What are chilblains?

Chilblains are uncomfortable lesions on the skin which characteristically show up on the toes in wintry environments. They are certainly not as a result of what is commonly thought of as poor circulation however are because of a poor response of the blood flow to variations in temperature in wintry environments. Those people who are healthy with excellent blood circulation still get chilblains and the source of them isn't totally clear. They appear at first as tiny reddish colored areas on the toes which can be itchy. They later take on a dark bluish colour as waste materials accumulate within the skin. The simplest way to take care of chilblains would be to not get them by preventing them. This is done by continuing to keep the foot warm instead of allowing it to get cold. If the foot should become cool, then it's extremely important that it is warmed up gradually over time. A too fast warming up by, for instance, putting the cold foot in front of a source of heat is generally considered as just what results in a chilblain. Once a chilblain develops, different ointments can be used to help the blood flow as well as promote the removing of the waste materials. It is essential that the chilblain is protected from the shoe pressure with bandages of some kind.

There are number of unknowns about chilblains that medical research hasn't yet uncovered. One of those is the fact that you can find quite a significant group of individuals who once suffered from them and then one winter they just ceased occurring and have certainly not happened again. If you search and ask them what changed the year that the chilblains did not occur, you typically will discover next to nothing. There was no difference in their health status or eating habits nor other things that could be identified. Obviously, if the reason for this could be identified then that has the possibility to open up a significant avenue for controlling individuals with active chilblains.

Do foot corns have roots?

There are a variety of misconceptions about the issue of corns on the foot. Corns are a disorder related to there being too much pressure on an area of skin. Concerning the foot this greater pressure could be as a result of toe deformity like hammer toes or hallux valgus where by pressure from the shoe produces the corn. It could be due to a dropped metatarsal bone, producing a corn or callus on underneath of the foot. Most of these corns and calluses are a natural response of the skin to too much pressure. All that is happening is that the skin thickens up to offer protection to itself. This is a normal and healthy response of the skin. Having said that, since the force that brought on that thickening remains, the skin gets so thick that it results in being painful. An experienced podiatrist can certainly eliminate a corn. Its not complicated.

However, after it has been taken out, it is going to simply come back again in due course and unless the reason behind that greater pressure is not eliminated. That is when the fallacies come into place. Some individuals may allege the podiatrist of not doing their job appropriately, when they more than likely did, however the corn came back as the force, maybe from inadequately fitting footwear is still there. Others assume corns have roots and the podiatrist just didn't remove the root. They believe the corn returns because the Podiatrist did not take away the root (just like the plant analogy, it will grow back if its roots are not eliminated). Corns do not have roots. That's the myth. Corns keep returning because the reason behind will still be present. The only way to get rid of corns once and for all should be to get rid of the cause. This means the claw toes or hallux valgus must be fixed, or much better fitting shoes used so there isn't any pressure on it or foot orthotics to get pressure of the dropped metatarsal is required. If you do have a issue with corns, then discuss with your podiatrist your options to get long term relief.

The accessory navicular is an extra bone that is found on the medial side

There are lots of causes of painful feet that affect such a high percent of the population. One not so common reason is a prominent bone on the side of the mid-foot area of the foot is commonly an accessory navicular. The navicular bone is a bone at the top of the mid-foot in the middle, shaped somewhat like a banana. On the side of the bone on the mid-foot region it can be enlarged or could have an additional piece of bone adjacent to it. This prominent bone or additional bit of bone can be painful due to pressure from the shoes. Scenarios that could be especially problematic is in sporting activities like ice skating when the enlargement of the bone pushes on the very hard boot that is used. This can be quite painful. The other issue, due to the enlargement is that the tendon is not as useful as it needs to be and a flattening of the arch can result.

Treatment choices for an Accessory Navicular will depend on the opinion of the treating clinician and exactly why you have the pain. If the pain is as a result of the size of the lump on the shoe, then padding in the shape of a donut may be used to shield the area. If that is not very helpful then surgical removal of the enlarged bone is required. This is not as easy as cutting off the acessory bone, as the tendon has to be removed initially and then the acessory bone taken out and then the tendon has to be reattached. If the symptoms are because of the muscle and tendon unit not working properly and a flat foot is the result, this is best managed initially with foot orthoses. If that is not helping, then a surgical treatment may be required. The option of treatment is determined by the actual cause of the symptoms, the age and activities of the person with the problem and what the wanted result is.