Do you have these symptoms? NUMBNESS TINGLING BURNING SHOOTING PAINS If you are experiencing any of these symptoms, ask us at Body and Sole if NeuRemedy® or NeuRemedy® Plus is right for you. 613 258 5508 NeuRemedy® for the healthy function of the nerves in the feet and legs* What is NeuRemedy® and how does it work? Adequate blood levels of the micro-nutrient thiamine are essential for the proper functioning of the nervous system. Recent studies have shown that many people suffering from numbness, tingling, burning, and/or shooting pains in their feet and legs have low plasma levels of this essential micro-nutrient. They need a more bioactive form of thiamine for their nerves to function properly. This population includes, but is not limited to, people with diabetes and the elderly. NeuRemedy® supports the healthy function of the nerves in the feet and legs by delivering a highly bioactive form of the micro-nutrient thiamine. NeuRemedy® works by nourishing the nerves. What about safety and drug interactions? The active ingredient in NeuRemedy® has been used since the early 1960’s in Asia and Europe by tens of thousands of people suffering from numbness, tingling, burning, and/or shooting pains in their feet and legs. It is now available in North America. NeuRemedy® has been proven to be safe and effective. It does not have any known significant adverse effects and can be safely taken with medicines and supplements. * What is NeuRemedy® Plus? NeuRemedy® Plus is formulated for those people who need the combined beneficial effects of our signature product, NeuRemedy®,and methylcobalamin, a highly bioactive specialized form of vitamin B12. * Who should use NeuRemedy® and NeuRemedy® Plus? People who have low levels of thiamine and/or vitamin B12 may benefit from NeuRemedy® and NeuRemedy® Plus. This population includes, but is not limited to: Diabetics Elderly People on diuretics (water pills) People with a history of alcohol abuse * How long does it take for NeuRemedy® and NeuRemedy® Plus to work? Some people experience the beneficial effects in a few days. For some people it may take up to two months to feel the benefits. Ask us at Body and Sole which product is right for you.

Leg Length Difference Leg Length Discrepancy, aka Short Leg Syndrome, and Heel Lifts A majority of people have a measurable leg length difference of 1/4" or more, although most people adapt to the difference with no apparent ill effects. Unfortunately, some do not, and the effects range from low back or sacroiliac pain to hip, knee, or  foot problems. A number of causes can contribute to leg length discrepancy, including: Any bone in the leg ever broken, particularly during growth years, Congenital differences or uneven growth, Disease-caused shortening of the muscles and connective tissue, a common after-effect of polio, Surgically-induced differences, especially common after hip replacement surgery, Compensation for problems elsewhere in the body, such as pelvic or spinal scoliosis. These biomechanical adaptations and compensations for even a slightly short leg can have long-term side-effects, manifesting as lower back pain, hip and knee pain, uneven gait, and various foot and lower leg problems. These problems are often related to the bodily adaptations that occur due to continuing unbalanced movement, and can be aggravated by the extra stresses of sports activities  such as running. The diagnosis and treatment of such leg length differences and their effects is the subject of volumes of medical history and research, and is not the subject of this document. The use of heel lifts should generally be prescribed after thorough medical evaluation. Our Chiropodists at Body and Sole can assess this for you.  The intent of these recommendations is simply to assist you in choosing among the wide variety of in-shoe heel elevating products, and in recommending how to use them for your personal needs. Short leg syndrome or anatomical (structural) or functional (adaptive) leg length discrepancy, is often treated using heel lifts or shoe lifts. Heel lifts, also known as shoe lifts, are firm wedge-shaped inserts for shoes, which attempt to better balance the lower body by adding to the length of the short leg at the point when the heel strikes the ground while walking. Treating Leg Length Discrepancy Using Heel Lifts Heel lifts for leg length compensation will only be required for the short leg, i.e. in one shoe. This can make the two shoes fit and feel different, particularly if the heel lift adds cushioning in the shoe. You will be most comfortable if no additional cushioning is added by the heel lift. Because leg length compensation will typically be needed permanently, long-term comfort and minimum stress on the foot is very important. As much as possible, the same elevation should be added in all shoes that are regularly worn, including house-slippers and flip-flops. You will probably need more than one type of heel lift or modification for various footwear. It is generally accepted that no more than 12mm (1/2") of heel elevation can be used in a shoe without affecting stability. The maximum height you can use in a pair of shoes will be affected by the style and fit of the shoes, as well as your foot size. Laced shoes will permit more heel lift height, for example. If you require more than 10-12mm of compensation, part of the additional height should be added to the external sole and heel, rather than inside the shoe. This will cause less stress on the foot and lower leg. More than 12mm should be added as a full-foot lift, either inside or outside the shoe, or both, rather than just a heel lift. When introducing your body to the use of heel lifts, increase to the target height slowly - add 2-3mm each week on the short leg side, to allow the body to adapt to the change. Adjustable shoe lifts are useful for this purpose. The ideal height for your specific needs should be determined by experimentation over a long time. You may find that a difference of 1-2mm greatly improves your overall comfort both in the shoe, and in the other effects of your leg length discrepancy. Try changing the shoe lift height slightly and evaluating the effects for a few days or weeks. It is often recommended that the starting point for heel lift height be one-half of the measured difference in leg length. It is generally accepted that this should be modified based on the length of time that the difference in leg lengths has existed: - In the case of an uncompensated leg length difference that has existed for a long time, the body will have adapted to the imbalance, and completely compensating for the leg length difference may make these changes maladaptive - you may cause new problems by using a heel lift of the full height of the measured difference, at least initially. - For recent changes, such as surgically-induced leg length differences, or in children, where bone growth is still occurring, It is usual that the heel lift height should fully compensate for the difference, to minimize adaptive changes if possible. Use of heel lifts is a medical and personal decision, but it is strongly recommended that a health care professional be involved in the evaluation of the need and in monitoring the results. The Clearly Adjustable heel lift is a very comfortable adjustable heel lift that is ideal for long-term compensation for leg length discrepancy. You can purchase Clearly Adjustable lifts at Body and Sole. Orthotics may also be indicated if there have been changes to the foot structure because of asymmetry. A heel lift can be added to the orthotic for use on the short leg side.

