’s important to take measures to avoid injury. 

Some of the most common running injuries, such as plantar fasciitis and Achilles tendonitis, occur due to repetitive overuse or overtraining. When running, you should train slowly and gradually. Do not increase the mileage, intensity, or duration of your runs too quickly. Allow yourself time to rest and recover following each run. Avoid running on concrete or other hard surfaces if possible and choose dirt trails or grassy terrains instead. Hard surfaces don’t absorb shock well, putting more strain on your lower limbs. 

It’s also important to wear the right shoes. Choose shoes that fit your feet properly and provide adequate cushioning and support. If you have any biomechanical differences or a dysfunctional gait, consult with a chiropodist to help you find the right running shoes. 

In addition, having strong, flexible feet and ankles helps prevent injury. Do stretching and strengthening exercises daily for maximum benefits and warm-up prior to each run. To learn more about preventing running injuries, or if you have sustained a foot or ankle injury while running, please consult with a chiropodist near you. 

Tuesday, 19 August 2025 00:00

Treating Big Toe Joint Pain Without Surgery

Big toe joint pain is often caused by hallux rigidus, a type of arthritis that leads to stiffness and discomfort in the joint at the base of the big toe. This condition typically develops gradually as cartilage wears away from repeated bending of the toe during walking. Common signs include pain in the big toe joint, swelling, and the formation of bony growths on the top of the joint that can make movement even more difficult. The pain tends to increase with prolonged walking or when the toe is forced upward. Non-surgical treatment for big toe pain focuses on limiting motion in the joint to reduce inflammation and discomfort. A stiff-soled shoe or a specially designed orthotic insert can help reduce movement in the toe and ease pressure when walking.  A chiropodist can recommend footwear modifications, prescribe custom orthotics, and offer options to manage symptoms effectively. If you are experiencing pain in your big toe, it is suggested that you schedule an appointment with a chiropodist for expert advice and appropriate treatment options.

Toe pain is common and can have a variety of causes. Causes can range from a broken toe to an ingrown toenail. Many types of toe pain can be corrected, but any toe pain that inhibits your activities for an extended period should be discussed with a chiropodist. If you suffer from toe pain, please consult with Cynthia Chan, B.Sc., D.Ch from Healthy Advantage Foot & Orthotic Clinic. Our practitioner can help you maintain the health of your feet.

Common Causes of Toe Pain 

  • Trauma or fracture
  • Cuts, sores, or bruises
  • Rheumatoid arthritis
  • Gout
  • Turf Toe
  • Morton’s neuroma
  • Blisters
  • Corns
  • Bunions
  • Hammertoes
  • Ingrown toenails
  • Plantar warts
  • Athlete’s Foot

Symptoms of Toe Pain

  • Toe deformity
  • Burning
  • Numbness
  • Toenail deformity
  • Wart or ulcer
  • Swelling
  • Redness

When to See a Chiropodist

  • Bleeding or severe swelling
  • Trauma, such as a broken bone
  • Discoloration or extreme swelling
  • Inability to bear weight
  • Persistent pain
  • Wounds that won’t heal

Diagnosis of Toe Pain

A chiropodist can conduct a thorough examination of the painful toe or toes in order to determine the best course of treatment. The exam may include assessing the tenderness of the area, taking an X-ray or other diagnostic test, or assessing your gait and range of motion. A discussion of what led to the advanced pain issue may follow. Included will likely be a health history, as well as a list of medications you are taking and other previous injuries you may have sustained.

Treatment for Toe Pain

With such a wide range of possible causes for toe pain, treatment can be varied in scope and length. Sometimes, the chiropodist will recommend lifestyle and activity changes. In cases of trauma or other injuries, X-rays or imaging tests will likely be used to determine the severity of the problem, particularly if any bones have been broken. Treatment may also include injections of pain-relief medication or anti-inflammatory drugs. Certain injuries will require the splinting, bracing, or wrapping of injured toes. Orthotics or special shoes may be prescribed in cases of bone deformities and gait issues. Removal of warts, calluses, and corns may be needed. In other cases, such as with patients who have diabetes or rheumatoid arthritis, ongoing treatment may be required to avoid more serious problems. 

