What Is a Foot Neuroma?

A neuroma (often called a Morton’s Neuroma) is a thickening or irritation of a nerve in the foot, most commonly found between the third and fourth toes. This can cause sharp, burning pain, numbness, or the feeling that you’re standing on a pebble. Footwear that compresses the toes or repetitive pressure on the ball of the foot can make symptoms worse.

How Cortisone Injections Can Help

Cortisone injections are a common and effective treatment for reducing inflammation and pain associated with a neuroma. Cortisone (a corticosteroid medication similar to the natural hormone cortisol produced by the body) works by calming nerve irritation and surrounding tissue inflammation.

Because the cortisone is delivered directly to the site of pain, it can provide faster, more targeted relief than oral anti-inflammatory medications. The injection typically includes both the corticosteroid and a local anesthetic — the anesthetic provides immediate numbing relief, while the cortisone reduces inflammation over the following days.

Benefits

• Rapid reduction in pain and nerve irritation
• Allows healing to occur more effectively when paired with orthotics or modified footwear
• Relief can last anywhere from 6 weeks to 6 months

Shockwave Therapy for Neuromas

Shockwave therapy (also known as Extracorporeal Shockwave Therapy or ESWT) is another non-surgical treatment that stimulates healing in damaged tissue around the neuroma. The therapy uses acoustic waves that increase blood flow, reduce inflammation, and encourage tissue regeneration.

Benefits

• Non-invasive and drug-free
• Encourages natural repair of the nerve environment
• Typically performed over several short sessions with no downtime

Side Effects and Safety

Both cortisone injections and shockwave therapy are generally safe and well-tolerated. However, as with all medical procedures, there are some potential side effects and precautions.

Cortisone Injections

Minor risks include:

• Temporary soreness or “cortisone flare” lasting 24–48 hours
• Bruising or localized numbness
• Slight elevation in blood glucose for people with diabetes
• Rarely, tissue thinning or tendon rupture with repeated injections

Resting for 24 hours after a cortisone injection and avoiding strenuous activity for a few days helps ensure the best outcome. A maximum of 3–4 injections per year is usually recommended for safety.

Shockwave Therapy

Possible temporary effects include:

• Mild bruising, redness, or tenderness in the treatment area
• Short-term discomfort during or after the procedure

Most patients can resume normal activity immediately following shockwave sessions.

Is One Treatment Right for You?

Not everyone responds the same way to treatment. Some patients benefit most from a combination of shockwave therapy or cortisone injections, along with supportive care like custom orthotics or footwear modifications to reduce pressure on the affected nerve.

If you think you may have a neuroma, it’s best to consult your healthcare provider or one of BioPed’s lower limb clinicians. They can assess your symptoms and recommend the most effective treatment for your needs.

Come See Us

Cortisone injections and shockwave therapy are available at select BioPed clinics where Chiropody and Pedorthic services are offered.
To book an appointment or find your nearest location, visit bioped.com.
We’re here to help relieve your foot pain and get you back to comfort.

The post Treating Foot Neuromas with Cortisone Injections and Shockwave Therapy appeared first on Relieve Foot Pain & Leg Pain.

What Are Cortisone Injections?

Cortisone is a powerful anti-inflammatory medication that mimics the natural hormone cortisol produced by your body’s adrenal glands. When injected directly into an inflamed area, cortisone helps to reduce swelling, relieve pain, and improve mobility.

In the feet, cortisone injections are commonly used to treat conditions such as:

• Plantar fasciitis (heel pain)
• Morton’s neuroma (nerve pain between the toes)
• Arthritis in the midfoot or big toe joint
• Bursitis and tendon inflammation
• Capsulitis (inflammation around a joint)

How a Chiropodist Uses Cortisone Injections

A Chiropodist is a Foot Specialist in Ontario trained to assess and provide treatment and management of acute and chronic foot pain. After assessing your symptoms and confirming the source of pain, your Chiropodist may recommend a cortisone injection if other non-invasive methods have not provided enough relief.

The procedure is quick and minimally invasive. The area is cleaned, and a small amount of cortisone—often combined with a local anaesthetic—is injected into the affected site. The goal is to calm inflammation and allow your body to heal naturally.

What to Expect After the Injection

Many people notice relief within a few days, though it may take up to a week for the full effect. It’s normal to experience mild soreness or a “steroid flare” (temporary increase in pain) for 24–48 hours after the injection. Your Chiropodist may recommend rest, ice, or reduced activity during this time.

