https://www.orleansfootcareclinic.com/home daily 1.0 2025-11-02 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587860070646-FNZFST0GBJI4XU8BACNW/treadmill+picture.jpg Home https://www.orleansfootcareclinic.com/pediatrics daily 0.75 2020-05-30 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587777637420-JKU3S0PMAUJ3KNSMPNOK/toe%2Bwalking.jpg Pediatrics - Toe Walking Toe walking is common in children and refers to a person who walks only on the ball of their foot without bringing their heels to the ground. What causes toe walking in children? Habit- in this case there is no underlying cause, the child simply prefers to walk on their toes. Tight or shortened Achilles tendon Neurological/Muscular disorder If you wish to have a child evaluated for toe walking please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587761572607-32CCSXM3300L12HFT06V/intoeing.jpg Pediatrics - Intoeing Intoeing or walking pigeon toed is a common concern that parents have of their children when they begin walking. What are the causes of intoeing? There are many different causes for in-toeing but they are related to developmental unwinding from the hip to the foot. The cause of in-toeing may originate from the hip, thigh bone, knee, shin bone, the foot or a combination of the above. What are the signs and symptoms of intoeing? Toes are pointed inward Awkward walk (unstable) Child may trip over own feet while walking Tend to sit in the ‘W’ position (encourages in-toeing) Complaints of tired, sore feet May avoid walking Knee or back pain If you wish to have a child evaluated for intoeing please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587777521967-2G0MTF5421F90G7ITU7G/flatfoot.jpg Pediatrics - Pediatric Flatfoot Flat feet or fallen arches is a condition when the foot does not have a normal arch when standing. When all body weight is placed on the feet, there is little to no space between the arch and the ground. It is normal to have a flat foot up until the age of 2 to 3 years old. When a child begins heel-toe walking at approximately the age of 4, the foot should start to resemble an adult foot. An arch will begin to form and the leg position will start to straighten. If the child continues to walk pronated (inward rolling) then treatment can begin. What are the signs and symptoms of pediatric flatfoot? Looking from behind- inside ankle comes toward the ground and there is more of the outside of the foot visible than the inside (4th and 5th digits) Pain – child complains of pain associated with their feet and/or legs Age – no change in arch shape as the child grows older (4 – 6 years old) Difficulty walking or running- child trips when running or fatigues easily Family history – fallen arches often run in the family. It is important to assess the children of parents who have been treated for this condition.  If you wish to have a child evaluated for pediatric flatfoot please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587340865223-DO4VJZ4CIHRIVUTSU7JP/image-asset.jpeg Pediatrics Pediatrics https://www.orleansfootcareclinic.com/about daily 0.75 2025-11-02 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/dcba1afa-3a4b-412e-952c-aa2c5873c824/DSC_5903a.jpg About https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/c61c66c4-63f0-40fc-93b8-2f1e22468037/Stephan+2.jpg About https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/4317377a-d61f-4dd6-b4a5-b0418f9ba12c/RM+%232.jpg About https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/13284a9a-11ac-4e78-b091-3a7641309dfe/LG+1.jpg About https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/d896a83c-5945-463c-b300-2c1cd7a371d7/BV+1.jpg About https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/239b0fb9-7016-4f41-bd64-8874e806a3da/Deanna+best.jpg About https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/ba760ff1-541b-464c-93cb-f2c96e88602e/AA+1.jpg About https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/e7ec2eef-b1ef-4619-96c2-267d57ed225b/MCS_7070.jpg https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/f4d8fdbe-8920-4e4c-8b5e-0a32f5060dbd/MCS_7102.jpg https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/323d05e7-9e89-4a74-a16d-0d1eaf2eabb0/MCS_7078.jpg https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/709a80c4-eecf-4552-8500-b75388efac66/MCS_7134.jpg https://www.orleansfootcareclinic.com/contact-1 daily 0.75 2025-11-02 https://www.orleansfootcareclinic.com/orthotics daily 0.75 2023-06-23 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/88f46141-2b99-4d4d-bbd8-ea23841580ec/MCS_6861.jpg Orthotics https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591059469336-0AO23F4O1V5JGLO8NQET/IMG_5464+%281%29.jpg Orthotics https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591059502977-UJCCWDZ03HE5EC0LOM1S/IMG_5466+%281%29.jpg Orthotics https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591059440839-Y1H0E32NPWJBD6JFZI42/IMG_5465+%281%29.jpg Orthotics https://www.orleansfootcareclinic.com/appointments daily 0.75 2020-08-06 https://www.orleansfootcareclinic.com/foot-care