Toronto Foot Doctor Tips for Good Foot Health

As your preferred Toronto foot doctor specialist, we take a special interest in each and every patient we see. We treat a variety of different foot issues. What’s more, we like to be proactive.

That’s why we’ve put together these tips on preventing issues before they start.

Shop for Shoes After Lunch

Your feet are their biggest in the afternoon. That’s why it’s the best time to shop for shoes. If they feel good at that time of day, the chances are you’ll be able to wear them comfortably at any other time.

Wash Your Feet Often

Lukewarm water with a bit of soap is the best concoction to wash your feet on a daily basis. We always caution against letting them soak for too long. That can damage their natural oils. For those who cannot reach their feet or have back conditions, a loofah or scrub on a long handled brush can help prevent falls in the shower while practicing good foot hygiene.

Cut Those Nails Properly

As a Toronto foot doctor with lots of experience, we surprise a lot of our patients by telling them there’s a right way and a wrong way to cut their toenails. Of course, you need to trim them on a regular basis. However, the secret trick is they need to be cut straight and not on an angle.

Using this little insider trick can help prevent ingrown toenails.

Cut Down on High Heel Time

We recommend that it’s best if you save your high heels for events and other types of occasions. If there is no way around wearing these types of shoes, try and lower the heel height as much as possible. If you have to wear heels in the office, wear shoes with good support and that do not hurt your feet on commutes. When you get to the office, change into your professional foot attire.

Scientific evidence points to the fact that a heel height of over 5 cm can do some damage to your feet over the long term.

Make Sure to Wear New Socks Everyday

This one might seem really simple but there’s more to it and just avoiding smelly feet. If you come in and talk to us, we can recommend the right kind of socks for your sporting events.

Generally, socks that are made of wool or cotton will help your feet to breathe. If you suffer from diabetes, your socks should be smooth on the inside to avoid damaging your skin. Synthetic materials are good for keeping the foot try and blister prevention for the more physically active population.

Finally, here’s a tip about your feet and communal areas as the weather gets warmer. It’s a good idea to wear pool shoes when you’re in any public area where you might be swimming or gymnasium showers.

One final note about flip-flops from your Toronto foot doctor. These don’t always have the best support so you shouldn’t wear them continually.

5 Reasons for Top of the Foot Pain

Top of The Foot Pain 

 5 Reasons for Top of Foot Pain 

It is no question that your day to day activities, hobbies and footwear has a direct impact on the aches and pains your feet experience. The changing of seasons usually means a change in footwear. Foot pain located to the top of your foot could be caused by a number of factors and I am here to help you hone in on what it is that may be causing your foot pain. Sometimes, it is not one thing, it is a combination of many factors that result in foot pain. 

  1. Footwear that is too restrictive or high heels can lead to top of foot pain. It goes without question that we all know high heels are bad for us. Why exactly ? Heels and footwear that does not allow the normal ankle range of motion can lead to imbalances in the foot and ankle. Footwear that drastically changes the angle in which our feet meet the ground, over repetitive steps,day after day, leads to injury. This effect of weakening is  similar to wearing a cast after injury, where foot strength in compromised after a period of time from being immobilized. Over time this can lead to weakness and pain on the top of your foot!
  2. Loose fitting footwear can cause foot pain. Yes, unfortunately,  it is kind of like that Goldilocks Theory. Footwear that is too tight or too loose is never too good for us. The middle ground with that happy medium is always best for our feet. Footwear, like flip flips causes overuse in the tendons in the feet. The flip flops place an overuse demand on the foot in a manner it is not used to. Repetition of this load causes reoccurring tendon strain and pain. This is the same situation when shoe laces are too loose, or footwear of slip on nature is used for longer than our feet are used to. 
  3. A neuroma is a condition where the nerves in our feet become inflamed or irritated . Neuromas are commonly found in those with repetitive strain to the feet or those who wear, yes again, high heels. The nerves in our feet migrate in the toe area and this delicate area can be a vulnerable spot of potential injury. I have been able to help restore function with proper rehabilitation exercises with this condition, but conservative care usually has a poor result. Once conservative measures fail, better success is with anti inflammatory injections and last resort surgical intervention. 
  4. Stress fractures are no joke. For those weekend warriors or those tough athletes who love to push through pain, take warning when this top of foot pain does not improve. Other sings include when one cannot even stand or walk without debilitating pain. These injuries are common in people who overtrain, increase in duration too much too soon, have previous foot injury or stress fracture and those who have nutritional deficiencies.Unfortunately X-rays do not always show a stress fracture. A bone scan will show this injury as well as a CT and MRI will also show this injury. Rest and an air cast followed by a proper rehabilitation program and nutrition is the best protocol in this situation.
  5. Other bone conditions that can results in top of the foot pain include Freiberg’s Disease or various forms of arthritis. Freiburg’s disease is a term used for avascular necrosis. This condition is caused by trauma to the bone that results in lack of blood flow to the bone, causing the bone cells to die. This is a serious condition that needs medical attention and time offloading to properly heal. There are various forms of arthritis that can cause foot pain. Arthritis can be caused  from general wear and tear, while others arise from an auto immune condition. 

