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Most people wear conventional socks without giving much thought to what happens between their toes.

However, the spaces between our toes are one of the areas of the feet most likely to trap moisture, sweat and dead skin cells.

This is particularly common in hot climates such as Dubai, in people who sweat excessively, and in those whose toes are naturally positioned very close together.

At Dubai Podiatry Centre, we recommend considering five toe socks as a simple way to improve daily foot hygiene, particularly for patients who experience excessive moisture between their toes.

 

1. Why Is Hygiene Between the Toes So Important?

When toes are pressed together, the skin surfaces remain in constant contact.

During the day, perspiration can become trapped in these small spaces, particularly when wearing enclosed shoes for long periods.

This can create an environment where moisture accumulates, the skin becomes softened, and dead skin cells collect.

Warm, damp conditions encourage the growth of fungi and bacteria.

One of the most common infections affecting the spaces between the toes is athlete’s foot, also known as tinea pedis.

Symptoms can include itching, peeling skin, white softened skin, cracking, redness and an unpleasant odour.

Keeping the skin between the toes clean and dry is an important part of reducing the risk of these problems.

 

 

2. What Makes Toe Socks Different?

Unlike conventional socks, toe socks have five individual compartments, one for each toe.

This simple design creates a fabric barrier between neighbouring toes.

Rather than allowing the skin of one toe to remain pressed directly against the next, each toe is individually covered.

This can provide several benefits.

Improved moisture management

Moisture wicking toe socks can help absorb and move perspiration away from the skin between the toes

Reduced skin contact

The fabric separates neighbouring toes and reduces direct skin contact

Reduced friction

Individual toe compartments may help reduce rubbing between adjacent toes, particularly during walking, running and hiking

Improved hygiene

The fabric may collect some shed skin cells and moisture, which are then removed when the socks are taken off and washed

Greater comfort

For people with closely positioned toes, a correctly fitted toe sock can provide a comfortable barrier between the skin surfaces

The most important benefit is the potential to maintain a drier environment between the toes.

Although toe socks may help reduce moisture and friction, clinical evidence that they dramatically reduce fungal infection rates is limited. Good foot hygiene, properly fitting footwear and changing damp socks remain essential.

 

3. Toe Socks in Hot Weather

Living in a hot climate can make it particularly difficult to keep feet dry.

In Dubai, many people spend the day moving between hot outdoor temperatures and air conditioned indoor environments.

Feet can perspire inside enclosed shoes, particularly during walking, exercise or long working days.

For patients who experience excessive sweating, toe socks made from breathable, moisture wicking fabrics can be particularly useful.

By placing fabric between each toe, moisture can be absorbed and transferred away from the skin more effectively than when damp skin surfaces remain directly in contact.

However, socks must be changed when they become damp. No sock can keep the feet completely dry if perspiration is excessive.

 

4. Toe Socks and Athlete’s Foot

Athlete’s foot is a fungal infection that commonly develops between the fourth and fifth toes, although other spaces can also be affected.

Fungi thrive in warm, moist environments.

When toes remain pressed together, the skin between them can stay damp for prolonged periods.

Toe socks may help by reducing direct skin contact and managing moisture between the toes.

For patients who repeatedly develop athlete’s foot, we recommend paying particular attention to daily hygiene.

Wash your feet regularly, dry carefully between every toe, wear clean moisture wicking socks and allow shoes to dry between uses.

Toe socks can be part of this routine.

Important: Toe socks do not treat an existing fungal infection. If you have athlete’s foot, appropriate antifungal treatment may still be required.

 

5. Learning to Put On Toe Socks

One of the most common comments we hear is that toe socks take longer to put on than conventional socks.

This is completely normal.

With regular socks, you simply slide your foot inside.

With toe socks, each toe needs to be guided into its own compartment.

Initially, this can feel a little awkward.

However, after approximately two to four weeks of regular use, many people develop a technique that makes the process much easier.

It may take a minute rather than a few seconds, but the additional effort can be worthwhile for the comfort and hygiene benefits.

A useful technique is to sit comfortably, gather the sock towards the toe compartments, guide each toe into position and then pull the remaining fabric gently over the foot.

Make sure that the fabric is not tightly stretched between the toes.

 

6. Toe Socks Can Encourage Flexibility and Agility

There is another interesting benefit to putting on toe socks.

The process encourages you to bend comfortably towards your feet, coordinate your hands and toes, and maintain a degree of flexibility.

As we get older, maintaining the ability to reach our feet is important for personal hygiene, toenail care and independence.

If you notice that reaching your feet is becoming increasingly difficult, it may be worth considering whether changes in mobility, flexibility or body weight are contributing.

Gradual weight gain around the abdomen can sometimes make it more difficult to reach the toes.

However, difficulty putting on socks is not a reliable measure of obesity. Joint stiffness, back pain, reduced flexibility and other conditions can also affect this movement.

If you are concerned about changes in your weight, waist measurement or mobility, a healthcare professional can help you assess these appropriately.

The important point is that maintaining flexibility and the ability to care for your feet is a valuable part of healthy ageing.

 

7. Toe Socks for Hiking and Long Distance Walking

Toe socks can be particularly useful for hiking, especially when walking for several hours.

During long walks, repeated friction between the toes can cause irritation and blisters.

Some people also experience pressure from their toenails against neighbouring toes, particularly when walking downhill.

A correctly fitted toe sock creates a fabric barrier between the toes and may help reduce this rubbing.

For longer hikes, an additional cushioned outer sock can sometimes provide extra comfort.

Our Recommended Hiking Sock Combination

First layer: Five toe socks

Choose a thin, breathable toe sock that fits comfortably around each individual toe.

This helps separate the toes and manage moisture between them.

Second layer: Cushioned hiking socks

Wear a soft, cushioned hiking sock over the toe socks.

Some diabetic style socks have smooth seams, gentle cuffs and generous cushioning, making them comfortable options for certain walkers.

However, not all diabetic socks are suitable for hiking, so choose a design with appropriate moisture management, fit and durability.

Third layer: Properly fitted hiking boots

The hiking boot must have sufficient space to accommodate both layers of socks without compressing the toes.

This combination may help reduce friction and provide additional cushioning, particularly during long walks.

