Preventing Falls: A podiatrist’s guide to stayng steady on your feet

This month is April Falls Month - an annual campaign to raise awareness about the impact of falls and to promote the best practice fall prevention strategies. As health professionals we want to keep you upright, active, and enjoying life.  You can find more information on the website linked above particularly regarding balance exercises. 

Falls are one of the leading causes of injury among older adults, often resulting in fractures, hospitalisation, and a loss of confidence in mobility. At Umina Podiatry, we understand the vital role that foot health plays in maintaining balance, stability, and overall wellbeing. Here’s how you can reduce your risk of falls and keep moving with confidence.

Understanding the Risk Factors

Falls don’t just happen—they are often the result of multiple contributing factors. Some common risk factors include:

  • Foot Pain and Deformities – Conditions like bunions, hammertoes, or arthritis can affect stability.
  • Weak Muscles and Poor Balance – Reduced strength in the legs (particularly the quadriceps) and feet can lead to instability.
  • Footwear Choices – Ill-fitting or unsupportive shoes can increase the likelihood of tripping.
  • Peripheral Neuropathy – Loss of sensation in the feet due to diabetes or nerve damage can make it harder to detect uneven surfaces.
  • Environmental Hazards – Slippery floors, loose rugs, or poor lighting can contribute to falls.

Our Role in Falls Prevention

As podiatrists, we assess foot health, biomechanics, and gait patterns to help reduce fall risks. Here are some proactive steps we recommend:

1. Footwear Assessment

Choosing the right footwear is crucial. We advise wearing shoes that:

  • Have a firm, non-slip sole
  • Offer adequate arch and ankle support
  • Fit well with a roomy toe box
  • Have a secure fastening (laces, Velcro, or buckles) to keep the foot stable

2. Gait Analysis & Balance Training

Using advanced tools like our Zebris gait analysis treadmill, we can assess walking patterns and balance, identifying any abnormalities that may contribute to instability. Based on the findings, we may recommend:

  • Strength and balance exercises
  • Orthotics for better foot alignment
  • Physiotherapy or exercise programs tailored to improve mobility

3. Managing Foot Pain and Conditions

Painful foot conditions can make it difficult to walk properly, leading to compensatory movements that affect balance. Regular podiatry check-ups can help manage:

  • Corns, calluses, and thickened nails
  • Heel pain or plantar fasciitis
  • Arthritis-related discomfort

4. Addressing Peripheral Neuropathy

For those with diabetes or nerve damage, regular foot health checks are essential. We offer:

  • Sensory testing to assess nerve function
  • Education on proper foot care to prevent complications
  • Advice on protective footwear to reduce injury risks

Additional Tips to Reduce Fall Risks at Home

Beyond podiatry care, there are several simple adjustments you can make in your home to improve safety:

  • Remove clutter and secure rugs to prevent tripping hazards
  • Install grab rails in bathrooms and near stairs
  • Ensure adequate lighting in hallways and entrances
  • Use non-slip mats in wet areas like the bathroom and kitchen

It is also greatly beneficial to participate in a low impact exercise such as tai chi, pickle ball or table tennis, which improves lower body and leg strength, helping to improve balance. You can find local exercise classes through the NSW Active and Healthy website. You can reach out to your local sporting clubs, as many offer programs or sessions that are aimed at over 60s.  

 

Stay on Your Feet with Umina Podiatry

Falls can significantly impact independence and quality of life, but with proactive foot care, appropriate footwear, and a safer environment, the risk can be greatly reduced. If you’re concerned about your balance or foot health, book an appointment online with Umina Podiatry today or call us on (02) 4342 2878. Let’s work together to keep you steady, confident, and walking on air!

Where can healthy feet take you...

Can I Treat an Ingrown Toenail at Home?

If symptoms are very mild, you may be able to:

  • Soak the foot in warm salt water
  • Keep the area clean and dry
  • Wear wider footwear
  • Avoid digging at the nail with scissors or sharp tools

However, attempting "bathroom surgery" often makes the problem worse and can introduce infection.

If pain, swelling, or infection is present, professional treatment is recommended.

 

Frequently Asked Questions About Ingrown Toenails

1. Will an ingrown toenail go away on its own?

Sometimes a very mild ingrown toenail may settle with proper nail care and reduced pressure. However, many cases progressively worsen without treatment.

