Bunion Pain

A bunion is a bump on the outside of the big toe or the side of the little toe (Tailor’s bunion). The bump is the result of two bones going in opposite directions because of muscle and ligament instability. Often times, calluses, corns and ingrown nails will develop as a result of the misalignment of toes and joints.

Bunions can occur from a variety of issues such as improper footwear, foot type, hypermobility, genetics, and abnormal anatomy. What most individuals aren’t aware of is that bunions will continue to get worse until the cause is removed.

The only way to remove a bunion is surgical correction. However, there are many conservative treatment options for preventing the progression of a bunion and it is often the preferred treatment for less severe bunions. Some treatment options include:
– bunion splint or sock
– silicone toe separator
– changing footwear
– custom orthotic therapy
– taping or splinting

If a bunion continues to progress, there is often a lot of pain and swelling at the joint and bump. Some treatment options for bunion pain/swelling include:
– padding around the bump
– medication for pain (Tylenol, Ibuprofen, Aleve)
– warm soaks
– applying ice
– ultrasound application
– changing footwear to accommodate the bump

If you’ve tried conservative treatments for about a year without any success and the pain/bunion has progressed then talk to your family doctor about surgical correction.

At West Mississauga Foot Clinic, we will conduct thorough assessments to identify the cause of your bunion and help create customized treatment plans to fit your needs. If you experience bunion discomfort and pain, please call (905) 625-1555 to schedule an appointment with one of our registered chiropodists.

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Foot Odour

Foot odour can be embarrassing, however it is a common problem affecting people of all ages. Foot odour is the result of a mixture of sweat and the bacteria on your skin. Sweat itself is odourless, however when it comes into contact with bacteria, it can produce a foul smell. It is important to try and prevent excessive sweating of the feet, as this can lead to further issues like fungal and bacterial skin infections, warts, and fungal nails.

Foot odour can be prevented with these tips:

1. Practice good hygiene: Wash your feet daily and ensure you dry the whole foot, including between the toes, before putting on any socks and shoes.

 

2.Change socks frequently: If you have excessively sweaty feet, carry extra pairs of socks with you and change them frequently.

 
3. Types of socks: Wear moisture-wicking socks, as these are important in keeping moisture away from your feet. It is best to wear socks that have a combination of cotton and synthetic materials.

 

4. Rotate your shoes: Change your shoes daily to give your footwear a chance to air out before you wear them again.
Remove your orthotics: Take out your insoles or your orthotics at the end of the day to air them out.

 

5. Air out your feet: Make sure you are not constantly wearing socks and shoes all day. Go barefoot at home to allow your feet to breathe.

 

6. Over the counter remedies: There are over the counter foot powders and sprays that can be used in those with excessively sweaty feet.

 

If you have any questions or concerns about foot odour, please feel free to contact the clinic at (905) 625-1555 to schedule an appointment with one of our registered chiropodists.

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Dry Needling for Plantar Warts

 

Plantar warts are caused by the human papilloma virus (HPV), and can be spread in moist environments such as public swimming pools and showers. Those with compromised immune systems are at a higher risk for developing warts. Warts are typically self-limiting, however many patients seek treatment for cosmetic reasons and to prevent its spread. From least to most aggressive, treatments include: silver nitrate, salicylic acid, immunomodulators, Canthacur-PS, liquid nitrogen, surgical excision and dry needling.

 

Dry needling is a technique that can initiate an immune response to fight off plantar warts. Since warts are located in the upper layers of the skin, the immune system is unable to detect the virus and fight it. The idea behind dry needling is to push the virus particles deeper into the body in order to initiate an immune response. It takes approximately 2-4 months to see the wart resolved. Dry needling has a 90% success rate, and it is best in cases where the patient has multiple warts as only one wart has to be needled to show a response.

 

Local anaesthesia is injected around and under the wart to ensure the area is numb. Once the area is anesthetized, a needle is used to poke the wart until it is actively bleeding and raw (approximately 100 times). Once the bleeding has stopped, it is covered with a gauze dressing. The patient is able to weight bear immediately, however once the anaesthesia wears off (1-3 hours) the area may be painful for the next few days. Afterwards the patient does not need to do any self-care, but they will need to come in for regular follow-up appointments to remove the overlying callus.

