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

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Your Callouses Tell a Story!

One of the most common reasons we see patients on a regular basis is to reduce their hyperkeratosis- which is just a fancy word for callous. While most people have calluses on their feet and/or toes, sometimes these calluses become painful, which is where we can intervene and help to manage these pesky areas. What you may not know, though, is that the location and distribution of the callouses on your feet tell us a story- and indicate whether something more may be going on with your feet.  Here are some common examples of callous patterns and what they could indicate:

Callous on the outside of the big toe

When we see callous in this area, we often immediately start to think of a condition called functional hallux limitus, or FHL. FHL is a limitation to the range of motion of the big toe, and can cause painful callous to develop along the border of the big toe. FHL is not serious but can progress to a more rigid deformity. Therefore, it should be managed as early as possible through padding, strapping and use of orthotics.

Callous on the outer border of the foot

When we see callous forming on the outside border of the foot, more often than not, the patient has something called pes cavus feet. This means that the arch of the foot is higher than what is considered normal. While it is generally not a serious condition, it can be caused by a more serious underlying pathology such as Charcot Marie Tooth Disease or Spina Bifida.  Orthotics and cushioning can help managed this condition.

Callous Inner heel

Often callous on the inner heel of the feet can indicate a variety of things but amongst the most common is that of a pes planus foot type. Essentially this means that the patient has a lower than normal arch, and this can lead to other painful conditions such as plantar fasciitis or posterior tibial tendon dysfunction. Orthotic therapy is a good way to mange pes planus feet.

While reducing callous can provide short term relief, the best method to ensure that yourcallouses do not return is determining their cause.  If you would like to learn more about the story behind your painful callouses, give us a call at 519-624-4122!

Happy Monday!

 

October 10, 2014
Category: Skin Care
Tags: Flat Feet   callus   Corns  

“Ouch, my feet hurt!” is a complaint that we hear on a daily basis from many of our patients here in Cambridge.  On examination, many of these patients present with corns or calluses. For those of you who are unaware, corns and calluses are areas of thickened skin, which is also known as hyperkeratosis. Specifically, a callus is a diffuse area of thickened skin, while a corn is a small localized area of thick skin in which a deeper nucleus is present. Much of the time, calluses and corns do not cause pain- they simply occur due to the wear and tear of everyday life. However, once in a while, corns and callus become pathological; that is, they become painful and can disrupt mobility.

So why do we get corns and calluses?

There are some specific health conditions which can predispose a patient to developing painful corns and callus, some of which may include:  foot deformities like claw toes, hammertoes or bunions, diabetic neuropathy, and arthritis. Often, though, calluses and corns arise from a patient’s natural foot type. An example of a foot type is “flat feet,” also known as pes planus, which occur in a certain proportion of the population, and can also cause pain. Because the flat foot contacts the ground differently than a foot with a more defined arch, a flat foot can lead to the development of pathological callus. There are many different foot types, or mechanical problems can predispose an individual to  callus and corn development.

How are callus and corns treated?

There are a few options for treating corns and calluses. The most common method involves routine debridement of problem areas. A chiropodist will use a scalpel to cut off the painful thickened skin. This does not cause the patient any pain. In general, a patient will have to return for debridement every 6-8 weeks. Alternatively, if calluses and corns are developing due to a mechanical problem, then orthotics may represent a more long-term and effective treatment option. Orthotics are in-shoe devices that can help correct faulty foot mechanics that lead to the callus developing in the first place. Finally, reducing callus and corns may be as simple as changing footwear. Footwear that is too tight, lacks the appropriate depth, or causes pain in any way can lead to callus and corn development.

To end the cycle of callus development, call our office at 519-624-4122 – our Chiropodist can help! 

As many of you are aware, Cambridge is lucky to be an industrial and manufacturing hub of Southwestern Ontario. While factories and plants provide a huge economic boost to our community, we tend to see a lot of factory workers and laborers in our office, and most of the time it is because they are experiencing some sort of pain.  

 

In fact, foot problems account for 15-20% of all workplace injuries.  One of the most damaging aspects of working on your feet has been shown to be standing for long periods of time in the same position. Some workplace-related afflictions we commonly see in our office include: heel pain, inflammation, hairline fractures, arthritis, blisters, callus, burns, or sprained ankles.

 

While no job is impervious to foot injury, there are specific steps we can take to prevent foot related problems at work:

 

1.       Move around.

If working on your feet, try to change positions. If you are a manager at a factory where there are assembly lines, try to have employees fulfill multiple tasks throughout the day. This will keep the feet relatively mobile rather than in a fixed position for eight hours straight.

 

2.       Wear appropriate footwear

Different job requirements necessitate different types of footwear. For example, someone working with heavy machinery such as at the Toyota plant here in town may require protective footwear. Alternatively, someone working for Loblaws may be working in a freezer and need a shoe with insulation. Talk to an expert about the best kind of shoe for you and your workplace.

 

3.       Once you find the right shoe, consider buying two pairs

While it may seem like an unnecessary expense, it could end up saving you much more money in the long run because switching out shoes regularly has been shown to prevent injury.

 

4.       Stretch before, during and after work

There are some simple stretches you can do during your shift that will help keep your foot mobile and help protect your muscles, tendons and ligaments from damage.

 

5.       Consider   orthotics.   

Orthotics are in-shoe devices that are custom-designed to alter your faulty foot mechanics and adjust foot function, which can aid in both pain-reduction and injury-prevention in the workplace.

 

These are our main tips for preventing workplace injury.  If you are concerned about how your workplace and work environment could be impacting your feet, call our office anytime to set up an appointment! Our number is 519-624-4122.

 



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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