Ingrown Toenail Treatment 

Ingrown Toenail Treatment 

 

 

Ingrown toenails are commonly seen in our practice. They can be painful, debilitating and can even keep you up at night! 

What Causes an Ingrown Toenail? 

Your anatomical makeup 

Some people have nails that grow with a curvature on the sides, opposed to flat. What can happen is when the nail grows down and into the sulcus. These nails can be called pincer nails. What also happens is skin and callus buildup and develop in the corners, leading to more pain. When the nails are trimmed, people with curved nails cannot see the nail going down on the sides. They end up leaving a piece of the nail in the corner of the nail sulcus. 

 

Trimming Nails 

How one trims and maintains their nails can lead to ingrown nails. Some people tear their nails instead of cutting them. This is not a good idea because the nail can be torn off extremely far back and left jagged. The further back the nail spicule is, the more likely one is to undergo a surgery to remove that spicule. 

Another issue is that people tend to chase the corners when trimming their nails. It is always best to trim the nails straight across and file the corners with a nail file. I suggest filing with a nail file so the corners are not sharp and do not cut the adjacent toe. Another tip is to make sure the nails are not cut too short. Having some length to the nail ensures that you are going to cut across the entire length of the nail. 

 

Trauma 

Dropping something on your toe nail or stubbing your toe is never fun! What makes this situation a bit tricky is that the nail can break or chip leaving sharp corners. These jagged edges or sharp corners can dig into your skin, leading to a wound that can become infected. 

Improper footwear 

Some people wear tight dress shoes or pointy shoes and are unaware how that impacts their nails. This is more problematic in people who already have nail troubles. The constant pressure on the nails can lead to an ingrown toenail. If shoes are too small, that is also a predisposing factor for ingrown toenails. 

Biomechanical issues 

People who have flat feet or pronate a lot can drive their big toe into the shoe leading to trauma. This can be corrected with strengthening, toe aligners, toe spacers, gait retraining, wider footwear, stability footwear or orthotics. 

Medical Conditions 

Underlying medical conditions can make some people more susceptible to this condition. Fungal nails can become thickened and hard to or break off leaving jagged edges. Some people who have excessive swelling in their feet such as lupus, kidney disease, venous insufficiency to name a few, can be prone to ingrown toenails. The soft tissue around the nail can become swollen, making trimming the nail more difficult to accurately see, thus resulting in an ingrown. 

Why Ingrown Toenails Become Painful 

Ingrown toenails hurt due to the nail creating a wound in the skin. Once there is a wound that becomes a portal of entry for bacteria and infection. Your feet have exposure to bacteria and can become easily infected, especially in immunocompromised people.  The pain is due to the nail but also compounded by the soft tissue infection. 

Treatment 

It is best to seek a foot specialist to take care of your ingrown toenail . While you wait for your appointment here are some tips. Soak your feet in Epsom salts for 10 -15 min one to two times a day. Apply antibiotic ointment around the area. I also suggest Betadine prior to the antibiotic ointment. Some literature advised cotton under the nail to lift the nail. That may be tricky and I just advise seeing a medical professional if it is that bad. Use a Band-Aid to adhere on the affected side to pull the skin away from the nail. Toe spacers can help avoid pressure if the nail is close to a digit. Use Tylenol or Advil for pain relief. 

What It Mean When The Balls of Your Feet Hurt and What to Do!

Foot Pain On the Ball of the Foot (Metatarsalgia).

Covid 19 has lead to people walking around barefoot more often. Underlying foot injuries when walking barefooted can worsen the severity of the condition. 

Metatarsalgia 

What is it?  Now there are different types of of conditions categorized as metatarsalgia. 

The main sign and symptom pain at the end of one or more of the metatarsal bones. Those are the bones located near or on the balls of your feet!