 

8. Why Wearing Two Conventional Socks May Cause Problems

Wearing two pairs of conventional socks is not always beneficial.

If the socks are thick or the shoes are too narrow, the additional fabric can compress the toes together.

This may increase pressure and friction, creating discomfort and potentially contributing to blisters.

If moisture becomes trapped, the skin may also remain damp for longer periods.

For people who prefer two layers of socks, using a thin toe sock as the first layer can be a useful alternative.

The individual toe compartments create a barrier between neighbouring toes, while the outer sock provides additional cushioning.

However, double layering is not necessary for everyone. A single well fitted technical hiking sock may work equally well or better.

The best choice is the combination that keeps your feet comfortable, dry and free from excessive pressure.

 

9. Choosing the Correct Hiking Boot Size

If you decide to wear toe socks underneath a second pair of hiking socks, your hiking boots must accommodate the additional fabric.

A boot that fits perfectly with one thin sock may become too tight when two layers are worn.

This is particularly important around the toes.

Excessive compression can cause pain, blisters, numbness and toenail injuries.

When purchasing hiking boots, take the exact sock combination you intend to wear and try the boots on with both layers.

Check that your toes can move comfortably, your heel remains secure and your toes do not strike the front of the boot when walking downhill.

Some people may need a larger or wider boot, but there is no universal requirement to increase by two and a half shoe sizes.

Increasing the length excessively can create heel movement, instability and additional friction.

The correct boot is the one that fits your foot and chosen socks properly, not simply a predetermined larger shoe size.

 

10. How Often Should You Change Your Toe Socks?

For good foot hygiene, toe socks should generally be changed every day.

If you sweat excessively, exercise or spend long periods in hot conditions, you may need to change them more frequently.

Wash them according to the manufacturer’s instructions and allow them to dry completely before wearing them again.

Avoid wearing damp socks and make sure your shoes have adequate time to dry between uses.

If you are prone to athlete’s foot, inspect the skin between your toes regularly for redness, peeling, cracks or white softened skin.

People with diabetes, neuropathy or poor circulation should seek professional advice about appropriate socks and footwear, particularly if there are any areas of skin damage.

 

Our Advice at Dubai Podiatry Centre

Sometimes, improving foot hygiene does not require complicated treatment.

A simple change in the type of socks you wear can make a meaningful difference to comfort and moisture management.

Five toe socks provide a fabric barrier between neighbouring toes, helping to reduce direct skin contact, manage perspiration and minimise friction.

They can be particularly useful in hot climates, for people with closely positioned toes, and during activities such as hiking and long distance walking.

When combined with good daily foot hygiene, appropriate footwear and regular sock changes, they can be a valuable addition to your foot care routine.

Healthy feet begin with simple daily habits, and keeping the spaces between your toes clean and dry is one of them.

Dubai Podiatry Centre

Specialist Foot Care, Foot Hygiene and Biomechanical Assessment

www.dubaipodiatry.com

This article provides general educational information and does not replace an individual clinical assessment.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Have you noticed that one of your toenails is growing sideways instead of straight?

Perhaps your big toenail appears to be leaning towards the second toe, or the nail plate seems to be growing at an angle rather than following the natural direction of your toe.

This is a common concern among patients attending Dubai Podiatry Centre.

Some patients have had a crooked toenail for many years, while others notice that their nail gradually begins to change direction.

The interesting thing is that not all crooked toenails have the same cause.

One of the first things we examine is the position of the cuticle line at the base of the nail.

This can provide useful clues about whether the nail has an underlying structural abnormality or whether the visible nail plate is growing unevenly.

 

1. Start by Looking at the Cuticle Line

The cuticle is the thin protective tissue at the base of your toenail.

Just behind this area lies the nail matrix, which is responsible for producing the nail plate.

When examining a toenail that appears to grow sideways, we look carefully at the proximal nail fold and the line where the nail emerges from beneath the skin.

There are two important patterns to observe.

Pattern One: The cuticle line appears level, but the nail grows sideways.

In this situation, the nail emerges from a relatively normal looking base, but the visible nail plate curves or deviates towards one side.

This may be associated with uneven nail curvature, pressure from the surrounding skin, previous injury or an ingrown nail along one edge.

Pattern Two: The cuticle line itself appears angled.

In this situation, the base of the nail also appears rotated or slanted.

This may suggest a structural difference in the orientation of the nail unit, previous trauma or a change involving the surrounding soft tissues.

The cuticle line is a useful clinical observation, but it cannot confirm the underlying cause on its own.

Close-up of a crooked big toenail growing sideways toward the second toe, illustrating the causes of angled and ingrown toenails discussed by Dubai Podiatry Centre

 

2. Why Does a Toenail Sometimes Grow Off to One Side?

Toenails grow from specialised cells within the nail matrix.

As new nail cells are produced, the nail plate gradually moves forwards over the nail bed.

Ideally, the nail follows the longitudinal direction of the toe.

However, the direction and appearance of the nail can be influenced by several factors, including:

1. The orientation of the nail matrix
2. Previous trauma to the toe or nail root
3. Pressure from footwear
4. The curvature of the nail plate
5. Changes to the surrounding nail folds
6. Congenital differences in nail alignment
7. Chronic ingrown toenails

Sometimes, the nail appears to be growing sideways because one edge is deeply curved into the surrounding skin.

The opposite edge may remain relatively flat and visible, creating an uneven appearance.

This can make the nail look as though it is being pulled or pushed towards one side.

However, an ingrown toenail does not necessarily change the direction in which the nail matrix produces the nail.

 

3. When One Side of the Nail Becomes Ingrown

An ingrown toenail occurs when the edge of the nail presses into or penetrates the surrounding skin.

This is particularly common along the medial or lateral borders of the big toenail.

The affected side may become painful, swollen or inflamed.

In some patients, the nail plate also develops an exaggerated curve along that border.

The other side of the nail may remain relatively straight.

As a result, the nail can appear asymmetrical or crooked.

At Dubai Podiatry Centre, we assess whether the problem is primarily an ingrown nail edge, abnormal nail curvature or a structural change affecting the nail unit.

This distinction is important because the treatment will be different.

