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January 2022

Tuesday, 25 January 2022 00:00

Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds, and every 19 minutes, an older person dies from falling. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.  

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

 

Tuesday, 25 January 2022 00:00

Foot Drop May Increase Your Risk of Falling

If you or someone you love is having difficulty walking up stairs, struggles with balance, or is prone to tripping or falling, they may have a condition known as foot drop. This condition makes it difficult for a person to lift the front part of the foot, and may also cause numbness, weakness, and limpness in the foot. Foot drop may also trigger a change in how a person walks, in order to counteract these impediments. Foot drop most typically occurs when the peroneal nerve (which controls the muscles that lift the foot) becomes damaged due to compression, injury, or disease. It may also be due to a muscular or anatomical issue. This condition may be temporary or permanent, with possible treatments including orthosis, orthotics, physical therapy, nerve stimulation, or even surgery if necessary. Because the symptoms of foot drop can raise a person’s risk of falling and/or tripping, a podiatrist should be consulted as soon as possible to explore all treatment options.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with William Urton, DPM from British Columbia. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Langley, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 18 January 2022 00:00

What Causes Severe Pain Under the Big Toe?

Pain on the bottom of the foot just below the big toe is usually a sign of sesamoiditis, an inflammation of the two small bones under the first metatarsal. Repetitive weight-bearing activity (jumping or running, for instance), a change in footwear, or a gradually increased exercise regime are among the most common causes. You may feel a sharp pain to the affected area and react by cutting back or stopping the activity, getting different shoes, or possibly even limping. It can become very painful to walk on hard surfaces in bare feet. Causes include tissue injury, stress fractures of the sesamoid bones, or inflammation between the two small bones and the big toe (arthritis). High arches may be another culprit, causing more pressure under the ball of the foot. If you notice the pain growing more severe in this area of your foot, it is a good idea to make an appointment with a podiatrist who can determine the cause and offer appropriate treatment plans.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact William Urton, DPM of British Columbia. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Langley, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sesamoiditis
Tuesday, 18 January 2022 00:00

Sesamoiditis

Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.

The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.

Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.

Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.

When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.

 

Feet are a complex collection of bones, joints, and ligaments that takes years to develop fully. Most babies are born with flat feet, but this improves in the first few years of growth, as their bones develop and their muscles get stronger. By around six years of age, arch development is generally normal. When babies are learning to walk, they often turn their toes inward (in-toeing) until the muscles and ligaments develop. This can come from the foot, lower leg or upper leg. Occasionally, toddlers turn their toes outward (out-toeing) when they walk and run. This usually resolves itself as their posture and balance mature. If your child complains of pain, if their in-toeing or out-toeing does not improve or worsens, or if the condition affects only one side of the body, it may be wise to seek the expertise of a podiatrist for a full exam and prognosis. Additionally, if your child limps, trips frequently, develops bunions or ingrown toenails, or has abnormally shaped toes, it is suggested that you see a podiatrist for further examination.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact William Urton, DPM of British Columbia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our office located in Langley, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Care for Your Child's Feet
Tuesday, 11 January 2022 00:00

How to Care for Your Child's Feet

It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.

A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.

It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.

Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.

As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.

Tuesday, 11 January 2022 00:00

Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Tuesday, 04 January 2022 00:00

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Tuesday, 04 January 2022 00:00

Do You Have an Ingrown Toenail?

When the corner of a toenail grows into the surrounding skin instead of over it, an ingrown toenail can form. While an ingrown toenail can happen to any of the toes, it usually occurs on the big toe. Ingrown toenails can develop for several reasons like cutting the toenail too short, rounding the corner of the nail when cutting it, wearing shoes that are too tight, or trauma, such as stubbing the toe. The most prevalent symptom of an ingrown toenail is pain where the nail is growing into the skin, and a red or swollen appearance to the affected skin. Ingrown toenails can also get infected and may drain pus. If you have an infected ingrown toenail or one that is very painful, it is suggested that you consult with a podiatrist.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact William Urton, DPM of British Columbia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in Langley, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ingrown Toenails
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