Constance Madsen, Foot Care Nurse

Constance Madsen, Foot Care Nurse I am a certified advanced foot care nurse, specializing in high risk feet. I offer mobile, in-home services within the Charlotte County, New Brunswick region.

Services:
• $60+ (tax receipt provided for income tax/insurance purposes)
• Nail filing & cutting
• Callus filing / reduction
• Skin care
• Foot massage
• Corn reduction
• Management of thick, discoloured toenails
• Management of hammer toes & bunions
• Management of fungal infections
• Specialized assessments
• Footwear assessments & client education
and more! People at high risk in

clude:
• Diabetics
• Seniors
• Circulatory problems
• Eyesight issues (can’t see feet)
• Mobility Issues (can’t reach feet)
• Decreased sensation (can’t feel feet)
• Weak immune system
• Runners / Farmers / Military / Factory workers / Truck Drivers, etc

Approx. 75% of Canadians will experience foot problems at some point in their lifetime. Early intervention can help decrease pain, maintain mobility and independence, prevent fungal infections, and much more. Book an appointment today! For More Information or to schedule an appointment please contact me at: 506-467-1687 or email [email protected]
OR message me on Facebook.

📚 EDUCATIONAL POST: Understanding Toenail Fungus TreatmentToenail fungus isn't a "one treatment fits all" condition. The...
08/03/2026

📚 EDUCATIONAL POST: Understanding Toenail Fungus Treatment
Toenail fungus isn't a "one treatment fits all" condition. The best treatment depends on the severity of the infection, the number of nails involved, and the patient's overall health.
🦶 Topical Amorolfine 5% Nail Lacquer
Topical Amorolfine 5% nail lacquer is generally recommended for mild, superficial fungal nail infections, typically when two or fewer nails are affected.
💊 Oral Terbinafine
For more extensive fungal nail infections, oral Terbinafine is generally considered the gold standard treatment, provided it is appropriate based on the patient's medical history and prescribed by a healthcare provider.
🔍 When Oral Medication Isn't an Option
If a patient is unable to take oral Terbinafine, or chooses not to, debridement with a comprehensive treatment plan is recommended.
✂️ Debridement Is Essential
One of the most overlooked parts of treatment is professional nail debridement.
Removing as much infected nail as possible allows topical medication to reach the remaining nail plate more effectively. If thick, fungal nail is left in place, the medication often sits on the surface like nail polish rather than penetrating where it's needed.
👣 Foot Hygiene Is Just as Important
No treatment will be successful without good foot hygiene.
✅ Keep feet clean and dry.
✅ Change socks daily(merino wool is preferred)
✅ Disinfect or replace contaminated footwear when appropriate.
✅ Treat athlete's foot if present to prevent reinfection.
✅ Continue regular nail debridement when indicated.
✅ Stay consistent—fungal nails take many months to grow out.
💜 Whether you're using topical treatment OR oral Terbinafine , success depends on a combination of the right treatment, proper nail debridement, excellent foot hygiene, and ongoing care. Consistency is the key to achieving the best results.

Compression socks may not be the easiest thing to put on, but they can make a big difference—especially for seniors.Comp...
07/31/2026

Compression socks may not be the easiest thing to put on, but they can make a big difference—especially for seniors.
Compression socks help improve circulation, reduce swelling in the legs and ankles, decrease leg fatigue, and may lower the risk of blood clots for people who sit or stand for long periods. While medical-grade compression socks are often recommended for certain conditions, even the gradual compression socks available at most local pharmacies and stores can provide support and are often better than wearing none at all.

Yes, they're snug, and many seniors find them difficult to put on. If that's the case, ask a family member or caregiver for help, or consider using a sock aid designed specifically for compression stockings.

Healthy legs support healthy living. Sometimes a simple pair of compression socks can make walking more comfortable and help keep you moving.

🚨 The Hidden Cause of Ingrown Toenails🟣It’s Not Always the Nail…🟣Sometimes it’s the SKIN pulling the nail into the flesh...
07/29/2026

🚨 The Hidden Cause of Ingrown Toenails

🟣It’s Not Always the Nail…

🟣Sometimes it’s the SKIN pulling the nail into the flesh.

🔍 Overgrown cuticle tissue can act like a tight elastic band, creating tension that redirects the nail into the surrounding skin.

