to foot h
Produced by Galderma UK Limited as a service to medicine
More and more of us are joining the gym
or taking up running. But do we ever stop
Common foot troubles 4 to think what all this might be doing to our
feet? When we run, our body weight is tripled,
Focusing in 6 with our feet bearing most of this stress.
An 11 stone man processes an estimated
112 tons of weight through each limb per mile.
Nailing the problem 7
The demands made on your feet and lower
limbs can lead to a range of injuries,
Checking your feet out 8
including bunions, corns,
calluses, fungal infections,
Top tips for treatment 8 joint, tendon and muscle
problems. Poor technique
Keeping fungal free 10 footwear can all lead
to a long list of
Choosing the right footwear 12 largely preventable
Where to get advice 14 This guide from the
Curanail fungal nail
experts, has been
written to give you
general advice on
how best to look
after your feet,
including top tips
on the right
how to get
for your feet.
The big toe joint becomes angled to
the outside of the foot, causing the
bone to stick out.
Bunions can be a hereditary condition
FUNGAL NAIL INFECTION or may be the result of wearing tight,
pointy-toed or high-heeled shoes.
WHAT HOW TO TREAT
Thick, brittle or discoloured nails. Experts advise against surgery unless
WHY the bunion is very painful. Otherwise,
Ill fitting or inappropriate shoes can get shoes that fit well, or try protective INGROWN TOENAIL
damage the toenail, making it easier bunion cushions.
for the fungus to take hold. WHAT
HOW TO TREAT The toenail digs into the flesh of the
Seek advice from your pharmacist toe around it, possibly causing
or GP You can buy Curanail 5% Nail infection.
Lacquer, the only once-weekly treatment WHY
for mild fungal nail infections in up to Cutting toe nails incorrectly or wearing
two nails available from the pharmacy. shoes that are too small can cause
ingrown toe nails.
HOW TO TREAT
See a podiatrist if toes become red
or inflamed and painful. Otherwise
cut nails in a straight line, soak feet
and apply antiseptic.
ARCH AND HEEL PAIN
Inflammation and burning pain at the
arch or heel of the foot. ACHILLES TENDONITIS
Wearing shoes that offer little support, WHAT
sports-related injury or trauma, weight An inflammation of the Achilles tendon
gain and tightness of leg muscles. - the tendon on the back of your calf.
ATHLETE’S FOOT HOW TO TREAT WHY
Surgery for extreme cases. Stretching Pain in the Achilles tendon is common
WHAT exercises, orthotics and arch supports, in distance runners and is caused by
Red, dry flaking skin between the toes cortisone injections and physical overuse, from running or other weight-
or on the sides of the feet that may therapy can help. bearing sports with repetitive motion.
blister or crack and become very sore. HOW TO TREAT
WHY Take anti-inflammatory medication,
Sweaty trainers and warm damp floors ice your calf, try physiotherapy and
are a breeding ground for this highly rest from activity. Stretching, massage,
contagious fungus. Wear flip-flops in heel pads and shoe inserts may help.
communal changing areas to avoid Surgery is a last resort.
picking up the infection.
HOW TO TREAT
Seek advice on treatment options from
your pharmacist or GP .
Over a million people are estimated to have a fungal Anyone can get a fungal nail infection, but you may
nail infection and it is the most prevalent nail disease be more likely to get one if you:
in the UK. People who have athlete’s foot are more
I Belong to the gym, run, swim or play other
likely to have a fungal nail infection, as the fungus
sports and walk barefoot around communal
can easily spread from the feet to the nails.
sports areas, such as the gym
I Have athlete’s foot (over 90% of fungal nail
“The infection that causes athlete’s foot and fungal infections are caused by the same fungus as
nails loves warm, damp places, so sweaty shoes and athlete’s foot which makes the skin between
trainers are the ideal breeding ground,” your toes itchy and sometimes blistered)
“The more serious problem is that of the athlete’s I Are a smoker
foot infection spreading to the toenails. This is very
I Have a job where your hands or feet are often
common, especially in those undertaking long
in damp, warm or moist conditions ideal for
distance running. Damage to the nails may leave
the growth of micro-organisms, such as
them susceptible to becoming infected with the
washing dishes or lifeguarding
surrounding athlete’s foot, turning the nail
a brownish yellow colour. If not treated this may I Are older since prevalence increases with age
spread to other nails.” I Have injured your toe nails through sport or
Michael O’Neill, podiatric surgeon, Princess Margaret an accident
Hospital, Windsor and member of the
national executive of the Society of
Chiropodists and Podiatrists.
