416-465-8737

 

TORONTO CHIROPODIST, D.Ch., B.Sc., PODIATRIC MEDICINE

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Posts for: July, 2014

 

ONYCHOMYCOSIS IS A FUNGAL INFECTION OF THE NAILS CAUSING THE NAIL TO THICKEN, DISCOLOR, DEFORM, CRUMBLE AND SPLIT LEADING TO PAIN, DISCOMFORT AND DISFIGUREMENT.  IN DIABETICS AND IMMUNO-COMPROMISED PEOPLE, IT CAN LEAD TO SERIOUS BACTERIAL INFECTIONS WHICH MAY EVEN THREATEN LIFE AND LIMB.

ONYCHOMYCOSIS IS A COMPLEX PROBLEM  CAUSED BY FUNGAL ORGANISMS THAT INVADE THE NAIL BED OR PLATE.  FACTORS SUCH AS ADVANCED AGE, NAIL TRAUMA, CLIMATE (WARM, MOIST ENVIRONMENTS), TIGHT SHOES, EXCESSIVE SWEATING, EXPOSURE TO INFECTED NAILS (COMMUNAL BATHING, NAIL SALONS AND GYMS) AND POOR HEALTH CAN INCREASE SUSCEPTIBILITY TO ONYCHOMYCHOSIS.  TOENAIL FUNGUS IS RARE IN CHILDREN BUT INCREASES WITH AGE AFFECTING AS MUCH AS 60% OF PEOPLE AGED OVER 50.  INCIDENCE IS THOUGHT TO BE APPROXIMATELY 10% OF THE POPULATION ARE INFECTED.

ONYCHOMYCOSIS IS DIFFICULT TO MANAGE BECAUSE THE INFECTION IS UNDER THE NAIL AND PART OF THE NAIL PLATE ITSELF MAKING IT HARD FOR TREATMENTS TO REACH AND DESTROY THE INFECTION.  FURTHERMORE, EVEN WITH SUCCESSFUL TREATMENT, MOST PATIENTS EXPERIENCE REOCCURRENCE OF THE INFECTION WITHIN A SHORT PERIOD.

UNTIL RECENTLY, TREATMENT CONSISTED OF ORAL DRUGS WITH THE POTENTIAL FOR NASTY SIDE EFFECTS INCLUDING RASHES, LIVER PROBLEMS AND, IN RARE CASES, EVEN DEATH.  THESE POISONS HAVE BEEN MANUFACTURED TO ELIMINATE ONLY SOME OF THE DIFFERENT STRAINS OF FUNGUS WHICH CAUSE ONYCHOMYCOSIS.  TOPICAL OINTMENTS AND PAINTS HAVE BEEN USED EXTENSIVELY, HOWEVER STUDIES HAVE SHOWN THEM TO ONLY BE MARGINALLY EFFECTIVE WITH A SUCCESS RATE OF ONLY 10% AND REQUIRES STRICT ADHERENCE TO THE REGIME FOR MANY MONTHS.

MY FOOT CLINIC HAS RECENTLY INVESTED IN THE LATEST WEAPON IN FIGHTING NAIL FUNGUS WHICH IS THE LASER.  THE LASER DESTROYS THE FUNGUS THROUGH HEAT AND IS VERY EFFECTIVE WITH RATES OVER 80%.  IT THEN TAKES ABOUT 8 TO 10 MONTHS FOR THE UNINFECTED NAIL TO GROW OUT.  THE ADVANTAGE IS THAT THERE ARE NO SIDE EFFECTS AND MY FOOT CLINIC HAS NEVER RECOMMENDED ORAL MEDICATIONS DUE TO THE SIDE EFFECTS WHICH ARE NEVER WORTH THE RISK.

 

 


DO I NEED A REFERRAL?

NO, CHIROPODISTS ARE PRIMARY CARE FOOT SPECIALISTS AND NO DOCTOR REFERRAL IS REQUIRED AND THEY ARE TREATED ON AN EQUAL BASIS AS PODIATRISTS AS FAR AS EXTENDED HEALTH INSURANCE BENEFITS ARE CONCERNED.

