PiedRéseau Granby

Dr. Keven Lambert, a podiatrist, holds a Doctorate in Podiatric Medicine from the Université du Québec à Trois-Rivières (UQTR) and completed an internship at the New York College of Podiatric Medicine in 2013.

Experience the best follow-up and personalized treatment by contacting our clinic in Granby.

*Please note that Ms. Catherine Ducharme, a foot orthotist, is now working with the PiedRéseau Granby team. Our team is committed to providing professional and comprehensive service!

PiedRéseau Granby

800 Principale office 108, Granby, QC, J2G 2Y8

1-877 622-9580 Toll free

450 991-0848 Fax

Business hours
Monday : 9:00 - 20:00
Tuesday : 9:00 - 18:00
Wednesday : 9:00 - 20:00
Thursday : 9:00 - 16:00

A clinic that helps you stay active!

Opened in 2014, the PiedRéseau clinic in Granby is the second clinic founded by the podiatrist Keven Lambert, just one year after he opened the one in Sherbrooke. These two clinics were the first to join the PiedRéseau network.

Since its opening, the Clinique de Granby has been providing quality service to its patients as well as innovative technologies for their treatment. The clinic has everything you need to help you stay active.

Enjoy a welcoming and warm atmosphere, combined with a friendly and professional team that will boost your confidence.

Common issues

Plantar fasciitis: causes, symptoms and treatments

Plantar fasciitis is a common foot condition. A strain or break in the plantar fascia, the fibrous band that supports the arch of the foot, is at the root of this condition.

Heel discomfort is the most prominent sign of this condition. It will be felt from the first steps in the morning or after a lengthy period of sitting.

You can find plantar fasciitis symptoms, causes, and remedies are listed below.

Plantar fasciitis symptoms

A person with plantar fasciitis will feel discomfort when they first walk in the morning, but it will subside over the day. They will also experience discomfort after sitting for an extended period of time.

Plantar fasciitis can also cause the following symptoms:

  • Pain when palpating your arch or when pressing on your heel;
  • Standing or walking causes pain, which might worsen over time;
  • Tension on the outside of the foot, which can cause compensating foot and leg discomfort;
  • A condition that gets worse over time without treatment;
  • Pinching;
  • Heat sensation in the heel;
  • The sensation of a spike under the heel, as if it were a thorn in the flesh;
  • Moving around becomes difficult, especially up and down stairs.

Plantar fasciitis diagnosis

Plantar fasciitis has symptoms that are similar to those of other foot disorders.

Here are several examples:

  • Baxter’s neuritis;
  • Stress fracture of the heel (calcaneus);
  • Tendinitis of the Achilles tendon;
  • Tendinitis of the posterior tibia.

Additional foot and posture tests may be performed by the podiatrist to rule out these conditions.

They also help the podiatrist figure out what is causing the foot fascia irritation.

The following tests are performed in clinic to detect plantar fasciitis:

  • The podiatrist does a biomechanical examination to look for anomalies in the foot’s function;
  • MRI (magnetic resonance imaging), which can detect a torn plantar fascia;
  • Digital x-ray of the foot, which is used to detect possible complications such as a heel spur;
  • Ultrasound of the foot, which detects soft tissue damage such as tendons, nerves and muscles.

What causes plantar fasciitis?

Plantar fasciitis is caused by a variety of factors. Here are some possible causes:

Obesity:

This is also why some pregnant women get plantar fasciitis (sudden increase in weight).

Your foot type:

If you have a flat or hollow foot, you will be more likely to develop this type of pathology.

Your shoes:

You are at increased risk if you wear shoes that are too worn, have a soft counter, are too stiff or not stiff enough, or have insufficient arch support.

Legs:

You’re more at danger if one leg is longer than the other or if your leg rotation is inadequate.

Calves:

You might be susceptible if your calf muscles are overly powerful or lack flexibility (stiffness).

Physical exercise:

Plantar fasciitis can also be caused by a lack of stretching during workout. Athletes that engage in high-intensity activities such as running, lengthy walks, or leaping are also more susceptible to this sort of condition.

Age:

Your plantar fascia becomes more stiff as you get older. Micro-tears may occur as a result of this. It’s worth noting that stretching can be harmful in this situation.

Inflammatory diseases: 

If you have an inflammatory illness like arthritis, you’re more vulnerable.

How to prevent pain related to plantar fasciitis?

Plantar fasciitis can be prevented by taking certain precautions, especially if you’ve already had it. Changing some behaviours is extremely essential.

  • Physical activity: take a break between activities;
  • Listen to the symptoms: stop an activity that worsens your pain;
  • Train in the right conditions: stretch and get the right equipment for new activities;
  • Healthy weight: maintain your figure;
  • Gradually resume walking or running;
  • After your activities, do some flexibility exercises;
  • Shoes: Replace your running shoes every 600 to 800 kilometres, and make sure the quality of your shoes is appropriate for the activity you participate in.

Plantar fasciitis remedies at home

Fasciitis pain can be relieved with a variety of home remedies. Here they are, in order of least intrusive to most invasive procedures.

  • Avoid walking barefoot;
  • Massage the soles of your feet;
  • Reduce irritation using an elastic bandage;
  • Reduce your activities, particularly those that make you uncomfortable;
  • Apply ice to the sore spot for ten minutes every hour.

Exercises to alleviate plantar fasciitis discomfort

Inflammation of the plantar fascia is caused by a lack of flexibility and rigidity of the foot tissues.

The obvious thing to do to alleviate heel pain and avoid plantar fasciitis is to start doing certain workouts.

Here are some stretching suggestions for relieving and possibly preventing plantar fasciitis:

To strengthen the foot muscles, do the following:

  • Take a small towel with you
  • Place your foot in the centre of the cloth while sitting
  • With your toes, grab the fabric and try to pull it back towards you
  • Replace the towel and follow the same steps as before three times
  • To relax the fascia of the foot, do the following:

  • Place a tennis ball beneath your foot when sitting or standing
  • Roll the ball from heel to toe to put some weight on it
  • Repeat the movements for 5 minutes
  • Stretching the calf muscles (gastrocnemius muscle)

  • Place yourself against a wall
  • Place the non-painful foot’s toe on the wall, maintaining the other leg straight
  • Stretch the calf by inclining the hips towards the wall
  • Stay in this position for about 30 seconds
  • Rep the stretch four times during the day, at three separate times
  • Plantar fasciitis medical treatments

    If stretching and preventative measures fail to relieve plantar fasciitis, podiatric therapies may be required.

    In less serious situations, the podiatrist may recommend treatment options such as:

    • Performing more precise exercises and stretches;
    • Stable shoes with modest cushions (sneakers are the best option);
    • Manual foot therapy with your podiatrist;
    • Meet with your podiatrist for therapeutic foot taping;
    • Ask your podiatrist for anti-inflammatory medication.

    Some of the most severe situations may necessitate more drastic measures.

    These are, of course, always done by your podiatrist.

    • Cortisone injection;
    • A prescription for foot orthotics;
    • Wearing a splint at night to reduce the symptoms of plantar fasciitis;
    • Immobilization of the foot in a boot;
    • Therapeutic laser;
    • Shockwave therapy, a therapy for cases that do not respond to any other treatment;

    Podiatric surgery.

    Lenoir’s thorn, a plantar fasciitis complication

    One of the most prevalent causes of heel discomfort is plantar fasciitis. It is not, however, the only one.

    Heel spurs are a medical foot problem that leads to visits to the podiatrist. However, it is critical not to mix up the two situations.

    The main distinction between plantar fasciitis and heel spurs is that the former is frequently the cause of the latter.

    In reality, the foot suffering from fasciitis produces an excess of calcium as a result of micro-tears and inflammation.

    A heel spur is formed when the calcification of the heel bone increases.

    It’s crucial to note, however, that the spur is not painful on its own. The discomfort is caused by its interaction with the inflamed aponeurosis.