 

4. The Handbrake Analogy: Why One Side May Appear Restricted

A useful way to explain an uneven toenail is to imagine a vehicle with a brake applied on one side.

One side appears restricted while the other side seems to move forwards more freely.

This can help patients visualise why a nail with an ingrown or excessively curved border may look uneven.

However, the nail is not literally growing faster on one side because the other side has a handbrake applied.

Nail growth originates within the matrix, and the visible deviation may result from the shape, orientation or curvature of the nail plate.

The important clinical question is whether the nail’s appearance can be improved by treating the problematic edge or whether the nail has a more permanent structural deformity.

 

5. Correcting a Problematic Nail Edge With Partial Nail Avulsion

When one side of the toenail is persistently ingrown, a partial nail avulsion may be recommended.

This is a procedure in which the problematic strip of nail is removed while preserving the remainder of the nail plate.

The aim is to relieve pressure against the surrounding skin and prevent the painful nail edge from continuing to penetrate the nail fold.

What Is Phenolisation?

Phenolisation is a technique sometimes performed during partial nail avulsion.

A carefully controlled application of phenol is used to destroy the selected portion of the nail matrix responsible for producing the ingrown edge.

This can prevent that narrow section of nail from growing back.

The remaining nail is usually slightly narrower, reducing the likelihood of the same edge becoming ingrown again.

Phenolisation is intended to permanently stop growth from the treated portion of the matrix. It does not simply release the nail edge temporarily.

For patients with recurrent ingrown toenails, this can be an effective treatment.

 

6. What About Removing the Entire Toenail?

In selected cases, a clinician may consider total nail avulsion.

This involves removing the entire visible nail plate.

The underlying nail bed is then exposed, and if the nail matrix is preserved, a new nail can gradually grow.

A big toenail commonly takes approximately 12 to 18 months to regrow fully, although this varies between patients.

Total nail avulsion may be appropriate for certain severe nail deformities, injuries or other nail conditions.

However, removing the nail does not automatically reset the nail bed or correct the direction of the nail matrix.

If the underlying matrix remains angled or damaged, the new nail may grow in the same abnormal direction.

For this reason, total nail avulsion is not routinely necessary simply because a nail appears crooked.

 

7. Can Partial Nail Avulsion and Total Nail Avulsion Be Combined?

In selected complex cases, a podiatrist may consider treating a persistently ingrown nail border while also removing the remaining nail plate.

If phenol is applied to one section of the matrix, that treated section is not expected to regrow.

The untreated portion of the matrix may continue producing a new nail.

However, this combined approach is not an established method of reliably straightening a sideways growing toenail.

Its suitability depends on the underlying diagnosis, the condition of the nail matrix and the patient’s treatment goals.

A careful clinical examination is essential before recommending permanent alteration of the nail.

 

8. What If the Cuticle Line Is Also Slanted?

When the base of the nail appears angled, we consider whether the entire nail unit has an abnormal orientation.

One possible cause is congenital malalignment of the great toenail.

In this condition, the nail plate may grow at an angle relative to the long axis of the toe.

Some patients are born with this pattern, while others develop nail deformities following trauma or changes to the nail matrix.

The supporting tissues around the nail unit may also be affected by previous injury.

However, there is no simple visual test that establishes whether a specific medial or lateral ligament has been damaged.

An angled cuticle line alone does not confirm ligament damage or mean that the nail will always remain crooked.

The likely cause and prognosis depend on the full examination.

 

9. Can a Crooked Toenail Grow Straight Again?

This depends on why the nail is crooked.

If the appearance is mainly caused by pressure, inflammation or an ingrown nail edge, treating those problems may improve the nail’s appearance and comfort.

If the nail matrix has been permanently damaged or is structurally malaligned, the nail may continue to grow at an angle.

Some patients have a naturally angled toenail that causes no discomfort and requires no treatment.

Others develop recurring ingrown nails, thickening, tenderness or difficulty wearing shoes.

In these cases, treatment is directed towards relieving symptoms and preventing repeated injury.

 

10. When Should You See a Podiatrist?

Arrange a podiatric assessment if your toenail:

1. Is gradually becoming more crooked
2. Repeatedly grows into the surrounding skin
3. Causes pain when wearing enclosed shoes
4. Becomes thickened or distorted
5. Develops recurrent redness or swelling
6. Changes direction following an injury

A new or unexplained nail deformity should also be assessed to exclude other nail disorders.

If you notice a new dark streak, pigmentation extending onto the surrounding skin, bleeding without a clear injury or a persistent lesion beneath the nail, seek prompt professional assessment.

 

Our Advice at Dubai Podiatry Centre

A toenail that grows sideways does not always require surgery.

The first step is to understand why the nail is growing or appearing to grow at an angle.

We examine the cuticle line, the orientation of the nail plate, the curvature of both nail borders and the condition of the surrounding skin.

If one edge is persistently ingrown, a partial nail avulsion with phenolisation may provide lasting relief.

If the nail has a structural deformity, the treatment approach may be different.

The most important point is to identify the underlying cause before removing or permanently altering any part of the nail.

A crooked toenail is not always a damaged toenail. Understanding how the nail grows is the key to choosing the correct treatment.

Dubai Podiatry Centre

Specialist Toenail Assessment, Ingrown Toenail Treatment and Nail Surgery

www.dubaipodiatry.com

This article provides general educational information and does not replace an individual podiatric assessment.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Plantar fasciitis is one of the most common causes of heel and arch pain. A typical symptom is pain underneath the heel when you first get out of bed in the morning, or when you stand up after sitting at your desk, driving or relaxing for a period of time.

The plantar fascia is a strong band of connective tissue running along the sole of the foot from the heel towards the forefoot. It plays an important role in supporting the arch and stabilising the foot during standing and walking.

When the plantar fascia is repeatedly placed under excessive tensile stress, particularly where it attaches to the calcaneus (heel bone), the area can become painful and irritated.

Importantly, plantar fasciitis is not always simply a problem with the plantar fascia itself. Foot and lower-limb biomechanics can contribute to excessive loading of the fascia. This is why successful treatment should aim not only to settle the painful area, but also to identify and reduce the mechanical stresses that are causing it.

Here are some simple measures that can be carried out at home.