 

If you have tried conservative treatments with no results and are interested in needling, contact us today at (905) 625-1555 to schedule an appointment with one of our registered chiropodists.

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Do your feet “roll in”, “twist” or “give away”?

Chronic ankle instability or injury is extremely common in the general population. Ankle instability can derive from repetitive trauma to the ankle ligaments through sports injuries, poor footwear and/or genetic anomalies.

 

Injuries to the ankles if not properly treated over time leads to chronic instability and future ankle injuries. When an injury occurs ligaments are stretched compromising their integrity. Following a treatment plan in hopes of restoring ligament health and to prevent future injury is important. As in many cases, treatment plans are absent as many believe the injury will subside on its own thus ligament health is not fully restored leading to instability.

 
To combat an instable ankle, orthotics, bracing, post injury exercise, laser, ultrasound can be used in combination with other services to restore foot health.

 
During an appointment a comprehensive ankle and foot assessment will be conducted to map out the appropriate treatment plan for you. Take care of problem earlier on can avoid future complications.

 
Contact West Mississauga Foot Clinic at 905-625-1555 to schedule an appointment with one of our registered chiropodist. West Mississauga Foot Clinic is located at 1550 S. Gateway Road, Unit 207, in Mississauga (between Eastgate Pkwy and Eglinton Ave E off of Dixie road).
Visit us online at http://www.westmississaugafootclinic.com/

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Foot Mobilization Therapy (FMT)

Foot mobilization therapy is a gentle manual therapy that effectively reduces pain without the need of medication or surgery. This therapy can be implemented in a variety of treatment plans for foot pain, arch pain, heel pain and ankle pain. The technique involves guiding the foot through its range of motion and strengthening musculature.

 

FMT is a continual therapy that requires a few treatments before results are seen as it takes approximately 6 weeks for connective tissue renewal. Generally, therapy that has the duration of 4 weeks yields a reduction of symptoms 30-50%.

 

FMT is a wonderful therapy that has been successful at the West Mississauga Foot Clinic. After 7 treatments (once a week intervals) one of our loyal patients has seen a dramatic decrease in her chronic arch pain, inflammation and joint stiffness. This treatment is highly recommended for those seeking drug free relief or for those looking to create a more effective treatment plan.

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Onychomycosis (Fungal Nails)

What is onychomycosis?

 

Onychomycosis is an extremely commonly fungal infection caused by an organism called Trichophyton rubrum. This organism not only infects the nail plate, nail bed and nail matrix, but also the surrounding skin. Toenail infections are more common than fingernail infections because of the moist environment of the feet. Typically, onychomycosis is more of a cosmetic complaint as the nail becomes thickened and discoloured. The nail is yellow, crumbly, brittle, and accompanied by a foul odour. Although there is usually no pain associated with the condition, it is important to treat onychomycosis as long-standing cases can potentially cause permanent deformity of the nail.

 

Treatments

 

-Drilling the nail to thin it out for easier penetration of topical antifungal medications
-Topical antifungal medication
-Oral antifungal medication
-Laser ablation
-Surgical or chemical removal of nail

 

Prevention Tips

 

-Towel dry your feet after showering
-Air out your feet and shoes
-Do not share nail clippers
-If your feet tend to sweat a lot, change your socks and shoes twice a day
-Wear socks that are designed to draw moisture away from the feet
-Wear sandals or shower shoes in communal areas, such as public swimming pools, saunas, etc.

 

For advice please feel free to contact your chiropodist.

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Painful Heel Fissures (cracked heel)

What is it?

Heel fissure, or cracked heels occur when the skin on the bottom, outer or inner edge of the heel become thick, hard, dry and flaky.  These hard skin eventually split as it loses its elasticity.  The split(s) or fissure(s) can be painful and can bleed and become a portal of entry for bacteria and lead to possible infection in people with compromised immune system (eg. patients with diabetes or seniors).

