Category: Frequently asked questions

How does pregnancy affect your feet?

Pregnancy can cause a number of changes in the body, including changes in the feet. Some common foot-related issues that may arise during pregnancy include:

  1. Swelling: Many pregnant women experience swelling in the feet and ankles due to increased fluid retention and changes in blood flow. To help alleviate swelling, it is important to stay hydrated, elevate the feet whenever possible, and avoid prolonged periods of sitting or standing.
  2. Flat feet: During pregnancy, the increased weight and pressure on the feet can cause the arches to flatten, leading to discomfort and pain. Wearing supportive shoes and using arch supports or custom orthotics can help alleviate this issue.
  3. Plantar fasciitis: Pregnancy-related weight gain and changes in gait can also increase the risk of developing plantar fasciitis, a condition that causes pain and inflammation in the heel and arch of the foot. Gentle stretching and massage, as well as proper footwear and orthotic support, can help alleviate symptoms.
  4. Ingrown toenails: Hormonal changes during pregnancy can cause nails to grow faster and become more brittle, increasing the risk of ingrown toenails. Proper nail care, including regular trimming and avoiding tight or narrow shoes, can help prevent this issue.
  5. Cramping: Some pregnant women experience cramping in the feet and legs, particularly at night. Stretching, massage, and staying well-hydrated can help alleviate these symptoms.

It is important for pregnant women to maintain good foot health and seek medical attention if they experience persistent or severe foot pain or swelling. Wearing comfortable, supportive footwear and practicing good foot hygiene can help prevent many foot-related issues during pregnancy.

What is a podiatric surgeon?

A podiatric surgeon is a healthcare professional who specialises in surgical interventions to treat conditions affecting the feet, ankles, and lower limbs. Podiatric surgeons are also known as foot and ankle surgeons.

Podiatric surgeons undergo extensive education and training in the diagnosis and management of foot and ankle conditions, as well as in the use of specialised surgical techniques and equipment to correct deformities, repair injuries, and address other conditions that may require surgical intervention.

Common conditions that may be treated by a podiatric surgeon include bunions, hammertoes, plantar fasciitis, heel spurs, flat feet, ankle fractures, and other foot and ankle injuries or deformities.

Podiatric surgeons may work in private practice or in hospitals and other healthcare settings, and may collaborate with other healthcare professionals such as orthopaedic surgeons, physical therapists, and primary care physicians to provide comprehensive care to patients with foot and ankle conditions.

It is important to note that not all podiatrists are podiatric surgeons, and not all foot and ankle conditions require surgical intervention. Non-surgical treatments, such as physical therapy, medications, orthotics, and other conservative therapies may be effective for many conditions and may be recommended before considering surgery. It is important to consult with a healthcare professional to determine the most appropriate treatment plan for your specific condition and individual health needs.

What is a podiatrist?

A podiatrist is a healthcare professional who is an expert in the diagnosis, treatment, and management of conditions affecting the feet, ankles, and lower limbs.

Podiatrists undergo extensive education and training in the anatomy, biomechanics, and pathology of the lower limbs, as well as in the use of special equipment and techniques to diagnose and treat a wide range of foot and ankle conditions.

Podiatrists may provide a variety of services, including routine foot care, treatment of foot and ankle injuries, management of chronic conditions such as diabetes and arthritis, and surgical interventions to correct deformities or address more severe conditions.

Common conditions that podiatrists may diagnose and treat include plantar fasciitis, heel spurs, ingrown toenails, bunions, hammertoes, and flat feet, among others.

Podiatrists may work in private practice or in hospitals and other healthcare settings, and may collaborate with other healthcare professionals such as orthopaedic surgeons, physical therapists, and primary care physicians to provide comprehensive care to patients with foot and ankle conditions.

Plantar fasciitis – what happens at a cellular level?

Plantar fasciitis is a condition that involves inflammation and damage to the plantar fascia, which is a thick band of connective tissue that runs along the bottom of the foot. At a cellular level, plantar fasciitis involves a complex interplay of inflammatory mediators and cellular responses.

One of the key cellular processes involved in plantar fasciitis is the release of inflammatory mediators, such as cytokines, from damaged tissue cells. These mediators trigger a cascade of cellular responses, including the activation of immune cells, the release of more inflammatory mediators, and the recruitment of additional cells to the site of injury.

As inflammation persists, it can lead to the breakdown of extracellular matrix components, including collagen and elastin fibres, which are important structural components of the plantar fascia. This breakdown can further weaken the tissue and contribute to ongoing inflammation and pain.

Over time, chronic inflammation and tissue damage can lead to the formation of scar tissue and the thickening of the plantar fascia, which can further exacerbate symptoms of plantar fasciitis.

Interventions for plantar fasciitis aim to address these underlying cellular processes by reducing inflammation, promoting tissue healing, and restoring normal biomechanical function to the foot and ankle. By addressing the cellular mechanisms involved in plantar fasciitis, treatment can help alleviate symptoms, prevent further damage, and promote long-term recovery.

Why are my feet numb?

Numbness in the feet can be caused by various reasons, including poor circulation, nerve damage, injury, infection, and certain medical conditions. Some common causes of numbness in the feet include:

  1. Peripheral neuropathy – damage to the nerves in the feet caused by diabetes or other medical conditions.
  2. Poor circulation – reduced blood flow to the feet caused by conditions such as peripheral artery disease or Raynaud’s disease.
  3. Tarsal tunnel syndrome – compression of the nerve that runs along the inside of the ankle.
  4. Morton’s neuroma – a thickening of the tissue around one of the nerves leading to the toes.
  5. Spinal cord injury or disease – damage to the spinal cord can cause numbness or weakness in the feet.
  6. Injuries – trauma to the feet, such as a broken bone or sprain, can cause temporary numbness.
  7. Vitamin deficiencies – deficiencies in certain vitamins, such as B12, can cause numbness in the feet.

