Following an ankle fracture, balance can remain altered even once the bone has healed. Time spent in a cast or boot often leads to muscle weakness and reduced joint awareness, which can affect how the body stays upright. Evaluation looks at how weight is shared between both feet, then gradually challenges the injured side to assess control. Small movements, such as swaying, hesitation, or dependence on support, may indicate reduced stability. Testing may also involve gentle changes in position or surface to observe how the ankle adapts. Lingering pain, stiffness, or lack of confidence can further influence balance. Identifying these issues early helps reduce fall risk and supports a safer return to daily activities. Focused care aims to rebuild strength, coordination, and trust in the ankle. If you have sustained an ankle fracture and standing feels unsteady or balance has not fully returned, it is suggested that you see a podiatrist to have your progress assessed and receive appropriate treatment.

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Orthotics are medical devices placed inside shoes to support and align the feet during standing and walking. They are used to help balance the foot in a neutral position, improving overall posture and reducing strain on the ankles, knees, hips, and lower back. Orthotics also cushion the foot from excessive pounding, helping absorb shock and protect joints and soft tissues. By improving alignment and reducing pressure, orthotics may help control pain caused by conditions such as plantar fasciitis, arthritis, and foot fatigue. A podiatrist can evaluate foot structure, gait, and activity level to determine if orthotics are appropriate. Custom orthotics are designed to address individual needs and provide long-term support. If foot pain or instability is affecting your daily life, it is suggested that you schedule a visit with a podiatrist to learn how orthotics can improve comfort and mobility.

If you are having discomfort in your feet and would like to try orthotics, contact Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Testing for peripheral artery disease focuses on blood flow to the feet, toes, and ankles. Changes in circulation can affect skin temperature, nail health, healing, and walking comfort. During an exam, a podiatrist checks how well blood is reaching the feet and toes, skin color, and temperature to look for reduced flow. In-office tools allow listening to blood movement and comparing pressure between the ankle and toe, which helps identify peripheral artery disease later in the visit. Findings guide decisions about monitoring, further testing, or surgery when circulation is severely limited. Assessment is important for people with slow-healing sores, numbness, or color changes in the feet. A podiatrist explains results, tracks changes over time, and helps lower the risk of wounds, infection, and loss of limb affecting the feet. For help with foot problems, it is suggested that you consult a podiatrist for an exam and treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetes is a chronic condition in which the body has difficulty regulating blood sugar, leading to changes that can affect the feet. Diabetic foot problems develop when nerve damage and poor circulation interfere with normal sensation and healing. Loss of feeling in the feet is common and may prevent awareness of cuts or pressure injuries. Changes in skin color or temperature can signal circulation issues, while fungal infections may develop more easily due to weakened skin defenses. Risk factors include long-standing diabetes, poor blood sugar control, smoking, improper footwear, and limited mobility. A podiatrist can help by performing routine foot exams, identifying early changes, treating infections, and providing guidance on proper foot care and footwear. Custom orthotics and preventive care can reduce pressure and protect the feet. If you have diabetes or notice numbness, skin changes, or infections, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.