    The plantar fascia might become damaged if the heel spur is not treated properly.

    FootNetwork – Learn more

    Are you interested in learning more about plantar fasciitis? It’s something we write about quite a lot!

    However, while the FootNetwork website provides a wealth of information on foot pathology descriptions, it is not a substitute for a visit to a podiatrist.

    Take care of your feet, they’re precious!

    What is plantar fasciitis?

    Plantar fasciitis is an inflammation of the plantar fascia – a fibrous ligament that supports the foot’s arch. This disease generally causes excruciating foot discomfort. It is, after all, one of the most prevalent causes of foot pain.

    What is the cause of plantar fasciitis?

    Plantar fasciitis can be caused by overtraining, ill-fitting shoes, being overweight, or having flat or cavus feet.

    What exactly is the distinction between plantar fasciitis and a heel spur?

    Plantar fasciitis is an inflammation of the plantar fascia, which is a fibrous ligament that supports the foot’s arch. Calcaneal heel spur, on the other hand, is a bony protrusion on the plantar fascia. Although they are distinct, these two diseases are linked because a heel spur is frequently the result of untreated plantar fasciitis. 

    How can I take care of my plantar fasciitis at home? 

    Plantar fasciitis should always be treated by a podiatrist. Its pain, however, may be relieved at home by applying ice, resting from walking or standing, and extending your foot and calf. These can be recommended by your podiatrist.

    How can plantar fasciitis be treated without surgery?

    In less severe situations, your podiatrist may use manual therapy or therapeutic taping to treat your plantar fasciitis. Laser treatment, ShockWave, prescribed foot orthotics, or cortisone injections can be used to treat more severe instances of plantar fasciitis. Plantar fasciitis seldom needs surgery.

    What is the estimated recovery time following plantar fasciitis treatment?

    When therapies for plantar fasciitis are effective, you should notice an improvement in your symptoms within 2-4 weeks. However, you should wait 2 to 3 months for complete recovery.

    Foot bunion (hallux valgus)

    Is it difficult to walk on your foot because of a deformity in the big toe area? Is your big toe extending from the base due to the same deformity? Do you have pain and inflammation in your joints?

    If this is the case, consult a podiatrist right away because you most likely have a bunion (hallux valgus).

    Foot bunion symptoms

    Don’t be deceived if the bunion appears to be painless at first.

    Hallux valgus can produce a variety of unpleasant symptoms, ranging from minor aches and pains to ingrown toenails and mobility issues.

    Here’s a rundown of the signs and symptoms of a bunion:

    • The appearance of a hump at the base of the big toe caused by a common joint displacement
    • Beginning of the displacement of the big toe towards the 2nd toe
    • Appearance of joint stiffness and pain when moving straight
    • Having trouble putting on shoes (widening of the forefoot)
    • Second toe deforms and becomes clawed or hammered
    • Joint pain (arthrosis)
    • Bursitis
    • Calluses (on the second toe and sole of the foot)
    • Ingrown toenails

    Complications that may occur

    While foot bunions are normally straightforward to treat if found early, if not treated properly, they can develop to more significant symptoms.

    The following is a list of issues that can arise as a result of a bunion:

    • Hallux limitus and then hallux rigidus
    • Disarticulation of the second toe
    • Infections of the skin caused by calluses
    • Changes in posture as a result of muscular compensation

    What causes a bunion

    There are several causes of a bunion. These may include family history, improper footwear, age, etc. 

    Below are some of the causes often seen in the office by podiatrists.

    • Flat foot
    • Hereditary factors
    • Wearing shoes that are too narrow
    • Big toe too long (Egyptian foot)
    • Ligament hyperlaxity (ligaments more flexible than normal)
    • Hypermobile cavus foot (foot with a high arch, but which collapses when walking)
    • Pregnancy or menopause, which can lead to foot collapse and forefoot widening
    • Certain mechanical factors such as hyperpronation, hypermobility of the foot, a raised or low plantar arch

    How to avoid foot bunions

    It is critical to look after your feet on a daily basis.

    This is the most effective approach to avoid foot bunions. Of course, if you already have a podiatric problem that makes you susceptible to foot bunion, you need to be extra cautious.

    • Purchase adapted shoes: choose shoes that leave enough space for your toes to move. Don’t wear shoes with pointed toes that compress your foot.
    • Have your feet evaluated by a podiatrist: as soon as you notice a deviation or feel the symptoms of a bunion, don’t delay and consult a podiatrist.
    • Act quickly: if a foot bunion runs in your family, be vigilant. Do not wait until your bunion has reached an advanced stage.

    Protecting your bunion

    Advanced foot bunions cannot be removed without surgery.

    The toe should be protected if the inflammation is under control and the podiatrist does not believe it is necessary to remove it.

    To help protect the foot, there are numerous over-the-counter solutions available:

    • The single or multiple toe separator: the use of such a device depends on the degree of deformity present. It prevents the deformed toe from impinging on the adjacent toes and reduces the likelihood of injury.
    • The gel cushioned protector: placed on the problematic toe, it helps reduce friction and the load exerted by the shoe on the foot. This protective pad is often made of silicone.

    Treatments for bunion foot pain

    Bunions in the feet can be treated in a more gentle manner. Of course, it’s critical to ensure that basic podiatric health issues are addressed.

    With the following suggestions, this can sometimes work:

    • Wearing footwear that is appropriate for the size of the foot and activity
    • Exercise prescribed by your podiatrist on a regular basis
    • Manual foot therapy
    • Applying ice and taking anti-inflammatory medication

    Bunion treatment by a podiatrist

    When the above-mentioned treatment methods fail to relieve your foot bunion, you should seek the advice of a podiatrist.

    He or she will be able to advise you on several therapies for hallux valgus:

    • Foot orthoses
    • Treatment of calluses (if any)
    • Cortisone injection (when the joint is affected)
    • Surgical procedure

    If less invasive treatment options fail, the podiatrist may recommend bunion surgery to relieve the patient’s discomfort.

    Surgical treatments for foot bunion

    Foot surgery is a last resort treatment for hallux valgus.

    When all conservative options have been exhausted, the podiatrist may suggest a more invasive procedure.

    The following are the different procedures that the podiatrist is qualified to suggest:

    Toe surgery: This involves straightening the toe using a bone angulation technique. This type of surgery is used when there is significant friction between the deformed toe and the adjacent toe.

    Metatarsal head surgery: This surgical technique allows for the treatment of a foot bunion at an earlier stage. 

    Metatarsal base surgery: This procedure is resorted to when the hallux valgus is in a late stage. The metatarsal base procedure also addresses abnormally flexible or children’s feet.

    Complex surgery: Used only in severe cases, complex surgery addresses multiple deformities and sometimes requires direct action on the toe joints.

    FootNetwork – Learn more

    Are you interested in learning more about hallux valgus? We provide information on the subject on a regular basis!

    However, while the FootNetwork site has a lot of info about foot problems like hallux valgus, it is not a replacement for seeing a podiatrist.

    Take care of your feet, they’re precious!

    Metatarsalgia

    Metatarsalgia

    Do you ever get a pain in the foot that makes you feel like you have needles or pebbles in your shoes? If so, you may have metatarsalgia.

    This is what we call the pain in the area of ​​the foot sole, between the arch of the foot and the toes. If you have metatarsalgia, you may experience pain in a very localized area or on your entire forefoot.

    Symptoms

    Metatarsalgia is basically caused by inflammation. Often, the patient who suffers will feel that their socks are always bunched up at the base of the toes. Sometimes they will even feel like they are walking with a pebble or needles in their shoe.

    • Burning sensation at the front of the foot
    • Swelling of the front part of the foot
    • Swelling on the front and top of feet
    • Calluses on the front part of the feet
    • Difficulty crouching down on bent toes
    • Twinge in the foot phalanges

    Causes

    Metatarsalgia can be caused by a number of different conditions. It can be a podiatric issue, a sports wound to the foot, repetitive movement, etc. Below are some of the factors that podiatrists see the most often.