 

1. Contrast Foot Baths – Warm and Cool Water Therapy

Contrast bathing can be a useful part of a home-care routine.

Prepare two containers deep enough for the water to reach approximately midway up the lower legs.

Warm bath: approximately 40–42°C
Cool bath: approximately 22°C

Place both feet and lower legs into the warm water for approximately one minute.

Then transfer them into the cool water for one minute.

Continue alternating between the warm and cool water, repeating the process approximately five times. The complete treatment should take around 10–12 minutes.

The change in temperature produces alternating warming and cooling of the tissues and changes in local blood flow. Many patients find this soothing, particularly towards the end of the day.

We generally recommend doing contrast bathing in the latter part of the day rather than immediately before going to bed, as some people find the treatment quite stimulating.

Always check the temperature carefully before immersing your feet. Contrast bathing may not be appropriate if you have reduced sensation, neuropathy, vascular disease, diabetes-related foot complications or another condition affecting your ability to accurately feel temperature.

 

 

 

2. Massage the Plantar Fascia with Cork Balls

Cork balls are an excellent and simple way of gently massaging the sole of the foot while sitting at home or at your desk.

Different-sized cork balls can be used for different areas of the foot.

With a small cork ball, place the ball underneath the heel while seated and gently rest the foot over it. Make small circular movements around the plantar heel, alternating between clockwise and anticlockwise movements.

A medium or larger cork ball can be placed underneath the arch. Gently roll the foot backwards and forwards over the ball to massage the plantar fascia and surrounding soft tissues.

This is particularly useful if you spend long periods sitting.

One of the characteristic symptoms of plantar fasciitis is pain when standing after rest. Gentle movement and massage before standing can help prepare the foot for loading again.

The massage should feel comfortable rather than painful. Aggressive rolling directly over an acutely painful heel is unnecessary and can aggravate already sensitive tissue.

 

 

 

3. Plantar Fascia Support Tape

Traditional plantar fascia taping often involves applying several individual strips of tape underneath and around the foot. Although this can be effective, it can also be cumbersome and difficult for patients to apply themselves.

A purpose-designed single plantar fascia support tape can be a much simpler home option.

The tape is only a few millimetres thick and can provide gentle padding underneath the foot while helping to reduce some of the tensile load placed upon the plantar fascia.

It is generally worn during the daytime, when the foot is weight-bearing and the plantar fascia is repeatedly being loaded.

Taping is not intended to permanently correct the underlying biomechanics. Instead, think of it as temporary mechanical assistance while the irritated tissue is recovering.

 

4. Support the Arch and Correct Excessive Foot Movement

If plantar fasciitis continues to return, it is important to look at why the plantar fascia is being overloaded.

The plantar fascia does not work independently from the rest of the foot and leg.

For example, excessive movement through the subtalar joint and lowering of the arch can increase the mechanical demands placed upon the plantar fascia. Changes in the forefoot and transverse arch may also affect the way the foot loads during walking.

When the foot is not functioning efficiently, the plantar fascia may be subjected to increased tension as it contributes to supporting and stabilising the foot.

This is why a suitable supportive insole or individually prescribed corrective foot orthotic can be extremely beneficial for some patients.

The purpose is not simply to cushion the painful heel. A properly selected device should address the mechanical forces contributing to the problem and reduce unnecessary tensile stress through the plantar fascia.

For patients with significant biomechanical abnormalities, a professional assessment is advisable rather than simply purchasing a very soft heel cushion.

 

5. Give Your Toes Enough Space

Footwear is another important part of plantar fasciitis management.

The toes are designed to spread and function as part of the foot’s natural support system. Constantly squeezing them together inside narrow or pointed footwear can interfere with normal forefoot mechanics.

We often recommend toe socks combined, where appropriate, with very soft silicone toe aligners to allow the toes to sit in a more natural position.

These can be combined with an orthotic incorporating appropriate arch and transverse-arch support.

The shoe itself should have sufficient width through the toe box to allow the toes to open rather than compressing them together.

For some patients, a wider, foot-shaped or barefoot-style toe box can be very helpful. However, footwear needs to be selected according to the individual foot and the stage of recovery; a sudden transition into very flexible or minimally cushioned footwear may not be appropriate during an acutely painful episode.

 

Dubai Podiatry Centre infographic showing home treatment options for plantar fasciitis, including cork-ball massage, plantar fascia support tape, corrective orthotics, toe aligners and toe socks

 

How Long Does Plantar Fasciitis Take to Heal?

This is one of the most important things to understand.

Plantar fasciitis rarely disappears overnight.

The plantar fascia is a very strong, highly loaded structure, and the attachment at the heel is repeatedly stressed every time you stand and walk.

Even when the underlying mechanical problem is being corrected and the symptoms begin to improve, it can take several months for the area to settle fully. In many of the patients we treat, we advise allowing approximately three to four months for progressive recovery, although individual healing times vary.

The key is consistency.

Contrast bathing, gentle cork-ball massage, plantar fascia support taping, appropriate footwear and correctly prescribed arch support can all work together to reduce stress on the painful area while the tissues recover.

Don’t Just Treat the Heel – Find Out Why It Hurts

Perhaps the most important message is that plantar fasciitis should not always be viewed simply as an isolated painful heel.

Persistent plantar fascia pain can be a sign that the foot is compensating for a wider biomechanical issue.

The position and movement of the forefoot, arch, subtalar joint, ankle, knee, pelvis and hip can all influence how forces are transmitted through the foot.

If your plantar fasciitis keeps returning, is becoming progressively worse, or has not improved despite appropriate home treatment, it is worth having your walking pattern and lower-limb biomechanics professionally assessed.

At Dubai Podiatry Centre, we assess the foot as part of the complete lower-limb mechanical system. By identifying why the plantar fascia is being overloaded, treatment can be directed towards both relieving the painful tissue and reducing the mechanical stresses that contributed to the problem in the first place.

Dubai Podiatry Centre
Helping your feet function better from the ground up.

This article provides general educational information and is not a substitute for individual medical assessment. Persistent or severe heel pain, swelling, neurological symptoms, inability to bear weight, or pain following an injury should be professionally assessed.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



A patient recently attended Dubai Podiatry Centre with an interesting story that led to a much wider discussion about menopause, movement, muscle strength and the importance of keeping our bodies active as we age.