daily 0.75 2020-06-03 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587339656823-VZNG7AIXPC1TYQENPWHV/IMG_1075.JPG Foot Care https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587586601464-Z0V22O3T5JWG25T8ISRU/IMG_1723.jpg Foot Care https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587586565795-HY8ZU0T4WU0R3R98AJDN/IMG_6469.jpg Foot Care https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587339587551-S0V6N3RJYG3WD2F8V7XK/IMG_0710.JPG Foot Care https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587339709871-90XGN6G87BJCNYXPB8EE/IMG_1455.JPG Foot Care https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589846981716-51UCNY9MGHBZU5BTEB8B/IMG_0710.JPG Foot Care - Calluses and Corns Calluses are hard, thickened areas of skin. These layers of thick skin can cause foot pain if they develop on weight bearing areas, such as under the ball of the foot or on the heel. Excessive callus formation can lead to the breakdown of tissue underneath the hard skin, which can lead to an ulceration/wound and possibly infection. Corns are a localized area of pressure with causes the skin to build up like a cone into the foot. This build up of skin causes pressure on the underlying bone causing pain with walking. What causes calluses and corns to form? Excessive pressure or friction Uneven weight distribution Faulty foot mechanics Ill-fitting footwear What are the signs and symptoms of calluses and corns? Pain localized to one area Thickened skin Feeling of walking on a stone or pebble If you notice thickened skin or discomfort when walking please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589847047868-EP14C3GKWXFXH204Y838/IMG_1263.JPG Foot Care - Fungal Toenails Nail fungus (onychomycosis) appears as thickened, discoloured toenails. As the fungal infection progresses, the nail can become brittle, crumbly, distorted or very thickened. This can cause the nail to separate from the underlying skin. These changes to the nail may cause pain, difficulty wearing certain shoes or lead to a possible infection. What causes fungal nails? Walking barefoot on a moist surface where others also walk (public change room, public, pool) Sharing socks or shoes with someone who has an active fungal infection. Using the same shower facilities with someone who has a fungal infection. What are the signs and symptoms of fungal toenails? Thickened toenails Discolored toenails Brittle or crumbly toenails Redness surrounding the nail surface Foul odour If you notice thickened or discoloured toenails and think you may have a fungal infection please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589847219300-BTM0YGIMGW7GQ34GK0SY/IMG_5571.JPG Foot Care - Plantar Warts A plantar wart is a lesion on the sole of the foot that can cause pain. Warts are caused by the human papilloma virus (HPV) and are often mistaken for a callus or a corn. Multiple tiny black spots can sometimes be seen on the wart as this is the wart’s blood supply. What is the cause of a plantar wart? Walking barefoot on a moist surface where others also walk (public change room, public, pool) Sharing socks or shoes with someone who has a plantar wart. Using the same shower facilities with someone who has a plantar wart. What are the signs and symptoms of a wart? A hard, palpable bump on the skin Small black dots overlying the skin A break in the normal skin lines of the foot If you notice a bump on the skin of your foot or see little black dots and think you may have a plantar wart please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589847123600-MGQHY9URGWCGV6288VKP/IMG_1457.JPG Foot Care - Athlete’s Foot Athlete’s foot (tinea pedis) is a fungal infection of the skin on the feet. Fungus and bacteria are everywhere and all it takes is a small portal of entry for fungus to affect the skin on the feet, Since fungus likes moist environments, it often affects the feet since they are often covered with socks and in shoes. This is why many people who complain of sweaty feet often have problems with chronic athlete’s foot. What causes athletes foot? Feet are in a moist/wet environment for long periods of time If you do not change your socks or wash feet on a regular basis you are more susceptible. Wearing closed, non-breathable shoes What are the signs and symptoms of Athlete’s foot? Red and itchy skin Cracked, flaking or peeling skin between the toes or side of the foot Unpleasant odour, smelly feet If you have itchy, red skin and think you may have athletes foot please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589847432795-DR6BW5K59LCKPRFM1LJH/IMG_1674.JPG Foot Care - Ingrown Toenails Ingrown toenails occur when the edge of nail grows down and into the skin surrounding the nail. If left untreated, an ingrown toenail could turn into an infection in the skin. What is the cause of an ingrown toenail? · Improper nail cutting technique · Trauma to the toenail · Ill-fitting footwear What are the signs and symptoms of an ingrown toenail? Painful, tender toe Red, warm and mildly