Source: 2019-04-30 | Brittney Pierce, Clinical Community Educator
April marks National Foot Health Awareness month, which is a great time to take care of your feet. Check your feet for sores or other injuries every day. You may have an injury, but cannot feel the pain.
Wash your feet every day and dry them with care, especially between the toes.
Trim your toenails as needed after you’ve washed and dried your feet.
Wear properly fitting shoes that do not rub or pinch your feet.
Always wear socks or stockings with your shoes, and never walk barefoot or while wearing just socks.
Physical activity can help increase circulation in your feet. Consult your healthcare team to see which physical activity is right for you.
Here are some specific issues to watch for:
If your toes are always cold, one reason could be poor blood flow- a circulatory problem sometimes linked to smoking, high blood pressure, or heart disease. The nerve damage of uncontrolled diabetes can also make your feet cold. Other possible causes include hypothyroidism and anemia. A doctor can look for any underlying problems- or let you know that you simply have cold feet.
When your feet ache after a long day, it might be your shoes. But pain that’s not due to sky-high heels may come from a stress fracture, a small crack in a bone. One possible cause: exercise that was too intense, particularly high-impact sports like basketball and distance running. Also, weakened bones due to osteoporosis increases the risk.
Reynaud’s disease can cause toes to turn white, then bluish, and then redden again and return to their natural tone. The cause is a sudden narrowing of the arteries, called vasospasms. Stress or changes in temperature can trigger vasospasms, which usually don’t lead to other health concerns. Reynaud’s may also be related to rheumatoid arthritis, Sjogrens disease, or thyroid problems.
The most common cause of heel pain is plantar fasciitis, inflammation where a long ligament attaches to the heel bone. The pain may be sharpest when you first wake up and put pressure on the foot. Arthritis, excessive exercise, and poorly fitting shoes can also cause heel pain, as can tendonitis. Less common causes include a bone spur on the bottom of the heel, a bone infection, tumor, or fracture.
Sometimes the first sign of a problem is a change in the way you walk- a wider gait or slight foot dragging. The cause may be the slow loss of normal sensation in your feet, brought on by peripheral nerve damage. Abut 30% of these cases are linked to diabetes. Nerve damage also can be due to infection, vitamin deficiency, and alcoholism. In many cases, no one knows what caused the nerve damage. Other possible causes for foot dragging include problems with the brain, spinal cord, or muscles.
In clubbing, the shape of the toes and often the fingers changes. The nails are more rounded on the top and curve downward. Lung disease is the most common underlying cause, but it also can be caused by heart disease, liver and digestive disorders, or certain infections. Sometimes, clubbing runs in families without any underlying disease.
Swollen feet is usually a temporary nuisance caused by standing too long or a long flight- especially if you are pregnant. In contrast, feet that stay swollen can be a sign of a serious medical condition. The cause may be poor circulation, a problem with the lymphatic system, or a blood clot. A kidney disorder or underactive thyroid can also cause swelling. If you have persistent swelling of your feet, see a physician.
A burning sensation in the feet is common among diabetics with peripheral nerve damage. It can also be caused by a vitamin b deficiency, athletes’ foot, chronic kidney disease, poor circulation in the legs and feet (peripheral arterial disease) or hypothyroidism.
Foot sores that will not heal are a major warning sign for diabetes. Diabetes can impair sensation in the feet, circulation, and a normal wound healing, so even a blister can become a troublesome wound. Those sores also are prone to infection. Diabetics should wash and dry their feet and check them for any wounds every day. Slow-healing of sores also can be caused by poor circulation and conditions such a peripheral artery disease.
Gout is a notorious cause of a sudden pain in the big toe joint, along with redness and swelling. Osteoarthritis is another culprit that causes pain and swelling. If the joint is rigid, it may be hallux rigidus, a complication of arthritis where a bone spur develops. Finally, turf toe is an ailment of athletes, particularly those who play on hard surfaces. It’s caused by an injury to ligaments surrounding the joint.
If you feel like you’re walking on a marble, or if pain burns in the ball of your foot and radiates to the toes, you may have Morton’s neuroma, a thickening of tissue around a nerve, usually between the third and fourth toes. It’s eight to 10 times more common in women then in men. It is caused by injury or too much pressure on the toes.
Itchy, scaly skin may by athletes’ foot, a common fungal infection. A reaction to chemicals or skin care products- called contact dermatitis- can cause itching, too, along with redness and dry patches. If the skin on itchy feet is thick and pimple-like, it may be psoriasis, a reaction of the immune system. Medicated creams can relieve the symptoms.
A sudden, sharp pain in the foot is the hallmark of a muscle spasm or cramp, which can last many minutes. Overwork and muscle fatigues are common causes. Other causes include poor circulation, dehydration, or imbalances in potassium, magnesium, calcium, or vitamin d levels in the body. The changing hormone levels of pregnancy or thyroid disorders may play a role. If spasm is frequent or severe, see a doctor. Strengthening exercises can help with muscle fatigue.
Your toenails tell a lot about your overall health. A fungal infection often causes thickened yellow toenails. Thick, yellow nails also can be a sign of an underlying disease, including lymphadema (swelling related to the lymphatic system), lung problems, psoriasis, or rheumatoid arthritis.
Sometimes an injury to the nail or frequent exposure to petroleum-based solvents can create a concave, spoon-like shape. However, iron deficiency also can cause this unusual shape.
Injury to the nail or illness anywhere in the body can cause white areas in the nails. If part or all of a nail separates from the nail bed, it can appear white and may be due to an injury, nail infection, or psoriasis. If the nail is intact and most of it white, it can sometimes be a sin of a more serious condition including liver disease, congestive heart failure, or kidney disease.
Pitting, or punctured looking depressions in the surface of the nail, is caused by a disruption in the growth of the nail at the nail plate. It affects many as half of people