Are your feet or legs hurting, or you have diabetes, and now you’re ready to see a doctor? The good news is you’re already on your way to having happy and healthy feet just by reading this. If this is your first time visiting a Chiropodist or Podiatrist, there are a few things you need to know before visiting your foot doctor. If you have specific questions or would like to make an appointment, call us at Body and Sole 613 258 5508. One you have called to make an appointment, there is a list of things you should consider and/or bring with you to make the most of your appointment: • Write down all your symptoms and make a list of your questions. Patients often forget important questions they’d like to bring to their doctor’s attention until after their appointment. • What medications do you currently take? Have you undergone any previous surgeries? Write them down! Many general health problems can have associated foot symptoms, and some medications will affect the type of treatment your foot specialist will choose to help you with your foot problem. • Important medical records and test results, including X-rays and MRIs, from previous doctors or hospitals should be brought with you to your appointment. If you had X-rays at the Kemptville hospital you can also pick up a disc of your x-ray films and bring them with you. • Do you need a referral? Make sure you check with your insurance provider before your appointment. Most do not require a referral, but there are a few that do. Check your insurance coverage before you arrive. Depending on your problem and foot care needs, you may need to check several sections: Chiropody/Podiatry services; Orthotics and Braces; Stock Item orthopedic footwear. • If you have special needs, make sure you inform your foot specialist’s office before your appointment so they can be sure to accommodate you. • If you believe it will be helpful to you, bring a family member or friend to help you remember instructions from your doctor or help you get to and from the office. • Bring the shoes that you typically wear so that the Chiropodist can check your wear pattern. If your pain is related to a particular sport, bring the footwear for that sport (for example runners, skates, and dance shoes). • If you think you may need insoles or orthotics make sure you have a closed-in shoe with a removable insole to accommodate orthotics. If you are not sure, your foot specialist will advise you at your first visit and will give you shoe shopping tips if you do not have suitable shoes. At Body and Sole, we highly respect your time and want you to get the most out of your appointment, which is why we want you to be as prepared as possible when you visit our specialists. We look forward to helping you with all your foot health and mobility needs!

The Shoe Must Fit! Back to school shoe shopping advice.

After the fun of summer, it’s now time to think about back-to-school! For parents faced with kids’ changing tastes and opinions, navigating back-to-school shopping can be a stressful process. Buy him the wrong backpack, or her the wrong jeans, and they will be the uncool kids on the bus. More importantly, there is one area of back-to-school shopping where a wrong move could have long term health effects for kids—shoe shopping. Foot health is directly related to overall health, no matter your age. Proper footwear is essential to foot health, so it’s important for parents to ensure kids go back to school with a good foundation on their feet. Shoes are one of the most important back-to-school purchases parents will make. A poor choice of footwear can lead to foot pain, blisters and even hammer toes, bunions and other deformities that will be with them for life. Children’s feet change and grow with them, and parents may find they need to update their kids’ shoes and socks every few months to accommodate this growth. Shoes that don’t fit properly can irritate the feet and affect how well a child walks, runs, and plays, and also how they concentrate in school. Here are some tips to improve the back to school shoe-shopping experience! • Always buy new—never used—and never hand-me-down footwear. Sharing shoes can spread fungi like athlete’s foot. What’s more, children’s feet are as unique as they are. A shoe that fits one child comfortably may not fit another child as well. Plus, shoes that have been worn tend to conform to the foot of the wearer and may be uncomfortable or change the walking pattern for the next person to put them on. • Test the shoe before allowing a child to try it on. Check for a stiff heel by pressing on both sides of the heel counter; it shouldn’t collapse under the pressure. Bend the shoe with your hands to ensure it will bend with your child’s toes; it shouldn’t be too stiff. Try twisting the shoe; it should be rigid across the middle and never twist in that area. • Go shopping together. Shopping with your child ensures you can have his or her foot measured professionally, and that your child can test the shoe for a proper fit, give you his or her opinion of it, and learn from you the finer points of buying a good shoe. Kids who learn how to select a comfortable, supportive shoe may be less likely to make wrong footwear choices as adults, which could save them a lot of discomfort. • Remember to shop for shoes later in the day when feet are at their largest, and always buy for the larger foot. Having your child’s feet measured will help identify which foot is larger. Additionally, remember to have your child wear the type of socks or tights he or she will most likely wear with the shoe. • If the shoe has a removable insole, pull it out and have the child stand on it in the store. You will be able to clearly see if it fits your child’s foot shape. There should be at least a 1-2cm gap between the child’s longest toe and the end of the shoe, and all the toes should sit comfortably on the insole. Watch for the little toe falling off the side – the shoe will be too narrow. • Avoid buying shoes that need a “break-in” period. Footwear should be comfortable right away. Once the school year is underway, keep an eye on your child’s shoes—active kids may wear out footwear faster than adults. It is normal to wear down the sole at the outside part of the heel first. If you see excessive wear on the sole at the inside of the heel or at the fore-foot, your child may have a gait or alignment problem which needs to be checked. • Be vigilant for signs of irritation, such as your child always wanting to remove one or both shoes, or redness on the toes. The footwear may no longer fit properly, especially if it’s been a few months since you bought the shoes. Finally, be sure children wear shoes that are appropriate for their activities. If your daughter plays sports, she should wear a good athletic shoe designed for that sport. If your son is a runner, he’ll need a good running shoe. For daily wear when kids do a lot of walking, choose a good, supportive shoe with a thick sole and laces or straps to keep them firmly on the foot. Keep slip-ons, sandals, flip-flops, and heels for occasional wear only. If your child complains of foot pain, gets frequent blisters, or experiences an injury, take him or her to a foot specialist (Chiropodist/Podiatrist). Chiropodists and Podiatrists are uniquely qualified to diagnose and treat ailments of the feet. If your child is experiencing foot problems, our Chiropodists at Body and Sole can help. Call for an appointment 613 258 5508.