WHO VISITS A FOOT SPECIALIST?

PEOPLE OF ALL AGES AND DIFFERENT STAGES OF LIFE BENEFIT FROM THE ADVICE AND TREATMENT PROVIDED BY A CHIROPODIST, AND IT IS GENERALLY NEVER TOO EARLY OR LATE TO SEEK HELP.  WITH CHILDREN, IT IS PARTICULARLY IMPORTANT TO HAVE PROBLEMS CHECKED EARLY, AS MANY FOOT CONDITIONS AFFECTING ADULTS MAY HAVE BEEN AVOIDED BY EARLY DETECTION AND TREATMENT.

WHAT IS THE SCOPE OF PRACTICE?

THE SCOPE OF PRACTICE BY CHIROPODISTS IS BROAD, RANGING FROM BASIC FOOT CARE NEEDS RIGHT THROUGH TO COMPLEX MUSCULOSKELETAL, ARTHRITIC NEUROLOGICAL FOOT CONDITIONS.  THEY ARE HIGHLY EDUCATED AND SKILLED AND STAY CURRENT WITH ONGOING EDUCATION IN THE VARIOUS FIELDS OF EXPERTISE.  THEY ARE LICENSED TO PRESCRIBE AND PERFORM SURGERY ALTHOUGH OUR PARTICULAR FOOT CLINIC PRACTICES CONSERVATIVE FOOT CARE WHERE WE AVOID SURGERY AND MEDICATIONS WHENEVER POSSIBLE.

SOME OF THE CONDITIONS WHICH CHIROPODISTS TREAT ON A DAILY BASIS.

HEEL PAIN / PLANTAR FASCIITIS                                                            BUNIONS

HAMMER AND CLAW TOES                                                                      FLAT (PRONATED) FEET

SHIN SPLINTS                                                                                            SPORTS INJURIES

ANKLE SPRAINS                                                                                         ACHILLES TENDONITIS

PINCHED NERVE IN THE FOOT (NEUROMA)                                           FOREFOOT PAIN / DROPPED METATARSALS

KNEE PAIN                                                                                                   LOW BACK AND HIP PAIN

CHILDREN'S FOOT DISORDERS                                                               RHEUMATOID AND OTHER ARTHRITIC FOOT COMPLICATIONS

LEG LENGTH DIFFERENCE                                                                       INGROWN TOENAILS

DIABETIC FOOT CARE (ULCERS, PERIPHERAL NEUROPATHY)           PLANTAR WARTS

FUNGAL TOENAILS                                                                                     STRESS FRACTURES

CORNS AND CALLUSES                                                                             OCCUPATIONAL FOOT HEALTH

 


PHASE ONE OF OUR 2 PHASE EXPANSION OF ACADEMY FOOT AND ORTHOTIC CLINICS HAS BEGUN AND EVERYONE IS VERY EXCITED.  THIS WILL MEAN WHEN FULLY COMPLETED WE WILL HAVE 3 FLOORS OF CLINIC SPACE WITH 12 TREATMENT ROOMS AND 2 RECEPTIONIST ROOMS.  WE ARE SPARING NO EXPENSE IN THIS RENOVATION WITH SOLID BRAZILIAN HARDWOOD MIXED WITH HEATED GRANITE FLOORS.  THE ROOMS WILL BE NICE AND ROOMY WITH 10 FOOT CEILINGS. ALL TREATMENT ROOMS WILL BE EQUIPPED WITH TOP-OF-THE-LINE PODIATRY EQUIPMENT AS WELL AS EVERY AVAILABLE PHYSICAL THERAPY MODALITY.  WE EQUIP EACH ROOM FULLY SO THAT EVERY PROCEDURE CAN BE PERFORMED IN EVERY ROOM FOR BOTH THE FOOT SPECIALIST'S AND PATIENT'S CONVENIENCE.

