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366 Hespeler Road Unit #12
Cambridge, Ontario N1R 6J6
519-624-4122

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Posts for tag: Foot pain

Arthritis and its Impact 

September is Arthritis Awareness Month, and so in the name of that, we thought we would help to bring some awareness to arthritic conditions that affect the foot. According to the Arthritis Society of Canada, 4.6 million Canadians live with arthritis, 33 billion healthcare dollars are dedicated to arthritis treatment, and arthritis is a leading cause of disability in the Canadian populations.  And when you think about the role of the foot, the impact of this condition on mobility can be devastating.  

When most of us think of arthritis, we usually think of osteoarthritis or rheumatoid arthritis. However, the term “arthritis” is actually an umbrella term which covers many, many diseases.  Some of these conditions, in no particular order, include: gout, ankylosing spondilitis, Reiter’s disease, lupus, infectious arthritis, scleroderma, stills disease, fibromyalgia, Ehlers-Danlos syndrome, and Paget’s disease.  This list is not even exhaustive!   So how do we as chiropodists manage such diverse conditions?

Treating the Arthritic Foot

  Because many of the arthritic diseases are progressive with no cure, much of the treatment is therapeutic and involves pain management modalities. Some of these modalities include: padding and strapping, taping, prefabricated insoles, cushioning footwear, orthotics which can accommodate arthritis-related deformities, interdigital wedges, laser therapy or transcutaneous electrical nerve stimulation.  Some specific forms of arthritis can be managed and prevented with certain medications and lifestyle changes. For example, gout, a form of arthritis caused by deposition of proteins in the joint space, is managed with drugs, diet modification, and hydration.

With so many options out there, it is always best to seek professional advice rather than MacGyvering your own  cushioning modalities!If you have arthritic related pain in your feet, give us a call at 519-624-412. We can help to determine what form of treatment may be best for you.

 

 

Cuboid Syndrome

    We see many patients that report foot pain.  Some types of pain, such as heel pain, can have fairly obvious causes, such as plantar fasciitis. Other types of pain are less obvious, such as pain along the outside of the foot, which could have many potential causes.  Runners and athletes are generally more susceptible to these sorts of injuries but they can also happen in the general population.  Let’s take a look at some of the causes of lateral heel pain.

Cuboid Subluxation

    A subluxation occurs when a bone partially dislocates from its position within a joint, and commonly occurs to the cuboid bone. The cuboid bone sits just in front of the calcaneus and this joint can become disarticulated, causing a great deal of pain.  Another name for this condition is Cuboid Syndrome.

Signs and Symptoms

    This condition tends to occur in over-pronators, or individuals with flat feet, and can be aggravated by insufficient footwear or overpull of the peroneus longus muscle.  Pain from this condition can occur over time or very suddenly. It can radiate to the front or middle of the foot and often, the first steps of the day are the worst step so the day.

Treatment

    The good news is, although this condition can be difficult to diagnose, it is very treatable. The most common and effective treatment is manipulations. Manipulations involve rapid movements of a joint beyond their range of motion. In the case of cuboid syndrome, they can be helpful for returning the cuboid bone to its normal position.  Other treatments include rest, ice, compression, elevation (RICE) therapy, hydrotherapy, stretches , exercise and orthotics to correct underlying biomechanical problems. Usually cuboid syndrome will heal with time and a break from activity.

If you think your outer foot pain could be due to Cuboid Syndrome, give us a call at 519-624-4122.  We can help!

Plantar Fasciitis

    Think you have heard all that you need to hear about heel pain? Well we are here to tell you that you probably haven't!  Plantar fasciitis occurs when the fascia, extending from the inner part, and back, of the bottom the heel to the toes, becomes inflamed. This inflammation occurs when there is a strain on the fascia. This can occur due to sports, or from standing for prolonged periods of time in inadequate footwear, or even from your underlying foot shape. For example, a person with a flat foot is more likely to develop plantar fasciitis.

Signs and Symptoms

    If you know anything about plantar fasciitis, you know that the most common symptom experienced is morning pain.  This is because as you sleep your fascia becomes tight, and as you first wake up and step on the ground, this rapidly forces the fascia into a stretched position, which is what causes the pain.

Treatment

 There are so many treatment options for plantar fasciitis! We will go through them briefly: 

1. Rest-Ice-Compression-Elevation: Good old fashioned RICE. Its on the list because it works.

2. Stretches: Specific stretches for the fascia can really help lengthen it and reduce pressure. Click here for more info!

3. Low Level Laser Therapy: Stimulates production ATP (energy) in the body which can help to reduce inflammation and stimulate healing.

4. Orthotics: Provide long-term relief for the underlying biomechanical problems causing the plantar fasciitis.

5. Ultrasound: Therapeutic modality for increasing bloodflow to an area, enhancing wound healing and reducing inflammation.

6. Corticosteroid injections: Help to provide temporary relief from pain caused by plantar fasciitis

7. Footwear: Sometimes new shoes, with adequate cushioning and support are all that is needed to support plantar fasciitis.

8. Taping: Taping the foot with sports tape in a specific manner by an expert can assist with pain relief temporarily and help to promote healing.

As you can see there are many, many options when it comes to your plantar fasciitis. Call today to book an appointment to learn more about how we can help. Also, you can click here to order our free booklet on the subject and learn more about heel pain!

Happy Monday! 

November 03, 2014
Category: General Foot Care
Tags: Gout   Toe pain   Foot pain   metatarsalgia  

Hi Friends,

Well, its safe to say summer is really, really over. With winter, for whatever reason, we seem to see more patients with Gout. Lots of people have heard of gout, but many people do not know what it is.  

Simply speaking, gout is an inflammatory condition caused by the deposition of uric acid crystals within a joint.  Uric acid is the byproduct of purine metabolism, and purines are found in various foods, and necessary for a healthy body. However, sometimes individuals either trouble excreting uric acid, or they are getting too many purines, overwhelming their natural control mechanisms. 

Gout often affects the big toe, and is rarely found elsewhere. A gouty attack starts as an acute, painful, red, hot and swollen joint and can lead to loss of function. Men are significantly more likely to develop gout than women, particularly those over fifty years of age.  Once someone has an initial attack they are highly likely to have a recurrence. Eventually gout can even become chronic and lead to the development of deformities and secondary osteoarthritis.

Because it can become chronic, gout needs to be managed early on.  Some research shows that gout can be prevented through changing nutrition and reducing alcohol intake. Purines are found in meat sources and therefore reducing the amount of meat one consumes may help prevent gouty attacks and increase the length of time between attacks. Further, maintaining an adequate level of hydration (at least eight glasses of water per day) and reducing alcohol intake can also help with prolonging the onset of an attack. Once an attack is starting, taking ibuprofen immediately can terminate it and also help to manage pain.

Finally, orthotics and appropriate footwear advice will really help manage pain associated with gout, and can be of assistance during an attack as well. If you think you have gout, give us a call at 519-624-4122. We can help develop a management plan to prevent future attacks and keep you mobile and healthy!



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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