Parramatta (02) 9890 5844
Peakhurst (02) 9584 9364
BOOK ONLINE
Parramatta
(02) 9890 5844
Peakhurst
(02) 9584 9364
BOOK ONLINE

Sports Medicine Clinic

Sports Medicine Clinic provides Osteopathy, Physiotherapy and Chiropractic services. You will leave with a diagnosis of your condition and started your healing process. Book online.

How to Manage Swollen Feet with Diabetes

by

How to Manage Swollen Feet with Diabetes

 

Living with diabetes can lead to various complications, and one common issue many people face is swollen feet. This condition, often caused by poor circulation or fluid retention, can become a daily challenge, making it difficult to stay active or even find comfortable footwear. For those with diabetes, swollen feet aren’t just uncomfortable—they can signal more serious underlying problems.

Why It Happens

Swelling, also known as edema, can occur for several reasons in people with diabetes. One of the main causes is poor circulation, which reduces blood flow to the feet, leading to fluid build-up. Additionally, nerve damage, known as diabetic neuropathy, may reduce the body’s ability to recognise and respond to pain or injury, allowing swelling to go unchecked. Fluid retention is another culprit, especially if kidney function is compromised, a common complication in people with diabetes.

What You’ll Learn

In this blog post, we’ll focus on practical, actionable tips you can try at home to reduce and manage swollen feet. From elevating your legs to wearing compression stockings and making simple lifestyle changes, these solutions can help ease discomfort and improve circulation without requiring medical treatments.

Elevating Your Feet to Reduce Swelling

One of the simplest yet most effective ways to manage swollen feet is to elevate them above your heart level. This encourages blood flow back toward the heart and reduces fluid build-up in your lower extremities, a key cause of swelling. For people with diabetes, proper circulation is crucial in preventing complications, and elevating your feet can help ease discomfort and swelling.

Why It Works

When you elevate your feet above heart level, gravity helps pull the excess fluid away from your legs and feet, reducing swelling. For those with diabetes, this simple action can have a significant impact on managing circulation and preventing fluid retention, especially if poor circulation is a concern.

How to Do It:

Elevating your feet is easy and can be done while sitting or lying down:

  • Use Pillows: Place a few pillows under your feet while lying down to ensure they are higher than your heart.
  • Sit Comfortably: When sitting, prop your feet up on a footrest or use cushions to keep them elevated.
  • Adjust Your Chair: If you’re at work or sitting for long periods, try to adjust your chair or desk setup to give your feet more support.

Aim to elevate your feet for 15-20 minutes every few hours throughout the day to help reduce swelling and improve circulation.

Using Compression Stockings for Swollen Feet

Compression stockings are a great option for managing swollen feet, particularly for those with diabetes. These special socks apply gentle pressure to your legs, helping to improve blood flow and reduce the build-up of excess fluid, a common cause of swelling.

How Compression Stockings Help

Compression stockings work by applying pressure to the lower legs, which helps blood vessels work more efficiently. This encourages better circulation, reduces fluid retention, and helps prevent swelling from getting worse. For people managing both diabetes and swollen feet, these stockings can be a simple, effective solution.

Choosing the Right Fit:

Getting the correct fit is essential for compression stockings to work effectively. Here are some tips for selecting the right pair:

  • Measure Your Legs: Compression socks come in different levels of tightness (measured in mmHg). Consult with a healthcare professional to determine the best level of compression for your needs.
  • Comfort Matters: Ensure the stockings are snug but not too tight. Ill-fitting socks can cause discomfort and may restrict circulation, which is counterproductive.
  • Look for Breathable Fabrics: Diabetics should choose socks made of breathable materials to prevent moisture build-up and reduce the risk of infection.

When to Wear Them

For the best results, wear compression stockings throughout the day, especially if you are on your feet for long periods or sitting for extended durations. Remove them at night or when lying down, as they are designed for use when you’re upright and active.

Lifestyle Changes to Manage Swollen Feet

Small lifestyle changes can make a big difference in reducing swelling in your feet, particularly for those managing diabetes. Incorporating regular movement and staying hydrated are two key ways to improve circulation and reduce fluid retention.

The Importance of Movement

Staying active is crucial in managing swollen feet, especially for those with diabetes. Regular movement, even light activity, encourages blood flow and helps prevent fluid from pooling in your lower limbs. Exercise improves circulation, which is essential for reducing swelling and maintaining overall foot health.