    • Wearing inappropriate shoes (forefoot too narrow, ill-fitting, heels that are too high, lack of absorption in the sole or unsupportive)
    • Having flat feet
    • Limited flexibility in the ankle due to the Achilles tendon being too short
    • Having an issue withhammer toesorclaw toe
    • Suffering from hallux abductos valgus (bunions)
    • Rapid and excessive weight gain
    • Excessive and hurried practice of impact sports (running, walking, etc.)

    Preventing metatarsalgia

    Metatarsalgia cannot always be prevented. However, when you choose to wear proper footwear, you are taking a step in the right direction.

    Here are a few guidelines to help you purchase a good pair of shoes:

    • Wide shoe (lots of space for the foot)
    • Low heels
    • Well-made and firm shoes
    • Avoid high heels and narrow shoes. As with the prevention of neuroma, it will help your foot to avoid any unnecessary pressure.
    Make an appointment Rechercher une clinique

    Podiatrist care

    It’s always a good idea to consult a podiatrist. Your podiatrist can suggest various treatments depending on your situation. Below are some of the podiatric treatments that are effective against metatarsalgia.

    • Taking anti-inflammatories (e.g., Advil or Motrin) or painkillers (e.g., Atasol or Aspirin)
    • Using therapeutic bandages in your shoes to support your feet and isolate excessive pressure
    • Prescription for custom plantar orthotics with a metatarsal cushion
    • Cortisone injection

    In some chronic cases, the podiatrist may prescribe therapeutic boots or surgery to treat the patient.

    Morton’s neuroma

    Neuroma

    Do you suffer from foot pain that resembles electric shocks in the forefoot, followed by numbness in your toes? If you experience this, it can be symptoms caused by neuroma, also known as Morton’s neuroma.

    This problem is due to a thickening of the nerves located between the toes, as a result of compression or friction. This leads to inflammation, numbness, burning or a sensation of small electrical discharges felt in the toes.

    Symptoms

    Although there is no outward sign of this condition, neuroma triggers several uncomfortable sensations in different areas of the foot.

    • Numbness and tingling in your toes
    • Sensation of burning in the forefoot
    • Sensation of having a bunched up sock under your toes
    • Sensation of small electrical shocks in your toes
    • Toe cramps

    These symptoms are aggravated if you remain standing for long periods of time or if you wear narrow shoes that are not suitable for your feet.

    If you suffer from neuroma, this can be an issue when performing daily activities:

    • Putting your shoes on
    • Walking (you will sometimes feel like you have a pebble in your shoe)
    • Bicycling
    • Stepping on the accelerator of your vehicle

    Specifically, you will find it difficult to perform activities that require you to apply pressure to your foot.

    Causes

    In general, plantar neuroma is more prevalent among women than men. The exact cause of this problem for both men and women is unknown. However, podiatrists believe that certain factors could be at the origin of its development.

    • Wearing inappropriate footwear (too tight, ill-fitting or high heels)
    • Suffering from flat foot
    • Having an abnormal toe position
    • Having bunions (Hallux abducto valgus)
    • Suffering from hammer toes

    Preventing neuroma

    Neuroma is not a problem that can always be prevented. However, the proper selection of your footwear can promote prevention and prevent the recurrence of this problem.

    Adequate footwear must meet certain criteria:

    • Have low heels
    • Provide sufficient spacing for toes
    • Properly support the arch of the foot

    Avoid wearing high heels and narrow shoes. This will ensure you don’t apply unnecessary pressure on the nerves in your feet.

    Make an appointmentRechercher une clinique

    Podiatry treatment

    If you believe you are suffering from Morton’s neuroma, see your podiatrist. A diagnosis can be made on site by palpation and by compressing the front portion of the foot (Mulder’s test). If the neuroma is big enough, by extending the toes upwards, a plantar bump can be seen.

    If necessary, your podiatrist can have you pass other tests that are more precise:

    • Ultrasound: permits identification of the neuroma. However, this is not the most accurate method for determining its limits.
    • MRI: to confirm the diagnosis and assess the severity of the neuroma.
    • X-ray: to rule out other causes of the pain (osteoarthritis, osteoporosis, stress fracture, etc.).

    Once your podiatrist has clearly established a diagnosis, you can enjoy professional care.

    • Wearing orthoses: helps to relieve pressure, as it raises and separates bones to reduce nerve pressure
    • Application of ice: to relieve your pain
    • Cortisone injections: to reduce swelling of the nerve and relieve pain

    In some cases, surgery may be necessary.

    Ingrown toenail (onychocryptosis)

    Ingrown toenails are a frequent nail issue that can be extremely painful and even incapacitating. It’s identified by a toenail that grows into the flesh and punctures it.

    Ingrown toenails cause irritation and, in the worst-case scenario, infection, resulting in painful toes.

    As a result, it is critical to address the problem as soon as possible in order to prevent the situation from spiralling out of control.

    Let’s look at the causes, symptoms, and remedies for ingrown toenails.

    Ingrown toenail symptoms

    An ingrown toenail can be identified by a variety of symptoms. Inflammatory redness, pain when squeezed, and, in some circumstances, blood or pus on the side of your nail are all possible symptoms.

    However, keep in mind that an ingrown toenail has three stages;

    • First stage: there is a small inflammation and pain when pressed.
    • Second stage: we observe an infection and the wound becomes more visible.
    • Third stage: we notice an inflammation which becomes chronic by the formation of a bulge. Diabetics may even notice the formation of an ulcer in the affected area.

    Regardless of the stage, you should see your podiatrist so that he or she can prescribe the best treatment for your ingrown toenails.

    Ingrown toenail complications

    Even though no one is truly immune to ingrown toenails, some people are at a higher risk of problems.

    This is true for persons who have diabetes or have arterial issues like atherosclerosis.

    If an ingrown toenail isn’t treated, it can lead to a variety of issues:

    • Infection of the toe bone (osteomyelitis)
    • Infection of surrounding foot tissue such as tendons and joints
    • Fungal infection such as nail fungus
    • Necrosis of the toe tissue in a diabetic foot

    Ingrown toenail diagnosis

    Ingrown toenails have distinct symptoms that are easy to recognise. Nonetheless, the podiatrist may conduct a series of tests to ensure that the right treatment is given or to determine the reason of the ingrown toenail.

    To diagnose an ingrown toenail and the factors that cause it, the podiatrist can utilise the following diagnostic methods:

    • Visual examination of the foot
    • A digital x-ray of the foot to ensure that a bone injury is not the cause of the ingrown toenail

    A mycotic nail culture, only used if the podiatrist suspects a fungal infection

    Causes and risk factors

    Onychocryptosis is a condition that affects people for a variety of reasons. There are several possible causes to it.

    Ingrown toenails can be caused by a number of circumstances.

    • Nail shapes: wide, curved or thick nails can tend to cause ingrown toenails.
    • Nail care: poor nail cutting (too short or too sharp) and irregular nail care can lead to ingrown toenails.
    • Infection: the presence of an infection such as nail fungus (onychomycosis) can promote the formation of ingrown toenails.
    • Shoes: wearing shoes that are too tight or ill-fitting for the foot can cause problems with toenails due to excessive pressure.
    • Excessive sweating: commonly called hyperhidrosis, excessive sweat production predisposes the foot to developing an ingrown toenail because it softens the skin around the toenail.
    • Foot bunion (hallux valgus): this deformation of the big toe reduces the space in the shoe and also makes it more vulnerable to ingrown toenails.
    • Repeated microtrauma: in the context of a sport such as running or a manual professional activity, feet that are victims of repeated trauma can promote the appearance of ingrown toenails
    • Pronation or supination: even a slight deviation of the foot during walking has an influence on the deformation of the toe and its nail.

    Ingrown toenail prevention

    It is possible to prevent the occurrence of some skin disorders on your feet. Here are a few of our recommendations.

