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Many older adults think that falls are rare and won’t happen to them, so they don’t need to take steps to reduce the risk of falling. This isn’t true, as falls are very common. Falls are one of the leading causes of serious injuries and disabilities among older adults. Not only does falling affect one’s physical health, but it can also cause psychological harm. An older adult who has fallen may lose confidence in their abilities to get around and live independently. They may feel that the only ways to prevent falling are to avoid physical activities and stay in the house when this can in fact be counterproductive.
Though staying in the house can be tempting for an adult that is afraid of falling, it’s worthwhile to note that over 50% of all falls occur in the home. A better way to prevent falls is to take steps to make your home safer. Remove tripping hazards, like loose cables, slippery rugs, and low furniture from the home. Install good quality lighting that will allow you to see where you are walking. In the bathrooms, use a non-slip bath mat and install grab bars in the shower to avoid slipping. When you do leave the house, don’t be ashamed to use a mobility aid, such as a cane, if necessary.
Reducing the risk of falling continues with taking care of one’s physical health. Exercising regularly and incorporating exercises that stretch and strengthen the lower limbs is important for maintaining mobility. Vision care is another key element of falls prevention, as people with vision impairment are more than twice as likely to fall than those who don’t have vision problems. Being able to clearly see where you are going and if there are any tripping hazards in your way will help prevent falls. Managing your medications can help prevent falls. Certain medications cause side effects that impair balance, leading to falls. You should talk to your doctors about the medications that you are currently taking, their side effects, and any ways that they may interact with one another. Finally, regularly seeing a chiropodist can help maintain your foot health and mobility. A chiropodist can not only treat any existing foot problems, which can contribute to falling, but also help you prevent future issues.
Blisters are fluid-filled bubbles of skin that can appear on any part of the body and are particularly common on the feet. Most foot blisters form due to friction. As you walk, run, or go about your daily activities, your shoes may rub against specific areas of your feet, causing the skin to become damaged. The top layer of skin then separates from the lower layers of skin. The area between the separated layers fills with a fluid called serum, whose purpose is to cushion and protect the raw skin below the blister.
If you find a friction blister on your foot, it is highly recommended that you do not pop it. Popping the blister drains the fluid inside of it and exposes the raw skin underneath, increasing your risk of infection. Instead, protect the blister by loosely covering it with a bandage. You can also use special padding around the blister to protect it. Typically, friction blisters naturally heal over the course of one to two weeks. Friction blisters can be prevented by wearing well-fitted shoes and moisture-wicking socks. Wearing soft bandages over areas of your foot that tend to blister may also help.
Sometimes foot blisters can be caused by problems other than friction. Blisters can develop due to a sunburn, frostbite, or exposure to an allergen, as well as from medical conditions such as fungal infections or eczema. If you frequently find blisters on your feet, it is recommended that you consult with a podiatrist.
Gout is a type of arthritis that can affect the foot. Gout is caused by a buildup of uric acid in the bloodstream. When uric acid levels become excessive, this substance can create crystals in the joints, causing severe pain, intense swelling, redness, and warmth. Typically this occurs in the big toe joint.
You may be at an increased risk of developing gout if you are a middle-aged man or postmenopausal woman, have family members who have had gout, drink alcohol, take certain medications, or have a medical condition like high blood pressure, kidney disease, thyroid disease, diabetes, or sleep apnea. Gout may also be more likely to develop if you consume a diet high in sugars or purines, a substance that turns into uric acid when it breaks down. Foods high in purines include organ meats, red meat, oily fish, certain vegetables, beans, and mushrooms.
Gout that is left untreated can become chronic and lead to arthritis. Gout can be treated by a chiropodist. Treatment options may include taking medications to relieve pain and prevent future gout attacks, modifying your diet, and reducing alcohol intake. For more information about gout, please consult with a chiropodist.
Heel pain can range in severity from mild and annoying to severe and debilitating. Usually caused by an injury, heel pain can become chronic if it's left untreated. There are many different types of injuries that can bring about heel pain. When describing your pain, it is important to note the location and type of pain, as well as when the pain started and what activities make it better or worse.