If mobility is a concern, here are some low-impact exercises you can try to keep your feet moving without over-exertion:

  • Walking: A short walk every day can go a long way in improving circulation. Try to walk for 15-30 minutes at a time, even if it’s just around your home or neighbourhood.
  • Seated Exercises: For those with mobility issues, seated exercises can be a great alternative. Try lifting your legs up and down while seated, or rotate your ankles in circles to keep blood moving.

How Hydration Helps

Staying properly hydrated is often overlooked but plays a vital role in managing swelling. When your body is dehydrated, it holds onto excess water, leading to more fluid retention in your legs and feet. By drinking enough water, you help flush out excess salt and fluids that contribute to swelling.

  • Carry a Water Bottle: Keep a reusable water bottle with you at all times to remind yourself to drink water regularly.
  • Set Hydration Reminders: Use a phone app or set alarms to remind yourself to drink water at regular intervals.
  • Add Flavour: If plain water feels boring, add a slice of lemon or cucumber to make it more refreshing.

Incorporating these lifestyle changes can greatly reduce the discomfort of swollen feet and contribute to better overall foot health.

Diet Adjustments for Better Circulation

Diet plays a crucial role in managing swollen feet, especially for people with diabetes. By making small adjustments to your eating habits, you can improve circulation, reduce fluid retention, and minimise swelling.

Watch Your Salt Intake: How Salt Affects Swelling:

Consuming too much salt can cause your body to retain water, leading to increased swelling in your feet and legs. For people with diabetes, managing sodium intake is even more important, as excess fluid retention can put additional strain on circulation and overall health.

Tips to Reduce Sodium in Your Diet:

  • Check Labels: Many processed and packaged foods contain hidden salts. Look for low-sodium options or cook fresh meals at home to control the amount of salt you consume.
  • Use Herbs and Spices: Swap out salt for herbs, spices, and lemon juice to flavour your food without adding sodium.
  • Avoid Processed Foods: Minimise consumption of processed meats, canned soups, and frozen meals, which are often high in sodium.

Anti-Inflammatory Foods

Incorporating anti-inflammatory foods into your diet can help improve circulation and reduce swelling. These foods are rich in antioxidants, vitamins, and minerals that support overall vascular health.

Recommended Anti-Inflammatory Foods:

  • Leafy Greens: Spinach, kale, and other leafy greens are packed with nutrients that promote circulation.
  • Berries: Blueberries, strawberries, and other berries are rich in antioxidants, helping to reduce inflammation and support healthy blood flow.
  • Fatty Fish: Salmon and other fatty fish are high in omega-3 fatty acids, which reduce inflammation and support heart health.

Practical Meal Ideas

Here are a few simple meal or snack ideas that incorporate these circulation-boosting foods:

  • Breakfast: A smoothie made with spinach, berries, and a splash of almond milk.
  • Lunch: A salad with kale, grilled salmon, and a lemon vinaigrette.
  • Snack: A handful of mixed berries or a small bowl of anti-inflammatory nuts like walnuts.

Avoid Tight Shoes and Socks

The type of footwear you choose can significantly impact the swelling in your feet, particularly for those managing diabetes. Tight shoes and socks can restrict circulation, making swelling worse and potentially causing discomfort or injury.

How Footwear Affects Swelling

When shoes or socks are too tight, they can constrict blood flow in your feet and ankles, leading to fluid retention and increased swelling. For people with diabetes, this can be especially dangerous, as poor circulation increases the risk of foot ulcers and other complications. Properly fitted shoes and socks are essential to maintaining healthy blood flow and preventing discomfort.

What to Wear:

Here are some tips for choosing footwear that supports circulation and keeps swelling in check:

  • Choose Comfortable, Breathable Shoes: Look for shoes that provide plenty of room for your toes and have adjustable straps or laces to ensure a snug but not tight fit. Breathable materials like leather or mesh are ideal for promoting airflow and preventing moisture build-up.
  • Opt for Diabetic Socks: Diabetic-friendly socks are designed with extra cushioning, minimal seams, and moisture-wicking fabric to keep feet dry and reduce friction. Look for socks that are non-restrictive at the top to avoid cutting off circulation.
  • Consider Orthotics: Custom-made orthotics or insoles can provide additional support, improve circulation, and help reduce the pressure on your feet.