What's new at Body and Sole? For the last 2 weeks we have been trialing the G-Pulse 400 which combines magnetic therapy and laser therapy. We have seen promising results in just two weeks with diabetic ulcers and neuropathy. We hope to have the MBS therapy available for regular treatment soon. Call us for more information 613 258 5508. Magnetic biostimulation therapy (MBS or magnetic therapy), is the use of pulsating magnetic waves, to help treat various conditions within muscle, tendons, ligaments, nerves and bone. Magnetic therapy is an extremely unique type of technology because it effects all of the tissues in the body at a cellular and molecular level. In fact, the magnetic energy passes through the entire body, including bone, to bring relief for so many conditions that cause pain. No other technology in the world today has this capability. These magnetic waves resemble those which are naturally occurring on the planet from the magnetic North and South poles, which all compasses work with, but are markedly stronger. All life on the planet require the magnetic energy offered by the magnetic poles, and is an important aspect to many metabolic processes in the body. The magnetic waves are purely magnetic only, and are not harmful radiation waves as those used in x-ray and CAT scan (CT) imaging. Fundamentals of Magnetic Therapy Magnetic therapy is extremely effective on so many conditions in the body due to a few fundamental aspects to medicine. it increases circulation increases oxygen levels in every cell in the body decreases painful and limiting inflammation sparks the regeneration of injured or diseased cells kicks cellular metabolism into high gear. How Magnetic Therapy Works: The magnetic therapy coil produces invisible pulsating magnetic waves within the inner space of the coil What Does Magnetic Therapy Accomplish? The magnetic energy has profound beneficial effects on the cells and more importantly on the microscopic sized molecules which comprise each of them. What does this mean? Increases Cellular Oxygen levels. Increasing oxygen levels in cells is like throwing gas on a fire. This means that all cell types in the body are kicked into high gear and begin to function at a maximum rate. For example, fractured bones begin to heal at lightning speed, sluggish or damaged nerves begin to regenerate quickly and painful inflammation begins to diminish immediately. The therapy causes an easier exchange of ions between the inner and outer cell wall, therefore improving the overall function of the cell, increasing its metabolism, and ultimately increasing the entire bodies metabolism. This causes a rapid elimination of painful inflammation in new and chronic tissues, improving the bodies ability to deliver necessary repair nutrients, resulting in a rapid healing effect. Various metabolic disorders are the result of problems with ion exchanges in the cell, so magnetic therapy can have a profound effect on such conditions. The unique quality of magnetic fields reaching the molecular level allows the treatment to affect parts of the body that cannot be influenced efficiently by other treatment methods, such as ultrasound or laser. Magnetic therapy is the only therapy which can penetrate bone, thus promoting rapid healing of fractures, and eliminating its pain. In addition, MBS can eliminate pain from old fracture sites especially when the weather is cold and damp. Magnetic therapy’s ability to pass through bone allows its magnetic fields to be used on the brain and its nerve and blood flow components in the various treatments of neurologically based and vascular disorders such as migraines and concussions. Increases local circulation. The magnetic waves cause smaller local blood vessels to dilate, resulting in an increase in local circulation, which has enormous benefits. Raynaud’s syndrome is a condition where local blood vessels constrict in periods of spasm resulting in cold, pale fingers and toes. In severe cases, fingertips or toes can see ulcers develop which can be very serious. Magnetic treatments will increase circulation to heal these ulcers and have a positive effect on the Raynauds overall.

