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

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Posts for tag: Neuropathy

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!




    We hope everyone has been enjoying this warmer weather- we sure have been! With warmer weather comes barefoot fun; walking on the beach, running through freshly cut grass, and swimming.  Unfortunately, with warmer weather, there is also a spike in diabetic foot complications.

 Let’s discuss a major problem that can occur in longstanding diabetics- Charcot Foot Syndrome (CFS) or Charcot osteoarthropathy. This condition is progressive, and if left untreated can result in severe foot deformity, often called rocker bottom foot. A rocker bottom foot looks exactly like the convex surface of the bottom of a rocking chair. This is great for rocking, but not great for walking. Let’s take a look at how CFS occurs and how we can help to prevent it.

How does it happen?

CFS does not happen overnight. Usually, it occurs in longstanding diabetics who lack sensation in their feet. Without sensation, these patients do not typically feel much pain. Therefore, a diabetic may not notice an injury as quickly as the rest of the population.  This is how CFS starts.  An injury, such as a stress fracture, goes unnoticed, and therefore untreated.  Often, even when a patient presents with a red hot swollen foot, a health care practitioner prescribes an antibiotic without ordering an X-ray, thinking it is the beginning of a diabetic foot infection.

If this initial injury is not recognized, and immobilization is not undertaken, then deformity can ensue.  Once the swelling goes away and the foot shape starts to change, this is a sign that CFS is progressing. This is a stage we really all want to avoid- so let’s discuss how to do just that!

How to recognize a foot injury

As diabetics, you hear all too often the dangers of ulceration, and the higher risk of amputation. The nice thing is the same rules apply for CFS as for avoiding ulceration. These include:

  • Check your feet at the end of each day
  • Try not to walk barefoot.
  • Wear shoes indoors.
  • Wear white socks so you will recognize bleeding points
  • Have a biomechanical assessment to identify problems and get orthotics
  • And most importantly: if you notice discoloration, swelling or heat, get to your chiropodist, physician or emergency department IMMEDIATELY. And, if CFS is not mentioned, advocate for your own health and express your concerns with healthcare practitioner!

Have a safe and happy summer everyone and contact us at 519-624-4122 for all of your footcare needs

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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