Chiropodist - Cambridge
366 Hespeler Road Unit #12
Cambridge, Ontario N1R 6J6

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Posts for: July, 2015

    Happy Friday Everyone! In keeping with our theme of “Footwear Friday” we thought we would discuss an area of our practice that does not often generate enough discussion.  You guessed it- footwear!  Let’s state the obvious: whether you have foot problems or not, footwear matters.  Wearing the wrong shoe can lead to multiple issues, if not now, down the road. For example, in women especially, wearing heels on a regular basis can lead to shortening of the Achilles tendon, Morton’s neuroma, and callous.  In diabetic or high-risk patients who are in the wrong footwear, the result can be devastating because ulceration, infection or amputation can ensue. Fortunately, there are some basic footwear tips that can help to make shopping for the right shoe easier, and can also help to prevent mobility problems later in life.

Some basic footwear tips include:

  • If wearing heels regularly, wear shoes with variable heel height, and try to wear shoes which accommodate all the toes (aka no pointy shoes)!
  • Wear footwear indoors as much as possible and avoid walking outdoors barefoot
  • Slippers should have a back to them. This means no flip-flop style slippers. Your foot works too hard in this kind of shoe!
  • Wash shoes regularly. If you can’t throw them in the washing machine, purchase a spray disinfectant. This will help to prevent infection
  • If swelling of feet is an issue, then purchase footwear at the end of the day
  • Bring new footwear to your chiropodist prior to wearing them! We know what to look for!

Diabetics need to take extra care when purchasing footwear. Some tips include:

  • Shoes should have extra depth and extra width to accommodate deformities, and provide maximal comfort
  • Shoes should have functional fastening, a firm heel counter and should not be too loose or too tight
  • Buy a shoe with a firm, breathable upper
  • Look for cushioning properties. Materials to look for include: foams, poron, and ethyl vinyl acetate (EVA)
  • A stabilizing heel that is low and wide can provide stability
  • Footwear should be worn at all times
  • Seamless white socks are also recommended

While these lists may seem long and intimidating, lots of brands provide many of these features in many of their shoes. Brands we love include: Birkenstock, Finn Comfort, Clarks, Brooks, and Ecco. And lucky for you, we sell all of these brands in our office!   Come on in for a professional fitting by Karen, our in-house expert!  For more info call us at 519-624-4122.

Happy “Footwear Friday!”

July 09, 2015
Category: General Foot Care
Tags: Diabetes   Neuropathy   neuroma  

    You know that tingling, pins and needles, type of feeling you get when you have been sitting for a long period of time? Well the medical term for that feeling is parasthesia. If tingling in the lower extremity is progressive, it could lead to a complete loss of sensation in the toes or feet, and this is known as neuropathy. Tingling and neuropathy is common in many of the patients we see here at Achilles, and so we thought it would be worthwhile to discuss it here today!

    Tingling is a common symptom of some systemic disorders, some of which are serious and others which are not.  Some of the most common systemic conditions which present with tingling of the toes and feet include: diabetes (both Type I and Type II), vitamin b12 deficiency, multiple sclerosis, HIV, lupus, and lyme disease. Regardless of the condition leading to tingling and numbness, the cause is still the same, and that is damage to the nerves of the foot that is caused by these conditions.

    When systemic conditions are not the cause of peripheral neuropathy, local causes are investigated. Some of the more common local reasons for tingling in the toes include Mortons’ neuroma, and tarsal tunnel syndrome.  We will discuss these today!

Morton’s Neuroma

         Morton’s neuroma occurs due to compression of the nerve that sits in between two of the long bones of the foot, called metatarsals. The metatarsals are part of the midfoot and are the bones that attach to the toe bones. These bones can become compressed by footwear, especially high pointed heels, and therefore, neuromas tend to present more often in women. Symptoms of a neuroma usually are pain, tingling and a feeling of walking on a pebble. Pain relief occurs when shoes are removed and during rest. The symptoms usually occur to only one foot. Fortunately, neuromas are treatable with injection therapy, orthotics, and footwear modification. 

Tarsal tunnel syndrome

    This condition is caused by a compression of the nerve that travels along the inside ankle bone. Compression of this nerve can also occur with footwear, injury or trauma to the area. The symptoms, much like neuroma, include tingling, numbness and shooting pain in the ankle and towards the end of the toes.  Tarsal tunnel syndrome has a longer period of healing but the good news is, with orthotics, immobilization, casting, and other physical modalities, symptoms can be greatly improved.

    Regardless of the cause of your tingly feet, it is crucial to have them investigated to ensure that your feet are protected and that you are not exhibiting signs of an underlying, more serious condition. Give us a call at 519-624-4122 to book your appointment today!




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366 Hespeler Road
Cambridge, Ontario N1R 6J6

Chiropodist - Cambridge, Douglas C. Broad, D.Ch, 366 Hespeler Road, Cambridge Ontario, N1R 6J6 519-624-4122