Warts or verrucae are a commonly occurring skin problem. They most commonly occur on the hands and on the feet and can be painful on the feet as you walk on them. There are many different treatments for them, with various success rates for them. The problem with research on warts is that they tend to get better eventually on their own, so it can not be very clear if the treatment worked or was the treatment applied just as the wart was about to get better. This also mean that there are many myths of treatments. One of these is the use of duct tape to treat warts. The evidence is clear that it does not work, yet many use it and advocate it.
Diabetes is becoming a significant burden on society in terms of the health care costs and given the obesity epidemic it is only going to get worse. Diabetes had many manifestations that contribute to this burden ranging from increased risk for strokes and heart disease, kidney problems, eye problems and of course, problems with the feet. The problems with the feet occur for a number of different reason. One is the poor circulation to the foot tat leads to a number of different healing problems. Another is that the nerve supply is affected by the diabetes ad this means that when a problem develops in the foot, there is no pain so even more damage gets done to the foot. There are also limitations on the immune system so this affects healing when a problem does develop. Those with diabetes do need to take special care of their feet, firstly to prevent any problems developing and secondly, getting prompt treatment once a problem does develop.
The most common cause of pain on the outside or lateral side of the foot is a condition usually called cuboid syndrome. The cuboid is a bone that is about half way down the outside of the foot and acts as a pulley for the tendon of a large muscle on the outside of the leg. As this tendon passes under the bone, the bone is going to have to be very stable to act as the pulley. If the bone is not stable and moves when this pulley passes around it, then the ligaments of the joints around the bone are going to get strained, resulting in the condition of cuboid syndrome. The treatment for this condition usually involves some rest and strapping to help prevent the joint moving as much. Often a manipulation can be helpful to mobilize the joint and reduce any subluxation. Sometimes foot orthotics are useful.
Overpronation or excessive pronation can be a problem that leads to a range of problems, especially in athletes. Overpronation occurs when the ankle collapses inward and the arch of the foot flattens. This creates alignment and weight bearing problems that can be painful if combined with higher levels of sports activity. There are many different causes of this problem and many different treatments. The treatment has to match the cause. The treatment might involve a change in running technique; exercises for muscle retraining; foot orthotics or other forms of rehabilitation. The important thing is note about ‘overpronation’ is that there is so much nonsense written about it online that you need to be careful (see this for a good understanding and this about the problem of the myths).