How pregnancy affects your feet It’s natural – and doctor-recommended – to gain a certain amount of weight during the 40 weeks of pregnancy. Be aware, though, that a woman’s changing body shape also changes the way she walks, and makes her feet and ankles swell due to the buildup of fluid in her lower extremities. During pregnancy, the body produces a hormone called relaxin, which, as its name implies, “relaxes” joints and ligaments. You want the pelvic ligaments to relax when it’s time to give birth; however, the hormones are not specific and can affect other areas of the body. In a foot or an ankle, opening up joints and ligaments can change the size or shape of the feet and cause instability. Estrogen is another hormone whose levels are elevated during pregnancy. It can cause intense itching on the soles of your feet, as well as the palms of your hand. Minimizing foot pain during pregnancy Don’t sacrifice your body to fashion. Always wear low-heeled, wide-based, supportive shoes. Avoid ballet flats or flip flops which offer no support. Shoes with adjustable straps or laces are best so you can adapt to fluctuations in foot or ankle swelling. Our friendly staff can tell you if your changing feet might benefit from the extra support of arch supports or orthotic shoe inserts. Rest as often as you can. Put your feet up to prevent and reduce swelling. 1. While sitting, don’t cross your legs, and don’t sit for long periods of time. 2. Minimize aches and pains by stretching your feet and ankles daily – even twice daily, in the morning and in the evening. 3. Relieve that itch by applying a moisturizer as needed. 4. Prevent or reduce swelling by avoiding salt and drinking lots of water. 5. Wear loose-fitting clothing 6. In some cases knee or thigh high compression socks may be helpful. Avoid socks with tight ankle bands. Relaxed–fit or Diabetic Socks may be more comfortable. Women who have pre-existing problems with their feet (such as flat feet or plantar fasciitis) may experience an increase in their symptoms while pregnant. If you need help or advice with your feet call us at Body and Sole 613 258 5508.

Pay Extra Attention to Your Feet While Traveling If your plans for this winter include a getaway vacation, good for you! Whether your destination is warm and sunny or the snowy slopes, don’t forget to take good care of your feet while you’re traveling. Uncomfortable, sore or injured feet can really ruin a good time. •Pack two pairs of comfortable walking shoes and rotate daily to let shoes dry thoroughly. Don’t forget your orthotics. •Take along shoes for each activity: water shoes, running, walking, and dress. •Avoid taking new shoes on a trip – this is not the time to break in new footwear! •Wear comfortable, slip–on shoes with socks for air travel. The socks will protect your feet as you go through security and slipping your shoes off in flight makes it easier to keep your circulation moving with stretches, foot pumps and foot and ankle extensions. •Opt for sturdy sandals rather than flip flops for extensive walking. Save your flip flops for public areas like pools, spas and changing rooms. •Apply ample sun screen to tops and sides of feet regularly. Don’t Forget a Foot Care Travel Kit Tuck a few essentials into your luggage to keep your feet looking and feeling their best. Be sure to include: •Emollient–enriched moisturizer to keep feet supple and smooth •Nail clippers and emery boards •Moleskins or blister pads to cushion irritated areas and protect your feet if blisters do occur •Sterile bandages if needed for minor cuts and scrapes •Antibiotic cream for minor skin injuries Your feet will reward you with miles of fun, pain–free trekking!

Best Foot Forward: New Year’s Resolutions for Healthy Feet If taking better care of your health is one of your New Year’s resolutions, start from the bottom up. The feet are our foundation! We often don’t think of our foot health until there’s a problem with our feet. This year, promise yourself you’ll take better care of your entire body. Here are a few simple healthy foot habits to keep you on your toes in the New Year. Healthy Feet Resolution #1: Walk More Walking is one of the simplest forms of exercise; it doesn’t require any special equipment, it can be done in almost any weather, and it’s good for your overall health – including your feet. It helps stimulate the circulation and nerves in your feet and strengthen muscles. Even in small 15-20 minute doses, walking will help keep your feet and your body in shape. Use boots with good insulation and good soles in winter, or ice grippers over your boots in icy weather when walking outdoors. Using Nordic walking poles can help maintain good balance and posture while walking. Healthy Feet Resolution #2: Work on your balance Balance is not usually one of the things we think about training during our life, but having good balance can prevent slips, trips, and falls and ankle sprains. The great part is, it’s very easy to improve balance; just practice standing on one leg with your eyes closed! Do this for about 30-60 seconds on each foot every day. Start with using your hand on the wall to assist, and prevent falling, but after a few weeks you won’t need to hold on any more. Healthy Feet Resolution #3: Shed a Few Pounds If this isn’t already on your New Year’s resolution list, here’s one reason you should consider adding it. Less weight means less stress on feet, knees, and hips, which is especially important if you play sports or work on your feet all day or if you have arthritis or diabetes. If you’re already at a healthy weight, keep up the good work! Your feet are one step closer to staying healthy in 2016. Healthy Feet Resolution #4: Have Regular Check-ups Your feet help you get around even more than your car does, so you should definitely be taking them in for regular check-ups. Regular visits to the Chiropodist (Foot Specialist), will let you know if there’s anything you should be paying closer attention to, if you already have a foot condition or other condition that affects your feet (e.g., diabetes). If you start a new exercise program, muscle aches are normal at first, but if you develop pain in the feet or legs that does not go away after a rest day make sure to call and book a Chiropody appointment. Healthy Feet Resolution #5: Eat for Your Feet What goes in your mouth affects your body – even all the way down to your feet. We all need to think about eating well to maintain a good body weight and for vitality and long term health. If you have gout or diabetes, maintaining a healthy eating plan can reduce your symptoms. Once you know which foods to avoid, you can find healthy alternatives that won’t trigger your symptoms. Also think about the other things we ingest – smoking can dramatically decrease the circulation to the legs and feet, and over-use of alcohol can cause numbness in the feet. Healthy Feet Resolution #6: Shape Up Your Shoes When it comes to improving foot health, 2 quick-fix recommendations for improving your shoe collection are: 1. Ditch the high heels and flip-flops. Both of these types of shoes can be hazardous to your foot health. High heels force the foot into an unnatural position, and can damage the foot’s structure, resulting in corns, callus, bunions and hammer toes. Flip-flops offer no support for the foot, often resulting in arch or heel pain, and the open design leaves your foot more susceptible to injury and infections, like athletes foot 2. Replace old athletic or walking shoes. Over time, even the best shoe loses its ability to adequately support and cushion your feet during activity. If you continue wearing them, you could end up throwing off the alignment of your foot. Worn-out shoes also put you at greater risk for sports injuries. Shoes that have been worn indoors, for example at the gym, may still look good on the sole while having lost their mid-sole cushioning over time. Think about replacing them at least yearly – more frequently if running regularly with them. Healthy Feet Resolution #7: Look After Your Skin Dry cracked skin can be a common winter problem for the feet. Cracked skin is more prone to bacterial and fungal infections. Make sure you are using a good moisturizing cream after each shower, and gently file any callused areas with a foot file or pumice stone. If you have persistent or painful cracks, or thick corns or callus seek professional help. Call and book a Chiropody assessment. The path to achieving your New Year’s resolutions awaits you, don’t forget to make sure your feet can take you there. Now’s the perfect time to schedule your appointment call us at Body and Sole in Kemptville. 613 258 5508. We can help with all your foot care and foot orthotic needs.