Check Regularly:
Make a habit of checking your feet daily for any signs of swelling, redness, irritation, or sores. This is particularly important for people with diabetes, as foot injuries can sometimes go unnoticed due to nerve damage. Early detection of swelling or other foot issues can help prevent more serious complications down the line.

When to Seek Professional Help

While most cases of swollen feet can be managed with lifestyle changes, there are times when professional help is necessary. For people with diabetes, it’s crucial to stay vigilant and recognise when swelling may be a sign of a more serious issue.

Recognising the Signs

  • Swelling that persists or worsens, especially when accompanied by other symptoms, could indicate a deeper problem. Be sure to consult a healthcare professional if you notice any of the following:

    • Pain or Discomfort: If swelling is accompanied by pain, tenderness, or discomfort that doesn’t go away, it could be a sign of infection or poor circulation.
    • Changes in Skin Colour or Temperature: Swelling that leads to red, blue, or pale skin, or that feels hot or cold to the touch, should be addressed immediately, as these could be signs of infection or poor blood flow.
    • Sores or Ulcers: If swelling is causing blisters, sores, or ulcers on your feet, seek professional help immediately, especially if you have diabetes, as these can lead to serious complications.

Consult Your Podiatrist:
If the lifestyle changes outlined in this blog post don’t help reduce swelling, or if you experience any of the signs mentioned above, it’s important to consult a podiatrist. A podiatrist can assess your feet, recommend personalised treatments, and help manage any underlying issues related to your diabetes.

Book a consultation with a podiatrist today to manage your diabetic foot health.

Book Now
Picture of Dr. Yasmin Karam

Dr. Yasmin Karam

Dr. Yasmin Karam graduated with a Bachelor of Health Science/Masters in Podiatric Medicine. Dr. Yasmin has had experience working in both private and public sectors, exposing her to a great range of foot complications; from minor nail and skin pathologies to foot mal-alignments and diabetic foot ulcers.

More about Dr. Yasmin Karam
Book Now
Contact Us

Do Corns Go Away On Their Own?

by
corns on feet

Will a corn go away by itself?

 

Corns may not go away on their own, especially if the cause of the corn, such as repetitive friction or pressure, persists. 

Corns develop as the skin’s natural response to protect itself from these forces, and they often require intervention to resolve. Without addressing the underlying cause and providing appropriate care, corns can persist and potentially worsen over time.

In some cases, if the source of friction or pressure is eliminated, a small corn may gradually diminish on its own as the skin reverts to its normal state. However, this is not a guaranteed outcome, and larger or more established corns often require active treatment.

It’s essential to manage corns promptly to prevent them from becoming more painful and problematic. If you have corns that are causing discomfort or concern, it’s advisable to consult a podiatrist or healthcare professional for proper evaluation, treatment, and guidance on preventing their recurrence.


What happens if you leave a corn alone?


If you leave calluses and corn untreated, they can become thicker and more painful over time.

This is because the thickened skin can continue to build up in response to the pressure and friction that caused the callus or corn in the first place.

In some cases, the thickened skin can become so severe that it develops into an ulcer or a sore. This can be particularly dangerous for people with diabetes or other conditions that affect circulation or the immune system, as it can increase the risk of infection and other complications.

In addition to causing pain and discomfort, untreated calluses and corns can also affect your gait and balance, making it more difficult to walk or stand comfortably. This can lead to other foot problems, such as plantar fasciitis, heel spurs, or ankle sprains.

Overall, it’s important to seek treatment for calluses and corns, particularly if they are causing pain or interfering with your daily activities. A podiatrist can provide an accurate diagnosis and recommend appropriate treatment options to help you manage the problem and prevent complications.


How long does it take a corn to go away on its own?


The time it takes for a corn to go away on its own, if it goes away at all, can vary widely depending on factors such as the size of the corn, the underlying cause, and individual differences.

In some cases, small and soft corns may gradually diminish on their own if the source of friction or pressure is eliminated. This may take weeks to months.

However, it’s important to note that many corns do not go away on their own, especially if they are larger or more established. Corns often persist and may even increase in size if the contributing factors, such as ill-fitting footwear or structural foot issues, are not addressed. In such cases, active intervention is typically necessary to resolve the corn.

