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Fitting Shoes: DO NOT purchase a shoe based on the size you’ve always worn. There is no standard size for shoes (like size 8D with one manufacturer is different than another manufacturer). The shape of the foot should match the shape of the shoe. This can be measured by removing the insert of the shoe and tracing it onto a piece of paper. Then place your foot on the drawing of the insert and trace your foot. Compare the two tracings and see if the shape of the insert matches that of your foot, and if your foot fits within the boundaries of the insert. Montreal Podiatrist NDG Podiatry Clinic www.montrealfoot.com

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MELANOMA SKIN CANCER KNOW THE SIGNS, SAVE A LIFE LE MÉLANOME UNE FORME DE CANCER DE LA PEAU SAVOIR LE RECONNAÎTRE PEUT SAUVER UNE VIE

La Société canadienne du cancer révise ses recommandations de prudence

La Société canadienne du cancer révise ses recommandations de prudence au soleil 06 juin 2016 La Société canadienne du cancer publie ses recommandations révisées de prudence au soleil. Ces modifications sont le fruit d’une concertation entre plusieurs intervenants nationaux en matière de santé. En fait, il s’agit de la première fois en 20 ans qu’on établit un consensus au pays quant aux meilleures façons pour les Canadiens de se protéger du soleil. La publication de ces nouvelles recommandations coïncide avec la Semaine nationale de la prudence au soleil. Bien que le mélanome, le plus mortel des cancers de la peau, soit également l’un des cancers les plus faciles à prévenir, les taux d’incidence de la maladie continuent à augmenter au Canada. Des enquêtes ont démontré que les Canadiens sont peu sensibilisés aux dangers du soleil et que leurs habitudes de protection sont déficientes. « Depuis des années, on entend différents messages à propos de la protection solaire, ce qui crée une certaine confusion dans l’esprit des Canadiens, déclare Robert Nuttall, directeur adjoint des politiques de santé à la Société canadienne du cancer. Pour améliorer les comportements en matière de protection solaire, il est essentiel de disposer de recommandations cohérentes. » Principales modifications apportées aux recommandations de prudence au soleil : - Savoir quand se couvrir : les Canadiens doivent redoubler de prudence pour protéger leur peau entre 11 h et 15 h (auparavant, la période était de 11 h à 16 h). Cette recommandation vaut lorsque l’indice UV atteint ou dépasse 3, ce qui est habituellement le cas entre avril et septembre au Canada. - Les vêtements protègent mieux : couvrez votre peau le plus possible en portant des vêtements faits d’un tissu serré ou anti-UV. Les vêtements offrent généralement une meilleure protection que les écrans solaires. - FPS supérieur : utilisez un écran doté d’un facteur de protection solaire (FPS) de 30 (auparavant, on conseillait un FPS de 15). Votre écran solaire devrait porter les mentions « large spectre » et « résistant à l’eau ». Clinique Podiatrique NDG NDG Podiatry Clinic Podiatre Montreal www.podiatrendg.com http://www.cancer.ca/fr-ca/about-us/for-media/media-releases/national/2016/sun-safety-recommendations/?region=on

Canadian Cancer Society

CANADA updated sun safety recommendations June 6 2016 Today, the Canadian Cancer Society is releasing updated sun safety recommendations. The updates come following collaboration with national health partners, marking the first time in 20 years that there has been a nationwide consensus on how Canadians should best protect themselves from the sun. The new recommendations coincide with National Sun Awareness Week. Rates of melanoma, the deadliest type of skin cancer, continue to rise in Canada even though it is one of the most preventable cancers. Surveys have shown that Canadians have low awareness of sun safety and poor sun safety behaviours. “There have been mixed messages on sun safety for years, which is confusing for Canadians,” says Robert Nuttall, assistant director of health policy at the Canadian Cancer Society. “Consistent sun safety recommendations are critical to improving sun safety behaviours.” Key updates to sun safety recommendations: - Peak times to cover up: Canadians need to be extra careful to protect their skin between 11 a.m. and 3 p.m. (previously it was between 11 a.m. and 4 p.m.). This is when the UV index is 3 or more, typically between April and September in Canada. - Clothing is better: cover up as much as possible with tightly woven or UV-protective labelled clothing. Clothes generally provide better protection than sunscreen. - Higher SPF: use a sunscreen with a minimum skin protection factor (SPF) of 30 (previously it was SPF 15). Sunscreen should be labelled “broad-spectrum” and “water resistant.” NDG Podiatry Clinic Podiatrist Montreal www.montrealfoot.com Read more: http://www.cancer.ca/en/about-us/for-media/media-releases/national/2016/sun-safety-recommendations/#ixzz4Ao2ZW0D4