Potential Side Effects and Risks

While cortisone injections are generally safe when administered by a trained Chiropodist, it’s important to understand the possible side effects and rare complications.

Common, short-term side effects may include:

• Mild swelling, redness, or tenderness at the injection site
• Temporary flare-up of pain (steroid flare)
• Skin or fat thinning at the injection site
• A change in skin colour (lightening or darkening)

Less common but potential complications include:

• Infection at the injection site (rare)
• Tendon weakening or rupture if injected too close to a tendon
• Increased blood sugar levels, especially in patients with diabetes
• Allergic reaction to the medication (rare)
• Recurrent pain if underlying biomechanical or structural causes are not addressed

Your Chiropodist will review your medical history, current medications, and foot structure to ensure the injection is performed safely and appropriately.

Long-Term Considerations

Cortisone injections are highly effective for reducing inflammation, but they are not a cure for the underlying cause of foot pain. Most Chiropodists will combine injections with a long-term treatment plan — such as custom orthotics, footwear advice, stretching programs, or physical therapy — to prevent recurrence. Repeated injections in the same site are usually limited, as excessive cortisone use can weaken soft tissues over time.

When to See a Chiropodist

If foot pain is limiting your daily life and conservative measures haven’t worked, consulting a BioPed Chiropodist is the next step. They can assess the problem, discuss all treatment options — including whether a cortisone injection is suitable — and create a personalized plan to keep you comfortably on your feet.

The post Understanding Cortisone Injections in the Feet: How a Chiropodist Can Help Relieve Pain appeared first on Relieve Foot Pain & Leg Pain.

When do you see a Chiropodist or a Footcare Nurse?

Footcare Nurses perform many of the treatments that Chiropodists do regarding skin and toenails. This will include the trimming of calluses, corns, amd thick or ingrown nails. They also treat warts.

As mentioned, between the two professions, only a Chiropodist can perform biomechanical exams. They will be required when you need orthotics. They can provide a prescription for the orthotics or for antibiotics. Thus, you’ll want to see a Chiropodist is you have an active infection, an open wound, or have a need for numbing with anesthesia.  They also can perform a surgical procedure where necessary.

Below, we will discuss the specific conditions where these clinicians can help you!

Ingrown Toenails

A painful condition where the nail grows into the soft tissue, by the border or edge.

Having the nail pierce or puncture the skin can be considerably painful, and occurs when the nails are curved or spiked. This can usually be prevented with proper nail-trimming technique, appropriate footwear, and education. But sometimes genetics is an unavoidable risk factor.

Both Chiropodists and Footcare nurses can use the Onyfix technology to manage ingrown toenails. This treatment is non-invasive, safe, and long lasting. It works as a brace to alleviate pressure and helps the nails grow straighter. In dire measures, Chiropodists can perform nail surgery as well.

Fungal Toenails

An infection by fungus, causing the nail to be either thick, discoloured, crumbly, smelly, or all of the above.

Fungal toenails need intervention to be fully treated and cannot be resolved on their own. Treatment can include medication, light therapy, and debridement. BioPed clinicians are trained in ToeFX treatment, which is a novel light therapy treatment that has been shown to be very effective against tricky fungal toenails. BioPed nurses offer over-the-counter medication effective against nail fungus and Chiropodists can prescribe a pharmaceutical.

If a topical medicine is used, the nail must be thin enough for the treatments to penetrate through. Chiropodists and Footcare nurses can debride the toenails and allow the treatment to be successful.

Corns and Calluses

Thick skin that can appear anywhere on the foot – bottom, top, or even in between the toes.

Caused by high pressure or friction, the skin builds up in a local area as a defense mechanism at first, but it can quickly become pathological. This build up can be painful and change the way we walk, leading to other issues up the leg.

The medical footcare team can easily care for calluses and corns, and can offer solutions on how to prevent them from coming back. Moisturizing, offloading the pressure with orthotics and quality orthopedic footwear are all excellent solutions to do so.

Plantar Warts

A viral infection. Warts are found on the bottom of the foot and are contagious.

Warts will look different than a corn or callus with a blooming or cauliflower-like appearance, along with black dotting and pain along the sides of the lesion. The virus of interest is the human papillomavirus (HPV) and can take time to fully resolve.