  • The pain is typically worse  when you walk or run.
  • You may feel tingling or numbness in your toes. 
  • Athletes who take part in high-impact activities and also have an inflammatory condition like bursitis often have more widespread pain in the ball and middle of the foot.
  • The pain can be sharp, a dull ache, or a burning feeling.
  • You may feel like you’re stepping on a pebble.

Most often, the pain comes on gradually, opposed to all of the sudden. 

Metatarsalgia Causes

This is an overuse problem where, for some reason, there is a lot of load on one focal point on the forefoot. Such activities that pound the metatarsals  like, running, sprinting, plyometrics, jumping , skipping or dancing, result in impact forces leading to pain in the forefoot. Or you may have a predisposition to this injury due to your current anatomy such as:

  • Weak foot intrinsic (muscles)
  • Hammertoes
  • Hypermobile first foot bone
  • Tight calf muscles 
  • A short first metatarsal bone or a long second metatarsal bone 
  • Tight muscles that extend your toes, placing more downward pressure on the balls of the feet. 

Other things that can cause metatarsalgia include:

  • Pronation issues
  • Being overweight
  • Stress fractures in your toes or metatarsals
  • Bunions 
  • Torn ligaments in your feet
  • Tight calf muscles

Morton’s Neuroma is also a condition that is under the metatarsalgia term. This is when the nerve has extra tissue growth around it. It is usually located in the area between third and fourth toes, but can also happen in other web spaces of the feet. People with webbed toes also experience an increased likelihood of this issue. People may say it feels like they are stepping on a pebble or a stone. 

Medical Treatment

To relieve metatarsalgia pain, your downtown Toronto Foot Chiropodist or Foot Doctor may have you

  • Rest the foot. 
  • Orthotics with metatarsal support. Orthotics help control abnormal movement of the foot, as over pronation was mentioned as one the causes of the injury,  and also help with protecting those painful areas of the feet. 
  • Icing the foot 
  • Use compression bandaging
  • Wear cushioned pads, arch supports or other orthotics in your shoes.
  • Do gentle stretching and strengthening exercises.
  • Sometimes callusing can cause pain the foot, so having the callous removed, that can help
  • Sometimes surgery may be required or steroid injections to the area. 

Recovery 

I, Chiropodist Laura Desjardins, suggests If you are an athlete you may want to cross train or do activities that does not require pounding on the feet. 

Gradual return to activity is also recommended. One way to prevent this injury is to wear proper footwear, or orthotics if needed during high impact activity, stretch and strengthen your feet as well as keeping the hips strong. 

If you have any other questions or concerns with your foot pain, our Chiropodist, Laura Desjardins, would be happy to help you!

Running in the Heat

Hydration and Exercising on Hot days 

It is hot these days and that means we need to make sure we stay hydrated. Simply drinking water is not enough. When we sweat we lose a lot of electrolytes (minerals). If you don’t ever get cramps and then all the sudden on a hot day, you find yourself experiencing one, be careful, it could be the early signs of heat illness. I was on a run and felt a stitch coming on. I did not care, I had to stop and get water and since then I have been more mindful of my fluid intake and ways to prevent heat illness on hot days. 

Dehydration increases fatigue and impacts your form, thus making you susceptible to injury. Being dehydrated also increases DOMS (muscle soreness), so hydrating after helps facilitate in a speedier recovery.

Why Hydrating is important. 

Lack of proper hydration can lead to serious problems that can cause heat stroke or heat exhaustion.  This happens when the body’s cooling system shuts down and body temperatures rise above normal . Here is a table that breaks down the difference between the two. 

 

Heat exhaustion symptoms Heat stroke symptoms
general weakness elevated body temperature above 103F (39.4C)
increased heavy sweating rapid and strong pulse or heart rate
a weak but faster pulse or heart rate loss or change of consciousness
nausea or vomiting hot, red, dry, or moist skin
possible fainting
pale, cold, clammy skin

How much water should you drink ?

Everyone sweats at a different rate. Weighing yourself before and after exercise can help indicate how much water you have lost. According to Burke., L.M. et al and Sawka et al it is recommended to drink 1.5 L of water for each Kg of fluid lost. 