Here's What Podiatrists Think About Your Crocs

You heard about Crocs? You have to understand that they are not good for all day long. They can be used for temporary activities, and especially for home use instead of slippers that might not be soft. Lot of house slippers do not provide adequate soft pad while patients are suffering from heel pain. You can use crocs, but not for prolongated times http://www.webmd.com/diabetes/features/crocs-healthy-shoes-just-comfy Les Crocs? Il faut comprendre que l'utilisation longue pendant toute la journée n'est pas conseillée. Les Crocs sont bons pour les personnes qui veulent remplacer leur pantoufles à la maison, personnes avec oedème excessif, et pieds très creux. Il faut comprendre que les crocs sont des souliers très moelleux et très doux. Pour les personnes souffrant de douleur de talon, il est bien de les porter à la maison, et pour les petites routines. Certainement mieux que pieds nus ou pantoufles qui souvent manquent de coussin. Vous devez consulter l'article ( en anglais) plus complet sur : http://m.huffpost.com/us/entry/us_574de531e4b02912b241081f… Ce que votre podiatre va déconseiller c'est de les porter toute la journée, et de remplacer vos souliers qui soutiennent vos pieds. Alors Crocs c'est bon, mais avec modération. Dr Dejan Radic, podiatre Clinique Podiatrique NDG ------- “Unfortunately Crocs are not suitable for all-day use,” Dr. Megan Leahy, a Chicago-based podiatrist with the Illinois Bone and Joint Institute, told HuffPost. While she granted that they “offer nice arch support,” she added that the real reason you shouldn’t wear them over long periods of time is that “these shoes do not adequately secure the heel. When the heel is unstable, toes tend to grip which can lead to tendinitis, worsening of toe deformities, nail problems, corns and calluses. The same thing can happen with flip flops or any backless shoes as the heel is not secured.” Dr. Alex Kor, the president of the American Academy of Podiatric Sports Medicine, told HuffPost that the most important feature in any shoe is the shank, the supportive structure between the heel and the toe. “Patients are more likely to have foot pain if their shoes bend in the shank,” said Kor. “The only two types of patients that may benefit from wearing Crocs are patients that have a very high arch or those who suffer from excessive edema of their legs and ankle,” Kor said. “But, under no circumstances can I suggest wearing Crocs 8 to 10 hours per day.” Leahy agreed, telling HuffPost that Crocs are “OK to use for trips to the beach or the pool, but should not be used for long walks. I do notice that children (and even adults) tend to trip and fall more in these shoes.” If you’re going to walk out with your Croc out, it’s best to do it in short intervals, lest you take a walk in Florida, where the Croc was born, trip into the marsh and fall into the mouth of a waiting crocodile, thus completing Mother Nature’s circle of life. --- Dr Dejan Radic, podiatrist NDG Podiatry Clinic Clinique Podiatrique NDG Montreal Podiatrist / Podiatre Montreal 514 564 2823 Www.montrealfoot.com http://m.huffpost.com/us/entry/us_574de531e4b02912b241081f http://www.webmd.com/diabetes/features/crocs-healthy-shoes-just-comfy