Perhaps the most common cause of heel pain is plantar fasciitis, a condition in which the plantar fascia, a ligament that runs along the bottom of the foot, becomes inflamed due to repetitive overuse or trauma. This condition causes stabbing pain in the bottom of the heel. The pain is usually at its worst when you take your first few steps after a period of rest, like when you first get up in the morning. Plantar fasciitis is also sometimes accompanied by bone spurs, calcium deposits on the heel bone that can cause sharp pain that gradually evolves into a dull ache. Other possible causes of heel pain include Achilles tendonitis, heel fractures, bursitis, tarsal tunnel syndrome, and Sever’s disease.
Although treatment for heel pain depends on the underlying cause, most treatments involve resting, icing, and elevating the affected foot. Your chiropodist will also typically suggest that you wear more comfortable, supportive shoes or orthotics to help your heel heal. Over-the-counter pain medications are usually sufficient to manage heel pain. For more information about heel pain, please consult with a chiropodist.
Rheumatoid arthritis (RA) is an autoimmune disorder in which the body’s immune system attacks its own otherwise healthy joint lining. This condition can affect any of the 33 joints of the feet, as well as the ankle joints. RA symptoms include joint pain, stiffness, swelling, and warmth. It may become difficult to stand, walk, or exercise due to joint pain. RA can also affect the biomechanics of the feet. When the structure of the foot changes, this can affect one’s gait or walking pattern. Foot deformities, such as bunions and hammertoes, also become more likely. RA’s negative effects on mobility could impact one’s overall quality of life.
Although there is no cure for RA, your chiropodist can help you manage symptoms and maintain the health of your feet and your mobility. They may recommend conservative treatments such as resting and icing the feet and taking non-steroidal anti-inflammatory medications to manage pain. Orthotic inserts and braces can help reduce pain and give the feet structure and support. In more severe cases, corticosteroid injections can be used to relieve pain as well.
Surgical treatments for joint pain are another possible option for those with RA, particularly if the conservative treatment methods described above prove ineffective. Joint fusion surgery or joint replacement surgery may help. Deformities like bunions and hammertoes can be surgically corrected as well.
To learn more about living with RA, please consult with a chiropodist near you.
The plantar fascia is a thick ligament that runs along the bottom of your foot and connects the heel bone to the toes. When the plantar fascia becomes inflamed, typically due to overuse, it can cause a condition called plantar fasciitis. Plantar fasciitis is characterized by a sharp, stabbing heel pain, arch pain, and pain that is at its worst when taking your first steps after a long resting period, such as when you first wake up in the morning. You may also notice swelling on the bottom of the heel.
Plantar fasciitis is one of the most common foot ailments, and one of the most common causes of heel pain. Besides overuse from activities such as running or jumping, wearing shoes that do not have adequate cushioning and support, standing for prolonged periods of time, being obese, or having flat feet can all increase your risk of developing plantar fasciitis.
Fortunately, there are many treatments for this condition. Your chiropodist may recommend stretching exercises, activity and footwear changes, and icing the affected foot to help relieve pain. If pain persists after several weeks, your chiropodist may prescribe custom orthotics, pad, tape, strap, or immobilize the affected foot, or inject a corticosteroid into the area to reduce pain.
For more information about plantar fasciitis, please consult with a chiropodist.
Many changes can happen in every part of your body during pregnancy — and the feet are no exception. Common foot conditions that pregnant women face include swollen feet, fallen arches, and plantar fasciitis.
An increase in the volume of blood and fluids in your body, coupled with an increase in overall fluid retention due to hormones, can lead to swelling in the feet. This is especially common during the third trimester. You may be able to reduce swelling by drinking plenty of water, reducing caffeine intake, resting your feet frequently, and sitting with your legs uncrossed to promote circulation.
During pregnancy, your hormones can cause changes in the structure of your feet. An increase in hormones that relax your ligaments could affect the ligaments in the arches of your feet, causing them to become flat. This condition is known as fallen arches, or acquired flat feet. As the foot flattens, your shoe size may increase and you may need footwear that offers more arch support.
The weight that you gain during pregnancy is carried by your feet. This can put them under extra strain and lead to aches, soreness, or a condition known as plantar fasciitis. Plantar fasciitis is caused by an inflammation of the ligament that connects the heel bone to the toes and can lead to heel and arch pain.
If you are pregnant and are experiencing pain or discomfort in your feet, it is recommended that you consult with a chiropodist.