 

What are the causes?

-Living in a dry environment (winter in Canada)

-Obesity (more pressure to heel)

-Consistently walking barefoot or wearing sandals (increase exposure to extreme environment)

-Inactive sweat/oil glands (diabetes or congenital causes)

 

Why should you be concerned about heel fissure?

If left untreated, heel fissure can become more dangerous as the split tends to become deeper.  This can results in deeper skin cracks leading to pain and infection.

 

Treatment

1)    Regular moisturizing (choose cream with Urea or one that is recommend by your foot specialist) for 1-2 times a day

2)    Regular thinning of the callus (pumice stone daily gentle scrub)

3)    Avoid barefoot or wearing open-backed shoes, sandals

4)    Wear shoes with strong shock absorption

5)    If the fissures still does not resolve, consult your foot specialist (chiropodist/podiatrist)

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Athlete’s Foot

Athlete’s Foot

What is Athlete’s Foot? And no we do NOT mean Josh Donaldson, Michael Jordan or Wayne Gretzky’s feet. Is it Mushroom  on your feet? Close enough. Athlete’s foot is a skin disorder of a fungus infection that causes a scaly, cracked rash between the toes. Athlete’s foot mainly occurs in adolescents and adults. It is caused by a fungus that grows best on warm damp skin.

 

The signs and symptoms of Athlete’s foot include itching, burning, redness and stinging on the sole of the feet or between the toes. The skin may flake, peel, blister or crack.

 

Athlete’s Foot also can spread to the palms of your hands, groin or underarms if you touch your feet and then touch another area of your body.

 

Unlike the name, Athlete’s foot does not just affect athletes: anyone whose feet tend to be damp or sweaty can get this infection.  Athlete’s foot is a very common problem so don’t be embarrassed to book an appointment with your chiropodist.

 

Is prevention possible?

Athlete’s foot is contagious. It is often spread in damp areas such as public showers or pool areas.

Tip #1: Dry your feet- and the spaces between your toes after showering or swimming.

Tip #2: Use a clean towel (avoid sharing towels)

Tip 3#: When using public showers (locker room), wear waterproof shoes or flip-flops to protect your feet.

Tip #4- keep your feet as dry as possible, try not to wear the same shoes or sneakers all the time.

 

When should you call your chiropodist?

-Your foot looks infected (yellow pus, spreading redness, red streaks).

– Athlete’s foot has not improved in one week.

– Your foot has not completely cured after using treatment for two weeks.

– Your feet is very painful.

– You are not sure what to do and need advice/treatment.

 

If you notice any of these symptoms, contact us today at (905) 625-1555 to schedule an appointment with one of our registered chiropodists.

 

West Mississauga Foot Clinic is located at 1550 S Gateway Rd, Unit 207, in Mississauga (between Eastgate Pkwy and Eglinton Ave E off of Dixie Rd.) Visit us online at www.westmississaugafootclinic.com.

 

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Orthotics

What problems are typically associated with my foot type?

Flat Foot (Pes planus)

 

-Diffuse Callus

– Corn

– Heel Pain

– Plantar Fasciitis

– Knee Pain

– Achy Feet

– Ingrown toenail

 

Normal Foot

 

– Rarely is a foot considered to be “normal”

– Feet may appear normal when sitting but can act as a flat or high arched foot when walking, causing the associated    problems.

 

High Arched Foot (Pes cavus)

 

– Callus

– Corn

– Ankle Sprains

– Knee and Hip Pain

– Plantar Fasciitis

– Stress Fractures

 

What is an Orthotics?

A custom foot orthotics is a device molded to your unique foot profile that can be inserted into a shoe to support, align, or accommodate foot deformities and poor foot mechanics.

 

How does Orthotics help my feet?

Orthotics can help ensure the bones of the foot, ankle, and knee are placed in the correct position to limit pain and orthotics also can support the ligaments in an optimal position to prevent overstretching which can lead to injury.

 

Soft Orthotics vs Semi-Rigid Orthotics?