She had completed menopause and described how, during the previous year, she had gained weight and noticed a significant change in her muscle tone and the way her body felt. She felt that she had lost some of the strength, firmness and resilience that she previously had.

More recently, however, she had become very proactive about her health. Under professional guidance, she had been exploring treatments aimed at supporting her health after menopause, while also paying closer attention to her vitamin D and calcium intake. Most importantly from our perspective, she had started walking every morning and was feeling considerably better.

She also mentioned feeling particularly motivated after listening to Mel Robbins’ podcast discussions about longevity and maintaining strength and health as we get older.

This prompted a fascinating conversation in the clinic about something we often discuss with our patients:

When it comes to movement, we really do have to use it or lose it.

Think of Your Fascia Like a Springy Spider’s Web

Fascia is the connective tissue network that runs throughout the body, surrounding and connecting muscles, bones and other structures.

I often describe it to patients as being a little like a three-dimensional spider’s web running throughout the body.

When we are young and active, our bodies tend to have a wonderful natural springiness. We run, skip, jump, change direction, climb stairs and step over obstacles without giving these movements much thought.

As we get older, particularly if our activity levels reduce, we can gradually stop performing many of these movements.

We may still walk, but perhaps we no longer skip.

We may climb stairs, but rarely jump.

We may exercise, but always in straight, predictable movements.

Gradually, we can lose some of our strength, agility, balance and natural rebound.

The answer is not necessarily extreme exercise. It is about continuing to give our bodies a variety of movements.

Walking and Our “Second Heart”

One of the best forms of exercise remains one of the simplest: walking.

The calf muscles are sometimes referred to as our “second heart” because their contractions help pump venous blood from the lower legs back towards the heart.

Every time we walk and activate our calf muscles, we are helping this natural pumping mechanism.

Regular walking is therefore wonderful for maintaining calf muscle activity, circulation, cardiovascular fitness, mobility and general wellbeing.

But walking does not have to be the only movement we practise.

Bring Back a Little Agility

I am delighted to see movements similar to traditional step aerobics becoming popular again.

Step exercises require us to lift our feet, judge the height of a step, transfer our weight, turn, coordinate our legs and maintain our balance.

These are valuable skills.

As we age, maintaining the ability to change direction, step sideways, lift our feet over an obstacle and react to an irregular surface becomes increasingly important.

Simple activities can include:

  • Walking regularly
  • Stepping up and down from a low exercise step
  • Side stepping
  • Gentle direction changes
  • Appropriate strength exercises
  • Balance exercises
  • Practising safely stepping over small obstacles
  • Maintaining the ability to get up and down from the floor

The exercises chosen should, of course, be appropriate for the individual’s health, balance, strength and medical history.

But What Happens When Walking Hurts?

Our patient’s motivation was excellent, but there was another part of the story.

She was experiencing plantar fascia discomfort as well as lower back and shoulder blade pain, particularly on one side.

Her chiropractor had also identified significant asymmetry and felt that her alignment could be contributing to her symptoms when walking.

This is an important point.

We frequently encourage patients to walk more, but if somebody is significantly mechanically misaligned, repeatedly walking with that imbalance can sometimes continue to aggravate certain tissues.

We therefore assessed her using our 3D scanning system.

The scan demonstrated an apparent leg length discrepancy of approximately 3.1 cm, with the left side measuring longer. For somebody approximately 5 feet 4 inches tall, this represented a considerable asymmetry.

Rather than simply treating the painful plantar fascia, we needed to look at what was happening throughout the body.

The Feet Can Affect What Happens Above Them

The feet are the foundation of the body when we stand and walk.

If one side functions differently from the other, compensation can occur through the legs, pelvis and higher into the body.

I sometimes describe this as a Z-shaped compensation pattern.

The body does not necessarily remain neatly vertical when trying to accommodate an imbalance. Soft tissues tighten, joints adapt and the pelvis and upper body may compensate in different directions.

For this patient, we therefore made the left and right orthotics quite differently.

The angles and thicknesses were individually designed to improve her overall alignment rather than simply giving her two identical insoles.

An Immediate Change From 3.1 cm to 1.3 cm

We then repeated her 3D assessment while she was standing on her new orthotics.

The apparent leg length discrepancy reduced immediately from approximately 3.1 cm to 1.3 cm.

That was an excellent initial change.

Importantly, however, our aim was not to make both sides completely equal on the first day.

The body has been compensating for its existing position for a long time. Muscles, fascia and other soft tissues have adapted to that position too.

Changing everything immediately can therefore be too much.

Instead, we make an initial correction and allow the body time to adapt.

Why We Review Again After 6–12 Weeks

We will review this patient again after approximately 6–12 weeks.

During this period, the muscles and soft tissues have time to respond to the altered skeletal alignment.

An apparent leg length discrepancy can sometimes look greater during the initial assessment because the measurement is influenced not only by the bones themselves but also by rotation and compensation occurring throughout the body.

As these compensatory patterns reduce, the apparent discrepancy may also change.

At the review appointment, we can repeat the assessment and adjust the orthotics according to how her body has responded.

This gradual approach allows us to work with the body rather than trying to force an immediate correction.

Healthy Ageing Starts From the Ground Up

One of the most positive things about this patient’s story was her motivation.

She wanted to walk.

She wanted to become stronger.

She wanted to maintain her mobility and enjoy her body as she moved into the next stage of her life.

That is exactly what we want to encourage.

Menopause and ageing can bring changes in muscle mass, bone health and body composition, but becoming older should not mean accepting that we can no longer move freely.

Walk.

Maintain your strength.

Challenge your balance.

Practise changing direction.

Lift your feet.

Use stairs and steps when appropriate.

And, if you used to skip, perhaps don’t completely forget how to skip.

Our bodies are designed for movement.

Use your movement, maintain your strength, and look after the foundations carrying you through life: your feet.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Have you ever wondered how custom-made corrective orthotics can transform the way you stand and walk? Watch our before-and-after video to see the remarkable improvement in foot alignment after wearing custom orthotics designed specifically to correct overpronation and flat feet.