It is recommended to drink ½ your body weight in ounces of water. So a 100 lb person would drink 50 oz. 

The main electrolytes lost are sodium and chloride. These minerals are important for the regulation of nerve function, muscle contraction (hence why you camp up when dehydrated), absorption of nutrients, blood pressure regulation and the balance of fluids in our body. 

Dehydration also results in fatigue in workouts. So if you train in the morning and went all night without fluids, hydrating in the morning is important. If you slurp down water in a short period of time, that invokes diuretic response ( you excrete it). Simply adding electrolytes to that water will help you retain your fluids.

Other Tips That I Practice

Running during the coolest times of the day are best, but life demands may not always allows for this and sometimes it is still hot even when you wait. 

Wear a white hat training that is thin and made of a synthetic material that allows for evaporation of heat. Bring water on your workouts and drop bottles and go out and back on intervals so you can ingest water. Even having two so one you can pour on your head can really help.

Try to stick to the shade, and adjusting for paces can help. Jack Daniel’s table for pace adjustment is beneficial so you are not too hard on yourself for running a bit slower in heat!

Running Injuries – A Well Rounded Strength Program Can Ward off Injuries

Pain in the Foot is not fun. Especially when you are trying hard to stay fit during the COVID-19 outbreak. No access to gyms has forced people to be creative and move their exercise routines outdoors. It may even mean taking up new exercise. That may mean new aches and pains, because our body is not used to the form of exercise.

Here are some tips to help keep our body well rounded when taking up running.

First of all. My philosophy has always been that the foot is part of the kinetic chain of the entire leg. Forces acting on the foot can contribute or exacerbate foot pain.

A lot of the time we do not spend enough time focusing on staying strong in a well rounded approach. Weakness is why we get hurt. So lets try our best to avoid weaknesses.

Please note this is me sharing what I do. I have worked together with a physio to ensure I have my proper form so I do not hurt myself.

Exercises to do to help up stay injury free!

Strength training we should aim to do 2-3 times per week.

Lunges or Split Squats

The main point here is that how you position your body can impact where you feel the strengthening. Your back should be straight . Hinging at the hip and sinking backwards when you lower can target the glutes more. While hinging slightly forward can target the quads more. I specifically like to target the glutes. Running and walking already makes you quite quad dominant.

Lunges are also a great warm up to do prior to runs. Simple walking lunges helps to wake those muscles up!

Step Ups

This is where there is a step or a stool in front of you. You place one foot on the step and then press up . You straighten the leg and drive the other leg up. You pause at the top for a couple of seconds and then slowly go back to the ground.

Calf Raises

This is a big one for runners. The calf muscles work hard during runs. Over working can lead to wear and tear and actually weakness. The calf helps to absorb the impact of running as well as drive you forward in toe off phase of gait. Keeping this area strong can help reduce foot and ankle related injuries

To do this exercises you can do on two feet or one. You simply go up on the balls of your feet while attempting to not roll your ankle in or outwards. You want to think of maintaining the even weight distribution on all balls of the feet.

If you suffer from Plantar Fasciitis, I can help guide you to build up to this exercise. As doing this when injured can hurt the fascia band more, depending on the severity of the injury.

Hip Abduction

This can be done lying down or standing up . Lying down is a good place to stat initially. To do Stand with band around your shins and then raise the leg outwards. Keep the foot in line with your hip, try to not have it migrate in front of you your behind you . Keep your toes pointed forwards.

Hip Extension

Place a band around your shins and keep both feet facing forwards. Lift one leg back behind you and then return to normal. This works the hamstrings and the glutes.

Hip Flexors

This helps with running and form. You place a loop band around both feet and drive the bent knee up towards your chest.