If you have any questions please feel free to contact our office located in Scarborough, ON

Read more about Toe Pain
Tuesday, 19 August 2025 00:00

Toe Pain

The toes are hard at work every time you stand, walk, run, hop, skip, or jump. They help to push the foot off the ground and to keep you balanced. When a toe is in pain it can negatively impact your normal daily activities. Among the numerous causes for toe pain, the chief one is trauma, such as stubbing a toe or dropping something heavy on it. This often causes severe bruising and affects your ability to bear weight. Other common causes of toe pain are bunions, hammertoes, nerve damage, and toenail problems. In addition, toe pain can be caused by gout (a type of arthritis), rheumatoid arthritis, sprains, or warts. Further causes include toenail infections, ingrown toenails, and athlete’s foot infections. Treatment by a chiropodist varies according to the underlying cause of the pain. In case of a broken or severely bruised toe, the remedy is usually to brace or splint the toe. Certain medications can be prescribed to relieve pain and injections may be administered. X-rays and imaging tests may be performed to determine the cause and severity of the toe pain. Custom orthotics may also be prescribed and fitted to counteract toe deformities or other problems. If your toe pain continues or worsens, it is suggested that you visit a chiropodist for an exam, diagnosis, and appropriate treatment options. 

Tuesday, 15 October 2024 00:00

Athlete's Foot

Athlete’s foot, also known as tinea pedis, is a fungal infection of the skin of the feet. The fungus that causes athlete’s foot lives and thrives in warm, moist environments such as public swimming pools, locker rooms, and showers. This fungus can infect the feet through a cut or crack in the skin. Athlete’s foot is also highly contagious, and the fungus can spread from person to person through sharing personal items such as shoes, socks, or towels.

The symptoms of athlete’s foot include itching, stinging, or burning between your toes or on the soles of your feet, itchy foot blisters, and dry, cracked, or peeling skin on the feet. The infection can also spread to your toenails, leading to discoloration, thickening, and crumbling. 

Through a physical examination, athlete’s foot can be diagnosed by your chiropodist based on its symptoms. Sometimes, a skin test may be ordered to confirm the diagnosis. Athlete’s foot can be treated with both oral and topical over-the-counter or prescription medications. You can prevent a fungal infection by maintaining good foot hygiene, wearing shoes when walking in public areas, avoiding sharing personal items with others, and keeping your feet clean and dry. 

 

Tuesday, 08 October 2024 00:00

Morton's Neuroma

Morton’s neuroma is a foot condition in which the nerve tissue between the third and fourth toes thickens. This thickening is typically the result of compression and irritation of the nerve. The nerve becomes larger and causes pain. Left untreated, this could lead to permanent nerve damage. 

The symptoms of a Morton’s neuroma include pain and tingling, burning, or numbness in the affected foot. A Morton’s neuroma can produce a unique sensation similar to something being stuck in the ball of the foot or in your shoe. Morton’s neuroma symptoms often have a gradual onset. Initially, they may occur only while doing specific activities or while wearing shoes with a narrow toe area. However, over time the symptoms worsen and can last for several days or weeks. Without treatment, the symptoms can become increasingly severe and the nerve can become permanently damaged. 

People who often wear high-heeled shoes or shoes with narrow toe boxes and those with certain foot deformities, such as bunions, hammertoes, and flat feet are at an increased risk of developing Morton’s neuroma. Involvement in activities that put repetitive stress on the ball of the foot, such as running or tennis, can also irritate the nerve and lead to Morton’s neuroma. 

This condition is diagnosed through a physical examination. An imaging study, such as an ultrasound, may also be used to confirm the diagnosis and to rule out any other potential causes for your symptoms. Treatment for Morton’s neuroma varies depending on the severity of the neuroma. Padding the affected foot, wearing orthotics, or choosing wider and more comfortable shoes may be suggested to relieve pressure on the affected nerve. Icing the area and taking nonsteroidal anti-inflammatory medications can help relieve pain. In very severe cases, surgery may also be an option. To learn more about Morton’s neuroma, please consult with a chiropodist. 

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