    • Shoes: Shoes that are overly tight or have narrow toes should be avoided.

    Nail length: Avoid cutting your nails too short. Straighten your nails with gently rounded corners. Also, avoid cutting your nails on the sides at an angle.

    Podiatrist care

    Some people, unfortunately, experience ingrown toenails on a frequent basis.

    As a result, medical professionals provide a variety of treatments to help relieve discomfort and decrease the incidence of onychocryptosis.

    • Medical nail trimming: trimming the infected nail with or without anaesthetic to relieve discomfort and allow the nail to heal.
    • Prescription antibiotics: your podiatrist can prescribe creams that are better suited to your problem.
    • Orthonyxia: a titanium or polymer-based nail orthosis to correct the deformity of a nail that can cause an ingrown toenail.
    • Surgery for ingrown toenails (matrixectomy): effective, almost painless, under local anaesthesia, aesthetic in appearance and which permanently eliminates the problem
    • Therapeutic taping: installed according to a precise technique, it serves to protect the toe and foot from infections between treatments

    A local anaesthetic may be required under some circumstances. You can be certain, though, that the sooner you call a specialist, the better off you’ll be.

    Home remedies for ingrown toenails

    If you have an ingrown toenail, there are several options for relieving the pain.

    Here are some suggestions for how to go about it:

    • Foot baths that disinfect the wound: immerse your foot in salt water to disinfect the wound. 1-2 times a day, repeat.
    • Antibiotic cream: get over-the-counter medical products
    • Disinfect and dry the foot: after coming out of the shower, properly clean your foot with soap and make sure it is completely dry.
    • Bandage the foot: after cleaning, disinfecting and drying the foot, apply a sterile gauze pad to protect the toe.

    However, keep in mind that these suggestions are not a replacement for a visit to a podiatrist. And, of course, don’t delay!

    FootNetwork – Learn more

    Do you have any further concerns about ingrown toenails? We publish articles on the subject on a regular basis!

    Despite the fact that the FootNetwork website has a lot of info about toenail pathologies, it is not a substitute for a visit with a podiatrist.

    Take care of your feet, they’re precious!

    Plantar warts: causes, symptoms and treatment

    A viral infection is what causes a plantar wart, which is a skin lesion. It can either stay dormant for years or develop and spread quickly. It’s a contagious skin condition that affects you and those around you.

    The HPV, or human papillomavirus, creates these lesions. Despite the fact that it is a harmless virus, it is recommended that you get treatment as soon as possible to get rid of it.

    Symptoms

    The plantar wart frequently appears as a tiny, rough, spherical, and flat lump. It will manifest itself in a variety of ways.

    • Appearance: it consists of spongy, brownish or yellowish tissue with small black dots;
    • Size: it can measure from a few millimeters to several centimeters in diameter;
    • Pain: plantar warts can be painful, even though they are uncommon. Friction or a pressure point can produce this type of pain, which can become severe;
    • Posture problem: the foot pain caused by the plantar wart can lead to a foot positioning problem and cause other issues.

    The various types of plantar warts

    The virus that produces plantar warts can give them a distinctive look. Myrmecia and mosaic warts are the two most common kinds of plantar warts.

    • Myrmecia, often known as single plantar wart, is the most common kind of plantar wart. It’s easy to spot because of its horn ring and the pain it produces as you walk.
    • Mosaic warts are rarely unpleasant, although they can spread in areas throughout the foot’s surface.

    A plantar wart, regardless of its appearance, must be treated or it may spread to others.

    What causes plantar warts

    Plantar warts are a highly infectious skin condition. It is therefore critical to understand the origins of the infection in order to prevent it from spreading in your daily life.

    • Skin to skin: direct contact of the epidermis with an infected person can be enough to transmit the virus to another individual.
    • Indirect contact: plantar warts can be spread by just touching contaminated things (such as shoes, sandals, or socks).
    • Self-contagion: a person who is infected is said to be “self-contagious.” If they scrape or bleed one or more warts, they will increase their risk.

    Because a plantar wart is often a superficial benign lesion, it is not a condition that is likely to become serious. A visit to a podiatrist, on the other hand, should not be neglected.

    Risk factors

    Aside from infectious conditions, some variables might encourage the virus that causes plantar warts to develop. It’s also more prevalent in specific demographics.

    • Someone who has a lot of perspiration on their feet: the moisture buildup encourages the virus to grow.
    • Someone with extremely dry or cracked skin: a cracked sole can allow the virus that causes plantar warts to enter the body.
    • Someone with a weaker immune system: this is the case of a patient suffering from diabetes, HIV or who is undergoing chemotherapy.
    • Teenagers and children: They bathe more frequently, exposing their foot to more germs.

    Preventing plantar warts

    There are a few things you can do to avoid developing plantar warts, especially if you often visit public locations. It’s also possible to be cautious if you’re seeing a podiatrist for therapy.

    • Avoid walking barefoot: Keep slippers or shoes in public facilities such as the gym, pool, public showers, and other communal spaces.
    • Cover infected areas: If you aren’t getting treatment for a plantar wart, it’s best to hide it.
    • Keep your feet dry: Air your feet regularly. This is especially true for people who have a lot of foot sweat.
    • Wash your feet with soap: If you’ve just gone barefoot in a public location, don’t be hesitant to clean your heels and toes with soap straight away.
    • Wear cotton socks or other natural fibres: To avoid moisture accumulation, change your socks regularly.

    Plantar wart remedies at home

    Plantar warts can be treated in a variety of ways to reduce the risk of infection. These remedies are frequently available over the counter and may be used at home.

    • Salicylic acid: When applied to plantar warts on a frequent basis, it might eventually burn them out. It can, however, burn the skin around them. As a result, use it with care. Consult a doctor at once if your warts develop or proliferate.
    • Soaking your feet in a solution of baking soda and sea salt: This will disinfect and soften the wart.

    Although it is occasionally feasible to remove a plantar wart on your own, the podiatrist recommends against doing so:

    • Filing: Filing or sanding your warts is not recommended. Trauma to the surrounding skin can transmit the virus, causing your warts to spread and develop.
    • Sharp objects: Using a sharp object to remove the wart is not advised. This might make the lesion worse and perhaps cause infection.
    • Corrosive substances: Avoid using products that aren’t specifically designed to treat plantar warts.

    Plantar wart treatment by a podiatrist

    Even if warts do vanish on their own for some people, this is not the case for everyone. This is why you should see a podiatrist.

    He or she will suggest a number of treatments to help you get rid of your condition.

    • Prescription medications: A podiatrist can prescribe at-home treatments that are absolutely painless.
    • Cryotherapy: This treatment aims to destroy the recalcitrant wart by applying liquid nitrogen cooled to -196 degrees
    • Canthacur PS: A treatment that does not cause unpleasant scars behind the foot and may be used on children under the age of ten, causing little discomfort.
    • Pharmaceutical treatments: Some treatments, such as needle-free intradermal injections of bleomycin sulphate for persistent warts, can be performed by a podiatrist. This technique usually only takes one or two treatments per wart.

    Laser or minor surgery: This is a method to remove plantar warts that are recalcitrant to all other treatments.

    FootNetwork – Learn more

    Are you interested in learning more about plantar warts? It’s something we write about a good deal!

    However, while the FootNetwork website provides a wealth of information about foot pathology, it is not a replacement for a visit with a podiatrist.

    Take care of your feet, they’re precious!

    Nail fungus (Onychomycosis)

    Nail fungus (Onychomycosis)

    If you suffer from a nail infection like nail fungus (onychomycosis), don’t let this problem go untreated. Most often affecting the big toe, it is a fungal infection that causes pain and that is very difficult to treat.

    However, if you take the time, it is possible to get rid of it. Read on for further information on nail fungus.