Looking for a sweet smelling Holiday Season? Someone on your list has smelly feet? The Steri-Shoe will help them and you! The patented SteriShoe ultraviolet shoe sanitizer is the only product that safely and effectively sanitizes the inside of shoes by using germicidal ultraviolet (UVC) light. There is no other shoe sanitizer that has been awarded a Seal of Acceptance from the American Podiatric Medical Association or that has a clinical study published in a peer reviewed medical journal. Each human foot has more than 250,000 sweat glands and sweats up to eight ounces per day. Sweat and heat from feet cause shoes to become breeding grounds for the bacteria and fungi that cause athlete’s foot, toenail fungus, and shoe odor. The SteriShoe sanitizer safely and effectively kills these microorganisms in your shoes, so your feet have a clean place to enjoy the day. Call us for more information 613 258 5508.

Toe Menders: Toe Menders™ have been designed to help align your toes back to their original shape. Simcan’s Toe Menders™ help to separate and stretch your toes with soft spongy cords of cushioned acrylic. Wearing Toe Menders™ for just a few hours at the end of the day or overnight can help alleviate sore and painful feet. Great for people with hammer toes, bunions or corns on the toes. Now available at Body and Sole $15+tax per pair. Call us for more information. 613 258 5508

Bunion Socks - Now available at Body and Sole! These socks usually retail for $27 per pair, but for a limited time Body and Sole has a special stocking stuffer price of $19.99 +tax! Sockwell Revolution Moderate Compression Bunion Relief Over-the-Calf Socks help tired feet feel better with graduated support and bunion protection Choose these over-the-calf socks to revitalize tired feet and legs. Moderate graduated compression helps stimulate circulation up the leg. Plus, these socks are great for those with bunions. A split toe design encourages separation between the big toe and second toe, while cushioning helps protect the area around the bunion. Graduated Support Level: Moderate 15–20mm / Hg.

Need new orthotics? Most health plans run calendar year. If you have not had new orthotics in 2015, you may still have a few weeks to utilize your insurance. If you have had orthotics from us in the last 2 years you can call to order a second pair and take advantage of our second pair special rate. If you are a new patient or it has been more than 2 years since foot impressions were taken, call us to book for reassessment and current foot impressions. 613 258 5508. Your feet have to last a lifetime, let us help you take care of them!

Stocking Stuffer Socks for the Savvy Shopper! A sneak preview! Have you been looking for the best sock suitable for people with sensitive feet or diabetes? We think we may have found it! Sockwell’s Relaxed Fit/Diabetes-Friendly Series of socks may just be the perfect sock. They are made in the USA from luxurious cashmere and bamboo fibres sourced in Canada and the U.S. They come in a variety of designer patterns and several styles for men and women. They have a seamless toe closure, and the natural fibres control moisture and odor, as well as help regulate temperature. Sockwell also make a unique bunion cushioning sock and comfortable, fashionable compression socks. Flying anywhere this winter? Make sure you have your anti-embolism socks! We can measure you for a perfect fit. The Staff at Body and Sole all tried these socks at the CFPM conference we attended last week, and are eagerly awaiting our first shipment due early next week! Body and Sole is your one-stop for all your foot care needs. Our Foot Specialists can diagnose and treat your foot problems and provide you with any additional foot care products, custom made foot orthotics and footwear necessary for your condition. You don’t have to live with foot pain, corns, warts or ugly toenails! Drop by Body and Sole at 212 Van Buren in Kemptville, Ontario, Canada. for more information and to see our socks and orthotic-friendly footwear. To book an appointment call us at 613 258 5508!

Need new orthotics? Most health plans run calendar year. If you have not had new orthotics in 2015, you may still have a few weeks to utilize your insurance. If you have had orthotics from us in the last 2 years you can call to order a second pair and take advantage of our second pair special rate. If you are a new patient or it has been more than 2 years since foot impressions were taken, call us to book for reassessment and current foot impressions. 613 258 5508. Your feet have to last a lifetime, let us help you take care of them!