swollen toe Possible yellowish or whitish coloured drainage (pus) Pain from the sheets hitting the toe in bed If you have pain along the inside or outside of your toenail or notice redness and swelling and think you may have an ingrown toenail please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://www.orleansfootcareclinic.com/biomechanics/-sports-injury daily 0.75 2020-06-03 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589848843586-39XXDHS4C4IN9JC8B4EX/sesamoiditis+1.jpg Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589849602601-5Q55PDI85EE4JM8W7N61/hammertoes.jpg Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589847750210-35CLLFOHWIJHF99EG0NL/Achilles.jpg Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589849008474-G3QM6O2G6V0VLJXOHLUP/ankle+sprain.jpg Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589849088757-7EPPQYR5LPRFSZWMC8CN/stress+fracture+1.jpg Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589848287432-0HB7O9SC576SHQ5QXCZ8/bunion.png Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589847491788-0WQNHIPS6GB1ZV0VLMWW/plantar+fascia.jpg Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589847528680-8781ONF1WBVVPK2D3ULP/mortons.png Bio-mechanics/ Sports Injury https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591146663597-V34JQI83XXP5B1SXXJ51/Achilles.jpg Bio-mechanics/ Sports Injury - Achilles Tendonitis What is the Achilles tendon? The Achilles tendon is a tendon at the back of the lower leg that attaches the calf muscles (gastrocnemius and soleus) into the heel (calcaneus). These muscles cause plantar flexion of the foot at the ankle joint. What are the signs and symptoms of Achilles tendonitis? Mild ache in the back of the leg or above the heel after running or other sports activity More-severe pain may occur after more intense activity such as prolonged running, stair climbing or sprinting. Increased pain or stiffness in the morning with your first few steps out of bed usually improving after mild activity. What is the cause of Achilles tendonitis? Repetitive or intense strain on the Achilles tendon A sudden change to the intensity of their workouts or people who participate in intense physical activity only on the weekends. Tight calf muscles If you have heel pain on the back of your heel and think you may have Achilles tendonitis please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591146347858-CXJXQ1DRB3TZJYFQ4C9T/20140228_Trade+151_0046.jpg Bio-mechanics/ Sports Injury - Stress Fractures What causes a stress fracture? Stress fractures are common in athletes and caused by improper terrain while training in their sport such as hard concrete or over training. What are the signs and symptoms of a stress fracture? Usually the first sign of a stress fracture is pain. There is usually accompanied redness and swelling in the area. If you have pain that is not resolving and think you may have a stress fracture please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1588811708122-XZDDKZQ7ACZ0GPRY0HO1/IMG_4467-2.jpg Bio-mechanics/ Sports Injury - Bunions What causes a bunion? Genetic predisposition- a family history of bunions increases the likelihood of developing a bunion. Flat feet or high arches Over-pronation- inward rolling of the foot can cause deviation of the 1st metatarsal. Ill-fitting footwear- narrow toe box or high heels Rheumatoid Arthritis- can cause lateral deviation of all digits including a bunion formation. What are the signs and symptoms of a bunion? Pain while walking at the big toe joint Pain with any pressure at the big toe joint Redness, swelling on or around the bump Visible deviation of the first metatarsal and the phalanx If you notice a bump on the inside of your big toe joint or have pain, redness or swelling in the area and think you may have a bunion please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591146287305-LXJ9BJ1R6353V2Q43Z8H/plantar%2Bfascia.jpg Bio-mechanics/ Sports Injury - Plantar Fasciitis / Heel Pain What is the plantar fascia? The plantar fascia is a ligament attached to the heel bone (calcaneus) that divides and fans out to attach at the base of the toes (metatarsals). The plantar fascia covers muscles, tendons, nerves and blood vessels and acts as a bowstring on the bottom of the foot, helping the bones of the foot maintain the arch. Plantar fasciitis occurs when there is a strain of the ligament that supports your arch. Repeated strain can cause tiny tears in the ligament which can be very painful. What is the cause of plantar fasciitis? Inward roll of feet during gait (excessive pronation High arches or flat feet Excessive walking, standing, or running, especially on hard surfaces Excessive weight gain over a period of 6-12 months Tight Achilles tendons or calf muscles. What are the signs and symptoms of plantar fasciitis? Worsened pain with first few steps in the morning or after prolonged sitting- this is due to the fascia becoming very relaxed at rest and when the foot elongates when walking, it then re-injures the fascia where it inserts into