Why do I have shoe odor? What can I do to prevent shoe odor? How can I get rid of shoe odor? If you are asking yourself the same questions mentioned, talk to your podiatrist and during your visit, we might be able to help you. NDG Podiatry Clinic / Clinique Podiatrique NDG Montreal Podiatrist / Podiatre Montréal www.montrealfoot.com www.podiatrendg.com

MRSA Infections of the Foot

Staph Infections of the Foot Staphylococcus aureus is a type of bacteria that can be spread through the skin or open wound contact and is known to cause serious illness and infection if contracted. In recent years, certain types of staph bacteria, such as drug-resistant MRSA (methicillin-resistant Staphylococcus aureus), have become more common in high-traffic community areas such as pool decks, locker rooms and schools. Those walking barefoot and suffering from common, relatively minor foot problems such as cuts, cracks in the skin, athlete’s foot, eczema, ingrown toenails, puncture wounds or corns and calluses can be at higher risk for infection since these conditions can cause minor tears in the skin which can act as portals for the bacteria to enter the body. Podiatrists recommend simple steps to help prevent community-associated MRSA infections: • Wash and bandage cuts. • See a doctor within 24 hours for any puncture wound. • Never perform “bathroom surgeries” to cut or dig out an ingrown toenail. • Keep feet clean and dry to prevent fungal infections such as athlete’s foot. If you have a cut or scrape that becomes red or swollen and is not healing in a timely manner, don’t hesitate to see a podiatrist or a MD for an examination. Montreal Podiatrist / Podiatre Montreal NDG Podiatry Clinic / Clinique Podiatrique NDG www.montrealfoot.com source http://www.foothealthfacts.org/Content.aspx?id=2402

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Sesamoid Injuries in the Foot In the normal foot, the sesamoids are two pea-shaped bones located in the ball of the foot, beneath the big toe joint. Sesamoid injuries can involve the bones, tendons, and/or surrounding tissue in the joint. They are often associated with activities requiring increased pressure on the ball of the foot, such as running, basketball, football, golf, tennis, and ballet. In addition, people with high arches are at risk for developing sesamoid problems. Turf toe : This is an injury of the soft tissue surrounding the big toe joint. It usually occurs when the big toe joint is extended beyond its normal range. A fracture (break): in a sesamoid bone can be either acute or chronic. Sesamoiditis : This is an overuse injury involving chronic inflammation of the sesamoid bones and the tendons involved with those bones. Sesamoiditis is caused by increased pressure to the sesamoids. In diagnosing a sesamoid injury, a podiatrist or a MD will examine the foot, focusing on the big toe joint. By pressing on the big toe, move it up and down, and may assess the patient’s walking and evaluate the wear pattern on the patient’s shoes. X-rays are ordered, and in some cases, advanced imaging studies may be ordered. www.montrealfoot.com NDG Podiatry Clinic - Montreal Podiatrist source : http://www.foothealthfacts.org/footankleinfo/Sesamoid_Injuries.htm

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Sever’s Disease ? Is a common problem in growing children, occurs before the closing of the heel bone growth plate, during which time the Achilles tendon pulls on the heel bone and creates a shear force or stress on the growth plate, resulting in mild swelling and heel pain. It is a self-limiting conditionthat resolves when the growth plate closes. Podiatric care is necessary to protect the growing bone and to provide pain relief. A podiatric physician can recommend treatment options, which may include shoes with shock-absorbing heel cups, orthotics, anti-inflammatory medication, ice massage, and Achilles tendon stretching. NDG Podiatry Clinic - Montreal Podiatrist www.montrealfoot.com

Attending the conference : ACFAP at Tenya Loge @ Yosemite National Park American College of Foot and Ankle Pediatrics

Doctors not gellin' with custom orthotics claims from makers of Dr. Scholl's inserts

From Athletics to Arthritis: Osteoarthritis at 28

From Athletics to Arthritis: Osteoarthritis at Age 28 http://www.everydayhealth.com/columns/my-health-story/from-athletics-to-osteoarthritis/