How does Diabetes affect the Feet? November is diabetes awareness month in Canada. At Body and Sole Foot Care Clinic our new patients often tell us that they know they have to look after their feet when the have diabetes, but they don’t know why. Having diabetes doubles the risk for foot disease. In fact, about 30 percent of people with diabetes who are older than 40 develop medical problems with their feet. The good news is that with good blood sugar control and good foot care and footwear, many foot problems can be treated early or avoided all together. So just how does diabetes affect the feet? Chronically elevated glucose levels can damage the nervous system, the wiring that transmits signals from the brain throughout the body. The nervous system works the other way, too: It detects information about the environment and how it affects the body through the five senses. Damaged nerves, or neuropathy, can lead to an array of physical problems and disabilities anywhere in the body, but nerve and circulation symptoms often show in the feet (and lower legs) first. Annoying and painful symptoms can occur when the brain can't successfully send messages to the feet. Common complaints are; numbness, tingling, pain and other strange sensations. But the even greater threat posed by diabetic neuropathy happens when the feet can't send information to the brain because they've become numb from overexposure to blood sugar. With neuropathy, cuts, bumps, and other injuries that once would have made you wince or howl in pain will go unnoticed when your feet lose their feeling. An injury neglected because you are unable to feel it can quickly become infected and develop into a sore or ulcer. Diabetes can also cause poor blood circulation. Like the heart's arteries, blood vessels anywhere else in the body can become stiff and narrowed. In fact, 1 in 3 people with diabetes who are older than 50 has clogged arteries in the legs, a condition known as peripheral artery disease, also called peripheral vascular disease. Narrowed arteries diminish blood flow to the lower legs and feet, which can cause pain if you're walking long distances. Poor blood supply also makes the skin dry and fragile and the nails thicker. The loss of blood flow to the feet can prevent wounds and sores from getting the oxygen and nutrients they need to heal. So while occasional bumps, blisters, or cuts are trivial medical concerns for most people, for diabetes patients these minor injuries can turn serious in a hurry. Left ignored and untreated, minor sores on the skin of the foot can turn into severe problems with potentially devastating consequences - namely, ulcers, gangrene and amputation. The Canadian Diabetes Association recommends everyone with diabetes has a foot assessment yearly. Your family doctor, endocrinologist or foot specialist may do this. If you have not had the circulation and sensation in your feet checked in the last year, make sure you ask for this at your doctor’s office, or call us at Body and Sole to make an appointment for Diabetes Foot Screening. Our services are covered by most extended health plans. Your first visit will include a full assessment and any treatment needed. We will also advise you on foot care and footwear. Call for an appointment, 613 258 5508.

Blister Prevention - Let's Talk Socks!

Sweaty Socks: Research Finds Some Socks Better than Others Findings could help athletes and diabetics Contact: Jennifer Faddis Sr. Information Specialist 573-882-6217 faddisj@missouri.edu COLUMBIA, Mo. - A painful blister is often the by-product of a sweaty sock. But, that is not the only reason a team of University of Missouri-Columbia biological engineering students decided to put athletic socks to the test to find out what constitutes a good sock versus a bad one. Knowing which socks are best could be meaningful information for diabetics with serious circulation problems and people who wear prosthetic devices. The team started by developing a device to test 10 popular brands of athletic socks. The testing device uses a stepper motor to tilt a Plexiglas form that holds the sock material against a platform at a set pressure. The device calculates the point at which the material slips against the platform, which reveals its coefficient of friction (COF). Blisters are more likely to develop the higher the COF where the sock and shoe meet. Moisture makes the problem worse; that's why tests were conducted in a humidity chamber. "We found that 100 percent cotton socks were usually the worst especially when a person started to sweat," said Robert Mooney, MU biological engineering student. The team also found that money doesn't matter. The higher priced socks did not test any better than the inexpensive brands. The material that composed the sock is the key. All cotton performed poorly while nylon faired much better. The benefits of the research are not aimed solely at athletes. The students said the research can help diabetics and those who wear prosthetic devises. The team is hopeful their device could help develop standards for use in sock manufacturing. "This is about helping diabetics who have circulation problems and figuring out where they need specific materials in their socks," said Lisa Huhman, biological engineering student at Mizzou. "We find out where diabetics have skin trauma and target those areas. This isn't just about helping athletes prevent blisters." "If I were a jogger or a runner looking for a pair of socks, I would look for a pair that had different compositions of materials in different parts of the sock," Huhman said. "I would not want a sock that was overall cotton. I might look for a sock that had some of those synthetic materials that were proven to be better." On the Net: University of Missouri

