519-624-4122

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

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    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!”

 

Fall is almost here and that means shifting gears from sandals to close-toed shoes, and for many women this can result in the development of foot injury, painful corns or callus, or heel pain. Every year, runways and magazines report the most “fashionable” footwear for the season, and stores follow suit by stocking their shelves with these latest trends. While much of the 2014 fall footwear we are seeing in stores is fashionable and pretty, some of it will wreak havoc on your feet!  Here at Achilles we are realistic- we know that many women need to wear professional footwear to work. That’s why we’ve decided to evaluate the trends and let you know which ones are better than others, and the footwear you should simply avoid. As an aside, please note that none of these shoes are considered orthopedic or ideal for your feet, but if you must wear them, there are winners and losers within the bunch.

 The Fall Fashion Losers

  Knee and Thigh-high boots

Boots that cover the knee reduce mobility in that joint, and in case you weren’t aware, proper knee function is a critical component of the human gait cycle. Therefore people who wear these boots tend to alter their gait to compensate and this can lead to injury!

Sky-high stilettos

Stilettos (spiky heels) result in reduced balance and increased likelihood of falling. Also, high heels such as stilettos can actually shorten the Achilles tendon over time, resulting in pain when walking on flat ground or in flatter footwear- a problem you never want to have!

Platforms/Flatforms

The latest footwear trend is flatforms, which are a combination of platform and flat, meaning that there is minimal arch support and the shoe is very rigid, resulting in poor foot mobility and altered gait.  Use of flatforms has led to ligament tears, ankle sprains and even breaks. These shoes are just plain dangerous. 

The Fall Fashion Winners

Chunky Heels

If one must wear heels, a chunkier heel is a better option because they provide better balance and reduce the likelihood of falls. Just be sure to vary heel height every day to prevent the Achilles tendon from permanently shortening.

Tomboy footwear

Think oxfords and Doc Martens. These shoes are generally flat, more supportive and well-cushioned. They can be made to look fancy as well, so they are a good option for professional women.

Wedges

Wedges, unlike flatforms, follow the arch of the foot and therefore enable slightly better mobility than flatforms do, reducing risk of falls or injury. 

For additional footwear tips or for a footwear assessment call our office at 519-624-4122 or check out our website! Coming soon.

Bunions getting you down? 

It is sad to say, but these are the final days of summer. And with September comes back-to-school, settling into old routines, and colder weather.  Around this time, most of us switch out our summer sandals, fancy pedicures and toenail polish for closed-toed footwear- and this transition can lead to a spike in foot problems.

In particular, statistics show that complaints of bunion pain increase dramatically in the fall. A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe. About 1 in 3 individuals have bunions and they often a present within families. Most of the time, bunions are painless.  But when a patient does experience bunion pain, it is usually due to abnormal friction and rubbing with footwear.  Therefore it is no surprise that the switch from accommodative sandals to more occlusive fall footwear leads to an increase in bunion-related office visits!

 So what can be done about your bunions? One aspect of bunion care is prevention of further deformity. This can be achieved through a variety of facets, some of which include: protective padding applied by a chiropodist, callus/corn removal or use of a splint. A bunion splint is a corrective device that is usually worn at night that works to pull the big toe outward in order to prevent further inward deviation of the digit, along with preventing outward deviation of the joint. These are available at chiropody offices.

 Finally, one of the most effective options for bunions is to have a full biomechanical assessment to determine faulty foot mechanics followed by development of custom orthotics. Orthotics will help to correct the underlying biomechanical issues that could be causing your bunions.For later stage bunion deformity, surgery may be effective. Surgery in Ontario is conducted by an orthopedic surgeon and has variable long-term results. 

If fall footwear has resulted in increased pain to your bunions, or for a biomechanical assessment, call our office today 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