Similarly to corns and calluses and fungus, they need to be debrided so that medication can penetrate and cure the infection. Chiropodists and Footcare Nurses can apply topical medications such as silver nitrate or Cantharidin. For surgical procedures, Chiropodists can perform an excision or needling procedure.

Diabetes and Foot Health

A systemic disease, associated with high blood sugar, that affects the whole body with a slew of complications, especially in the foot.

Due to these complications, people with diabetes are more likely to have cold feet, infection, and even loss of nerve sensation, known as neuropathy. 70% of non-traumatic foot amputations are a result of poorly controlled diabetes.

To maintain and ensure continued foot health, BioPed Chiropodists and Footcare Nurses will monitor feet with routine care and diabetic assessments. The education provided is invaluable to keep the feet healthy through life.

Biomechanical and Musculoskeletal Pain

Found in conditions such as plantar fasciitis, clawed digits, and gait abnormalities.

Being on your feet is a natural part of life, but can also cause damage to them over them. Physically, the stress can amount to findings of deformity and pain.

When dealing with a deformity like crowded digits or clawed toes, the medical footcare team can create custom toe props or use silicone sleeves to offload pressure.

With other painful conditions, Chiropodists are able to assess the gait to address the abnormality, and proceed with surgical intervention, such as injections where necessary,

How do I book an appointment?

BioPed Registered Chiropodists and Advanced Footcare Nurses can help improve your foot health, alleviate foot pain, and get you back to doing more of what you love in life.

Contact your local BioPed and schedule an appointment to find out how a Registered Chiropodist or Advanced Footcare Nurse can help you today!

The post How Can a Chiropodist or Footcare Nurse Improve Your Foot Health? appeared first on Relieve Foot Pain & Leg Pain.

Common Foot Conditions Linked to Excessive Sweating

Excessive sweating can lead to several foot-related problems, including:

• Athlete’s Foot (Tinea Pedis): A fungal infection that thrives in moist environments, causing itching, burning, and cracked skin, particularly between the toes.
• Blisters: Constant moisture weakens the skin, making it more prone to friction and blisters.
• Peeling Skin: Prolonged moisture can cause the skin to become soft and eventually peel, making your feet more vulnerable to infection.
• Foot Odour: Bacteria thrive in the moist environment created by excessive sweating, leading to unpleasant foot odour.

Medical Solutions to Manage Sweaty Feet

If home remedies aren’t enough, there are specialized medical products that can provide effective relief.

Footlogix Pediceuticals: Specialty Products for Sweaty Feet

Footlogix Sweaty Feet Formula

• Designed to address excessive sweating by reducing moisture and preventing bacterial growth.
• Contains Dermal Infusion Technology®, which delivers active ingredients deep into the skin.
• Helps maintain a healthy moisture balance while preventing foot odour.
• Lightweight mousse formula that is easy to apply and dries quickly without leaving a greasy residue.

Explore Footlogix Sweaty Feet Formula Here

Footlogix Peeling Skin Formula

• Targets peeling, irritated skin caused by fungal infections or excessive moisture.
• Spiraleen®, a proprietary antimicrobial ingredient, protects against infections while promoting healthy skin regeneration.
• Ideal for treating skin compromised by excessive sweating.
• Non-greasy, fast-absorbing mousse formula.

Learn More About Footlogix Peeling Skin Formula

Home Remedies and Preventative Tips

To keep sweaty feet under control and prevent associated foot problems, consider these simple yet effective steps:

• Wash Feet Daily: Use an antibacterial soap and dry thoroughly, especially between the toes.
• Apply Antiperspirant: Special foot antiperspirants can reduce sweating when applied regularly.
• Wear Breathable Socks and Shoes: Opt for moisture-wicking socks and ventilated shoes to minimize sweat buildup.
• Foot Powders: Talcum or antifungal powders can help absorb moisture and prevent infections.
• Rotate Footwear: Avoid wearing the same shoes daily to allow them to dry completely.
• Soak Feet in Tea or Vinegar: Soaking feet in black tea or apple cider vinegar can temporarily reduce sweating and bacteria.

Why You Should See a Registered Chiropodist or Foot Care Nurse

If excessive sweating persists despite home treatments, it’s best to consult a Registered Chiropodist or Foot Care Nurse. They can:

• Properly diagnose the severity of your condition.
• Recommend personalized treatment plans or prescribe stronger medical solutions.
• Provide professional care for any secondary issues, such as infections or peeling skin.

