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An Overview of the Painful Geriatric Foot

Oksana Davidovich, BSc, DCh (Chiropodist), Private Practice, Davisville Foot Clinic; President, Ontario Society of Chiropodists, Toronto, ON.

The incidence of foot problems increases with age, and may impair mobility and interfere with independent living. Although most podiatric conditions may be treated effectively with conservative measures by a chiropodist or podiatrist, older patients are often reluctant to report foot problems to their physician. Common structural foot ailments in the older population include digital deformities, metatarsalgia and heel pain. Skin and nail conditions also are prevalent, such as fungal or ingrown toenails, as well as corns and calluses. Given that osteoarthritic joint changes in the lower extremities may compromise gait and stability, foot orthoses and footwear have the potential to improve foot function.
Key words: chiropodist, podiatric, footwear, foot problems, gait.