🦶💜Foot Care Nurse vs. Podiatrist – What's the Difference? 💜🦶Many people wonder who they should see for their foot care n...
07/26/2026

🦶💜Foot Care Nurse vs. Podiatrist – What's the Difference? 💜🦶

Many people wonder who they should see for their foot care needs. Here's a simple breakdown:

🟣 Foot Care Nurse
✅ Specializes in routine and preventative foot care
✅ Nail trimming (including thick or difficult nails)
✅ Callus and corn reduction
✅ Diabetic foot assessments
✅ Skin and foot health education
✅ Monitors for changes and refers to other healthcare professionals when needed

A Foot Care Nurse helps keep your feet healthy, comfortable, and problem-free through regular maintenance.

🔵 Podiatrist
✅ Diagnoses and treats medical conditions of the feet and ankles
✅ Evaluates foot pain and injuries
✅ Treats deformities such as bunions and hammertoes
✅ May prescribe medications (where authorized)
✅ Provides custom orthotics
✅ Performs specialized procedures and surgery when required

A Podiatrist focuses on diagnosing and treating complex foot and ankle conditions.

❤️ Which one should you see?

🦶 See a Foot Care Nurse if you need:
• Routine nail care
• Callus or corn care
• Diabetic foot monitoring
• Preventative foot care

🦶 See a Podiatrist if you have:
• Persistent foot or heel pain
• An injury
• A foot deformity
• An infected wound or ulcer
• A condition requiring specialized medical treatment or surgery

🇨🇦 In New Brunswick, these professionals often work together. A Foot Care Nurse provides ongoing preventative care and will refer you to a Podiatrist or physician if a more complex issue is identified.

💜Healthy feet help keep you active, independent, and comfortable!

✨ Your body often gives subtle clues before bigger symptoms appear. Paying attention is one way to take charge of your h...
07/17/2026

✨ Your body often gives subtle clues before bigger symptoms appear. Paying attention is one way to take charge of your health.

🩷💅 Is It Toenail Fungus… or Just Keratin Granulation? 💅🩷Not every white or chalky toenail is caused by fungus! 🛑 One of ...
07/14/2026

🩷💅 Is It Toenail Fungus… or Just Keratin Granulation? 💅🩷

Not every white or chalky toenail is caused by fungus! 🛑

One of the most common things I see is keratin granulation, which is often mistaken for a fungal nail infection.

What is Keratin Granulation?

Keratin granulation occurs when the surface of the nail becomes dehydrated after wearing nail polish for long periods or from frequent use of nail polish remover (especially those containing acetone). The nail develops white, chalky, rough patches that can look alarming—but they’re usually not an infection.

Why Does It Happen?

💅 Nail polish blocks moisture exchange.
🧴 Nail polish remover strips natural oils from the nail.
⏳ Over time, the nail surface becomes dry and damaged, creating those white patches.

How Is It Different from Toenail Fungus?

Keratin Granulation:
✅ White, chalky patches on the nail surface
✅ Usually smooth underneath once the damaged layer grows out
✅ Often appears after prolonged polish use
✅ Not contagious

Toenail Fungus:
🦠 Nail becomes thickened, yellow, brown, or crumbly
🦠 May lift away from the nail bed
🦠 Can spread to other nails
🦠 Requires appropriate treatment

How to Prevent Keratin Granulation

✔ Give your nails a “polish holiday” every few weeks.
✔ Use a quality base coat before applying polish.
✔ Choose non-acetone remover when possible.
✔ Moisturize your nails and cuticles regularly with cuticle oil or a nail conditioner.

✨ The good news? Keratin granulation is cosmetic and typically grows out with healthy nail growth once the nail is given time to recover.

👣 If you’re unsure whether your nail changes are due to fungus or something else, don’t guess. A proper foot assessment can help identify the cause and ensure you’re treating the right problem.

Constance Madsen, LPN, FCN
Mobile Certified Foot Care Nurse
Helping keep your feet healthy—one step at a time! 👣💜

👣 Have you ever noticed thick, sensitive skin growing underneath the tip of your toenail or fingernail? Don’t worry—you’...
07/10/2026

👣 Have you ever noticed thick, sensitive skin growing underneath the tip of your toenail or fingernail? Don’t worry—you’re not alone, and it’s often not an ingrown nail.
This is commonly caused by hyponychium overgrowth, the living skin beneath your nail that naturally extends when nails are kept long. On the toes, pressure and friction from footwear can also lead to a painful callus forming beneath the nail.
Many people make the mistake of trying to clip or cut this tissue away—but because it’s living skin with nerves and blood vessels, doing so can be extremely painful and may lead to bleeding or infection.
Swipe through the graphic below to learn:
✅ Why it happens
✅ How to safely manage it at home
✅ When it’s time to see a Foot Care Nurse or Podiatrist
A little knowledge goes a long way in keeping your nails healthy and pain-free! 💜👣

07/09/2026

🦶 The Domino Effect: How a Tiny Foot Corn Can Cause Neck Pain!

