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

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Posts for: January, 2019

Baring your feet in the warm summer months can be as traumatic for some people as putting on a bathing suit. Cracking, peeling skin, thick nails and nail fungus are just a few of the issues that can come between you and your prettiest sandals.
 
Dr. James Hirt
 
 
“Patients I see are mostly concerned about bunions and fungal nails,” said James Hirt, DPM, of Fenton Foot Care. “They’re worried that people will see their ‘ugly fungal nails’ and think their feet are dirty. Often, patients will paint the nails to hide the fungus. That’s not a good thing to do as it usually traps the fungus in and makes the condition worse.”
 
Courtesy of Barry Block, editor of PM News.
 
Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotic Clinics.

 


In addition to running, said Dr. Ryan Lee, a San Diego podiatrist, Achilles tendon problems usually result from “impact type” activities such as jumping, tennis, volleyball, and soccer. He said there are also common biomechanical reasons that may predispose someone to the condition such as flat feet, high arched feet, a tight heel cord, or limb-length discrepancies.
 
Dr. Ryan Lee
 
 
When it comes to treatment for Achilles tendinitis, Lee said, initial measures include immobilization in a walking boot and/or a major decrease in activity. He said anti-inflammatory or pain medications are also useful for pain. Treatment can also include heel lifts, higher-heeled shoes, or arch supports.
 
Courtesy of Barry Block, editor of PM News.
 
Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotic Clinics.

 


Summer foot problems are magnified for diabetics, who often suffer from neuropathy, or numbness, in their feet. “I tell them not to go outside barefoot,” podiatrist Dr. Matthew Babich says. “One patient went out to get the mail on a 112-degree day on hot asphalt. They walk out slowly, stand at the mailbox, walk on back. They might as well have walked on an iron.”
 
Dr. Matthew Babich
 
 
Some diabetics know what to do, he says; others haven’t a clue. “I’ve pulled out of red, swollen feet a gold clasp from a necklace. That’s on top of needles, staples, wood, glass.” A blister between the toes of a healthy person tends to heal; not necessarily so for a diabetic, he says. He has had some tell him, “I can’t believe I got a blister from flip-flops and am now in the hospital on IV antibiotics.”
 
Courtesy of Barry Block, editor of PM News.
 
Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotic Clinics.

 


“Toenail health is important because nail thickness can cause pressure in the shoes, which can hurt,” said Henry Shin, a doctor of podiatric medicine in National City. “If you leave the nail too long, there is a chance for the nail to get into the corners of the skin and cause ingrown toenails.” Discoloration is a surefire sign of an infection. If your nail is black or blue, it could be a sign of bleeding underneath, according to Shin.

Dr. Henry Shin

There are ways to care for unhealthy nails outside a podiatrist’s office. Shin offered a few tips with things that can be found around the house or with a quick trip to the local drugstore. “I tell patients to get an old toothbrush and use a topical antifungal cream and scrub the nail plate down to get medicine all over the area,” Shin said, advising not to mix it up with your regular toothbrush. “Other home remedies are to use a bowl full of warm to hot water with a few capfuls of vinegar and soak the toes for five minutes.”

Courtesy of Barry Block, editor of PM News.

Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotic Clinics.

 


It’s important to recognize injuries early. Dr. Lee Firestone, suggests taking five to seven days off from training to see if symptoms such as redness, swelling and pain go away. If not, it’s time to seek professional help. He advises against anti-inflammatory medications during this period, since, he says, “that masks the symptoms.” If you don’t take time off in the early stages of an injury, he says, you may not only worsen the primary injury but you also risk incurring additional injuries as the body rushes to compensate for any movement deficiencies.
 
Dr. Lee Firestone
 
 
A proper, early diagnosis will get you into a treatment plan that can help you recover quickly and well, Firestone says. He should know, but not just because he’s a podiatrist. Firestone once suffered a partially ruptured Achilles’ tendon. But with the right rest, rehab, and training, he came back a better runner. “You want to come back stronger than before,” says Firestone.
 
Courtesy of Barry Block, editor of PM News.
 
Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotic Clinics.

 




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