Take Control of Your Foot Health 

By managing sweaty feet effectively, you can avoid discomfort and prevent complications. Whether using high-quality products like Footlogix or seeking advice from a foot care professional, taking proactive steps can make a world of difference.

The post Managing Sweaty Feet: Effective Treatments and Preventative Tips appeared first on Relieve Foot Pain & Leg Pain.

Understanding Fungal Toenails

Fungal toenail infections typically begin as a small white or yellow spot beneath the nail but can quickly progress if left untreated. With our feet exposed more in the warmer months, we are at greater risk for acquiring or simply noticing the infection. The fungi thrive in warm, dark, and moist environments, such as sweaty socks, damp shoes, and public areas like swimming pools. Fungal toenails are often mistaken for other nail disorders, so recognizing the signs early can make a significant difference in successful treatment.

Signs and Symptoms of Fungal Toenails

Fungal toenails can present in various ways, but the most common symptoms include:

• Discoloration – The nail may turn white, yellow, brown, or even black, often starting at the tip and spreading towards the nail bed.
• Thickened Nails – As the infection progresses, the nail may become noticeably thicker, making it difficult to trim.
• Brittleness and Crumbling – The nail may become fragile, breaking or crumbling at the edges.
• Foul Odor – Advanced cases may emit an unpleasant smell due to the breakdown of keratin in the nail.
• Nail Separation – In severe cases, the nail may begin to lift away from the nail bed, leading to discomfort or even pain.

Because fungal toenails share symptoms with other nail disorders, it is essential to confirm the diagnosis with a healthcare professional.

Differentiating Fungal Toenails from other conditions

Not every thick or discolored nail is due to a fungal infection. Physical trauma, such as stubbing your toe or dropping an object on it, can also cause nail thickening and discoloration. Here’s how you can distinguish between the two:

• Fungal Toenails – Typically yellow, white, or brown with an irregular pattern. The nail may have a rough texture and emit a foul odor.
• Damaged Nails from Trauma – May appear dark red or black due to blood accumulation under the nail, with no accompanying odor.
• Underlying Health Conditions – Conditions like psoriasis, diabetes, or vitamin deficiencies can also lead to nail discoloration or changes in texture.

If you’re unsure whether you have fungal toenails or nail trauma, or an underlying condition, a Physician, Nurse Practitioner or most BioPed locations with medical footcare services can assess your toenails.

Best Treatment for Toenail Fungus

Once diagnosed, treating fungal toenails requires patience, as the infection can be persistent. Fortunately, several effective treatments exist, ranging from prescription medications to home remedies.

1. Medical Foot Care

Often, simply applying medication to the nail isn’t enough, as thickened nails may prevent medication from penetrating. Professional foot care services, such as those offered by a Chiropodist or Footcare Nurses, can help by trimming and debriding the affected nail, allowing antifungal treatments to work more effectively, and at times entirely removing the infected tissue.

Photo disinfection light therapy can be quite effective at killing the fungal agent within the toenail.  Ask your BioPed clinic if they offer this solution.

2. Over-the-Counter and Home Remedies

For those seeking a more natural or accessible approach, several over-the-counter (OTC) and home remedies may help:

• Formula 3 by Tetra – One of the most potent OTC medications on the market and available at select BioPed locations.
• Footlogix Nail Tincture – An easy to use spray, utilizing Spiraleen® that is widely available at all BioPed locations.
• Tea Tree Oil – Known for its antifungal properties, tea tree oil can be applied directly to the nail daily.

3. Prescription Medications

• Since fungal infections live beneath the nail, stronger antifungal treatments are sometimes necessary. Prescriptions can be obtained by a BioPed Chiropodist or your primary care provider.

Preventing Fungal Toenails from Returning

Once you’ve successfully treated a fungal toenail infection, preventing a recurrence is crucial. Here are some essential prevention strategies:

1. Proper Foot Hygiene

• Wash and dry your feet daily, especially between the toes.
• Change socks regularly, particularly if your feet sweat excessively.
• Avoid sharing personal hygiene items like nail clippers, towels, and shoes.

2. Choosing the Right Footwear

• Wear breathable shoes made from materials that allow airflow.
• Rotate your shoes, allowing them time to dry out between wears.
• Avoid tight-fitting shoes that create a damp, crowded environment for your toes.

3. Using Preventative Products

• Apply antifungal sprays or powders to your shoes and feet regularly. Clean Sweep by Tetra is a safe and effective spray with silver nanoparticles that is available in BioPed clinics.
• Antiperspirants can control excessive foot sweating.
• Consider using foot powders such as baby powder or talcum to absorb moisture and reduce fungal risk.