    Symptoms

    Onychomycosis is a fungal infection, that is, caused by fungi. It causes different symptoms in the affected individual. The main symptoms associated with this podiatric problem include:

    • Nail discoloration (it becomes white, yellow or brown)
    • Nail that grows thicker, curls up or changes shape
    • Nail that breaks more easily
    • Painful, infected nail
    • Residue under the nail

    As mentioned below, it is very difficult to rid oneself of an infection like onychomycosis. So, as recommended by podiatrists, if you suffer from any of these symptoms, do not hesitate to schedule an appointment.

    Causes

    Nail fungus thrives in hot and humid places. So if your feet perspire a lot, you are more at risk of developing nail fungus. Below are the main causes as listed by podiatrists.

    • Athlete’s foot (foot mycosis)
    • Mold contamination
    • Excessive sweating of the foot

    Some people are also at higher risk of developing a fungal infection like onychomycosis. For example, people with weaker immune systems will be at higher risk. This group can include:

    • Seniors
    • Diabetics

    Preventing nail fungus

    Although it is difficult to treat onychomycosis, there are several things you can do on your own to protect yourself from this fungal infection. Here are some examples.

    • Ensure your shoes and socks remain dry
    • Keep your nails trimmed and clean
    • Avoid lending your manicure kit to others
    • Wear sandals around the pool or in public showers
    • Select orthopedic shoes rather than shoes that are too narrow
    • Carefully dry your feet and toes after bathing

    Also, if you have diabetes, it is important to properly monitor it. This can cause the onset of onychomycosis.

    Lastly, if you think that these treatments are not enough, do not hesitate to make an appointment with your podiatrist.

    Make an appointmentRechercher une clinique

    Podiatrist care

    As mentioned above, if treatments are not sufficient, it is important to consult a podiatrist without delay. This foot care professional can help you manage your problem by suggesting the appropriate care.

    • Professional nail care
    • Topical antifungal prescription by podiatrist
    • Laser treatment
    • KERYFLEX nail restoration
    • Oral medication prescribed by the doctor

    Corns, calluses and severe corns

    Corns, calluses and severe corns

    Corns, calluses and severe corns are formations of dead flesh under the feet. They can be embarrassing for people when they walk or exercise.

    Often, people with delicate feet tend to suffer more. However, this foot problem is easily treated.

    Corns, calluses, severe corns: how do they differ?

    It is common for an individual to develop skin problems. However, it is important to know the difference between the 3 pathologies described below.

    • Corn: this is a localized area of skin that thickens a lot. When a cluster forms, it bores into the skin and causes pain similar to that of a pebble in a shoe.
    • Callus: a corn has several names, like callosity or hyperkeratosis. It is characterized by an accumulation of excessive layers of skin and can form cracks in the heel if not treated.
    • Severe corn: these are also corns, but in their case, they are more advanced. They are painful, with a brownish center. They develop because of excessive pressure on the skin that has thickened, with internal bleeding of the corn.

    Your podiatrist or nurse specialist can assist you with any of these 3 cases. Do not hesitate to consult with them to keep your skin and feet healthy.

    Symptoms

    Symptoms can vary from one case to another. You must pay attention, and learn more about the pain experienced.

    • Callus: although initially not painful, a callus is a cluster of corns that can be very embarrassing and painful. Normally located on the bottom of the foot or on the toes.
    • Corn: pale yellow in color, the corn is painless or not very painful.
    • Severe corn: this type of corn is reddish, caused by inflammation and internal bleeding.

    Normally, the best course of action is to act as quickly as possible by consulting a competent professional.

    Causes

    There are several reasons why a person will suffer from foot issues like corns, calluses or severe corns. Below are several causes that may be the source of these skin problems.

    • Repeated rubbing: when the foot’s skin is rubbed repeatedly in the same place – during a sports activity or a long walk – it can result in the formation of a corn, callus or a severe corn.
    • Wearing inappropriate shoes: the toes become deformed by the shoe, which is the main cause of calluses on the toes.
    • Circulatory disorders: this is also a problem that can promote the growth of calluses on the toes and the front of the feet. A risk of ulceration is a possibility.
    • Deformed toe: problems such as hammer toe and hallux valgus can cause the formation of corns by rubbing against the shoes.

    Keep in mind that these are microtraumas. However, if you are diabetic or suffer from infected callosity, it is important to consult with a podiatrist without delay.

    Higher risk individuals

    Although for some, developing corns or calluses may be benign, for others this can result in complications.

    • Diabetics: they sometimes develop corns on the feet that may result in wounds that are difficult to heal.
    • Seniors: seniors have more delicate and thin skin. They must be vigilant if they feel any pressure or rubbing against their feet or toes.

    Preventing corns, calluses and severe corns

    You can prevent certain skin problems from appearing on your feet. Below are some of our tips to help you.

    • Shoes: choose soft shoes and socks that allow your feet to move properly and that fit the shape of your feet.
    • Orthotics and orthopedic insoles: These can protect your feet from trauma that triggers foot calluses.
    • Foot hydration: ensure your feet are properly hydrated each day, especially the more sensitive areas.
    • Gel cushions and silicone orthotics: if your feet are sore, consult your podiatrist to learn more about the protective devices available to you.
    • Relieve pressure: reduce pressure as much as possible to avoid rubbing against the shoes and the tender areas of the foot.
    Make an appointmentRechercher une clinique

    Podiatrist care

    In some cases, it is necessary for a professional to intervene in order to re-establish healthy feet. Below are some of the treatments available.

    • Ablation of corns and calluses: this operation is performed by a podiatrist who removes the corn, callus or severe corn painlessly.
    • Orthopedic insoles and braces: these can correct your foot’s posture and help reduce the formation of corns.
    • Surgical adjustment of toes: this includes minor surgery to readjust the toes or correct hallux valgus

    Heel spur (Lenoir’s thorn)

    When you place your foot on the ground, do you feel discomfort beneath your heel?

    Seeing as calcification under the calcaneus is quite common, Lenoir’s thorn might be the disease that affects you.

    The heel spur, known as Lenoir’s thorn, is a bony protrusion on the inside of your heel. This anatomical structure can be seen by X-ray.

    People with this condition frequently experience pain in their heels while taking their first steps in the morning or after sitting for a long period. They may also notice a painful spot in their heel, such as a spur.

    Imaging is usually used to detect this structure. It is very difficult to feel by touch.

    Let’s take a look at what makes heel spurs develop, as well as the therapies that can help you get rid of the discomfort they produce.

    What are the symptoms of heel spur?

    Heel spurs usually do not cause any symptoms.

    When walking or standing for lengthy periods of time, the majority of persons with this condition do not experience any discomfort in their heels.

    It’s actually a technique for your body to strengthen the plantar fascia’s connection and avoid discomfort under your heel from forming. It’s also an indication that your plantar fascia is working overtime to keep your plantar arch intact.

    In fact, one might argue that the heel spur is good for your foot since it strengthens it.

    The real issue is the stress your plantar fascia creates on your heel, as well as the resulting inflammation. This condition is called plantar fasciitis.

    Plantar fasciitis and Lenoir’s thorn

    Inflammation of the fascia in the form of plantar fasciitis is one of the deciding variables in the development of a heel spur.

    The most important distinction between plantar fasciitis and heel spurs is that the former is frequently the cause of the latter.

    The fibrous band that is the victim of inflammation drives the foot to compensate as a result of microtrauma. This causes calcification, which manifests itself as a thorny growth.

    Although only surgery can remove the spur, plantar fasciitis can be treated to alleviate the pain it causes.

    What causes a heel spur

    Even though Lenoir’s thorn is frequently associated with plantar fasciitis, it is still a complicated condition.