Orthotics for Heel Pain: Why They Don’t Always Work Heel pain is a common foot problem which may be mild to severe. Although it is not a threat to health, people who suffer from severe heel pain may not be able to work, exercise or enjoy life because of this disabling condition. The pain typically develops gradually with no evidence of injury in the affected area. In most cases, the pain is felt under the foot, towards the front part of the heel, although some people experience the pain in the center of the heel pad or just behind the heel, where the Achilles tendon attaches to the heel bone. Heel pain is the most common symptom of a condition called plantar fasciitis. The base of the foot is supported by a thick ligament called the plantar fascia, which lies just beneath the skin and extends from the heel to the front part of the foot. The plantar fascia also supports the bones and tissues, which make up the inner arch of the foot. When this ligament is repeatedly strained and damaged, inflammation and pain develop, and the condition is known as plantar fasciitis. It commonly manifests as heel pain which usually gets worse in the morning or when getting up to walk after sitting or driving for a while. What Causes Heel Pain? There are many factors which can cause heel pain. As mentioned above, this symptom is most commonly associated with plantar fasciitis. Faulty foot mechanics are the most common cause of heel pain and plantar fasciitis. Factors that can cause pain and inflammation of the plantar fascia include: • Flat feet – when the arch of the foot collapses the foot is noted to look flat, and this stretches the plantar fascia, causing strain and pulling on the insertion of the ligament on the heel. • Over pronation – when walking, one’s weight usually shifts from the outer to the inner side of the foot, then back to the outer side (normal pronation). When one over pronates the foot, the weight stays in the inner side of the foot, causing excessive strain on the plantar fascia. • Tight calf muscles – weakness and tightness of the calf muscle (the muscle at the back of the leg) can make it difficult for one to bend the foot towards the shin. • Achilles tendon tear or rupture or frequent ankle sprains in the past • Wearing incorrect shoes that have soft soles and provide poor arch support • Nerve problems of the leg and foot • Fracture of the heel bone • Being overweight • Excessive activity involving running and walking or prolonged standing on hard surfaces • Other less common disease conditions like rheumatoid arthritis, gout, psoriasis, osteomyelitis, heel bone fracture What are Foot Orthotics? Orthotic foot devices (orthoses) are the mainstay of conservative treatment for people with plantar fasciitis. These may consist of custom-made or prefabricated (off the shelf) devices that are designed to correct faulty foot mechanics such as the abnormal pronation that causes stress on the plantar fascia. An example of these is a flexible orthotic device with a heel cushion which can disperse some of the pressure placed on one’s weight upon the heel while maintaining support for subsequent propulsion. Prescription orthotic devices usually provide long-term pain relief by reducing excessive stress on the plantar fascia. Studies have shown that foot orthoses can also reduce the collapse of the medial foot arch and reduce the elongation of the foot when it over pronates. To create prescription orthoses, a chiropodist/podiatrist or orthopedic surgeon performs a thorough biomechanical examination, which includes checking the range of motion of the foot joints and assessing the forefoot-to-rearfoot link to be able to correct biomechanical abnormalities. This is followed by proper casting (taking an impression) of the foot to capture the foot deformity and provide biomechanical support. Why Orthotics Don’t Work on All Plantar Fasciitis and Heel Pain Foot orthotics address only the abnormal biomechanical component of the foot. However, in some patients, there are other factors which may contribute to plantar fasciitis and heel pain which may not be corrected by prescription orthoses. For instance, calf muscle tightness which pulls on the heel can cause stress on the plantar fascia, causing pain which cannot be corrected by orthotic devices alone. Other factors like excessive foot pronation caused by obesity may not be completely corrected by the use of insoles. Heel fracture, nerve entrapment problems, and other diseases conditions like arthritis may need additional treatment, and using orthotic devices alone may lead to poor results. Another reason why orthotics may not work is that one may not be using the type of orthoses suitable for one’s physical and functional characteristics. There are three types of foot orthotics - rigid, semi-rigid, and soft orthoses. Rigid orthotics are made of firm material such as plastic and they must fit snugly to control the feet’s function and to correct anatomical abnormalities which may be causing the pain. Semi-rigid orthotics are made of both soft and hard materials which provide layered support and allow for balance while moving rapidly or playing sports. They are commonly used by athletes. They are also good for people who do not tolerate rigid orthotics, and active people with arthritis. Soft orthotics are typically available in the form of shoe inserts designed to reduce pressure and shock, making walking more comfortable. These are useful for people who spend long hours standing, people with diabetes or obese individuals, and those who suffer from arthritis. Management of Plantar Fasciitis To be able to provide adequate treatment for heel pain secondary to plantar fasciitis, a clear diagnosis must be made and the precipitating factors must be identified. Diagnosis A clinician typically assesses a patient with heel pain by doing a thorough medical history and physical examination with emphasis on the heel and plantar fascia. Findings of a pronated foot architecture and localized swelling of the heel indicate plantar fasciitis. Additional tests to assess function of the foot may be done, such as range of motion tests, tarsal tunnel syndrome test, windless test, and examination of the longitudinal arch angle. Radiographic (X-Ray) examinations are not necessary to diagnose plantar fasciitis although they may be useful ruling out other conditions such as fractures or arthritis, if the clinician is in doubt. In addition, other forms of assessment may be done to evaluate contributing factors that bring about the patient’s symptoms, such as measurement of BMI, tests for diabetes, arthritis, gout, nerve disorders, calf muscle weakness, heel fracture, and others. These factors must be properly addressed to reduce the risk of heel pain and to allow other forms of treatment to work. Treatment Heel pain may range from mild to severe, and foot experts use a tiered management plan in choosing treatment options for plantar fasciitis based on clinical research. Initial forms of therapy typically involve patient-directed treatment options like: • Rest, limiting activities • Stretching exercises for the calf muscles • Avoiding flat shoes and avoiding walking barefoot • Weight loss • Oral or topical anti-inflammatory drugs • Using prefabricated over-the-counter arch support or heel cups • Padding and taping • Laser therapy combined with home physical therapy • Wearing good quality shoes If results with these treatments are unsatisfactory after 6 weeks, clinicians may prescribe: • Night splints – usually prescribed for patients who experience heel pain for more than 6 months • Custom orthotic devices to provide reduction in pain and improvement of function. • Corticosteroid injections • Prescribed physical therapy If these treatments or combinations of therapy still fail to relieve the patient’s symptoms after 6 months, shock-wave therapy may be indicated. Rarely, surgery may be considered to correct anatomical abnormalities. Surgical procedures may involve removal of bone spurs, plantar fascia release, or calf muscle lengthening among others. Unfortunately there is no “quick-fix” for plantar fasciitis. It has been developing over years with stresses from activities and footwear along with individual body mis-alignments. Nor is there a “one size fits all “solution. Everyone is different in how they respond to therapies. To get the best results, is important to comply with the footwear advice, exercises and activity modification suggested by your chiropodist/podiatrist; try to lose weight if you need to and wear your prescribed insoles or orthotics as much as possible. Sometimes the main problem is length of time spent on the feet or activities. If this is work related, it may be difficult to change and lead to a slower healing rate. Similarly, if there is a biomechanical imbalance is due to past injury, deformity or nerve compression, orthotics and other local therapies may have only limited success. There are never any guarantees with the human body! If you have had orthotics in the past and they have not helped, talk to your chiropodist/podiatrist, it may be that they were too rigid/too soft, needed modification, or were not combined with good footwear, exercises and other therapies necessary.