When to See a Footcare Practitioner

If you suspect you have fungal toenails, it’s best to seek medical advice early. While over-the-counter and home remedies may help in mild cases, severe or persistent infections require professional intervention for treatment of toe fungus. Our Chiropodists and Footcare Nurses can assess the severity of the infection and recommend the most effective treatment plan.

At BioPed Footcare, we assess and treat fungal toenails. Don’t let toenail fungus impact your confidence and foot health—book an appointment today!

The post Catch some Sunrays this spring & summer, not fungus! appeared first on Relieve Foot Pain & Leg Pain.

Ingrown Toenail – What is it?

An ingrown toenail is a common condition of the foot where the toenail is digging into the nearby skin, making the area irritated and inflamed. In severe cases, the nail can pierce the skin and cause infection.

The most common type of ingrown nail that we see is an involuted toenail, which takes on a curved shape. The curvature creates a distinct pressure point at the edges and can be very painful and difficult to manage.

Ingrown Toenails and Causes

• Genetics – Naturally Occuring
• Cutting your nails too short
• Sports and Injuries
• Fungal Infections
• Tight and poor-fitting shoes

Signs and Symptoms of Ingrown Toenails

• Pain at the sides or tip of your toe
• Pain occurring with pressure, walking, or other activity
• Redness, swelling, tingling
• Hard, thick skin building up at the corners – otherwise known as callus
• Infection – blood, pus, or moisture is present

Onyfix Nail Bracing – Is it right for me?

At BioPed Footcare locations, our practitioners are trained and certified in the application of this non-invasive procedure. The nail is first prepared for application. The resin then is molded specifically for your ingrown toenail, ensuring that it accurately pulls the offending nail away from the skin. An LED blue light is used to cure and harden the brace, keeping it lasting a long time. As the nail grows, the brace continues to hold the nail and keep the curvature away from the skin.

Often, one application is sufficient to improve the condition, but complex nails may require 2-3 times. This is still a cost-effective and painless treatment that should be strongly considered for those with painful ingrown toenails.

How do I get this for my Ingrown Toenail?

After booking an appointment, your footcare nurse or chiropodist will perform an assessment to see what treatment options are best for your condition. There are several different methods, such as conservative care, cotton packing, and the invasive surgical options – but should the Onyfix nail bracing be appropriate, your practitioner could apply it the same day.

If your ingrown toenails have been paining you, do not hesitate – and book your appointment with your nearest BioPed location today! Our teams will be ecstatic to assist you and help you keep walking on without discomfort and pain.

The post Toenail Bracing – A Non-Invasive Solution for Pesky Ingrown Toenails! appeared first on Relieve Foot Pain & Leg Pain.

When to Use Cold Therapy (Ice)

Cold therapy is a go-to option for most knee injuries, especially in the early stages. Ice is the best option if your knee feels swollen, inflamed, or bruised. Cold therapy works by reducing/slowing blood flow to the injured area, which helps to minimize swelling and numbs the pain receptors.

When to use ice:

• Immediately after injury: For the first 48 hours, apply ice to reduce swelling and decrease pain.
• After physical activity: If your knee tends to swell after a workout or long walk, ice can help calm the inflammation.

How to apply ice:

• Use an ice pack or bag of frozen veggies wrapped in a cloth.
• Never apply ice directly to the skin to avoid frostbite (skin injury).
• Apply it to the knee for 15-20 minutes at a time, on and off for the first 48 hours.

If you experience swelling in the knees often, consider using a cold therapy wrap that secures around the knee. These wraps are convenient for keeping ice in place while you stay mobile.

When to Use Heat Therapy

Heat therapy is most effective for chronic knee pain or stiffness, particularly once the initial swelling has subsided. Heat increases blood flow, which can help relax tight muscles and joints.

When to use heat:

• After the swelling has gone down: Once your knee is no longer swollen, heat can help loosen tight muscles and improve mobility.
• For chronic conditions: If you have ongoing knee stiffness/ arthritis, heat therapy can be helpful as a daily routine.

How to apply heat:

• Use a heating pad, heat wrap, or warm towel.
• Apply it for 15-20 minutes at a time.
• Ensure the heat source is warm, not hot, to avoid burns.