    A wide range of predisposing variables can thus promote its appearance:

    • Heredity: If other members of your family suffer from the same disease, you are likely to get it as well.
    • Your line of work: If you have to walk, lift, or stand a lot, your feet will be under a lot of stress, putting extra strain on your plantar fascia. In the long term, this may be a problem. The fascia then pulls on the region where your heel spur is formed, causing it to grow.
    • Excess weight: Overweight persons are more likely to acquire this type of pathology.
    • Your foot type: If you have a cavus foot with a tight plantar fascia, the heel bone will be more tense. Meanwhile, when your flat foot droops, it puts a lot of strain on the fascia, which is the primary component that keeps your foot from falling entirely on the ground.
    • Physical activities: Jogging, for example, increases the impact your foot has to absorb on the ground by three to five times, as opposed to walking. Again, your body may strengthen your fascia through calcification in order for you to continue your activities.
    • Trauma: Your fascia may have calcified as a result of trauma (for example, when your heel hits the ground), which is a significant cause.
    • Arthritis: Be warned that some kinds of arthritis can lead to the formation of big, uneven spurs. These spurs are more likely than typical heel spurs to produce soreness under your heel. The calcification of the Achilles tendon insertion is common in those who have them.
    • The type of shoes: Shoes that are ill-fitting, excessively soft, or lack absorbency should be avoided. Wearing them increases the chance of getting a heel spur by putting additional strain on your fascia.
    • Walking without shoes: Avoid walking barefoot if at all possible. Your plantar fascia is put under a lot of stress as a result of this.

    How to prevent heel spurs

    Aside from the advice below, there is only so much you can do in terms of prevention:

    • Shoes: Always wear good, sturdy, well-cushioned shoes.
    • Exercise: If you’re experiencing symptoms, stay away from activities that have a lot of impact or entail leaping.
    • Weight: Maintain a healthy weight by keeping track of your measurements.

    If you’re having trouble with your heels on a regular basis, see a podiatrist for a comprehensive preventative assessment.

    Pay heed to your body’s messages as well – it is your best ally.

    Medical treatments for heel spurs

    Treatment of the spur is not usually required.

    In reality, you will not suffer any inflammatory discomfort as long as your plantar fascia is not injured.

    However, if your heel spur causes you discomfort, you have a few options.

    • X-ray: Look for a spur fracture first. If it is the case, but not too displaced, immobilisation is required.
    • Wearing a heel pad: This option will help you if there is a spur associated with fat atrophy (reduction of the fat pad).
    • Foot orthoses: If you have arthritis, your podiatrist will need to rule out the possibility of a dystrophic spur. It is for this reason that orthotics are required.
    • Surgery: if it is impossible to relieve your pain, surgery may be considered to remove part of the spur. However, because it has negative effects on your biomechanics, this is a last resort treatment.

    Other types of heel pain

    Plantar fasciitis (fascia inflammation), which accounts for 80% of all heel discomfort, is quite common and severely restricts your activities. Alternative disorders, on the other hand, can also induce heel pain:

    • Baxter’s neuritis: pain experienced when the calcaneal nerve is compressed and can cause aches in the heel area.
    • Achilles tendonitis: pain felt more behind the heel.
    • Tendonitis of the posterior tibial muscle: symptoms mostly located in front of the heel, going up towards the inside of your ankle.

    FootNetwork – Learn more

    Do you have any more questions concerning plantar fasciitis or heel spurs? We publish articles on the subject on a regular basis!

    Despite the fact that the FootNetwork site has a plethora of information on various foot problems, it does not substitute a visit to a podiatrist.

    Take care of your feet, they’re precious!

    Diabetic foot

    Diabetic foot develops as a result of the neuropathy that comes with poorly managed diabetes. When blood sugar levels are excessively high for an extended length of time, it impairs a person’s neurological system.

    The injury results in a lack of sensation in the lower limbs, among other things. Peripheral neuropathy is the medical term for this condition.

    Blood vessel constriction is also caused by poorly managed blood sugar levels. Wounds and ulcers form more easily and heal more slowly as a result of inadequate circulation.

    If left untreated, these two factors explain the dangers of a diabetic foot. A diabetic foot sufferer may have trouble recognizing a wound or a temperature change. As a result, individuals may be unable to discern between discomfort that requires the attention of a podiatrist or other health care provider.

    Diabetic foot is a severe disease that can lead to gangrene and, in the worst-case scenario, amputation. That’s why it’s crucial to understand the signs and symptoms it produces, as well as the proper responses to control it.

    Symptoms

    The neuropathy that causes diabetic foot might be difficult to identify because of its nature. It might be difficult to pinpoint the exact source of discomfort for someone who has lost feeling. There are, however, a few recurrent symptoms that make the process less dangerous.

    A diabetic should be especially mindful of the following warning signals:

    • Sensation loss in the lower limbs (hot, cold, pain)
    • Tingling or burning in the feet
    • Muscle weakness that makes it difficult to go about your daily routine
    • A collapse of the arch of the foot (acquired flat foot)
    • Plantar sores that do not heal well or at all

    These symptoms, which might indicate the presence of a diabetic foot issue, should not be dismissed. This disease, if left untreated, can result in severe and possibly irreparable consequences.

    The following are some of the repercussions of not addressing it:

    • Infections 
    • Ulcers
    • Gangrene

    And in the most severe cases:

    • Amputation of a foot (or a portion of a foot)

    Causes and risk factors

    Diabetic foot symptoms are caused by a decrease of nerve sensitivity and a reduction in blood flow.

    Diabetic foot complications, on the other hand, might be due to a multitude of factors:

    • Blood sugar levels that are too high or too low
    • A foot ailment that has gone untreated
    • Poor plantar hygiene
    • Being overweight
    • Being overweight
    • High triglyceride levels in the blood

    While certain lifestyle modifications may be possible, a diabetic foot injury almost always needs the assistance of a podiatrist or other health care provider. The podiatrist will be able to provide you with a treatment plan that is tailored to your needs as well as comprehensive management.

    Preventing diabetic foot complications

    After 25 years of diabetes, it is predicted that more than half of all diabetics will acquire neuropathy. While nerve damage appears to be unavoidable, diabetic foot problems are the total opposite.

    The actions below can help reduce some of the disease’s potentially severe effects on the feet:

    • Checking the soles of the feet on a regular basis for inflamed sores or the presence of fungus
    • Washing your feet with a mild soap on a regular basis and thoroughly dry your feet and toes
    • Using shoes that are suited for your foot form
    • Taking care of the toenails by using a nail file instead of nail clippers
    • Having your feet checked by a podiatrist or other health care expert on a regular basis.
    • Wearing white cotton socks that are well-fitting and don’t restrict blood flow
    • Avoiding walking barefoot, especially outdoors
    • Wearing bathing sandals in public places such as swimming pools or locker rooms to avoid contracting a fungal infection such as athlete’s foot

    Treatments

    The podiatrist can assist when standard preventative techniques fail. A precise diagnosis may be made by bearing in mind the medical restrictions of a diabetic patient.

    The podiatrist recommends and administers podiatric therapies such as:

    • Foot orthotics: custom-made foot orthotics assist in weight distribution and pressure point relief.
    • Nail care: it is preferable to have a podiatrist trim the nails of a diabetic foot, especially if there are ingrown toenails.
    • Callus removal: sometimes painful and difficult to remove, diabetic foot calluses can be managed by the podiatrist and his or her care team.

    In addition to these therapies, the podiatrist can do the yearly podiatric checkup that diabetes patients are required to have. Using sophisticated technology, the podiatrist assesses the amount of sensitivity of the foot during this appointment.

    He or she also evaluates the general health of the plantar surface, as well as the existence of anomalies such as ulcers or a fungal infection. Finally, he or she determines the amount of risk and potential consequences based on the patient’s circumstances.

    PiedReseau – Learn more

    Do you want to learn more about the diabetic foot? We frequently publish content to this effect!

    Even while the PiedReseau site contains useful information, nothing matches a face-to-face visit with a podiatrist.

    Take care of your feet, they’re precious!