2. What does an ingrown toenail feel like?

Most people experience tenderness along the side of the nail, especially when wearing shoes, walking, or touching the area.

3. How do I know if my toenail is ingrown?

Common signs include pain along the nail edge, redness, swelling, and a sensation that the nail is digging into the skin.

4. Can children get ingrown toenails?

Yes. Ingrown toenails are common in teenagers and children, particularly during growth spurts or when nails are cut incorrectly.

5. Why does my ingrown toenail keep coming back?

Recurring cases are often linked to nail shape, genetics, footwear, sporting activity, or incomplete treatment of previous episodes.

6. Is ingrown toenail surgery painful?

The procedure itself is usually comfortable because a local anaesthetic is used. Most people experience only mild discomfort afterwards.

7. How long does recovery take after nail surgery?

Most patients return to normal daily activities within a few days, although complete healing typically takes several weeks.

8. Can I still work after ingrown toenail treatment?

Many patients return to desk-based work the same day or the following day. Physically demanding jobs may require a short recovery period.

9. Can I play sport with an ingrown toenail?

Mild cases may allow continued participation, but painful or infected nails often worsen with sporting activity.

10. Are ingrown toenails hereditary?

Yes. Curved nails and certain toe shapes can run in families and increase the likelihood of ingrown toenails.

11. What is the best way to cut toenails?

Trim nails straight across and avoid rounding the corners. Nails should not be cut excessively short.

12. Can tight shoes cause ingrown toenails?

Absolutely. Footwear that compresses the toes is a major contributing factor.

13. Can ingrown toenails become infected?

Yes. Broken skin around the nail creates an opening for bacteria to enter.

14. What happens if an infected ingrown toenail is left untreated?

The infection can spread into surrounding tissue and, in rare cases, cause more significant health issues.

15. Are antibiotics enough to fix an ingrown toenail?

Antibiotics may help manage infection but often do not address the actual nail causing the problem.

16. Can diabetics get ingrown toenails?

Yes, and they should seek treatment promptly due to the increased risk of complications.

17. Does soaking help an ingrown toenail?

Warm salt-water soaks may provide temporary relief and help keep the area clean but are not always a definitive treatment.

18. Why do teenagers get so many ingrown toenails?

Teenagers often experience increased sweating, changes in nail growth, sporting demands, and footwear pressures that contribute to ingrown toenails.

19. Can pregnancy increase the risk of ingrown toenails?

Pregnancy-related swelling and difficulty reaching the feet for nail care can increase the likelihood of developing ingrown toenails.

20. How successful is permanent ingrown toenail surgery?

Permanent nail procedures generally have very high success rates and are considered the gold standard for recurrent ingrown toenails.

21. Can I pull out the ingrown section myself?

This is not recommended. Attempting self-treatment frequently worsens pain, infection, and tissue damage.

22. How long should I wait before seeing a podiatrist?

If symptoms persist for more than a few days, are becoming worse, or show signs of infection, book an appointment promptly.

23. Will I lose my whole toenail?

Not usually. Most procedures remove only the problematic edge rather than the entire nail.

24. Can ingrown toenails affect both sides of the nail?

Yes. Some people develop ingrowing on both borders of the same toenail.

25. How can I prevent ingrown toenails?

Prevention strategies include:

  • Cutting nails straight across
  • Wearing properly fitted footwear
  • Managing sweaty feet
  • Avoiding trauma to the toes
  • Seeking early treatment when symptoms develop

 

Don't ignore a painful toenail

Don't let a painful ingrown toenail stop you from enjoying your daily activities. The earlier an ingrown toenail is assessed and treated, the easier it is to relieve discomfort, prevent infection, and avoid ongoing problems. Whether you're experiencing your first ingrown toenail or you're struggling with a recurring issue, professional podiatry care can provide effective, long-term solutions tailored to your needs.

If you have pain, redness, swelling, or signs of infection, contact Umina Podiatry today to book an assessment. Our experienced podiatrists can help you find relief quickly and keep your feet healthy, comfortable, and pain-free. Call our clinic or book online to take the first step toward lasting ingrown toenail relief.

 

 

Call us on 4342 2878 or jump online to book an assessment. 

 

Where can healthy feet take you...