 

 

When the feet lean inward excessively, they can cause poor body alignment, placing extra pressure on the ankles, knees, hips, and lower back. This imbalance often contributes to heel pain, plantar fasciitis, arch pain, ankle instability, knee pain, corns, calluses, and foot fatigue. Without proper support, these problems can worsen over time and affect everyday mobility.

At Dubai Podiatry Centre, our experienced podiatrists perform a comprehensive biomechanical assessment, gait analysis, and foot impression to accurately diagnose the cause of your foot pain. Using these findings, we design custom-made corrective orthotics that help restore proper foot posture, improve balance, reduce excessive pressure, and support natural walking mechanics.

This before-and-after transformation highlights how corrective orthotics can improve foot positioning, enhance stability, and promote healthier movement. By supporting the feet in a more neutral position, custom orthotics help reduce strain throughout the body and improve overall comfort during walking, standing, and daily activities.

If you suffer from flat feet, overpronation, heel pain, plantar fasciitis, foot pain, ankle pain, knee pain, arch pain, or recurring corns and calluses, a professional biomechanical assessment may be the first step towards lasting relief.

Book an appointment with Dubai Podiatry Centre to discover how custom corrective orthotics can improve your foot alignment, relieve pain, and help you move with greater confidence.

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Many people believe that ingrown toenails are simply caused by cutting the nail incorrectly. While this can occasionally happen, the vast majority of recurring ingrown toenails have a much more fundamental cause: the nail is simply too wide for the toe that it is growing on.

The Nail Is Often Too Wide for the Toe

In many patients, the toenail is naturally much wider than the available width of the toe. To fit into this limited space, the nail gradually curves more and more as it grows.

A healthy toenail should have only a gentle curve, rather like an upside-down dinner plate. However, when the nail becomes excessively curved, more like an upside-down soup bowl, the edges begin to press deeply into the surrounding skin. This is when pain, inflammation and recurrent ingrown toenails develop.

Side and front view of an ingrown toenail demonstrating the curved nail growing into the skin and causing chronic pain. Educational illustration showing why ingrown toenails recur and how permanent treatment can prevent future problems

Fan-Shaped Toenails

Another common cause is what podiatrists describe as a fan-shaped toenail.

With a fan-shaped nail, the visible nail root, near the cuticle, appears relatively narrow, but the nail becomes progressively wider towards the tip of the toe. As the nail widens, there is simply not enough room for it within the soft tissues, causing the edges to dig into the skin.

These nails frequently become ingrown, regardless of how carefully they are trimmed.

Why Cutting the Sides Is Only a Temporary Fix

Many people seek immediate relief by having the sides of the nail cut away during a pedicure or medical pedicure.

Although this often relieves the pain temporarily, it rarely solves the underlying problem.

When the edge of the nail is removed, the surrounding skin naturally plumps up and heals into the empty space. However, the nail root continues producing the same wide nail as before. As it grows forward, it now has to push through this newly thickened tissue, which often becomes even more painful than before.

This creates a frustrating cycle:

  • Pain develops
  • The sides are trimmed
  • The skin heals and thickens
  • The wide nail grows back
  • The pain returns

Many patients find themselves needing treatment every one to three months simply to remain comfortable.

Top and front view of an ingrown toenail showing the nail edge growing into the surrounding skin, causing pain and inflammation. Educational image explaining the causes of recurring ingrown toenails and permanent treatment by Dubai Podiatry Centre

The Protective Skin Along the Nail Edge

The firm skin that develops alongside the nail is often viewed as something that should be removed. In reality, it serves an important purpose.

Repeated pressure from the nail causes the body to build a stronger, tougher strip of skin, almost like a protective railway track guiding the nail as it grows.

During aggressive pedicures, this protective tissue is often removed together with the nail edge. Without this natural barrier, the sharp edge of the nail can penetrate the softer skin even more easily, increasing the likelihood of another painful ingrown toenail.

Why We Do Not Recommend Lifelong Trimming

At Dubai Podiatry Centre, we do not recommend relying on repeated trimming of the nail edges as a long-term treatment.

While regular trimming may temporarily relieve symptoms, it does not change the width of the nail growing from the root. The underlying problem remains, meaning patients often become dependent on frequent medical pedicures or painful salon treatments for years.

 

The Gold Standard: Partial Nail Avulsion with Phenolisation

For patients who repeatedly suffer from ingrown toenails, the most predictable long-term solution is a partial nail avulsion with phenolisation.

During this procedure:

  • Only the problematic edge of the nail is removed
  • Phenol is carefully applied to permanently stop that narrow strip of nail from regrowing
  • The remaining nail continues to grow normally

Because the nail is permanently made slightly narrower, it can fit comfortably within the toe without curling into the surrounding skin.

When performed by an experienced podiatrist, only the minimum amount of nail necessary is removed. This provides a permanent solution while maintaining a natural, aesthetically pleasing appearance.

 

What About Nail Braces?

Nail braces can temporarily flatten a curved toenail and may provide symptom relief in selected cases.

However, they do not change the actual width of the nail.

In patients whose nails are naturally too wide or fan-shaped, flattening the nail often reveals just how wide it really is. After wearing a brace for one to two years, with replacements every one to three months, the nail frequently returns to its original curved shape once the brace is no longer used.

For this reason, nail braces are generally not considered a permanent solution when the underlying problem is excessive nail width.

Not Every Ingrown Toenail Needs Surgery

Fortunately, not every painful toenail requires a permanent procedure.

Sometimes the discomfort is caused by a tiny nail spike that has broken off during nail cutting. This small fragment may be almost invisible and can work its way into the skin, causing significant pain.

Once this nail spike is removed, the problem is usually resolved and may never happen again.

 

When Should You Consider Permanent Treatment?

If your ingrown toenail keeps returning every one to three months, despite repeated trimming or pedicures, it is likely that the underlying nail shape, not your nail cutting technique, is responsible.

In these cases, a partial nail avulsion with phenolisation offers the most reliable long-term solution, allowing patients to return to comfortable walking without the need for repeated painful treatments.