the heel. Improvement in pain after mild activity Pain is felt with applying pressure to the inside of the heel (where the fascia inserts into the heel bone). If you have heel pain and think you may have plantar fasciitis please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589848344550-EZ959FF4UFS2MCBV752J/IMG_1102.JPG Bio-mechanics/ Sports Injury - Ankle Sprains What causes an Ankle Sprain? Excessive stretching force to the ligaments of the ankle. When the foot is turned too far inward or outward. More commonly, the ankle turns too far inward (inverted). This happens most commonly when the foot lands on an uneven surface or in a hole which causes the foot to roll. It is a common injury for sports such as basketball where there is higher likelihood of landing on someone’s foot after jumping. What are the signs and symptoms of an ankle sprain? The typical symptoms of an ankle sprain are pain and swelling as well as redness and bruising. If you have ankle pain and think you may have an ankle sprain please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591146323704-A2Z01ZDT9RP93UCTAOEK/20140228_Trade+151_0046.jpg Bio-mechanics/ Sports Injury - Sesamoiditis What are the sesamoid bones? There are usually two sesamoid bones located directly under the ball of the foot. These small bones are both within the flexor hallucis brevis tendon. In some people there is only one sesamoid bone. These bones protrude out from the head of the metatarsal bone allowing them to take on the brunt of your weight with every step. Sesamoiditis refers to an inflammation of one or both of the sesamoid bones. What causes sesamoiditis? Overuse and repetitive impact. Those who spend ample time on the ball of their foot in their respective sport ie: dancers, basketball players. What are the signs and symptoms of sesamoiditis? Pain under the ball of the foot will normally come on gradually Swelling and inflammation. Running is often painful under the ball of the foot and will cause the person to walk on the outside of their foot. Shoes such as high heels will be more painful to wear due to the decline of the foot and increased pressure on the ball of the foot. If you have pain under your big toe joint and think you may have sesamoiditis please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1591146304739-9DLTD1KDI4R34M29L3NF/20140301_Trade-151_0124-copy.jpg Bio-mechanics/ Sports Injury - Morton’s Neuroma What is Morton’s Neuroma? In between the metatarsal bones of the forefoot there runs nerves and blood vessels. Between the 3rd and the 4th metatarsal bones there are a set of 2 nerves. These nerves often become impinged with the surrounding bones. What are the signs and symptoms of Morton’s Neuroma? An electric shock pain under the ball of the foot or specifically between the 3rd and 4th digits. A sensation of numbness or tingling in the forefoot. What causes Morton’s Neuroma? Ill-fitting footwear, particularly narrow toe boxes, as it creates additional pressure and squeezes the bones together in the forefoot causing more impingement. High heels put the foot in a decline position and creates more pressure for the forefoot. If you have pain, numbness of tingling in the ball of your foot or in your toes and think you may have Morton’s Neuroma please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1589849884856-VSFGU03C6KP3VCTZOR9E/hammertoe.jpg Bio-mechanics/ Sports Injury - Hammertoes Hammertoes usually start out as a flexible deformity and can be treated conservatively to maintain motion of the joint, prevent pain and prevent rigid deformity. If left untreated, hammertoes worsen over time and become a rigid deformity that is much more difficult to treat conservatively, usually resulting in surgical intervention. What are the causes of hammertoes? Poor bio-mechanics of the foot Bony changes due to conditions such as rheumatoid arthritis, osteoporosis Charcot Marie Tooth Disease Ill-fitting footwear- shoes are too tight/narrow Genetic predisposition Trauma to the affected toe What are the signs and symptoms of hammertoes? Pain or irritation of the affected toe when wearing shoes Corns and calluses on the top of the toe, between toes, or on the ball of the foot Red, warm, swollen toe Noticeable claw-like bending of the toe Open sores (ulcers) on top of the joint If you notice a claw-like deformity of your toe and think you may have a hammertoe please contact the Orleans Foot Care Clinic at (613) 834-2224 to book an appointment. https://www.orleansfootcareclinic.com/mobilization-and-manipulation daily 0.75 2020-05-30 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1588812336853-DLZ1RL0VSKYGKZ303WH3/image-asset.jpeg Mobilization and Manipulation https://www.orleansfootcareclinic.com/compression-stockings daily 0.75 2020-11-06 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587859884286-NDGQ3A5RTRFS27Z2HSM1/dad+2.JPG Compression Stockings https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1604673591774-KDFOMS7QBMT2W6STFHMI/Socks.JPG Compression Stockings