Core Exercises

I am a big fan of planks for the core. This is done on the floor with your elbows bent. You can squeeze your glutes and ensure your back does not sag . To make this more difficult you can lift one leg up and hold. This is a hip extension variation. The other exercise you can do is side planks. This helps to work the hip abductors. A more difficult variation is to extend your arm and then raise one leg up in the air and hold.

 

Do not forget to also stretch!

 

Running Shoes – Footwear Advice !

Foot Pain Running? How and Why Footwear Matters. 

Lets face it, we are trying to make the most of this time of isolation. We want to be healthy and maybe take the opportunity to reach our fitness and health goals.  Without access to the gym or our fitness groups we are forced to get outside and get moving! Running is easy, right? We put on a pair of shoes on, put one foot in front of the other and get our heart rate up. An unexpected pain in your foot has put a road block into your plans. 

What to do if you get foot pain.

The first thing people should do, who experience foot pain, is rest and also take a look at what they have on their feet. I am offering some suggestions for what types of shoes to look for when you are experiencing pain in certain areas of your feet. 

Simple Terminology You Should Know When Buying Shoes 

Heel Drop – this is the difference of the heel height in relation to the forefoot height. A heel drop from 8 mm up to  12mm is seen as a higher heel drop. A lower heel drop is from 6mm down to 0 mm. 

Neutral shoe does not offer any gait correction. Stability offers gait correction for people that have flat feet or their knees and feet collapse inwards. Support is defined as non corrective gait movement guidance, this is seen in Brooks footwear as guiderails.

Foot Pain Symptoms and Shoes to Look For 

A key note – With any foot pain issues, a stiffer sole of some substance is better for foot pain. A soft sole may feel nice, but a stiffer sole adds stability to the foot. Brooks tends to have their shoes on a firmer sole across the board. Other lines may have firmer options. 

Achilles pain. Achilles issues can arise from lack of flexibility, calf weakness and pronation issues. Depending on if your issue is a result of pronation or not you should shop for a shoe at least a 10mm drop. 10 -12 mm heel drop brings the ground up to the foot and helps to alleviate strain off the achilles.

Tibialis Posterior Pain. Pain on the inside of your shins or inside of your arch. A 10 – 12 mm drop.Stability or support shoe will help with this. This problem usually arises from weak hips, calf and feet.

Plantar Fasciitis – 8-10 mm heel drop.  A firmer soled shoe with pronation control and a wide toe box. This problem usually is a complex one! I like a more supportive shoe with pronation control and a wider toe box. Intrinsic weakness is common with this condition. Having a wider toe box allows one to use toe spacers to help work their intrinsics when exercises. I also like a higher drop as calf tightness and weakness is also common with this condition. Bringing the ground up to the foot helps to take off some tension from the foot. 

Pain bending the toes upwards or a toe sprain – Any of the carbon plate shoes will to go well with this . These fancy shoes include the zoomfly, TC New Balance, Saucony Endorphin Pro and Hoka Carbon X shoe. 

Metatarsalgia or pain in the ball of their feet- Now these people would respond well to a lower drop 4-8 mm. I also recommend more cushion in the forefoot and wearin a met pad. Certain met bads are better than others for running. Materials that absorb sweat can lead to hot spots and friction/ blisters. That is no fun!

There you have it ! A few common foot conditions with footwear choices. 

A key note, when going down into a lower drop be careful. It takes time to adapt to that drop to avoid any achilles or ankle issues. 

Happy Running !

 

 

Best Footwear for Foot Pain

How Footwear Is Changing

I have noticed a recent trend in footwear companies across the board.  Specifically, in their stability and support lines. Support used to have medial posting, which is a foam made of a higher density on the inside of the sole. Sometimes these shoes also have a raised heel on the inside relative to the outside. This makes a wedging effect to prevent the foot from rolling inwards. A lot of foot problems are related to problems in the mechanics along the kinetic chain of the leg. However, not all foot types can tolerate a wedging effect. For instance, a Pes Cavus foot type or a supinating foot should not be forced into excessive supination. This can result in other foot problems.