WORK HAS BEGUN AND SHOULD BE COMPLETED WITHIN 6 WEEKS IF ALL GOES WELL.  WE ARE FINALLY GOING TO BE IMPLEMENTING OUR ELECTRONIC HEALTH RECORDS WHICH SHOULD BE CHALLENGING BUT HOPEFULLY WORTH IT IN THE LONG RUN.  LOOK FORWARD TO FUTURE BLOGS FROM DR. HARDY TO FIND OUT HOW OUR NEW PROJECT IS PROCEEDING.

 


HOW LONG DOES THE PROCEDURE TAKE?

The complete procedure to treat all 10 toes takes less than 30 minutes.

 

IS THERE A RECOVERY PERIOD?

No. You can walk out immediately after the treatment pain-free.

 

HOW LONG HAS THIS TREATMENT BEEN AVAILABLE?

Clinical studies on Fungus Toenails were initiated in 2007.

 

WHEN IS IT SAFE TO PAINT MY NAILS OR HAVE A PEDICURE AFTER TREATMENT?

pedicures and the application of nail polish can be done immediately after laser treatment.

 

IS THE TREATMENT PAINFUL?

Most patients feel no sensation whatsoever.  Some may feel a slight warming sensation while a few may feel a slight pin-pricking sensation.

 

WILL THE FUNGUS GROW BACK?

The infection is cleared after a few treatments.  As the fungus is present everywhere in the environment there is a risk of re-infection.  Your foot specialist will advise you and recommend techniques to help reduce recurrence of the infection.

Academy Foot and Orthotic Clinics has invested in the latest technology in the treatment of fungal toenail with the Alma laser.  Please contact one of our friendly staff to arrange an appointment to get you on the 'road to health' ASAP.

 

 


podiatry healthy feetWhile Accuweather.com and the Toronto Star have predicted a cooler start to Toronto’s summer weather, we are still holding out for those warm rays of sunshine. With June around the corner, we are sure many Toronto residents are itching to get outside to participate in summer activities. Instead of lacing up their shoes, many people are probably ready for flip-flops, maybe even no shoes, meaning let the beach activities commence!
 
The beach is fun, but it can also pose harm to your feet if you aren’t careful. 
 

Watch Out for Hazards Lurking in the Sand

Sand—it screams beach, summer and fun; however, you should be aware of potential danger in the sand. Some beach-goers can leave litter behind, such as cans, glass bottles and other objects. Shards of glass and other sharp objects are dangerous to the environment and people’s feet. 
 
A cut caused by a dirty object can cause an infection. Treating flesh wounds is the first step to keeping your feet healthy. 
 
How to Prevent an Infection: 
1. Remove the foreign object (if possible)
2. Clean the injured area with cool running water and soap
3. Rinse the wound for at least five minutes
4. Apply antibacterial ointment on a shallow wound
5. Apply bandage
 
Remember: Keep the wound moist while it heals. 
 
Your foot should be fine after disinfecting and bandaging it, but keep an eye on it over the course of a week to see how it heals. If the cut continues to bleed, is deep and looks infected, we recommend you get the injury treated by a professional. 
 
Watch your step the next time you are on a beach. We trust the City of Toronto to keep our beaches clean, but you can never be too cautious. 
 
We recommend you see a foot specialist in Toronto if you have diabetes and an injury to the foot. Do you have further questions about feet and foot care? Call Dr. Hardy’s Toronto Foot Clinic, Academy Foot and Orthotic Clinics at (416) 465-8737. 



Academy Clinics has a special interest in high quality custom orthotics.

 

416-465-8737

Toronto, ON Chiropodist
Academy Foot and Orthotic

752 BROADVIEW AVENUE
Toronto, ON M4K 2P1 

Across from the Broadview Subway
Professional  Family  Foot  Care

PROFESSIONAL
FOOT CLINIC

CHIROPODIST / FOOT SPECIALIST,  B.Sc. PODIATRIC MEDICINE / ACADEMY FOOT & ORTHOTIC CLINICS, 752 Broadview Ave , Toronto ON, M4K 2P1 416-465-8737