Thyroid acropachy is a rare condition linked to autoimmune thyroid disease, most often associated with Graves disease. It causes changes in bones and soft tissues of the hands and feet. In the feet, symptoms may include swelling, clubbing of the toes, skin thickening, and discomfort that affects walking or shoe fit. These changes result from immune system activity that triggers inflammation and abnormal bone growth. Thyroid acropachy usually appears after other thyroid-related symptoms have been present and may occur alongside eye or skin involvement. Treatment focuses on managing the underlying thyroid condition and reducing inflammation. Wearing supportive footwear, custom orthotics, and monitoring foot structure can help maintain comfort and mobility. Because symptoms can mimic other foot disorders, proper evaluation is important. If unusual swelling, toe changes, or foot discomfort occur with thyroid disease, it is suggested that you see a podiatrist for an accurate diagnosis and appropriate care.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Foot wounds can develop on the surface of the skin or beneath it and they range from minor injuries to serious medical concerns. External wounds affect the outer skin while internal wounds involve deeper tissues, such as muscles, tendons, or bone. Open wounds include cuts, abrasions, punctures, lacerations, and surgical wounds where the skin is broken. Closed wounds, such as bruises or hematomas, cause damage beneath intact skin. Because the feet carry body weight and have limited blood flow in some people healing can be slow. A podiatrist can identify the wound type, check for infection, and guide proper care. Early evaluation helps prevent complications and supports healthy healing and mobility. Prompt treatment is especially important for people with diabetes, circulation problems, or nerve changes that reduce feeling in the feet and balance. If you have any type of foot wound, it is suggested that you see a podiatrist for care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

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.

test

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.