All of these foot pain differentials are factors that can result in foot pain. Foot health is so important to your every life and there is no medal to be won for enduring unnecessary foot pain. Before your condition worsens or before you need to take more time off from activity or your lifestyle, please seek professional attention for the best advice on your foot health. 

Podiatry on Yonge at King has a vast amount of experience when it comes to foot health.

I, registered Chiropodist, Laura Desjardins would love to get to the root of your foot pain.

3 Points on Plantar Fasciitis for Runners

3 Points on Plantar Fasciitis for Runners  

Runners put a lot of stress onto their feet. In fact the amount of impact placed on the foot is actually 3 times our body weight. Me being a foot specialist and an elite runner, I am here to share some education on running conditions and how footwear plays an impact on our foot health. I actually chose this field as I noticed in my sport most of my injuries were to the foot and lower limb. Makes sense if 3 times my body weight is hammering on my feet each stride! If you have a foot condition, please do seek professional for treatment as neglected pain can result in a more serious injury and more time away from running !

Three Tips on Plantar Fasciitis Include:
1. Plantar fasciitis Signs and Symptoms:
Plantar fasciitis is a painful condition that typically feels like a stiffness or sharp pain on the heel or arch of the foot. Signs of this condition is stiffness or pain with your first few steps in the morning out of bed. It can also be the first few steps after sitting for a prolonged period of time. I advise my patients that continuing to step down without stretching or working the tissues prior to stepping down, can cause more microtears to the fascia band. It is best to sleep with a GOOD night splint , stretch / roll out the foot before getting out of bed and immediately putting on supportive footwear prior to doing your morning tasks.


2. How This Injury May Happen :
Our body needs time to recover from stresses placed on the tissues. Without adequate attention to strengthening or stretching to help adapt to the repetitive strain placed on the tissue, erratic healing and injury can arise. This is a difficult injury to treat as the bottom of our feet don’t get much rest with the amount of time on our feet in our busy lives.
This condition is commonly found in those who walk a lot, run a lot, on their feet a lot or those who spend a lot of time in high heels. On a whole it is from lack of flexibility and lack of strength. It is proven that tightness is from weakness. Specifically in runners, the microtears from repetitive movements can actually weaken the lower compartment and lead to plantar fasciitis.


3. Treatment Options:
Rest is always best when injured. In most severe cases the goal is to first reduce the amount of pain for the patient. That may mean a prescription of anti inflammatory medications, aggressive taping, and support or an air cast to reduce foot impact. Pool running or spinning is a good way to stay fit while treating this injury. Shockwave therapy is a great modality, also offered at my clinic. There is some skepticism on its efficacy. Those who treat shockwave  a band aid fix by just applying the treatment and send someone on their way, will have little hope for any benefit. The treatment is to be an adjunct approach with proper education and application of effective stretches, mobility, strengthening and footwear education. Soft tissue release and work of the lower leg compartment is also recommended. I tend to stay away from cortisone for runners, those who can take time off weight bearing activity and wear an air cast is only when I would recommend this approach.