We tend to ignore our feet until something goes wrong. But did you know your body functions as a single, connected kinetic chain?

Even a minor issue like a foot corn can throw your entire posture off balance and ripple all the way up to your shoulders and neck🤯!
Here is exactly how it happens:
💥 1. The Root Cause: A corn is a hardened pocket of skin caused by friction (usually from tight shoes). Its hard, conical center presses directly into your nerves when you step down.
🚶‍♂️ 2. The Gait Shift: To avoid that sharp pain, your brain subconsciously changes how you walk. You shift your weight to the side or heel, ruining your natural alignment.
🦵 3. Joint Compensation: Because you aren't stepping evenly, your ankle, knee, and hip joints are forced to rotate awkwardly with every single step.
💥 4. Pelvic Tilt & Back Pain: Your uneven stride forces your pelvis to tilt. This uneven base strains your lower back muscles, leading to stiffness and even sciatica
👉🏻 5. Neck & Shoulder Tension: Your spine always tries to keep your eyes level. If your lower body is tilted, your neck and upper back muscles must tightly contract to counter-balance you. The result? Tension headaches and a stiff neck.
🛠️ How to Break the Chain Reaction:
👟 Switch footwear: Wear shoes with a wide toe box so your toes can wiggle freely.
🍩 Use doughnut pads: Use non-medicated, gel doughnut pads to offload weight away from the painful center so you can walk normally.
🛁 Soak and soften: Soak your feet in warm water and gently use a pumice stone to file down the dead skin. Never cut a corn yourself!
🩺 See a pro: If you have diabetes or poor circulation, always see a foot care nurse or a podiatrist for safe treatment.Take care of your foundation, and your spine will thank you!

👇 Drop a comment below: Have you ever noticed your posture changing because of foot pain?

07/09/2026

🦶 The Domino Effect: How a Tiny Foot Corn Can Cause Neck Pain!

We tend to ignore our feet until something goes wrong. But did you know your body functions as a single, connected kinetic chain?

Even a minor issue like a foot corn can throw your entire posture off balance and ripple all the way up to your shoulders and neck🤯!
Here is exactly how it happens:
💥 1. The Root Cause: A corn is a hardened pocket of skin caused by friction (usually from tight shoes). Its hard, conical center presses directly into your nerves when you step down.
🚶‍♂️ 2. The Gait Shift: To avoid that sharp pain, your brain subconsciously changes how you walk. You shift your weight to the side or heel, ruining your natural alignment.
🦵 3. Joint Compensation: Because you aren't stepping evenly, your ankle, knee, and hip joints are forced to rotate awkwardly with every single step.
💥 4. Pelvic Tilt & Back Pain: Your uneven stride forces your pelvis to tilt. This uneven base strains your lower back muscles, leading to stiffness and even sciatica
👉🏻 5. Neck & Shoulder Tension: Your spine always tries to keep your eyes level. If your lower body is tilted, your neck and upper back muscles must tightly contract to counter-balance you. The result? Tension headaches and a stiff neck.
🛠️ How to Break the Chain Reaction:
👟 Switch footwear: Wear shoes with a wide toe box so your toes can wiggle freely.
🍩 Use doughnut pads: Use non-medicated, gel doughnut pads to offload weight away from the painful center so you can walk normally.
🛁 Soak and soften: Soak your feet in warm water and gently use a pumice stone to file down the dead skin. Never cut a corn yourself!
🩺 See a pro: If you have diabetes or poor circulation, always see a foot care nurse or a podiatrist for safe treatment.Take care of your foundation, and your spine will thank you!

👇 Drop a comment below: Have you ever noticed your posture changing because of foot pain?

Address

Saint Stephen, NB
E3L1S8

Opening Hours

Tuesday 9am - 4pm
Wednesday 9am - 4pm
Thursday 9am - 4pm

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