The best approach to managing corns is to identify and address the root cause, alleviate the pressure or friction, and consult with a podiatrist to effectively reduce the thickness of the callus/corn and remove it. Seeking professional guidance is important for effective and timely management of corns, as well as preventing their recurrence.


What happens if a corn is not removed?


Leaving a corn untreated and allowing it to persist can lead to several potential consequences and complications, including:

  1. Pain and Discomfort: Corns are often painful, especially when they are subjected to pressure or friction. Neglecting treatment may lead to increased discomfort and pain during activities like walking or wearing certain shoes.
  2. Enlargement: Corns may continue to grow and increase in size if the source of pressure or friction is not addressed. Larger corns can be more painful and harder to treat.
  3. Changes in Gait: To avoid putting pressure on a corn, individuals might unconsciously alter their walking pattern. This can lead to issues with gait and posture, potentially causing pain in other parts of the body.
  4. Risk of Infection: Corns can cause the skin to crack, creating an entry point for bacteria. This can lead to infection, which may require medical treatment.
  5. Chronic Discomfort: Corns that persist over time can become chronic sources of discomfort and inconvenience. This can affect one’s quality of life and mobility.
  6. Complications for Vulnerable Populations: For individuals with diabetes or circulatory problems, the risk of complications related to untreated foot conditions, including corns, is heightened. These complications can be more severe and challenging to manage.
    Worsening Skin Health: Neglecting foot care can result in worsening skin health, making the skin more susceptible to other issues, such as fungal infections.

Given these potential complications, it’s advisable to address corns promptly with proper treatment or preventive measures. Consult a podiatrist or healthcare professional for guidance on the most suitable approach to manage and prevent corns effectively.

Picture of Dr. Yasmin Karam

Dr. Yasmin Karam

Dr. Yasmin Karam graduated with a Bachelor of Health Science/Masters in Podiatric Medicine. Dr. Yasmin has had experience working in both private and public sectors, exposing her to a great range of foot complications; from minor nail and skin pathologies to foot mal-alignments and diabetic foot ulcers.

More about Dr. Yasmin Karam
Book Now
Contact Us

What Causes Heel Pain?

by
Heel Pain image

What could be causing your heel pain?

Heel pain is a common foot condition that can be caused by a variety of factors. It typically refers to discomfort or pain felt in the back or bottom of the heel, although the pain can also radiate to the sides or bottom of the foot.

 

Some common causes of heel pain include:

  1. Plantar fasciitis: inflammation of the plantar fascia, a band of tissue that runs from the heel to the toes.
  2. Achilles tendonitis: inflammation of the Achilles tendon, which connects the calf muscles to the heel bone.
  3. Heel spurs: bony growths that develop on the bottom of the heel bone.
  4. Bursitis: inflammation of the bursae, small fluid-filled sacs that cushion the joints and tendons.
  5. Stress fractures: small cracks in the bone caused by repetitive stress or overuse.

 

Other factors that can contribute to heel pain include obesity, poorly fitting shoes, flat feet, high arches, and prolonged standing or walking.

Treatment options for heel pain

The treatment for heel pain depends on the underlying cause of the condition. Here are some common treatment options:

  1. Rest and ice: Resting the affected foot and applying ice to the area can help reduce pain and inflammation.
  2. Stretching exercises: Stretching the calf muscles and the plantar fascia can help relieve tension and reduce pain. A podiatrist or physical therapist can recommend specific exercises for your individual needs.
  3. Custom orthotics: Wearing custom-made shoe inserts (orthotics) can help correct any foot abnormalities and distribute pressure evenly across the foot.
  4. Medication: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce pain and inflammation. Your doctor may also prescribe a stronger medication if necessary.
  5. Physical therapy: A physical therapist can work with you to develop an exercise program to help strengthen and stretch the affected foot.
  6. Corticosteroid injections: In some cases, a corticosteroid injection may be recommended to reduce inflammation and pain.
  7. Extracorporeal shock wave therapy (ESWT): This non-invasive treatment uses shock waves to stimulate healing and reduce pain.
  8. Surgery: Surgery is usually a last resort for heel pain and is only considered if other treatments have failed. The type of surgery will depend on the underlying cause of the pain.

It’s important to consult with a podiatrist or healthcare provider if you are experiencing heel pain. They can properly diagnose the underlying cause of the pain and recommend the most appropriate treatment plan for your individual needs.