Soft orthotics are generally used to absorb shock, increase balance, and take pressure off sore spots. They are usually more effective for diabetic, arthritic patients or patient with feet deformity. All orthotics are made from a mold of a plaster cast of the foot.

Semi-rigid orthotics provides foot balance for walking or participating in sports. Semi-rigid orthotics are usually prescribed for children and active adults. All orthotics are made from a mold of a plaster cast of the foot.

 

Casting Methods?

Most third party insurance companies no longer accepts foam box impression. At West Mississauga Foot Clinic, our orthotics castings are conducted using plaster of Paris. Casting with plaster of Paris are the GOLD STANDARDS of casting as they permit the chiropodist full control in positioning the foot in its correct anatomical alignment.

 

Who can provide/dispense Orthotics?

Anyone health care providers can provide orthotics. BUT what makes us (Chiropodist) different than the other providers? We can assess and prescribe your orthotics, provide all paperwork required by insurance companies during dispensing and modify your orthotics onsite if needed.

 

Orthotics Fraud? What is insurance fraud?

There has been a lot of insurance fraud recently. What does fraudulent activities look like? Why do you have to be careful? Simply, you do want to be participating in insurance fraud!

 

-The most common insurance fraud is FREE SHOES with orthotics – when you purchase orthotics, the shoes never show up on the paperwork because the cost of the shoes are paid by the clinic as a marketing tool. The provider increases the cost of the orthotics to cover the cost of footwear they are giving away. There are no such thing as free shoes.

 

– Second most common is Special Deals. Many providers will offer free merchandise (gift cards, purses, credits) or buy one get one free with the purchase of orthotics that is covered under your benefit plan. Beware of these types of offers as this may be a sign that the provider does not have your best interest.

 

– Lastly, avoid purchasing orthotics from temporary locations, such as a home or trade show, exhibit, kiosks or mass screening at work, where the service provider offers orthotics to entire family or group of people without properly assessing each person.

 

What are insurance company looking for when submitting Orthotics claim?

  1. Prescription (from chiropodist, podiatrist or family doctor)
  2. Biomechanical assessment and gait analysis
  3. Lab invoices and manufacture process
  4. Methods orthotics casting and fabrication
  5. Receipt from the provider

 

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Have your children’s feet examined by a licenced Chiropodist

Did you know a child’s foot contains more cartilage than bone, which overtime will harden into adult bones?  The structure of the foot develops fully by the first 2 years however, the bones themselves will not fully develop until around the age of 18. This is why it is important for children to have regular foot check-ups to help prevent later problems as adults.

 

In addition, most foot problems and pains in adulthood are from ill-fitting shoes or poor foot experiences during childhood.  Improper footwear can caused injury or deformity later in life. At West Mississauga Foot Clinic, we can help your children prevent problems that will bother your child as adolescents or adults.

 

When should your child see a licensed chiropodist?

 

Contact us for an appointment if you notice any of the following:Your child complains of foot, leg or ankle pain

– You notice uneven shoe wear

– Your child is constantly tripping and falling

– You notice skin rashes, callus, lumps or bumps on your child’s feet

– Your child has an unusual gait

– Your child walks with an in-toeing gait (pigeon-toeing)

 

It is recommend that children should have regular foot examination at:

– Age 3 (child develops a more adult gait)

– Age 5 (child should outgrow flat feet)

– Age 6 (when school starts)

-As per Chiropodist’s advice

 

What to expect at a chiropody assessment?

 

At West Mississauga Foot Clinic, our licensed chiropodists will check every aspect of your child’s foot health including, gait (walking pattern) and footwear, skin and nails.  At the appointment, please be sure to bring multiple footwear for the chiropodist to evaluate and provide recommendations for your children.

 

Most third party insurance benefits (Sunlife, Manulife, Great West Life, Greenshield etc.) covers chiropody visits. Call your insurance company to find out your coverage for chiropody.

 

To book an appointment to see a chiropodist, call 905-625-1555. We are located at #207-1550 S. Gateway Road. Mississauga ON L4W 5J1.

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