How Footwear is Using Podiatry Concepts

The latest footwear technology is something similar to what we use in Podiatric Medicine. The new trend attempts to guide the foot to remain straight by having support above the sole of the shoe on either side of the foot. This concept is similar to what is used in Podiatric Medicine, which are “flanges” on medial and lateral sides of the foot. Flanges are designed to prevent the foot from rolling in or rolling out. However, in an actual orthotic this modification can be difficult to tolerate as it may not be the most comfortable. With a  shoe having this design, that makes a flange more tolerable.

This new design does not mean the foot is posted in either direction, it just guides the foot from rolling inwards or outwards. Brooks has changed a lot of their shoes to this new technique called Guide Rails. Similarly, Nike has so called replaced their Structure with the Nike Infinity React Shoe. he footwear companies have claimed that this new design has the potential to help reduce the occurrence of running injuries. Nike compared the Structure to the Infinity React and apparently found the athletes in the study had missed fewer training sessions in the new React Infinity shoe.

A Foot Specialist’s Opinion of the Stability Concept 

I have personally tried the Brooks Adrenaline and do really like this philosophy for foot health. The shoes are lighter without the heavier density of foam from the posting on the medial aspect of the shoe. I do like this new concept because it is shifting to a more neutral trend of support across the board.The other reason I do like a more neutral shoe is that it also does accommodate an orthotic well for those who need it. Orthotics should be in neutral shoes to avoid the effect of “ over-correction”. The shoe provides those “flanges “ for support and works well to help an orthotic do its job. The amount of “correction” can be done in an individualized manner in an orthotic based on individual biomechanic numbers, opposed to having a shoe with posting that is one size fits all among a population.

Additionally, in a study of Runrepeat, it was found that neutral shoes in combination with custom foot orthotics had a better impact on foot and lower limb injuries opposed to just stability shoes themselves. https://runrepeat.com/arch-support-study

I do really like this new trend in footwear and have tried it. I approve !

What you need to know about Plantar Fasciitis- Downtown Toronto

What You Need to Know About Plantar Fasciitis Treatment 

After going through my own foot injury, I discovered the benefits of using a stiffer orthotic to help my foot heal during rehabilitation. 

What is the Plantar Fascia 

Plantar Fascia is a thick dense, fibrous band that runs along the bottom of your foot. It has three bands, on the sole comprised on the outside and inside and middle of the foot. It starts at your heel and inserts onto the balls of your feet. 

What Does It Do:

It helps with to absorb shock from the ground when you run or walk.It helps to stabilize the foot from when your foot lands on the ground to when it pushes off.  Plantar Fasciitis is one of the most common foot injuries. 

Factors Leading to Plantar Fascia Injuries:

PronationPronation is when forces placed on the foot fall inwards.This can arise from hip weaknesses, ankle weakness, hamstring weakness and tightness also tight calf muscles.

Imbalances in the body lead to abnormalities in gait, which alters how the foot functions, leading to injury. 

Pronation  tends to happen mostly in people with flat feet. Their feet undergo more movement due to hypermobility, thus leading to more strain on the band. The foot muscles get fatigued and weakened, then the plantar fascia gets injured.  However, pronation can also happen to those with high arches. Their pronation origin may not be from the foot but up the chain or lack of flexibility and can still tax the foot intrinsics. 

Foot Weakness : This is very important and foot strengthening should be implemented into any plantar fasciitis rehabilitation. The calf and the foot muscles have to be strengthened in order to  withstand kiad demands during walking or running. This can be the most difficult part. Depending on form, calf strengthening exercises can cause further irritation or pain. I know exercises to help the foot and calf get stronger without irritating the plantar fascia injury.

Lack of Flexibility: Stretching the calf muscles and hamstrings are important. Stretching also makes the plantar fascia feel better momentarily. You should hold the calf stretches with the knee straight bent for 1 minute. 