    Treatments offered

    Foot orthotics

    Plantar orthotics

    The primary goal of plantar orthotics is to improve the function of your foot in order to correct various biomechanical flaws or posture issues. They are used to compensate for certain deficiencies in your foot. Because they are custom designed specifically for your condition, the orthosis is perfectly adapted to the shape of your foot to optimize its function.

    In addition to relieving any pain you may experience, a custom-made foot orthosis is adapted to the morphology of your feet, and redistributes the pressure exerted on them. It can therefore be used to treat many pathologies and deformities. Remember that the health of your feet is important to be able to perform your daily activities.  

    To ensure your orthotics treatment provides effective results, the podiatrist will have to evaluate you and design a custom casting of your feet. You will be cared for during all stages of the process, to ensure you receive the correct orthosis, which you can wear during all your daily activities. It won’t take long before you no longer even notice you’re wearing it.

    Invented more than 200 years ago, plantar orthotics have evolved considerably over the years, and the latest versions benefit from cutting-edge technology and many state-of-the-art digital tools. Nowadays, orthotics are very useful devices that optimize the function of the foot and ensure better recovery. Orthotics have also become very robust and can last from 5 to 10 years.

    Learn more about plantar orthotics and their many benefits.

    What are the different types of plantar orthotics?

    There are 2 main types of plantar orthotics, and it is important not to confuse them:

    • Custom plantar orthotics: this option is available to you when you consult with a podiatrist, who will conduct a personalized evaluation and prescribe plantar orthotics that are customized to suit your feet.
    • Over-the-counter plantar orthotics: you can find orthotics in a pharmacy; however, this is not always the best solution for your specific condition. In reality, each person’s foot is different, and the quality and effectiveness of these orthotics are not always optimal, because they are not adapted to your specific condition.  

    Additionally, there are several types of custom-made foot orthotics, depending on your needs. They can be flexible, semi-flexible or rigid, depending on your health requirements. Here are some examples:

    • Plantar orthotics for children: plantar orthotics can be worn by children aged 3 and older. It is possible to prevent or correct certain biomechanical deficiencies at a very early age. Children’s orthotics are specifically designed to adapt to children’s feet that are growing.
    • Plantar orthotics for diabetics: diabetes often weakens the foot, because it affects the nerves and arteries. Orthotics for diabetics prevent the formation of wounds or lesions that may result from diabetes. This type of orthosis is semi-flexible in order to relieve pressure points, while promoting optimal foot function.
    • Plantar orthotics for athletes: this type of orthosis is designed to support running and sports activities. It is manufactured with materials that assist with foot propulsion and absorb impact shock. It is also designed to absorb foot moisture during physical activity.
    • Accommodative plantar orthotics: particularly suited for seniors or those dealing with arthritis, accommodative orthoses are very flexible and cushioned to relieve as much pressure as possible on your feet and foot joints. They are also designed to help prevent falls among the elderly.
    • Short plantar orthotics: no need to wear an orthosis that covers the entire foot in order to correct certain podiatric issues. In general, there is little added value in having an orthotic device that reaches the toes, and full-length orthoses limit the choice of footwear. You have the option of wearing a shorter orthosis to accommodate a wider variety of footwear.

    What types of pain can plantar orthotics alleviate?

    The podiatrist designs a custom orthosis to meet all aspects of your treatment plan. Technical advances in orthotic design now allow podiatrists to treat a very large number of foot, heel, back, ankle and knee issues caused by various foot problems:

    • Flat or hollow feet
    • Plantar fasciitis
    • Heel spurs (calcaneal spur)
    • Various Achilles tendonitis issues
    • Bursitis or capsulitis
    • Hammer toe, claw toe, mallet toe
    • Bunions (hallux abducto valgus)
    • Metatarsalgia
    • Bunionette (bunion on the baby toe)
    • Poor posture
    • Foot deformation
    • Legs unequal in length

    Even if you are not experiencing pain, it may be important to wear custom orthotics for adequate prevention in the case of severe deformities with a high risk of foot damage. This way, you can prevent any biomechanical or morphological issues that could become potentially harmful in the long term. Wearing an orthosis is a good way to alleviate many foot problems.

    What’s the best way to adapt to wearing plantar orthotics?

    The days when foot orthotics were a handicap to your daily activities are long gone! Nowadays, this type of equipment can be worn comfortably. Of course, there is an adaptation period, but your podiatrist is trained to ensure that this adaptation period is as short as possible. The length of adaptation varies from case to case, but wearing orthotics is usually done gradually over 1 to 2 weeks, which allows your feet to become accustomed to the device.

    During the first two weeks, it is normal to experience minor discomfort while wearing an orthosis. It actually changes the way your muscles work and modifies the position of your foot, which can lead to changes in your gait. Your entire body will have to adapt, which can cause aches and pains in your feet and legs. However, the podiatrist will have previously conducted a complete evaluation of your feet and will design a treatment plan so that you can become accustomed to it as quickly as possible. It is very important to follow instructions to the letter in order to quickly return to the normal course of your life. When your adjustment period is over and you are comfortable and symptom-free, you can resume your regular sports activities with your orthotics.

    Initially, your podiatrist will recommend that you wear your orthotics for only one hour each day. Then, gradually, you will increase the number of hours. Don’t hesitate to contact your clinic if you have any questions or doubts about your condition during this adjustment period.

    In the weeks following the adjustment, if you experience significant discomfort, you should contact your clinic to learn whether the discomfort you are experiencing is normal. Your podiatrist can recommend exercises to make your foot more receptive to wearing an orthosis, or make modifications to the device to make it more comfortable.

    Since the orthosis is a device that works over a gradual period of time, it generally takes between 4 and 8 weeks to see significant progress in reducing your level of pain for which the orthoses were designed.

    Properly caring for your plantar orthotics

    In order to benefit from the most effective treatment to correct a foot problem, it is important to take care of your custom orthosis. Just like a dental appliance or prosthesis, it must be cleaned regularly to increase its durability.

    Below are a few simple steps to take to protect your plantar orthotics:

    • Wash the orthosis frequently with mild soap and a cloth soaked in warm water. Be careful not to damage it by immersing it in water.
    • At the end of the day, remove the plantar orthosis from your shoe to prevent the growth of any bacteria caused by humidity, then allow it to dry completely at room temperature until the next morning.
    • If your orthotic device emits a strong odour, spray it with an anti-odour product. Your podiatrist can suggest various products.
    • Avoid placing the foot orthotic directly on a heat source, such as a radiator, or exposing it to direct sunlight.
    • Carefully clean the inside of your shoes before replacing the orthosis.
    • Never leave your foot orthosis within reach of your pooch or kitty.

    Lastly, in addition to any follow-up visits, it is recommended to consult your podiatrist once a year so that they can conduct an in-depth review of your plantar orthosis and ensure that it is still performing the task for which it was designed.

    What are the steps involved in the manufacture of custom plantar orthotics?

    Custom-made plantar orthotics are very versatile devices designed to meet many conditions, and they are manufactured using a variety of techniques.

    Let’s take a closer look at the steps involved in their detailed design:

  • Biomechanical assessment: the podiatrist conducts a full biomechanical assessment of your feet. They then make the mould and design a digital and 3D model of your feet. Your gait is also examined, with and/or without wearing your shoes.
  • Podograph: the podiatrist traces the shape of your foot on a flat surface to study its shape, pressure points and morphology.
  • Design of the plan for the orthotic device: once the assessment is completed, the podiatrist determines which type of orthosis is best suited for you (correction, type of material, flexibility required, etc.)
  • Selection of materials: there are various types of coatings available, depending on your activities or the type of correction required. Choices include leather, foam, cork, leatherette, thermoplastic or ethylene vinyl acetate (or EVA).
  • Manufacturing the plantar orthotic: the plantar orthosis is manufactured in a convection oven and then vacuum-pressed. It can now also be cut directly from a material or produced using a 3D printer.
  • Shoe test: once the orthosis has been manufactured, the podiatrist or orthotist schedules an appointment with you to test the orthosis in your shoe. Small adjustments to the orthosis can then be made. They can recommend the best shoes to wear if necessary. A follow-up meeting 2 months later is usually scheduled by the podiatrist to ensure that the orthosis is performing the work it was designed for.
  • Who pays for the plantar orthotics?