If you are experiencing persistent numbness in your feet, it is important to see a doctor for an evaluation to determine the underlying cause and appropriate treatment.

Is foot pain affecting your golf swing?

Foot pain can certainly affect your golf swing, as the feet play a crucial role in maintaining balance and stability during the golf swing. Pain in the feet or toes can make it difficult to maintain proper form, shift your weight smoothly, and follow through with your swing.

There are a variety of foot conditions that can cause pain, including plantar fasciitis, metatarsalgia, and arthritis, among others. Wearing proper footwear, using shoe inserts or orthotics, and practicing good foot hygiene can help prevent foot pain and improve your golf game.

If foot pain is interfering with your golf game, it is important to consult a healthcare professional for an accurate diagnosis and treatment plan. Depending on the severity and underlying cause of your foot pain, treatment may include physical therapy, pain medication, or even surgery.

I am concerned with my child’s feet. What should I do?

If you are concerned about your child’s feet, there are several things you can do:

  1. Observe their feet: Take a look at your child’s feet and observe their walking and standing posture. Look for any unusual features, such as flat feet, high arches, or toe abnormalities.
  2. Talk to your child: Ask your child if they are experiencing any pain or discomfort in their feet, and whether they are having any difficulty with walking or participating in sports.
  3. Consult a paediatrician or podiatrist: If you have any concerns, schedule an appointment with your child’s paediatrician or a podiatrist. They can evaluate your child’s feet and provide recommendations for treatment or further evaluation if necessary.
  4. Provide proper footwear: Make sure your child wears properly fitting shoes that provide adequate support and protection for their feet. Avoid shoes with high heels or those that are too tight.
  5. Encourage physical activity: Regular physical activity can help promote foot health and development in children.

By taking these steps, you can help ensure your child’s feet remain healthy and address any concerns early on.

How do I improve my foot health?

There are several ways to improve your foot health, including:

  1. Wear proper shoes: Choose shoes that fit well and provide proper support for your feet. Avoid wearing high heels or shoes that are too tight, which can lead to foot problems.
  2. Practice good foot hygiene: Wash your feet daily with soap and water and dry them thoroughly, paying special attention to the area between your toes. Apply moisturiser to prevent dryness and cracking.
  3. Exercise regularly: Regular physical activity can help improve circulation and strengthen your feet and ankles.
  4. Stretch your feet and ankles: Stretching can help improve flexibility and reduce the risk of injury. Try stretching exercises such as toe raises, ankle circles, and calf stretches.
  5. Maintain a healthy weight: Excess weight can put extra strain on your feet and lead to foot problems.
  6. Check your feet regularly: Inspect your feet regularly for any signs of injury or infection, such as cuts, blisters, or redness.
  7. Seek medical attention when necessary: If you experience persistent foot pain, swelling, or other symptoms, see a healthcare professional for diagnosis and treatment.

By following these tips, you can help improve your foot health and reduce the risk of foot problems.

How do I get a piece of broken glass out of my foot?

If you have a piece of broken glass in your foot, it is important to remove it as soon as possible to prevent infection and further injury. Here are the steps to follow:

  1. Clean the area: Wash the area with soap and water and gently pat it dry with a clean towel.
  2. Inspect the wound: Use a magnifying glass if necessary to locate the piece of glass.
  3. Sterilise the area: Use rubbing alcohol or another antiseptic solution to sterilise the area around the wound.
  4. Use tweezers: Use a pair of sterile tweezers to grasp the piece of glass firmly at the base and gently pull it out in the same direction it entered.
  5. Clean the wound: Once the glass is removed, wash the wound again with soap and water and apply an antiseptic ointment.
  6. Cover the wound: Cover the wound with a sterile adhesive bandage or sterile gauze and secure it in place with medical tape.

If you are unable to remove the glass or if you experience any signs of infection such as redness, swelling, or fever, seek medical attention from a healthcare professional.

How do I choose a pair of supportive shoes?

Choosing a supportive shoe can help prevent foot problems and provide comfort and stability during daily activities. Here are some tips to help you choose a supportive shoe:

  1. Look for a shoe with a firm heel counter: The heel counter is the back part of the shoe that provides support to the heel. It should be firm to prevent excessive movement of the foot within the shoe.
  2. Check the arch support: The arch support should be firm and supportive. You can check the arch support by pressing your thumb into the arch of the shoe. If it feels too soft or flexible, it may not provide adequate support.
  3. Choose a shoe with a wide toe box: A wide toe box allows the toes to spread out naturally and can help prevent the development of foot problems such as bunions or hammertoes.
  4. Look for a shoe with a sturdy sole: The sole of the shoe should be thick and sturdy to provide cushioning and support for the foot.
  5. Consider the material: Shoes made of breathable materials such as leather or mesh can help prevent foot odor and fungal infections.
  6. Get a proper fit: Make sure the shoe fits well and is not too tight or too loose. Try on shoes at the end of the day when your feet are at their largest and wear socks that you would typically wear with the shoes.
  7. Consult with a podiatrist: If you have specific foot problems or conditions, a podiatrist can recommend specific shoes or inserts that can provide the support and cushioning you need.