Shockwave treatment does work well. It promotes healing to the tissue by sending pulses to the tissue. My philosophy is that it needs to be combined with the proper strength training program in order to effectively work. If the underlying issue is not addressed the pain will return. 

My philosophy combines strengthening in a progression, stretching, rest, modalities, footwear changes and orthotics.

This is the airplane . Focus on activating the foot muscles and do not allow the ankle to roll inwards. The standing leg lengthens and strengthens the hamstring , the lifted leg helps strengthen hips and hamstring.  Try holding for 20 seconds and do a few times.

 

Orthotics and Bunion Treatment in Downtown Toronto

Orthotics and Bunion Treatment in Downtown Toronto

As Downtown Toronto Chiropodist and Podiatrist, we focus on the management and treatment of foot pain. Some conditions respond well to rehabilitation exercises and some  require support to help prevent the progression of foot pain. Sport medicine literature recommends those with bony problems, such as bunions, benefit from a stiffer and more supportive orthotic. 

Rehabilitation and orthotic prescription is what  Downtown Toronto Chiropodist,  Laura Desjardins has a lot of experience with. She has a lot of experience in making orthotics that prodive the rigidity needed for athletes as well. In fact she runs in a rigid orthotic herself. After finding out soft orthotics still cause her foot pain, she now feels even runners with bunion issues should be in a more supportive device for best pain relief.

 Downtown Toronto Chiropodist, Laura Desjardins, is fortunate to connect with various sport medicine researchers leading in tendon research and professors from top ranked sport medicine faculties across North America. This knowledge has helped her understand foot injuries in more detail.  Bunions are one condition that can benefit from orthotics.

What are Bunions ?

The medical term is Hallux Abducto Valgus and best described as the big toe deviating and a bony province over the inside of the joint. It can present with or without pain.

What causes them?

This problem can arise from tight fitting/ narrow toe boxes, high heels, flat feet, and pronation of the leg and foot. Pronation is when the bones fall inwards towards the midline of the body. Bones can shape based on repetitive movement in this pattern.

Treatment and Orthotics

Initial bunion pain can be treated with shockwave therapy, anti inflammatories, joint mobilization , rest ,splints, spacers, ice and support. Later stage treatment includes hyaluronic acid injections or surgery. At Downtown Toronto Chiropody clinic, Laura Desjardins treats this condition by addressing alignment, hip and foot strengthening, orthotics and footwear education. If needed, one may be referred for hyaluronic acid injections for joint pain. If conservative measures fail, then bunion surgery is the next step.

How Orthotics Help Bunions:

The condition is due to hypermobility and the foot collapsing inwards. Orthotics have to be stiff with the correct prescription to correct for your individual foot deformity. Casts or 3D scanners are the best impressions for taking your orthotic casts. That is where the true correction can be made from. Foam box and the pressure mapping are not considered gold standard with orthotic prescription making. The outcome of the effect of these devices can be compromised.

Quick tips For Bunion Treatment

Icing the area, using topical pain creams and anti-inflammatories can help lessen the ache. Simple bunion splints you can purchase, help stretch the joint capsule and offer temporary relief. These splints do not fix the bunion as the underlying issue is from the trauma. This is trauma from wear and tear on your feet such as standing, walking and running.

Key Points

Bunion pain does respond well to orthotic treatment. Bunion treatment orthotics need to be made with the correct prescription for support or else they will not prevent the collapsing of the foot . Orthotics for bunions need to be stiff with the foot corrections made in them. The casts should not be foam box. If  treatment of orthotics , exercises, footwear changes, spacers and splints do not offer relief, you should be referred to an orthopedic surgeon.

Footwear and Foot Pain Tips Toronto Chiropodist and Podiatrist

How Footwear has an Impact on Foot Health:

Foot pain can be directly related to your shoes. A lot of our foot troubles come from our repetitive day to day activities and our footwear. Those who walk around Downtown Toronto probably go to the path or grab meals outside their office. Most of my patients keep on the same shoes as their dress shoes. Going into winter that will change, however in Toronto we have access to the path, which allows people to keep their dress shoes and grab lunch, without having to step outside!