EASILY BOOK ONLINE
Why is a podiatrist like a superhero for diabetic foot patients? Because they know how to ‘heel’ the problems and are the ‘sole’ protectors of your feet.

Activities to avoid if you have heel pain

If you are experiencing heel pain, it’s important to avoid activities that can exacerbate the pain or cause further damage to the affected area. Here are some activities to avoid:

  1. Running or jogging: High-impact activities like running or jogging can put additional stress on the heels and aggravate the pain.
  2. Jumping or high-impact sports: Activities like basketball, volleyball, or high-impact aerobics can also be problematic for those with heel pain.
  3. Standing for long periods of time: Prolonged standing can worsen the pain, so it’s important to take frequent breaks and rest your feet as needed.
  4. Walking long distances: Walking long distances, especially on hard surfaces like concrete, can also aggravate heel pain.
  5. Wearing unsupportive shoes: Shoes that do not provide adequate support can exacerbate heel pain. High heels, flip-flops, and sandals without proper arch support should be avoided.
  6. Walking barefoot: Walking barefoot can increase the stress on the heels and worsen the pain.
  7. Overusing the affected foot: Overusing the affected foot can prolong the healing process and make the pain worse.

Shoe recommendations if you suffer from heel pain

Choosing the right footwear can be an important part of managing heel pain. Here are some features to look for when selecting shoes to help alleviate heel pain:

  1. Good arch support: Shoes with good arch support can help distribute weight evenly across the foot and reduce stress on the heels.
  2. Cushioned soles: Shoes with cushioned soles can help absorb shock and reduce pressure on the heels.
  3. Firm heel counter: A firm heel counter provides stability and helps prevent the foot from rolling inward or outward, which can cause additional strain on the heels.
  4. Wide toe box: Shoes with a wide toe box can help prevent the toes from being cramped and provide ample room for the foot to move.
  5. Low heel: Shoes with a low heel can help reduce pressure on the heels and are generally recommended for those with heel pain.

Some specific types of shoes that may be beneficial for those with heel pain include:

  1. Athletic shoes with good arch support and cushioning
  2. Orthopedic shoes or custom-made shoes with built-in orthotics
  3. Clogs or slip-on shoes with a firm heel counter and cushioned sole
  4. Walking shoes with a low heel and good arch support

It’s important to try on different types of shoes to find the best fit for your individual needs. It’s also recommended to shop for shoes later in the day when your feet are slightly swollen and to wear the same socks or inserts that you plan to wear with the shoes. A podiatrist can also provide guidance on selecting appropriate footwear for heel pain.

 

What to expect from your appointment with a Podiatrist for heel pain

If you are experiencing heel pain and are scheduled to see a podiatrist, here’s what you can expect from your appointment:

  1. Medical history and physical exam: Your podiatrist will start by asking about your medical history, including any past foot injuries or surgeries. They will also conduct a physical exam of your feet and observe your gait to look for any abnormalities.
  2. Diagnostic tests: Your podiatrist may order diagnostic tests, such as X-rays or an MRI, to help determine the underlying cause of your heel pain.
  3. Diagnosis: Based on your medical history, physical exam, and any diagnostic tests, your podiatrist will make a diagnosis and explain the underlying cause of your heel pain.
  4. Treatment plan: Your podiatrist will work with you to develop a treatment plan that addresses the underlying cause of your heel pain. This may include stretching and strengthening exercises, shoe modifications, orthotics, medication, physical therapy, or other treatments.
  5. Follow-up appointments: Your podiatrist may schedule follow-up appointments to monitor your progress and adjust your treatment plan as needed.

After Hours Podiatry Home Visits

Can’t visit us in the clinic? No problem! We will come to you! Find out how to book an after hours Podiatry home visit with one of our friendly podiatrists. 

Partial Nail Avulsion (PNA)
After Hours Podiatry
Book Now
Contact Us
Sports Medicine Clinic - Osteopathy

Osteopathy

SMC Chiropractor service

Chiropractor

SMC Massage Therapy service

Massage Therapy

SMC Physio service

Physiotherapy

Sports Medicine Clinic Podiatry

Podiatry

Picture of Dr. Yasmin Karam

Dr. Yasmin Karam

Dr. Yasmin Karam graduated with a Bachelor of Health Science/Masters in Podiatric Medicine. Dr. Yasmin has had experience working in both private and public sectors, exposing her to a great range of foot complications; from minor nail and skin pathologies to foot mal-alignments and diabetic foot ulcers.