Broken toes are a serious injury that requires prompt medical care. A toe bone can fracture following a sudden, traumatic injury, such as dropping a piece of furniture on the toe or stubbing it. If a toe bone has broken, you may hear a cracking sound at the time of injury. Shortly afterward, you will likely experience throbbing pain, swelling, bruising, and difficulty walking or bearing weight on the affected toe. In more severe cases, the broken bone may be displaced and resting at an odd angle, or it may be poking through the skin. A severe injury requires immediate medical care.
A chiropodist can diagnose a toe fracture by taking your medical history, examining the toe, and taking an X-ray. The right treatment for you will depend on the severity of the injury. Less severe fractures are usually treated conservatively. You will likely be asked to rest the affected foot. The chiropodist may buddy tape your broken toe to the toe right next to it in order to keep the broken toe in the right position for healing. Icing the affected toe and taking non-steroidal anti-inflammatory medication can help reduce pain. In more severe cases, surgery may be necessary to reset the bones. Sometimes, medical hardware like pins or screws is needed to help the toe heal properly.
Proper healing is very important, as a broken toe that does not fully heal or that doesn’t heal correctly can cause osteoarthritis later on in life. Your toe will likely be tender and swollen for several weeks following the injury. You will typically need to rest the toe for one to two months before resuming your usual activities. If you suspect that you may have broken your toe, please schedule an appointment with a chiropodist near you.
Though diabetes begins with the pancreas not producing enough insulin, thus raising your blood sugar levels, it is a systemic condition that can affect every part of your body. The feet are no exception, and a variety of lower limb problems are very common among people with diabetes.
One of the primary foot-related concerns for patients with diabetes is diabetic foot ulcers (DFUs). These are poorly healing open wounds on the feet that are at high risk of becoming infected due to a weakened immune system, another common complication of diabetes. Nerve damage in the feet caused by high blood sugar levels interferes with pain signaling between the peripheral nerves in the feet and the central nervous system (the brain and spinal cord). When this signaling is disrupted, it can be difficult to detect foot injuries, such as cuts and scrapes, when they occur. These injuries are then left unnoticed and untreated until they have significantly worsened. Poor circulation, another complication of diabetes, means that not enough nutrients reach the feet. Without them, the wounds on the feet heal slowly and poorly, or not at all. These wounds can then become infected, leading to tissue death.
The best way to prevent DFUs and their consequences is to carefully monitor the health of your feet through daily foot inspections. Using a mirror to help you see your feet fully, look for any cuts, scrapes, sores, bruising, swelling, discoloration, rashes, hair loss, deformities, or nail changes. Take note of any foul odors, pain, warmth, and strange sensations such as numbness, tingling, burning, or pins and needles. If you notice a problem, seek the care of a chiropodist as soon as possible. Early treatment is key to avoiding potential complications.
DFUs are not the only foot problem diabetics are more likely to encounter. Diabetes can also increase your risk of corns and calluses, cracked skin, bunions, hammertoes, Charcot foot, nail disorders, and various infections. If you have diabetes, it is strongly suggested that you are under the care of a doctor who can help you monitor your foot health, treat any existing conditions, and prevent future ones.
Falls are a leading cause of serious injury among the elderly. In fact, falls are the cause of the majority of hospitalizations for elderly people. As we age, our risk of falling increases due to deterioration in physical strength, coordination, vision, and hearing. Unsafe conditions in the home are often responsible for falls, and about half of all falls among the elderly occur in the home environment. Falling can cause a variety of complications, including injuries to the legs and feet, which can greatly impact one’s mobility and independence.
Fortunately, falls can often be prevented. There are various preventive measures that you can take to make your home environment safer and less likely to contribute to a fall. In the bathroom, where wet and slippery conditions can lead to falling, it is recommended that you have non-slip surfaces in the shower and tub, install grab bars by the toilet and bath to help you sit and stand, and wipe up any moisture or spills as soon as they occur. In the living room and bedroom, it is important to make sure that the floor is free of clutter and obstacles, such as loose cords and wires, small furniture items, and other tripping hazards. Ensure that all rugs and mats are firmly anchored and that there is good lighting throughout the home. In the kitchen, it is suggested that you store appliances and other supplies in places that are easy to reach and that you wipe up any spills that may occur immediately. If your home has stairs, they should be well lit and have secure handrails.