At Dubai Podiatry Centre, we carefully assess the shape and width of every toenail before recommending treatment. Our aim is always to provide the smallest correction necessary to permanently eliminate pain while preserving the natural appearance of the toenail.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



Are you experiencing foot pain, heel pain, arch pain, knee pain, or lower back pain? The underlying cause may be the way your feet are aligned. Flat feet (pes planus), overpronation (feet rolling inward), and supination (feet rolling outward) can affect your entire body, leading to discomfort, poor posture, and inefficient walking.

At Dubai Podiatry Centre, our experienced podiatrists specialize in diagnosing and treating flat feet, overpronation, and other biomechanical foot problems using advanced assessment techniques and custom-made orthotics.

Common Symptoms of Flat Feet and Overpronation

Poor foot alignment can contribute to:

  • Flat feet (fallen arches)
  • Heel pain
  • Plantar fasciitis
  • Arch pain
  • Corns and calluses
  • Bunions
  • Ankle instability
  • Knee pain
  • Hip pain
  • Lower back pain
  • Foot fatigue
  • Difficulty walking or standing for long periods
  • Sports and running injuries

Comprehensive Biomechanical Assessment

At Dubai Podiatry Centre, we perform a detailed biomechanical assessment to identify the cause of your symptoms. Your assessment may include:

  • Foot posture evaluation
  • Gait analysis (walking assessment)
  • Digital foot impressions
  • Foot alignment assessment
  • Lower limb biomechanics evaluation
  • Custom orthotic assessment

This allows us to accurately diagnose the source of your pain and recommend the most effective treatment.

How Custom Orthotics Help Flat Feet

Our custom orthotics (medical shoe insoles) are individually designed to support your feet and restore proper alignment. They can help:

  • Correct overpronation and excessive foot rolling
  • Support flat feet and fallen arches
  • Improve foot posture and body alignment
  • Redistribute pressure across the feet
  • Reduce heel, arch, knee, hip, and back pain
  • Improve walking, standing, and athletic performance
  • Prevent further foot and lower limb injuries

Unlike over-the-counter insoles, custom orthotics are made specifically for your feet, providing targeted support and long-term comfort.

Watch the Video

Watch our video to see how custom orthotics can immediately improve foot alignment by correcting excessive inward or outward foot movement. Proper foot support can reduce pain, improve balance, and help you move more comfortably every day.

If you have flat feet, overpronation, heel pain, or recurring foot discomfort, book a biomechanical assessment with the specialists at Dubai Podiatry Centre. Our expert podiatrists will determine whether custom orthotics are the right solution to improve your foot health and overall mobility.

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



One of the most common questions we hear at Dubai Podiatry Centre is: “Why won’t my nail fungus clear, even though I’ve tried home remedies?”

The answer is that not all fungal nail infections are the same.

Different types of nail fungus affect different parts of the toenail, and each type requires a different treatment approach. This is why a treatment that works for one person may have little or no effect for another.

 

Why home remedies often fail to cure nail fungus showing fungal infections in the nail root, under the nail, superficial nail fungus, and nail plate with appropriate treatment options

Superficial White Nail Fungus

One of the easiest types of fungal infection to treat is superficial white fungal infection.

This commonly develops in warm, humid conditions inside closed footwear and under nail polish. The fungus affects only the surface of the nail and often appears as white, chalky or powdery patches on the top of the toenail.

Because the infection is only on the surface, the affected layer can often be gently reduced with professional nail filing or careful buffing, allowing a topical antifungal nail lacquer to reach the remaining fungus more effectively.

As the nail gradually grows out, the healthy nail replaces the infected portion.

 

Fungus Growing Beneath the Nail

A more difficult type of fungal infection develops underneath the nail plate.

This is commonly associated with a widespread fungal skin infection affecting the sole of the foot, often referred to as moccasin-type athlete’s foot. The fungus can spread beneath the toenail, where it becomes protected by the thick nail plate.

When the fungus is trapped underneath the nail, simply painting antifungal medication onto the surface often has limited success because the medication cannot adequately reach the infection.

 

Depending on the severity of the infection, treatment may involve oral antifungal medication, careful reduction of the thickened nail, or, in selected cases, nail avulsion of the toenail to allow direct treatment of the underlying nail bed as the new nail grows.

Following nail removal, the smaller toenails generally regrow in approximately three months, while the big toenail may take anywhere from six months to one year to fully regrow.

 

Fungus That Reaches the Nail Root

In some patients, the fungal infection extends into the nail root (matrix), where the nail is produced.

When this occurs, oral antifungal medication is often recommended because the medication reaches the growing nail through the bloodstream, allowing the new nail to grow free of infection.

If there is also extensive fungal material trapped beneath a thick or damaged nail plate, reducing or removing the affected nail may be recommended to improve access for topical treatment and encourage healthy nail regrowth.

 

When Oral Medication Is Not Suitable

Before prescribing oral antifungal medication, liver function blood tests are often performed to ensure the medication can be taken safely.

Occasionally, these tests identify previously undiagnosed liver abnormalities. In these situations, even patients who feel completely healthy may not be suitable candidates for oral antifungal medication.

For these patients, treatment may focus on physical methods, including removal of the infected toenail where appropriate, combined with topical antifungal medication applied directly to the exposed nail bed after healing. This allows the new nail to grow in an environment with a much lower fungal burden.

 

Why Professional Assessment Matters

Many people spend months or even years trying home remedies without success, simply because they are treating a different type of fungal infection.

Successful treatment begins with identifying exactly where the fungus is located, whether it is on the surface of the nail, beneath the nail plate, or involving the nail root.

Once the type and stage of the infection have been identified, the most appropriate treatment plan can be chosen, giving the best opportunity for healthy, fungus-free nail growth.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



One of the most common questions patients ask at Dubai Podiatry Centre is:

“Am I too old to treat my flat feet?”

The simple answer is no.

Many people believe that flat feet can only be treated during childhood and that once you become an adult, nothing more can be done. Fortunately, this is one of the biggest misconceptions we hear in clinic.

 

Not Everyone Diagnosed with Flat Feet Actually Has Flat Feet

There are several different types of flat feet, but the most common condition we see is not a true flat foot at all.

In many cases, the ankle leans inwards, causing the arch to collapse under body weight. The arch then appears flat, even though the foot itself still has the ability to regain its natural shape once the ankle is correctly aligned.