More about Dr. Yasmin Karam

How Custom Orthotics Can Help You Walk Better

by
Custom orthotics help you walk better

Your Guide to Custom Orthotics

What Are Custom Orthotics?

Custom orthotics are specially designed shoe inserts that are tailored to an individual’s specific foot shape and biomechanics. They are often recommended by Podiatrists to address foot and lower limb pain, improve athletic performance, and enhance overall comfort.

Important Questions To Ask Before Getting Them

Some questions you should research and discuss with your Podiatrist include:

  • What is your current foot and ankle condition? 
  • What is the purpose of your orthotics? 
  • Are you an athlete or a sportsperson? 
  • What shoes do you wear? 
  • Other foot or ankle health concerns?

How do you know if you need Custom Orthotics?

You may benefit from custom orthotics:

If you want:

  • Foot pain relief: Individuals experiencing foot pain due to various causes, such as plantar fasciitis, flat feet, or high arches, may benefit from custom created.
  • Better sports performance: Athletes involved in high-impact sports, such as running or basketball, can benefit from them to improve their performance and reduce the risk of injury.

If you have:

  • Overpronation: People who overpronate or have unstable flat feet may benefit from them to help correct their gait and reduce the risk of injury.
  • Supination: People who supinate or have high arches may benefit from custom orthotics to help distribute pressure evenly across the foot and improve shock absorption.
  • Arthritis: People with arthritis may benefit from them to reduce pain, provide support, and improve mobility.

If you need:

  • Diabetic foot care: Individuals with diabetes may benefit from custom orthotics to prevent foot ulcers, improve circulation, and reduce pressure on the feet.
  • Posture improvement: Individuals with poor posture, such as forward head posture or flat feet, may benefit from them to help align the body and improve overall posture.
  • Comfort: People who spend a lot of time standing or walking, such as nurses or retail workers, may benefit from them to improve overall comfort and reduce fatigue

Do Custom Orthotics work?

Scientific evidence reveals that custom orthotics can be effective in treating various foot conditions, such as plantar fasciitis, overpronation, and flat feet.

Custom Orthotics work by:

  • Biomechanical correction: They work by correcting an individual’s foot biomechanics, which can improve alignment, reduce stress on the feet and legs, and prevent injuries.
  • Arch support: Custom created provides support for the arch of the foot, which can help alleviate pain and improve overall foot function.
  • Pressure redistribution: They redistribute pressure on the foot to help alleviate pain and prevent injuries, such as plantar fasciitis or heel spurs.
  • Shock absorption: Custom orthotics can help absorb shock and reduce the impact on the feet, which can be particularly beneficial for athletes or individuals involved in high-impact activities.

Custom orthotics allow for individualized design, specifically made for an individual’s unique foot shape and biomechanics, ensuring a proper fit and maximum effectiveness. Made from quality materials, they can provide the necessary level of support, comfort, and durability.

It is through this, that the patient can enjoy pain relief of the foot, ankle, knee and back. Custom orthotics work by correcting alignment and reducing pressure on affected areas. 

Additionally, improved function including gait and balance can occur with them, leading to better mobility and athletic performance.

A professional fitting of the custom orthotics is performed by a trained Podiatrist who takes into account an individual’s foot shape, size, and condition to ensure the best possible fit and effectiveness.

Patient satisfaction is at the center of this treatment, with many reporting significant improvement in foot pain and function after using custom orthotics, again indicating their effectiveness.

Are custom-made better than off-the-shelf?

Custom orthotics are typically better than off-the-shelf orthotics because they are designed to fit the specific shape and needs of an individual’s feet. Off-the-shelf types are mass-produced and may not provide the necessary support or cushioning for a particular foot shape or condition.

Custom orthotics are typically made by taking a mould or impression of the feet and using this to create a personalized insole that is tailored to the individual’s foot shape and condition. This can provide better support, cushioning, and stability, improving comfort and reducing the risk of foot injuries.

However, custom-made can be more expensive than off-the-shelf options and may require a longer wait time for fabrication. Additionally, some individuals may find that off-the-shelf work well for their needs, particularly if they have a relatively common foot shape and condition.

Ultimately, the decision between custom and off-the-shelf orthotics will depend on an individual’s specific foot condition, budget, and preferences. It’s important to consult with a podiatrist or other foot health professional to determine the best option for your needs.