Fungal nail infections are more common in toenails “I’ve always had ugly toe nails and just thought it
than in fingernails. They are often painful and almost was part of having trouble getting shoes or trainers
always unsightly. They can also be rather embarrassing that fit properly,” explains Steve Quirke, 39, a TV
and, if left untreated, can spread to other nails. Marketing Executive from London. “I ignored it for
years, but then when it started to hurt, my girlfriend
You may have a fungal nail infection if you have: suggested I try Curanail. I’ve got healthy regrowth
for the first time in years, but I’m going to keep going
I White, yellow or brown nails to make sure it’s completely gone.”
I Thickening, scaliness and a build up of debris Curanail has a minimal risk of side effects and
under the nail has no known interactions with other medicines.
I Distorted, brittle, or crumbly nails It cannot be used in pregnant and breastfeeding
women, those under 18 and those with known
hypersensitivity to any of the ingredients. Do not
Fungal nail infections can hurt and affect your
use Curanail with nail varnish as it may affect the
exercise regime, so it’s worth getting straight
penetration of the product and how well it works.
down to your pharmacist to get it checked out.
People with diabetes, circulatory problems,
psoriasis, severely damaged or infected nails, and
those taking immunosuppressants, should talk to
The most likely adverse effect is a
slight temporary burning sensation around
Curanail is an effective once-weekly treatment for the nails after the lacquer has been
mild fungal nail infection in up to two nails. It’s applied, which soon wears off.
available from your pharmacy, although you may
need to see your doctor. This treatment contains the
active ingredient amorolfine, an effective antifungal
agent previously only available on prescription.
Curanail comes in a nail lacquer (like a nail varnish)
that only needs to be applied once a week. Keep
reapplying the lacquer to the affected nails once
weekly until the fungal-infected areas have
regenerated and healthy nails have grown back
(approximately six months for finger nails and nine
to twelve months for toe nails.) Always read the label.
Play it safe:
Never expose your bare feet to changing room Choose the right shoes and trainers
floors and showers – wear flip flops at all times for the job – bruising your toes from
wearing ill-fitting or poorly designed
shoes makes it much easier for the fungus
to get under the nail and take hold
Bring your own equipment – use your towel and
Let your trainers dry out between sessions,
Always dry your feet thoroughly, especially but don’t put them in the washing machine
between the toes – it can ruin the structural support
Cut your toenails straight across and use a
different pair of scissors on infected nails Get your fungal infection treated, to avoid
it spreading to other people or other parts
of your body
Take your shoes and socks off when you’re
at home to let air get to your feet and wear
cotton socks and leather shoes that allow your
feet to breathe
The Physiotherapy Association of Great Britain Top tips when
estimates that 85% of us wear the wrong shoes. In choosing trainers
a survey from YouGov and Curanail, up to a third of
I Trainers should feel
people admit to going for style over substance when
snug but not tight,
it comes to choosing trainers with:
fitting closely round
I 30% saying they go for designer trainers the instep without
every time excessive up-and-
I Just 3% taking specialist advice down movement at
the heel. There should
I Fewer than one in ten (9%) choosing trainers be a space at the tip of
designed for their specialist sport the shoe enabling you to
I One in five always going for the press your thumb into the
cheapest option gap when standing
“It’s almost been accepted that runners will have bad I Get advice from a specialist sports shop
toes – it’s almost a badge of honour,” explains Steve as it’s important to assess how your feet hit
Seaton, editor of Runner’s World. “Obviously wearing the ground; if your foot rolls too far inwards
shoes that fit can avoid toe damage, but I don’t think after the heel strikes you need a shoe with
people pay enough attention to the top of the box of some rigidity, whereas if it doesn’t move so
the shoe when choosing trainers. We also forget how much you need a shoe with lots of cushioning
much the foot expands so we really should buy a size I Running shoes should be light, breathable
up from normal shoes.” and flexible – perfect for moving forward
Dipika Smith, Manager of Run and Become, Victoria, at high speeds, reducing the amount of work
London, adds, “We get people who come to our required from the foot and lower leg muscles
store to run up and down outside so we can work I Sports like tennis, squash or basketball
out how their foot strikes the ground before we require stiffer, more supportive uppers
recommend which trainers to try. We’ll also bring and sturdier soles to cope with the rapid
out lots of different brands – what works for one side-to-side movements
person may not work for another and they are
all subtly different.”
The only once-weekly
treatment for mild fungal nail
Podiatrists are also known as chiropodists and
infections in up to two nails.
are experts in preventing or correcting deformities,
relieving pain, treating infections and can provide
expert advice on footwear. Available from your pharmacist.
See your GP for a referral on the NHS or go to the
Society of Chiropodists and Podiatrists website
to find a private podiatrist and get more help and
Go to www.curanail.co.uk
for more information on
fungal nail infections.
Always read the label
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Further information is available at: www.curanail.co.uk
5% nail lacquer containing amorolfine; once-weekly treatment for mild fungal nail infections
Print code AMO/41/0107 March 2007 Always read the label.