https://www.orleansfootcareclinic.com/diabetic-foot-care daily 0.75 2023-06-23 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/f0194079-7990-4f37-9889-4e0ebad7e8ae/MCS_7039.jpg Diabetic Foot Care - Diabetes Education/ Assessment/ Foot Care Patients who are diabetic should have a Registered Chiropodist perform routine foot care. The time interval between treatments is dependent on the patient and their risk level. All patients with diabetes will undergo a diabetes screening assessment and appropriate intervals for treatment will be discussed with the patient. Patients with diabetes are at a higher risk for foot related complications. As diabetes progresses or is uncontrolled, patients may experience a loss of sensation to the feet (Neuropathy). They could be walking on a sharp object in their shoe all day and not feet it which could cause a wound to form on the foot. This, coupled with vascular changes that can occur with diabetes and an increased risk for infection can lead to an infected wound that is very difficult to heal. This is why it is very important for patients with diabetes to do routine foot checks at home and to call the clinic if they are concerned about any abnormality. By seeing a Chiropodist for routine foot care, the Chiropodist will do routine screening, perform the necessary treatments and check vascular and neurological status of the feet. The Chiropodist will also advise on footwear and insoles or orthotics if necessary for the patient to correct any biomechanical abnormality and prevent the formation of ulcerations/wounds. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587587187350-O6ZTNAG18TYARXKL04N5/IMG_4725.jpg Diabetic Foot Care - Wound/ Ulcer Care Patients with diabetes are more susceptible to developing a wound/ulceration on the foot. As diabetes progresses or is uncontrolled, patients may experience a loss of sensation to the feet (Neuropathy). A patient could be walking on a sharp object and not realize it, or develop a blister due to ill-fitting footwear and not feel it as it is forming. Wounds can also occur on pressure points of the foot. Most commonly, the ball of the foot or the heel. If a patient has a biomechanical problem where there are areas of the foot that take on more pressure than other areas, a callus may form that breaks down into a wound. Since the patient is diabetic, they may not feel the callus forming and therefore do not feel the wound. Wounds that occur on the feet need proper debriding and dressing changes as well as offloading. Callus will build up over the wound which will need to be removed (debrided). Dressings will keep the wound clean and non-infected. Offloading is one of the most important aspects of wound care. The area being treated, or sometimes the whole foot will need to be offloaded from any pressure until full resolution of the wound. Depending on the severity of the wound and its location will determine the course of treatment for the patient. https://www.orleansfootcareclinic.com/nail-and-soft-tissue-surgery daily 0.75 2020-05-30 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587587732696-BIJGC2RZIQ65Q5GYOTQB/IMG_6863.jpg Nail and Soft Tissue Surgery Ingrown toenail prior to partial nail avulsion https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587587848448-LKRF6BKGYUS1KSDF23SW/IMG_6932.jpg Nail and Soft Tissue Surgery Ingrown toenail 1 week post partial nail avulsion https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1587587958520-VSSPO165001O3CMO28G0/IMG_7046.jpg Nail and Soft Tissue Surgery Ingrown toenail 2 weeks post partial nail avulsion https://www.orleansfootcareclinic.com/shockwave-therapy daily 0.75 2023-06-23 https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/39a5bd1a-d603-4262-8ccc-225d5b986cce/MCS_6452.jpg Shockwave Therapy - Conditions treated with Shockwave: Plantar fasciitis Achilles tendinopathy Jumper’s knee (Patellar Tendonitis) Treatment of tendinopathy Myofascial trigger points Bursitis Stiff big toe (Hallux Rigidus) Non-healing ulcers Tendonitis Scar tissue Broken bones that have failed to heal (non-unions) Heel spurs Shin splints Stress fractures Enhancing bone healing https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/1608737774408-9U8DX82DJWXW9C7JZ6TK/shockwave.png Shockwave Therapy - How does it work? Shockwave therapy accelerates the healing process in the body by stimulating the metabolism and enhancing blood circulation to regenerate damaged tissue. Strong energy pulses are applied to the affected area for short periods of time, creating micro-cavitation bubbles that expand and burst. The force created by these bubbles stimulates cells in the body that are responsible for bone and connective tissue healing. https://images.squarespace-cdn.com/content/v1/5e9902ae8a3476717a2959b3/f40c7610-82a1-462e-9016-81ccd3fbecd2/MCS_6464.jpg Shockwave Therapy - Clinically proven to: Reduce pain Increase circulation Dissolve calcium deposits Stimulate bone growth Stimulates neovascularization https://www.orleansfootcareclinic.com/new-page daily 0.75 2024-04-09