What shoes can I wear with custom orthotics? 

Most types of shoes can be worn with custom-made orthotics, but some styles are more accommodating than others. It’s best to choose shoes with a removable insole or a wide-toe box to accommodate them.

Here are some types of shoes that can work well with custom-made orthotics:

  1. Athletic shoes: Many types of athletic shoes have removable insoles and a spacious toe box, making them a great choice. Running shoes, walking shoes, and cross-training shoes are all good options.
  2. Boots: Boots with removable insoles are a good choice for those who need extra support and cushioning. Hiking boots, work boots, and winter boots are all good options.
  3. Comfort shoes: Comfort shoes, such as loafers, Mary Janes, and slip-ons, often have removable insoles and a wider toe box, making them a good option.
  4. Sandals: Some sandals are designed with removable insoles or adjustable straps that can accommodate custom-made. Look for sandals with a closed heel for better support.
  5. Dress shoes: Dress shoes can be a bit trickier to wear with them, but some styles are designed to accommodate them. Look for dress shoes with a removable insole or a deeper heel cup.

In general, it’s a good idea to bring your orthotics with you when shopping for new shoes so you can try them on together and ensure a comfortable fit.

What to expect from your appointment/s for custom-made orthotics 

Appointments assess, fit and review your custom-made orthotics. When you visit a podiatrist for custom-made orthotics, here are some things you can expect:

First appointment

  • Consultation and Examination: Your podiatrist will examine your feet, discuss your medical history, and ask about your symptoms and activities. They will also evaluate your gait and foot structure to determine the type that would be most beneficial for you.
  • Cost and Insurance: The cost of custom-made orthotics varies depending on their type and design. Your podiatrist will discuss the cost and insurance coverage with you before they are made.
  • Orthotics Prescription: If custom-made orthotics are recommended, your podiatrist will take a mould of your feet to create a precise fit. They will also discuss the materials and design options with you, taking into account your foot condition and lifestyle.

Second appointment

  • Fitting and Adjustment: Once your custom-made orthotics are ready, you will have a fitting appointment with your podiatrist. They will check the fit and make any necessary adjustments to ensure that they are comfortable and provide the appropriate support and alignment.

Third appointment

  • Follow-Up Care: Your podiatrist will schedule a follow-up appointment to check the fit of your orthotics and make any additional adjustments if needed. They may also guide how to care for them and when to replace them.

Overall, a podiatry appointment for custom-made orthotics will involve a thorough evaluation of your foot condition and gait, as well as a personalized prescription and fitting process to ensure that they provide the best possible support and comfort for your feet.

How long does it take for custom orthotics to correct my feet?

Custom orthotics can correct various foot conditions, but the time it takes to see improvements depends on several factors. These factors include the type and severity of the foot condition, the consistency of wearing the orthotics, and the patient’s adjustment time. 

Patients may experience discomfort or soreness as their feet adjust to the new support, and it may take a few weeks to several months before seeing significant improvements. It’s important to wear the orthotics as directed by your Podiatrist and follow any recommended exercises.

Custom orthotics may not be effective for everyone and may require adjustments to ensure their effectiveness. If no improvement is seen, additional treatments may be necessary.

Conclusion

Have you got pain in your feet, ankles, knees, hips, or back? Call and book a comprehensive biomechanical assessment to determine the best solution for you!

Picture of Dr. Yasmin Karam

Dr. Yasmin Karam

Dr. Yasmin Karam graduated with a Bachelor of Health Science/Masters in Podiatric Medicine. Dr. Yasmin has had experience working in both private and public sectors, exposing her to a great range of foot complications; from minor nail and skin pathologies to foot mal-alignments and diabetic foot ulcers.

More about Dr. Yasmin Karam
Book Now
Contact Us

Ingrown Toenails

by
Ingrown toenails

What is an ingrown toenail?

An ingrown toenail is a common condition in which the corner or side of a toenail grows into the skin around the nail. Ingrown toenails most commonly affect the big toe, but they can occur on any toe.

Symptoms of ingrown toenails can include:

  1. Pain and tenderness along the edge of the nail
  2. Redness and swelling around the nail
  3. Infection, with pus or drainage
  4. Difficulty walking or wearing shoes due to the pain

In practice, a lot of my patients will report ingrown toenails being sore when they put socks on, wear shoes, and get into bed with bed sheets touching their toes!