Winter Foot Care Though many of us don’t want to think about winter coming, it is good to be prepared with good footwear and foot care habits to keep our feet healthy through the winter. The stores are now full of winter gear, so it’s a good time to shop for the best selection. In particular, kids boots tend to sell out quickly, so now is the time to ensure you find well-fitting, warm boots for your children. Here are some other foot health tips for the winter season:  Winter is skating, skiing and snowboarding season, activities enjoyed by many Canadians. Never ski or snowboard in footwear other than ski boots specifically designed for that purpose. Make sure your boots fit properly; you should be able to wiggle your toes, but the boots should immobilize (grip snugly) the heel, instep, and ball of your foot. You can use orthotics (support devices that go inside shoes) to help control the foot's movement inside ski boots or ice skates. Supportive insoles are particularly helpful for novice skaters who tend to roll in at the ankle. Your foot specialist can advise you of the best insole or orthotic for you.  Committed runners don't need to let the cold stop them. A variety of warm, light-weight, moisture-wicking active wear is available at most running or sporting goods stores helps ensure runners stay warm and dry in bitter temperatures. However, some runners may compensate for icy conditions by altering how their foot strikes the ground, which can lead to injury. Instead of changing your foot-strike pattern, shorten your stride to help maintain stability. And remember, it's more important than ever to warm up and stretch before you begin your run. Cold weather can make you less flexible in winter than you are in summer, so it's important to warm muscles up before running.  Boots are must-have footwear in winter climates, especially when dealing with winter precipitation. Between the waterproof material of the boots themselves and the warm socks you wear to keep toes toasty, you may find your feet sweat a lot if you are active out-doors. Damp, sweaty feet can chill more easily and are more prone to bacterial infections, chillblaines and frost bite. If your feet do tend to sweat inside boots, try to keep feet clean and dry, change socks daily and consider using moisture wicking socks next to the skin and an outer insulating sock. If you sweat excessively your foot specialist can give you some tips and suggest a medication to use on a daily or weekly basis.  Be size smart. It may be tempting to buy pricey specialty footwear (like winter boots or ski boots) for kids in a slightly larger size, thinking they'll be able to get two seasons of wear out of them. But unlike coats that kids can grow into, footwear needs to fit properly right away. Properly fitted skates and boots can help prevent blisters, chafing, and ankle or foot injuries. Likewise, if socks are too small, they can force toes to bunch together, and that friction can cause painful blisters or corns.  Be careful about choosing footwear with good grip on the sole. A slippery sole or high heel can cause a disastrous fall on ice or new snow. Finally—and although this one seems like it should go without saying, it bears spelling out—don't try to tip-toe through winter snow, ice, and cold temperatures in summer-appropriate footwear. Exposing feet to extreme temperatures means risking frostbite and injury. Choose winter footwear that will keep your feet warm, dry, and well-supported. If you have any foot health issues, call Body and Sole for an appointment 613 258 5508. Our Foot Specialists can advise and treat all your foot care problems. We are conveniently located at 212 van Buren in Kemptville.

Recent Article in the North grenville Times!

Putting their best foot forward Body and Sole Foot Care Clinic reopened last week after a short break for their renovation project. The clinic has expanded to include an additional treatment room. The new room facilitates 25% more appointment openings each week accommodating the growing foot traffic in our community. Both Body and Sole's Chiropodists, Melanie Atkinson and Brian Woo will be increasing their hours and taking on new patients starting in September. "We are delighted to have also added an additional receptionist position to support our expanded clinical hours", says Melanie Atkinson, Body and Sole's founding Chiropodist, "We were impressed by the quality of candidates CSE consulting were able to match us with. Now as well as Nancy's familiar face, our patients will often be greeted by Tina's welcoming smile." Body and Sole have been providing professional foot care and orthotics in North Grenville for five years. Services at the clinic include ingrown toe nail surgery, custom made foot orthotics, diabetes foot assessments and laser therapy along with care of common foot issues such as callus, nail problems, fungus and warts. In addition to professional foot care services, Body and Sole carries a variety of foot care products from cracked heel cream to orthopedic shoes. Chiropodist services are covered by most extended health care plans. New patients can self refer, no doctor's note needed. Don't let embarrassing foot problems or foot pain slow you down, relief is only steps away in Old Town Kemptville! Just call for an appointment 613 258 5508 or stop by the clinic at 212 van Buren street. David Steen - Freelance Journalist