    Many patients at PiedRéseau clinics often wonder if their plantar orthotics are covered by their insurance plan or if they are tax deductible. You should know that it is quite possible to have your orthotic devices reimbursed, in whole or in part, by your private insurance companies if they are covered under your plan. In addition, the portion that is not covered can be used for income tax deduction purposes.

    The Ministère du Travail, de l’Emploi et de la Solidarité sociale contributes up to $180 towards the cost of your orthotics. A document signed by your podiatrist is required to prove the necessity of your plantar orthotics. The replacement of an orthosis is reimbursed every two years, except for podiatric plantar orthoses. In addition, if a third party assumes a portion of the cost of the orthotics, the amount is deducted from the contribution provided by the Ministère. You may also be reimbursed by the federal government.

    The Régie de l’assurance maladie du Québec does not pay for the cost of plantar orthotics. However, your group insurance plan at work may pay for part or all of the cost. The Commission des normes de l’équité, de la santé et de la sécurité au travail (CSST), and Indiginous and Northern Affairs Canada and Veterans Affairs Canada also assume the costs, but you must request prior authorization before visiting a clinic.

    The PiedRéseau difference for your plantar orthotics

    Regardless of your age, health history or condition, PiedRéseau has the largest network of podiatry clinics located throughout the province of Québec to assist you without delay. pour vous prendre en charge rapidement. All our clinics are equipped with cutting-edge technologies and extensive expertise to provide the right podiatric diagnosis for your problem and design an effective customized foot orthosis to treat it.

    By combining their skills, the podiatrists affiliated with the PiedRéseau network have developed better methods of manufacturing, replacing and repairing orthotics. They also have the knowledge to clearly explain your situation and how an orthotic device can help you. You can also benefit from clinics throughout the province to provide the best follow-up in a friendly atmosphere.

    If you are suffering from a condition that affects your gait and daily life, consult a podiatrist at a PiedRéseau clinic near you to find out what an orthosis can do for you.

    And remember that podiatrists do not only offer plantar orthotics treatment. They can also perform:

    • therapeutic laser treatments
    • cortisone injections
    • ultrasound treatment
    • shockwave therapy
    • manual therapy
    • therapeutic taping
    • recommendations for various stretching and exercises

    With the use of orthotics and other treatments, the podiatrist can help provide relief and healing of your feet as quickly as possible.

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    Dr. Keven Lambert podiatrist

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    Dr. Frédéric Lapointe podiatrist

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    Dr. Madeline Nicol podiatrist

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    Dr. Vincent Désilet podiatrist

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    Catherine Ducharme orthetist

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    Natasha Cyr clinic supervisor

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    Nolina Cimpoies Dragan clinic supervisor

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    Sophie Dupéré foot care auxiliary nurse

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    Geneviève Côté foot care auxiliary nurse

    Jean-René Piette foot care auxiliary nurse

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    Frédérique A. Blouin foot care auxiliary nurse

    Vicky Munger foot care auxiliary nurse

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    Crystelle Paquette podiatric assistant

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    Megan Brisebois administrative assistant

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    Martine Brunelle administrative assistant

    Dr. Keven Lambert podiatrist

    Dr. Keven Lambert, podiatrist,  has been a practicing podiatrist since obtaining his doctorate in 2013. He is also the founder of PiedRéseau, Quebec’s largest group of podiatric clinics.

    He began his career as the director of the Lambert Podiatry Center in Sherbrooke (2013), and then expanded his practice by opening the Lambert Podiatry Center in Granby, which would become the network’s cornerstone.

    Dr. Lambert, podiatrist, has succeeded in bringing together more than 40 podiatry clinics inside his company in an effort to standardize podiatric care across the province since 2018.

    A unified vision of podiatric practice

    Keven Lambert, DPM, earned his PhD in podiatric medicine from the Université du Québec à Trois-Rivières before creating his clinics and PiedRéseau.

    The practitioner was able to hone his abilities while at university by participating in a hospital internship at the New York College of Podiatric Medicine.

    Dr. Lambert, podiatrist, has a keen interest in the treatment of pain with a broad clientele, and his university experience allows him to intervene with patients with various issues.

    The young creator of PiedRéseau has the required qualifications to provide complete care and is frequently called upon to conduct biomechanical exams and therapeutic laser treatments.

    He possesses a qualification in foot ultrasound as well as a radiology license, allowing him to broaden the scope of his diagnosis even further.

    A compassionate doctor who uses technology to benefit his patients

    Keven Lambert, DPM, is keeping busy expanding his network of podiatric clinics. He is approachable and attentive to people who need his help.

    He also served on the Board of Directors of the Association des podiatres du Québec for two years, with the well-being of his colleagues in mind.

    Dr. Keven Lambert, podiatrist, is always searching for methods to enhance his treatments, and it is a matter of honor for him to use cutting-edge technology to help his patients.

    Dr. Madeline Nicol podiatrist

    Dr. Madeline Nicol, a podiatrist with a strong sense of responsibility, has been practicing her profession for almost a year. Since graduating in 2018, the podiatrist has been a PiedRéseau associate, splitting her time between the Granby and Sherbrooke podiatry clinics. She perfectly completes the team of podiatrists at PiedRéseau’s Sherbrooke clinic, already firmly entrenched in the Eastern Townships.

    Cutting-edge knowledge

    Podiatrist Dr. Nicol is a recent graduate of the Université du Québec à Trois-Rivières with a Doctorate in Podiatric Medicine and extensive technical expertise. Her studies included an internship in diabetic foot care, which she completed as part of her training.

    Madeline Nicol, DPM, was able to develop much more direct contact with patients from various backgrounds while interning at health institutions in Joliette, Sherbrooke, and Trois-Rivières. She was also able to learn more about diabetic wound care, which is a subject that chiefly interests her.

    Dr. Madeline Nicol, podiatrist, engages in the Ordre des podiatres du Québec‘s continuing education activities on a regular basis, in addition to her academic studies.

    Dr. Nicol, podiatrist, likes working with patients of all ages and backgrounds: young, elderly, sporty, or sedentary, her therapeutic approach is flexible and thorough.

    A devoted practitioner

    Madeline Nicol is a highly sought-after podiatrist, who is completely dedicated to her practice. She has a special interest in diabetic foot sores and is dedicated to preventing and educating patients about this form of plantar disease.

    Dr. Madeline Nicol, podiatrist, is always on the lookout for new tools to help her patients. Her keen eye for detail and clear vision will give you a better understanding of your podiatric therapy.

    Dr. Vincent Désilet podiatrist

    Dr. Vincent Désilets, Podiatrist

    Fascinated by the sciences of the human body from an early age, Dr. Vincent Désilets, a podiatrist, initially completed a college diploma in Natural Sciences (health profile) before successfully obtaining his Doctorate in Podiatric Medicine from UQTR.

    Dr. Désilets, a podiatrist, has always demonstrated a deep interest in sports podiatry. He became involved in the education and prevention of foot problems related to sports during his university studies. He actively promotes the importance of podiatry at sporting events such as the Bromont Ultra or the Québec Mega Trail. To further refine his expertise, he decided to undergo training at the Clinique du Coureur for the management of podiatric pathologies in athletes. Today, he provides quality care to patients in need of treatment for injuries or relief from foot or ankle pain.

    This passion for the health of the moving foot, Dr. Désilets, a podiatrist, has naturally developed through his personal leisure activities. A sports enthusiast at heart, he has been playing basketball since childhood and has completed several marathons. Persistent and determined to give his best, he is now on the path towards ultra-endurance sports.

    Responsable des renseignements personnels / confidentialité : Nolina Cimpoies Dragan 819-791-9005

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