What are the causes of ingrown toenails?

Ingrown toenails and associated pain can be caused by a variety of factors, including:

  1. Improper nail trimming: There is a fine line! Cutting the nails too short, rounding the corners, or tearing the nails can cause them to grow into the skin. A lot of people I speak to report cutting their nails straight across to avoid an ingrown. Although in theory that sounds like the right way to avoid an ingrown, we’re meant to round the corner of our nails, following the natural curvature. Leaving the sides of your toenails to grow straight may cause an ingrown!
  2. Heredity: Some people may be more prone to ingrown toenails due to inherited traits, such as the shape of their nails.
  3. Trauma: Injury to the toe, such as stubbing the toe or dropping something heavy on it, can cause the nail to become ingrown.
  4. Shoes: Wearing shoes that are too tight or narrow can put pressure on the toes and cause the nails to grow into the skin. This is a big one. It’s an ingrown waiting to happen!
  5. Fungal infections: Fungal infections of the nails can cause them to become thick, brittle, and more likely to grow into the skin.
  6. Foot structure: Certain foot structures, such as those with excessively curved nails or toes, may be more prone to ingrown toenails.
  7. Poor foot hygiene: Poor foot hygiene, such as not keeping the feet clean and dry, can increase the risk of developing ingrown toenails.

In some cases, a combination of these factors may contribute to the development of ingrown toenails.

Take me for example. I don’t usually suffer from ingrown toenails. However, when I leave my toenails to grow too long (not because I want to, but because life with three kids can be busy) and then decide to wear enclosed shoes, (again not because I want to, but because I need the fastest shoes possible to chase my toddler), that’s when the sides of my big toenails start to hurt. The nail feels like they’re digging in and the skin around it starts to feel tender. Now imagine this was an ongoing thing that I didn’t address or take notice of until it was too late… it’s not going to be pretty.

Will ingrown toenails heal themselves?

In some cases, mild ingrown toenails may resolve on their own without treatment, particularly if they are caught early. 

However, in most cases, ingrown toenails require some form of treatment to fully resolve. If left untreated, ingrown toenails can become infected and lead to more serious complications.

As a Podiatrist, I’ve seen mild ingrown toenails which are managed regularly with our general treatment of cutting toenails and excess callus (every 6 weeks). I’ve also seen when patients miss their regular appointment for whatever reason and the ingrown worsens to the point of needing antibiotics and sometimes a minor surgery. 

Don’t be that person. Early intervention with a Podiatrist is key.

What are the main treatment options for ingrown toenails?

The only way to properly treat an ingrown toenail is to remove the part of the nail that is piercing the side of the skin. Depending on the severity of the ingrown, this is generally a pain-free and quick process. There are other things you can do to help manage the pain of an ingrown which include:

Here are some common treatments for ingrown toenails:

  1. Soaking the affected foot in warm water: This softens the nails which allows you to gently move the nail away from the skin. This doesn’t apply to everyone as soaking your foot can increase your risk of infection. This is more of a preventative strategy or if the ingrown is not fully established.  
  2. Antibiotics: If the toenail/skin around it is red, swollen, painful and filled with pus it might be infected and will require an antibiotic prescription. 
  3. Wearing good-fitted shoes: Avoid wearing tight-fitting shoes that put pressure on the toes. Wear shoes with a wider toe box which allows room for the toes to move.
  4. Proper nail trimming: Follow the natural curve of the nail. Avoid long toenails and also avoid cutting them too short. Find a happy medium. 
  5. Partial nail avulsion: In more severe cases, a partial nail avulsion (PNA) may be necessary to remove the portion of the nail that is causing the problem. This is a minor surgical procedure that is performed under local anesthesia.

It is important to seek medical attention from a Podiatrist if the ingrown toenail is severe, infected, or does not improve with home remedies. A Podiatrist can assess the condition and recommend an appropriate course of treatment.

Picture of Dr. Yasmin Karam

Dr. Yasmin Karam

Dr. Yasmin Karam graduated with a Bachelor of Health Science/Masters in Podiatric Medicine. Dr. Yasmin has had experience working in both private and public sectors, exposing her to a great range of foot complications; from minor nail and skin pathologies to foot mal-alignments and diabetic foot ulcers.

More about Dr. Yasmin Karam
Book Now
Contact Us