Rather than thinking of the foot as permanently flat, it is often more accurate to think of it as an arch that has collapsed because the ankle is no longer supporting it correctly.

 

Adult flat feet before and after custom orthotics showing improved heel alignment and foot posture

Child with flat feet before and after podiatry treatment using custom orthotics showing corrected heel alignment

 

Adult Treatment Can Actually Be Faster

Many people are surprised when we explain that correcting this type of flat foot can actually progress faster in adults than in children.

Children have high levels of human growth hormone, which keeps their ligaments soft, flexible and easy to manipulate. This makes repositioning the bones relatively straightforward and usually very comfortable.

However, because the ligaments are constantly growing and remodelling, they often take longer to adapt and stabilise in their new position. For this reason, children commonly progress through each stage of treatment over approximately three to six months.

Adults are different.

Adult ligaments are firmer and less elastic, so there can be slightly more resistance when repositioning the foot. For this reason, we usually make smaller adjustments at each stage.

Once the bones have been repositioned, however, the adult foot often adapts surprisingly quickly. Instead of waiting three to six months between stages, many adults can progress every one to three months, allowing treatment to advance more rapidly.

Similar to Orthodontic Braces

A useful comparison is orthodontic braces for the teeth.

Most people understand that braces are not just for children. Adults successfully wear braces every day to gradually reposition their teeth into better alignment.

Corrective orthotics work on a similar principle.

Instead of moving teeth, they gently reposition the bones of the feet and ankles in carefully planned stages. As the alignment improves, the arch is supported more effectively and, in suitable cases, the foot can gradually regain a healthier arch shape.

Each new stage builds upon the previous one, allowing gradual correction rather than trying to make one large adjustment all at once.

 

It’s Never Too Late to Have an Assessment

If you have been told you have flat feet, it does not necessarily mean your feet are permanently flat.

The first step is determining why your arch has collapsed. For many patients, the underlying issue is ankle alignment rather than the shape of the foot itself.

With the correct diagnosis and a staged treatment plan, adults can often achieve significant improvements in foot alignment, comfort and function.

So if you’ve been wondering whether you’ve left it too late to treat your flat feet, the answer may be much more encouraging than you expected.

At Dubai Podiatry Centre, we regularly assess both children and adults and develop personalised treatment plans based on the specific cause of each patient’s foot alignment, because no two cases of flat feet are exactly the same.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024



 

Plantar fasciitis is one of the most common causes of heel pain. People typically notice it when they take their first steps out of bed in the morning or when they stand after sitting for a prolonged period. The pain often eases after walking for a few minutes, only to return again after periods of rest.

 

What is the plantar fascia?

The plantar fascia is a strong band of connective tissue that runs from the heel bone (calcaneus) to the base of the toes. Its primary function is to help support the arch of the foot.

When you walk, run or land from a jump, the plantar fascia becomes tensioned, helping the arch maintain its shape and absorb forces. Without this support, the bones of the midfoot would be subjected to much greater mechanical stress.

A healthy plantar fascia is not designed to remain under constant tension. Instead, it should be relatively relaxed at rest and become taut only when required during movement and weight-bearing activities.

 

Why does plantar fasciitis develop?

The term plantar fasciitis literally means inflammation associated with the plantar fascia. Although the pain is felt in the heel, the discomfort is usually concentrated where the plantar fascia attaches to the heel bone.

Rather than viewing plantar fasciitis as simply an isolated heel problem, it is often more helpful to consider why the plantar fascia has become overloaded in the first place.

In many people, the ligaments and muscles of the foot provide enough stability to support the arch without excessive strain on the plantar fascia. However, if the alignment of the foot changes, the plantar fascia may remain under tension for much longer than it was designed to.

One of the most common contributing factors is excessive pronation of the foot and ankle. As the foot rolls inward, the plantar fascia may become progressively tensioned throughout standing and walking instead of only during the phases when it is normally required.

An easy way to understand the problem

Imagine holding a single strand of long hair with a heavy weight attached to the end.

The hair itself is not painful.

The pain would occur where the hair is anchored into the scalp because that attachment point is constantly being pulled.

Once the weight is removed, the strain at the attachment point disappears.

The plantar fascia behaves in a similar way. The discomfort usually develops where the fascia attaches into the heel bone rather than within the fascia itself. If excessive tension continues day after day, this attachment site can become irritated and painful.

 

Why is the pain worse in the morning?

Many people notice that the first few steps in the morning are the most painful.

After sleeping or sitting for a prolonged period, blood flow and tissue fluid movement slow down. When the foot is suddenly loaded, the already irritated attachment of the plantar fascia is placed under tension again, producing the characteristic sharp heel pain.

As you begin walking, the calf muscles act as a pump, improving circulation through the lower leg and foot. This often reduces discomfort temporarily, which explains why many people feel better after several minutes of walking.

Treating the cause—not just the symptoms

While heel cushions, supportive insoles and stretching programmes may provide symptom relief for some individuals, long-term improvement depends on identifying and correcting the mechanical cause of the overload.

If excessive pronation or another alignment abnormality is placing unnecessary tension on the plantar fascia, simply adding cushioning beneath the heel may not adequately address the underlying problem.

A corrective orthotic is designed to improve foot and ankle alignment rather than simply support the arch. Because every person walks differently, the correction required for the left foot is often different from that required for the right foot. The amount of correction should therefore be individually prescribed.

As the abnormal strain on the plantar fascia is reduced over time, the attachment at the heel is given the opportunity to recover, allowing symptoms to gradually settle while also addressing the underlying biomechanical problem that contributed to the condition.

The key message

Plantar fasciitis should not simply be viewed as inflammation of the heel. In many cases, it is the result of an underlying mechanical imbalance that places excessive and prolonged tension on the plantar fascia where it attaches to the heel bone.

Successful long-term treatment focuses on identifying the biomechanical cause, correcting the alignment of the foot and ankle, and reducing the abnormal forces responsible for the condition. By addressing the underlying mechanics rather than simply cushioning the symptoms, many patients can achieve lasting relief and reduce the likelihood of recurrence.

 

For more information or to book an appointment please call our clinic +971 4 3435390 or WhatsApp +971 50 3553024


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