A moist heat pad can be more effective than dry heat. You can create your own by dampening a towel and microwaving it for a few seconds.

Alternating Hot and Cold Therapy

For some knee injuries, alternating between hot and cold therapy can be beneficial. This is known as contrast therapy and can help improve circulation and reduce stiffness.

How to do contrast therapy:

• Apply cold therapy for 15-20 minutes.
• Follow with heat therapy for another 15-20 minutes.
• Repeat this cycle a couple of times a day.

Contrast therapy can be especially helpful for post-workout recovery or managing chronic knee pain.

Additional Tips for Knee Recovery

Here are a few tips to help you recover faster and get back to doing more:

• Rest, but don’t stop moving completely: Gentle movements, a light walk, or stretching, can help to prevent stiffness.
• Elevate your knee: Keep your knee elevated, especially in the first few days after injury to help reduce the swelling.
• Strengthen supporting muscles: Once you have recovered from the initial injury, strengthening exercises for your hamstrings, quads and calves can help prevent future injuries.

When to Seek Professional Help

While home remedies like hot and cold therapy are a great start, some knee injuries require a professional assessment. If you experience any of the following:

• Persistent pain lasting more than a few days.
• Knee instability or feeling like your knee might give out.
• Swelling that does not improve.
• Difficulty bearing weight on the injured leg.

You may require help from one of our BioPed clinicians. Our clinicians can recommend products like knee braces to provide added support and stability, strengthening exercises, or custom orthotics to improve your overall alignment and reduce strain on the knee.

The post Is the best Recover from a Knee Injury Heat or Ice? appeared first on Relieve Foot Pain & Leg Pain.

If you believe this may be what you have, continue along as we explore the causes, symptoms, management, and treatment for toenail fungus.

What exactly are Fungal Toenails?

An infection of the nail occurs due to a group of fungi called dermatophytes, with a variety of species causing different presentations in the nail. Fungi enjoy the warm, moist, and often dark environment of the foot and nail and can often affect the skin as well. The major difference with fungal toenails is that the fungus will live under the nail, often making it difficult to treat.

Symptoms of Fungal Toenails

Due to the variations in how fungal toenails present, it can be tricky to determine their presence. However, there are 3 primary factors we use when diagnosing them:

• Colour – The nail may become discoloured, and the pattern of the colour can be irregular and deep as well. This colour can be white, similar to the nail edge we are used to, or even yellow, and potentially brown/black too, depending on the infection.
• Texture – At the early stages, we may see a normal, smooth nail texture. However, if prolonged, we will begin to see changes such as thickening, brittleness, and potentially crumbling of the nail as the fungus eats away at it. This pattern can appear striated in the nail, or as diffuse crumbling.
• Smell – Perhaps the most distinctive factor of nail fungus is its smell. It gives off an unpleasant odour as it progresses. In advanced fungal toenails, the fungus eats away at bacterial disulphide bonds to release sulfur, imitating a smell similar to rotting eggs, creating a unique olfactory profile.

Differentiating Fungal Toenails from Damaged Nails

 When we see changes in colour or texture, we often assume fungal toenails, but we want to be careful to rule out other possibilities, such as nails that were damaged due to physical trauma, rather than a biological infection. Using the same factors, we can consider other causes:

• Colour – Although a fungal nail is likely to be yellow, that does not mean every yellow nail is fungal. Discoloration could be due to vitamin deficiencies, smoking, thyroid conditions, and potentially a bacterial infection instead. Some nail polishes can even leave a residue that is similar!
• Texture – Similarly, although fungal nails become thick, not all thick nails are fungal. The most common cause of a thick nail is actually from physical trauma, such as stubbing your toe or dropping an object on it. Long-term standing and walking can build up stress over time to thicken the nail too. However, crumbling and eaten-away patterns are strong indicators for the presence of fungus.
• Smell – As the most distinctive factor, smell can be useful to tell whether or not fungus is present. A nail that simply has physical damage will have no odour barring other factors, while fungal toenails will definitely produce a smell over time.

In the end, the most accurate way to assess for fungal nails is to inquire with your family physician for a lab test and sample. A BioPed Chiropodist or Footcare Nurse can coordinate this with your Doctor or Nurse Practitioner as well. 

