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

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Posts for: October, 2015

October 27, 2015
Category: General Foot Care
Tags: Lupus   Raynauds  

Many often wonder why we spend so much time talking about systemic diseases when they don’t seem to have anything to do with feet whatsoever. What you may not realize is that many systemic  diseases can have effects on mobility, skin integrity and more. Further, lots of systemic issues present first in the foot, so in many cases, a chiropodist is the first person to notice when something bigger could be going on.

One example of a condition that can have effects in the foot is lupus. Lupus is a fairly common connective tissue disease in which the main initial symptoms are extreme fatigue, generalized fever, photosensitive (sun-related) rashes and polyarthralgia (joint pain).  Lupus, being systemic, can have a pretty profound effect on all body systems and is connected to other disease processes such as atherosclerosis, kidney failure, alopecia (hair loss), anemia and greater susceptibility to infection.

Lupus also has a major impact on the feet. What can begin as simple aches and pains for patients can become debilitating.  Patients sometimes come into our office barely able to walk. Some lupus patient’s feet are extremely cold, and turn blue frequently which can be alarming. Vasculitis, or swelling of blood vessels can lead to open wounds on the lower limb in lupus patients.  So how do we manage these many different presentations of lupus in the foot?

Lupus and the Foot 

With lupus, footcare is mostly palliative. Patients are advised to protect the fragile skin on their feet and report to us with any lesions. So what may be a simple blister for you or me can be a nightmare for a patient with lupus. Patients are also fitted with accommodative, cushioning orthotics. Patients may require local wound care as well, depending on the severity of vasculitis and arterial disease.  Overall we have seen firsthand the benefits of seeking podiatric care when diagnosed with this condition. The sooner symptoms are managed in the foot, the greater the longterm mobility outcomes.

If you have any of the foot problems discussed here today, give us a call at 519-624-4122! You never know, it could make the difference between walking in pain, or walking pain-free.

Happy Tuesday! 

So, Its Psoriasis Awareness Month and in honour of that, we thought we’d well, make you more aware of this condition!

Ask most people what they think psoriasis is, and they would probably note that it is a condition of the skin. And this is true. But psoriasis is actually much more than a simple condition of the skin. Psoriasis is known as an autoimmune disease; a systemic condition which results from the body’s immune system attacking itself. In the case of psoriasis, the body’s skin cells are forced into overproduction. This process whereby skin cells are produced usually takes one month but with psoriasis, it only takes a few days. This leads to the presentation of the 5 Ps:  purple, planar, pruritic (itchy) papules and plaques.  The plaques tend to appear on the outside of the knees, elbows, and shins but can also appear on the foot. While as chiropodists we need to be aware of the effects of psoriatic plaques on the feet, there is another condition related to psoriasis which we also need to be aware of and that is psoriatic arthritis.

Psoriatic arthritis is a form of arthritis that arises in people with psoriasis. It can take years after a diagnosis of psoriasis to present itself- or a patient with psoriasis may never get arthritis. Psoriatic arthritis most commonly occurs in the joints of the toe, which swell and become very painful.  Often a single toe will swell producing what is often referred to as a “sausage digit.”  Patients present to clinic when this happens because it is alarming and often occurs out of the blue.

The good news is that psoriatic arthritis, like most forms of arthritis can be managed through medications and accommodative footwear and orthotic devices. If you have psoriasis and want to learn more about arthritis or want to learn more about orthotics, give us a call at 519-624-4122. We can help! 

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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