It is best to at least change footwear into more appropriate shoes for longer commutes.  Dress shoes do not have the greatest amount of forefoot cushioning and most of the designs are narrow and tapered in the toe box. A narrow toe box squishes the toes together which can lead to many foot problems including bunions and foot muscle weakness.

Foot muscle weakness is due to the lack of use ! If someone was to wear mittens to do everything each day, they would have weak hands. This is similar to the feet, that is why a larger toe box is always recommended. With a larger toe box , your feet can dynamically aid you in walking. When the toes are able to spread apart and grip withing a shoe, they are able to keep moving, strong and stay in shape. Bunions and hammertoes arise from the foot adapting to pressure on a constant basis. Buying footwear with a bit more toe box room or stretching the shoes from a shoe maker can help prevent foot problems and also improve comfort!

Running Shoes

Shoes with padding and cushioning can help reduce aches and pains in your feet after runs. People who are prone to forefoot pain should also adapt not only a strengthening regimen , but also choosing footwear of adequate support and forefoot cushioning. Orthotics can also be made to provide extra shock absorption and help with deflecting pressure on the forefoot. Shoes should be replaced every 800 km . After that point the foam compresses and looses its responsiveness, reducing its ability to help support and protect your foot.

Footwear had some a long way with the mesh and seams manufactured to help out those wider feet and bunions. If you happen to ever get blistering in your running shoes, come me, Laura Desjardins . I am well experiences with runners and know how to manage that area of concern for people.

 

Foot Pain Treatment and Orthotics- Downtown Podiatrist and Chiropodist

Foot Pain Treatment and Orthotics- Downtown Podiatrist and Chiropodist

The ideal foot is one that is cosmetically free from pathologies, free from pain and has normal biomechanics. Activities should not cause your foot pain. The foot should fit comfortably in most shoes. If you find yourself thinking you do not exhibit some of the characteristics, you may be someone susceptible to experience foot injuries or ongoing problems with your feet.

Certain activities and footwear over a lifetime can impact your foot health. Ballerinas, runners or those who need to wear high heels can undergo foot changes that impact their quality of life and overall health.

Most Common Symptoms of Foot Pain

Ball of the foot pain

This is typically known as metatarsalgia. Within that term there are many factors that can be causing your pain, which include callouses, corns, tight footwear, flexible footwear, arthritis, stress fractures, ligamentous injury, the arch collapsing and even stress fracture.

Arch pain and heel pain

This typically can be plantar fasciitis, however other factors must be rules out. Other differentials include a seronegative arthritis, nerve entrapment or stress fracture/ stress reaction.

Nerve pain and burning sensation

This can vary from a nerve entrapment, neuroma or neuropathy.

Due to the fact many conditions my seem like others, it is best to have a specialist to assess your conditions to give you the best understanding of your foot pain. I, Laura Desjardins’ goal is to get people out of pain and back to health. I provide an examination with a detailed medical history as well as a treatment plan. I have experience in extra training at Harvard Medical School in Sport Medicine, Canadian Sport Medicine conferences and my own running and foot injury experience.

I believe in a well rounded approach which may include supporting the foot with orthotics to help the injured tissue heal, along with exercises and treatment plan. I can also offer a return to sport or activity program.  Modalities and tools to help speed healing are also offered at my clinic, such as shockwave therapy, which I believe is very beneficial, however only when combined with the proper effective rehabilitative program. Sometimes, I may refer you off to a Sport Medicine Doctor, who I trust, to give you further tests or treatments.

I am a passionate runner and foot health has always been so important to being able to stay consistent and healthy. Your feet are your foundation and strong and mobile feet are important, seems how we use them each day!  I am confident I have a vast experience in footwear, orthotics and treatment when it comes to foot pain management.