Foot Care for Older Adults in Vaughan: Nail Care, Balance, Skin Changes, and Comfort

Older adults are more likely to develop thick or difficult toenails, dry and cracking skin, reduced sensation, calluses, and conditions that affect balance and mobility. Regular visits to a chiropodist can help manage these changes safely and comfortably.

See a healthcare provider promptly if:

• You notice an open wound or sore on the foot that is not healing
• A toenail is very painful, discoloured, or appears infected
• You experience a sudden change in balance or foot sensation
• There is significant swelling, warmth, or redness in one foot
• You have diabetes and notice any new foot changes

Nail Changes Toenails often become thicker, harder, and more difficult to trim with age. This may be due to reduced circulation, fungal infection, or repeated minor trauma. Thick nails can press against shoes and cause discomfort or even skin breakdown.

Dry Skin and Cracking The skin on the feet produces less oil with age, leading to dryness and potential cracking, particularly on the heels (cracked heels). Deep cracks can become entry points for infection.

Calluses and Corns Changes in gait, foot shape, and padding can lead to calluses forming in new areas. These indicate pressure points that may need management.

Reduced Sensation Age-related changes and conditions like diabetes or peripheral neuropathy can reduce feeling in the feet, making injuries easier to miss.

Balance and Stability Foot pain, joint stiffness, and reduced proprioception (the sense of foot position) can all contribute to balance difficulties and increased fall risk.

Regular chiropody appointments can include:

• Professional nail care: Safe trimming and thinning of thick, difficult nails, especially important for people who cannot safely reach their feet or who have reduced vision or dexterity. See our medical nail care page.
• Callus and corn management: Removing built-up skin to relieve pressure and discomfort
• Skin care: Assessment and treatment of dry, cracked, or fragile skin
• Circulation and sensation checks: Monitoring for changes that may indicate neuropathy or vascular concerns
• Footwear advice: Recommending shoes that support balance, comfort, and safety
• Custom orthotics: To improve stability, redistribute pressure, and accommodate age-related foot changes
• Fall prevention: Addressing foot-related factors that contribute to fall risk

Daily foot care tips for older adults:

• Inspect feet daily (or have a caregiver do so)
• Moisturise the feet daily: but not between the toes
• Wear well-fitting, supportive shoes with non-slip soles
• Avoid walking barefoot, especially on hard floors
• Trim nails straight across: or have a chiropodist do it
• Report any new pain, sores, or skin changes to your healthcare provider

How often to visit a chiropodist: Many older adults benefit from appointments every 6–8 weeks for routine nail care and foot maintenance. Those with diabetes or circulation problems may need more frequent visits.

Foot Forward Clinic is located at 2389 Major MacKenzie Dr W, Unit 303, Vaughan: serving families across Maple, Woodbridge, Thornhill, and the wider York Region.

References:

• Public Health Agency of Canada: Falls Prevention: canada.ca
• NHS: Looking after your feet: nhs.uk

This article is for general information only and does not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.

If you are in Vaughan or nearby York Region communities and your symptoms persist, worsen, or affect walking, an in-person foot assessment can help determine the appropriate next step. Book an appointment online or call (647) 689-7533.