In other cases an untreated plantar fascia injury can result in a stress reaction. That is why I always recommend long standing injuries of this nature that mimic bone conditions to be sent for an MRI from a licensed MD. Other options are Platelet Rich Plasma injections which uses the patient’s own platelets to accelerate healing. I do have a referral system set up at my clinic for those who may benefit from this.
Exercises and stretches are very important . As I explained earlier, stretching needs to be executed with the proper form so the stretch is felt. I typically like long stretches of both calf muscles , soleus and gastrocnemius to be held much longer than 30 seconds. Strengthening, I liked my patients to strengthen arches, intrinsics and lower calf muscles. This should all be done along any modality and after proper recovery time has been achieved after prp or cortisone procedures.


Footwear and orthotics are also key in treatment. In my experience footwear and support makes a big impact on foot conditions. Orthotics should be made to support the arch. I am not a big fan of lifts or anything that would exacerbate a tight calf. Only in the very early stages of the injury do I advise lifts, but my goal is to get the calf elongated and strong. I also advise people to wear a couple different heights of footwear from 4mm to 10 mm to help strengthen different angles of the ankle and calf when running. I am a big fan of firm soles opposed to soft flimsy footwear. For flatter feet, like myself, I am not a fan of light shoes for training. I am a big fan of support and the traditional school of stability footwear. Good brands make stability shoes light weight these days with similar Podiatric principles built into them. This includes medial flares, medial posts and even wider forefoot medial flares for forefoot support!

All in all plantar fasciitis is not one quick fix condition. It does require a holistic approach to treat the imbalances and restore function. I hope you will find some tips here if you are going through this painful condition and know help is available.

Our Foot Pain Treatment Toronto Team Highlights These Common Causes

It’s not fun when you have sore feet.. Our foot pain treatment Toronto clinic sees folks everyday from all walks of life. They suffer from a variety of problems. We thought it might be helpful if we listed a few of them so you can see you’re not alone.

Plantar Fasciitis

This is characterized by a nagging pain in the morning that gets better as the day wears on. Usually it feels like a dull throbbing in your heel or arch.

This condition can be caused by something as simple as not getting enough exercise. Our foot pain treatment Toronto clinic has seen people who have jobs where they need to stand on the heels of their feet. They suffer from this ailment too.

For momentary pain reduction we recommend stretching your lower legs for a few minutes every day and icing your heels for 10 minutes. Our clinic offers great treatment options for this pain including an up to date exercise plan, soft tissue release, shockwave therapy, personalized injury specific exercise plan and other podiatric suggestions to help you bounce back from this injury.

Ankles Sprains

If you stop and think about the way that your ankles are connected to your foot, it’s not a big surprise they can get twisted easily. Sprains generally occur when the ankle goes one way and the foot goes another and ligaments on the inside or outside of your ankle pull.

If you have a job where you need to change direction quickly, you’ll find that you’re susceptible to these sprains. Weakness around the ankle can also predispose you to these injuries.

There are a few things that you can do for injuries that aren’t too bad including resting the ankle until you feel better, icing, taking anti inflammatories if you are medically allowed to. You can also use compression wraps or elevate your foot to lower the swelling. Our chiropodist, Laura Desjardins can offer treatments to help facilitate healing and give you a treatment plan of increasing difficulty to help you transition back to proper foot health.

Bunions

If you have a problem with a growth at the bottom of your big toe, the chances are you have a bunion. These bumps are caused by a variety of different conditions including shoes that are too tight, improper foot mechanics, heavy load on the feet, poor foot strength and flexibility and can even lead to arthritis.

That’s where our foot pain treatment Toronto clinics come in. We can help you with professional footwear advice by measuring your foot and determining what footwear is best for you. For some patients, we can help by prescribing orthopedic footwear to help accommodate feet with bony changes requiring extra room in their footwear.

In fact, we are the downtown Toronto podiatrist and chiropodist clinic that help with a variety of foot issues. We specialize in looking after our patients by listening to their personal stories. After that, we take a look at their medical history before finally examining their feet.

It’s a comprehensive foot pain treatment Toronto approach that works for everyone who comes in to our clinic. If you’re suffering from some kind of aliment, why not get in touch today?