Treatment for Toe Fungus

Once we have determined nail fungus exists – how do we get rid of it? There are several methods that can be used, and sometimes all at once. The treatment options are:

Prescription Medication

 Due to the nature of the fungus living under the toenail, it is more difficult to get rid of than fungus on the exposed skin. A stronger medication is often required:

• Jublia – applied topically, one of the more effective treatments available today.
• Ciclopirox – a topical alternative, if others are not available.
• Terbinafine – taken orally, when topical treatments fail.

Over-the-Counter and Home Remedies

 Due to health restrictions or preferences, we may want to go a more holistic route. Some options include:

• Footlogix Nail Tincture – Uses an effective seaweed extract to target microbes.
• Tea Tree Oil – A natural essential oil with antifungal effects, applied topically.
• Vinegar Soak – Dipping the feet into a diluted vinegar bath can be a good home remedy.

Medical Foot Care 

Although we can apply products to the nail as listed above, they are simply unable to penetrate the thickness of the nail to get to the fungus underneath. To combat this, the nail will have to be cut short in length and more importantly, depth. A Chiropodist or Footcare Nurse is able to safely do this and clean the fungal nail to allow for any products to work their action.

Preventing Toe Fungus from Returning

Once we have eradicated the fungus, or if we want to be cautious of receiving a fungal infection, there are several techniques to avoid it from occurring:

 Proper Foot Hygiene

This may sound as simple as regularly washing the foot and keeping it dry to prevent moisture from building up, but there are several more aspects to this.

• Changing socks regularly – this will help keep feet dry.
• Avoid sharing personal items – e.g. towels, clippers, socks & shoes.
• Use footwear in public spaces – e.g. slippers in showers, pools, or saunas.

Changes to Footwear

The main reason we have microbes and moisture build up on our feet is because of how they are trapped in footwear for most of the day. We can improve this with:

• Breathable footwear – allow more airflow towards the feet.
• Alternating shoes – have several in rotation throughout the week to allow them to dry in between wear.
• Properly fitting footwear – tight shoes creates a cramped/damp environment for toes.

 Preventative Products

Should we choose to implement products in keeping our feet dry, some examples are:

• Powder – any powder that absorbs water and creates a dry area, such as baby powder.
• Antiperspirant – if excessive sweating is present, this can be used to reduce moisture.
• Antifungal Sprays/Ointments – tea tree oil on healthy nails.

When to see a Medical Practitioner, such as a Chiropodist, Footcare Nurse, Physician or Nurse Practitioner

Fungal Toenails are more difficult to acquire, but in turn are more difficult to get rid of once infected. Due to this challenge, we recommend seeing someone at any point it is suspected. Although many may be uncomfortable with others seeing their feet, it is imperative to address it quickly to prevent permanent damage to the nail. At BioPed Footcare, fungal toenails are one of the many conditions we treat. Book your appointment today to get the care your feet deserve!

The post Fungal Toenails – How Do I get Rid of This? appeared first on Relieve Foot Pain & Leg Pain.

Understanding Knee Ligaments and Common Injuries

The knee is stabilized by four key ligaments, each with a specific function:

• Anterior Cruciate Ligament (ACL)
  • Location: Runs diagonally through the center of the knee.
  • Function: Prevents the shinbone (tibia) from sliding forward.
  • Injury: Often injured during sports that involve sudden stops, jumps, or direction changes.
  • Pain: Usually felt deep in the knee, along with instability.
• Posterior Cruciate Ligament (PCL)
  • Location: Runs behind the ACL in the center of the knee.
  • Function: Prevents the tibia from sliding backward.
  • Injury: Often occurs during falls or direct impacts to the shin.
  • Pain: Felt in the back of the knee.
• Medial Collateral Ligament (MCL)
  • Location: Runs along the inner side of the knee.
  • Function: Prevents the knee from bending inward.
  • Injury: Often caused by a blow to the outside of the knee.
  • Pain: Localized on the inner side of the knee.
• Lateral Collateral Ligament (LCL)
  • Location: Runs along the outer side of the knee.
  • Function: Prevents the knee from bending outward.
  • Injury: Less common but can result from impact to the inside of the knee.
  • Pain: Felt on the outer side of the knee.

How Bracing Can Help with Knee Pain

Knee braces provide support, reduce pain, and protect the knee during recovery. Different types are suited to specific injuries:

• Soft Sleeves
  • Lightweight and flexible, offering mild compression to reduce swelling and improve circulation.
  • Best for minor ligament sprains, patella tracking issues, or mild arthritis.
• Hinged Knee Braces
  • Include side hinges for added stability, preventing sideways movement.
  • Ideal for MCL or LCL injuries and post-surgical recovery.
• Rigid Frame Braces
  • Provide maximum support with a strong external frame to stabilize the knee and prevent re-injury.
  • Recommended for severe ACL or PCL injuries, especially for athletes or post-surgery.
• Patella Stabilizing Braces
  • Keep the kneecap (patella) aligned to reduce pain and prevent instability.
  • Useful for combined ligament injuries or chronic patella issues.