You can also prevent falls by modifying your own behavior. When moving around the home, walk slowly and carefully, turn on lights when walking through your home at night, and use any mobility aids, such as a cane or walker, when needed. Exercise regularly and eat a healthy diet to maintain your overall health. Speak regularly with your doctor to monitor your medications, especially if you are taking any medications that may increase your risk of falling due to side effects such as dizziness. For more tips on how to prevent falls, please consult with a chiropodist.
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Sever’s disease, also known as calcaneal apophysitis, is a foot condition that occurs in children. Sever’s disease is not truly a disease, but rather an overuse injury. It is common among active children between the ages of 8 and 14. Young, growing children have a growth plate in their heels, where new bone is forming. When too much stress is put on the heel, the growth plate can become inflamed, leading to heel pain.
Children who participate in activities that put repetitive stress on the heel bone are most at risk of developing Sever’s disease. These activities include playing soccer or basketball, running track, or any other sport or activity that involves running, jogging, or jumping. Children who are obese, have tight Achilles tendons, biomechanical problems, flat feet, or fallen arches are also at risk.
The symptoms of Sever’s disease include pain in the back or bottom of the heel, pain when the sides of the heel are squeezed, and fatigue. The pain may lead to difficulties walking or bearing weight on the affected foot, and you may notice your child limping or walking on their toes to avoid putting pressure on the heel. A chiropodist can diagnose Sever’s disease by taking a medical history and performing a physical examination. Imaging studies such as X-rays may also be ordered.
Sever’s disease is generally treated by resting the affected foot, wearing shoes or orthotics that support the heel, and taking nonsteroidal anti-inflammatory medications to reduce pain and inflammation. In severe cases of heel pain, the affected foot may need to be immobilized with a cast while it heals. If your child is complaining of heel pain, please consult with a chiropodist.
Osteoarthritis is a condition in which the cartilage located on the ends of joints deteriorates over time. Cartilage is very important, as it protects and cushions the bones during movement. Osteoarthritis is the most common type of arthritis and is associated with aging. It can affect any of the joints in the body, and frequently affects the joints of the feet and the ankles. Though rarer, osteoarthritis can also occur as a consequence of an injury, such as as a sprain or fracture, or as a result of abnormal foot biomechanics.
Symptoms of osteoarthritis include pain and stiffness in the joints, swelling, and difficulty walking or bending the joints. In some cases, bony protrusions called bone spurs can develop on the affected joints. Osteoarthritis is a progressive condition, meaning that it worsens over time. Diagnosing the condition early allows for earlier treatment, which can help preserve the health and function of your joints.
A variety of treatment options are available for osteoarthritis. Pain can often be minimized by taking nonsteroidal anti-inflammatory medications, getting steroid injections into the affected joints, and wearing orthotics. Bracing or immobilizing the affected foot or ankle may help reduce inflammation and prevent deformity of the joint. Doing specific exercises can help strengthen the muscles in the feet and ankles to prevent injuries. In cases where more conservative treatments have failed or in which arthritis has progressed significantly, surgery may be an option. If you have osteoarthritis in your feet or ankles, it is recommended that you consult with a chiropodist.
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.
Good foot care is proactive, rather than reactive. While a chiropodist can diagnose, treat, and help you manage a variety of foot and ankle conditions, preventing foot problems and keeping the feet healthy is something that you can do at home as well. Having and following an established daily foot care routine can be very beneficial.
Maintaining good foot hygiene helps prevent a variety of foot problems, including infections like athlete’s foot and fungal toenails. It is important to wash your feet every day using lukewarm water and mild soap. Wash the entire foot, from heel to toe. Then dry the foot thoroughly, taking extra care to dry in between the toes. Moisturizing the heels and soles of the feet after washing them can help keep the skin soft, hydrated, and free of cracks.
Stretching and strengthening the feet can maintain or improve their mobility. There are many easy foot exercises that you can do to keep your feet strong and flexible, such as toe scrunches and heel raises. Maintaining a healthy diet and exercising regularly can help keep your weight under control, relieving excess pressure and strain on the feet.
Finally, wearing the right shoes is one of the easiest ways to care for the feet. Many people wear shoes that are too tight or narrow, shoes that don’t support the feet adequately, and shoes that are made of materials that trap moisture on the foot. Opt for comfortable, properly-fitted shoes that support and protect your feet.
For more information about daily foot care practices for good foot health, please consult with a chiropodist.