Custom vs. Off-the-Shelf Braces

• Custom Braces: Recommended for moderate to severe injuries, unique knee shapes, or long-term use. They provide a precise fit and maximum effectiveness.
• Off-the-Shelf Braces: Ideal for less severe injuries or short-term use. They are convenient and cost-effective but may lack the tailored support of custom braces.

Steps to Recover from a Knee Ligament Injury

Recovery often requires a combination of treatments:

• Physiotherapy: Strengthens the muscles around the knee and improves flexibility.
• Activity Modification: Avoid activities that strain the knee until cleared by a healthcare professional.
• Foot Support: Supportive shoes, along with custom orthotics, can improve alignment and reduce knee strain.
• Bracing: Use a soft sleeve or rigid brace as recommended by a professional.
• Long-Term Support: Consider a supportive brace for ongoing pain or arthritis.

Why See a Canadian Certified Pedorthist?

Pedorthists are specialists in lower extremity biomechanics and custom medical solutions. They can assess your knee injury, recommend the right brace, and provide custom orthotics to enhance recovery. With their guidance, you can ensure your treatment plan is tailored to your specific needs for the best possible outcomes.

The post Knee Ligament Injury Solutions: Finding the Perfect Brace for You appeared first on Relieve Foot Pain & Leg Pain.

Psoriatic plaques form due to a faster than normal turnover of skin cells. Under normal circumstances, new skin cells rise to the surface of the skin once a month.  Then, the old skin cells die and slough off, allowing the new skin cells to emerge. In people who have psoriasis, the new skin cells move to the surface so rapidly that the dead cells are unable to shed in time, resulting in plaques.

Who’s at Risk for Developing Psoriasis?

Research suggests psoriasis is caused by genetics and environmental factors.  It is also affected by the immune system, which means if your immune system is weakened, you may be more susceptible.  For those living with psoriasis, there are certain triggers that may cause worsening of symptoms, including stress, illness and injury to the skin. Psoriasis is not contagious or spread from person to person.

How Does Psoriasis Affect Your Feet?

Psoriasis & Skin

Psoriatic plaques often develop on the soles of the feet which can make walking uncomfortable. If plaques are left untreated, the skin could crack and bleed, increasing risk for infection.  Pain when walking may change how you walk, placing more pressure and weight on nearby joints as you attempt to avoid painful areas on the feet.

Psoriasis & Nails

Psoriasis can also affect your toenails by changing the way they look and feel. Toenails tend to be thin, weak, and more brittle, and may have indentations called “pitting.”  They can also become discoloured, appearing yellow or brown.

Psoriasis & Joints

Psoriasis can also cause joint inflammation.  This is referred to as psoriatic arthritis (PsA).  Typically, the smaller foot joints in the feet are targeted, such as those in the toes. Inflammation of these joints causes toes to swell resulting in “sausage toes”, known as dactylitis.  A prompt diagnosis is crucial as undiagnosed PsA can lead to joint destruction, weak bones and damage to organs in the body.

How to Approach Psoriasis & Treatment?

• Several conditions and some medications can cause dry, itchy skin on the feet. It’s important to understand why you’re experiencing skin discomfort or irritation. If you are at risk for or suspect that you have psoriasis, please consult your Family Doctor or Nurse Practitioner to determine if psoriasis is the issue at hand.
• Routine medical footcare appointments can help skin and nail issues associated with psoriasis. BioPed’s Medical Footcare clinicians are trained to assess and treat nail and skin issues on the feet.
• If psoriatic arthritis is causing you to suffer with joint pain, call your local BioPed today to book an assessment with one of our Canadian Certified Pedorthists or Registered Chiropodists, to determine your best treatment options!

Psoriasis: Experience the BioPed Difference

Our team of lower limb clinicians can offer relief by modifying shoes to offer more comfort and/or recommending orthotics to help with offloading painful joints, with the goal of slowing down the progression of joint complications. At BioPed Footcare, we create personalized solutions for you, to help you get wherever you want to go!

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