Congenital Foot Problems

Congenital Foot Problems

A congenital foot problem is a problem affecting the feet, toes, and/or ankle that a child is born with. Several issues with a child’s feet can occur congenitally. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. Some of these problems have a genetic basis, with someone in their family history having a gene causing the condition, and some are simply an anomaly.

The following are specifics about a few of these conditions:

-    Clubfoot, also called congenital talipes equinovarus or talipes equinovarus, is When the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing an inward and downward pointing of the foot. The soles of the feet might also face each other. In most cases of clubfoot, both feet are affected. If not treated, the affected child will walk on the sides of their feet or ankles.

-    Polydactyly is a condition where the child has more than five fingers or toes on either or both feet. Presentation usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.

-    Vertical talus is where the talus bone forms in the wrong position, other bones in the foot do not line up properly, the front of the foot points up, and the bottom of the foot is stiff, has no arch, and usually curves out. This can occur in one or both feet and if left untreated, can lead to serious disability or discomfort as the child grows.

-    Tarsal coalition is when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot. The tarsal bones, located toward the back of the foot and in the heel, are the ones affected. This condition is often present at birth, but signs of the disorder usually come on in early adolescence.

-    Cleft foot is a rare condition where the foot has missing toes, a V-shaped cleft, and other anatomical differences. Surgery can often help improve the foot’s function since the heel remains normal and is what is most needed for walking. The main issues with this affliction are whether the affected foot can fit into a shoe and the shape and appearance of the foot.

-    Macrodactyly is when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for the child to use the affected foot for certain activities.


 

Understanding Talipes Equinovarus, or Club Foot

Understanding Talipes Equinovarus, or Club Foot

Talipes equinovarus, commonly known as clubfoot, is a congenital foot condition characterized by abnormal positioning of the foot and ankle. In this disorder, the foot turns inward and downward, creating a distinctive appearance where the sole faces inward and the heel points upward. The precise cause of talipes equinovarus remains unclear, though a combination of genetic and environmental factors is believed to contribute. Early diagnosis is vital for effective management, often involving a series of manipulative techniques, casting, and, in some cases, surgical intervention. Left untreated, talipes equinovarus can lead to gait abnormalities and hinder normal physical development. Though the condition poses challenges, advancements in medical interventions provide hope for improved outcomes. If your child has been born with this foot condition, it is strongly suggested that you seek the expert advice of a podiatrist who can offer appropriate treatment methods.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Advanced Foot & Ankle Medical Center . Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Thousand Oaks, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Red Feet in Elderly Individuals

Red Feet in Elderly Individuals

Red feet in the elderly can be a symptom with a myriad of potential causes. One primary contributor is reduced circulation, a common age-related issue that compromises blood flow to the extremities. Chronic venous insufficiency, where weakened veins struggle to return blood to the heart, may result in redness in the feet due to pooling blood. In some cases, medications or medical conditions affecting blood vessels can contribute to this discoloration. Additionally, inflammatory conditions like arthritis or infections might manifest as redness in the feet. Diabetic complications, particularly peripheral artery disease, may also lead to diminished blood supply and red discoloration. A podiatrist needs to conduct a thorough assessment to accurately diagnose and address the root causes of red feet in the elderly. If you or someone you know has this foot condition, it is suggested that you visit a podiatrist who can offer appropriate treatment options.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Taking Care of Elderly Feet

Taking Care of Elderly Feet

Many foot diseases and conditions become more serious and common among the elderly. Some of these conditions include diabetic ulcers, ingrown toenails, fungus, arthritis, corns, and calluses. Unfortunately, it may be harder for older adults to take care of their own feet, but there are some precautions they can take in order to avoid any serious conditions.

Dry, cracked heels tend to be a common problem for older people. In order to avoid this, you should always keep your feet clean and well moisturized. Special feet moisturizers should be used as average lotions might not provide enough moisture for dry and cracked heels. Daily foot inspections are crucial for the elderly to detect any irregularities in their earliest stages. During the aging process, blood circulation tends to slow down causing older people to not feel their feet as well as they used to. This often results in foot problems going unnoticed.

Fungal and bacterial conditions thrive on elderly feet because older adults are less likely to keep their feet clean and dry; this makes it easier for bacteria to take hold in their dry, cracked skin. Elderly people should be sure to thoroughly dry their feet, especially in between the toes, after bathing. This will help them avoid developing any fungal infections. Additionally, clean cotton socks should be worn after the feet are dried.

Cutting toenails straight across will help prevent ingrown toenails. When toenails are cut too lose, the nail might break through the skin resulting in an ingrown nail. Clippers should be used to cut the nails in order to make the cut even.

Elderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.

Fortunately, Medicare covers many different types of services for foot care. Elderly people with any of these foot conditions should seek the help of a podiatrist and perform daily foot inspections in order to ensure that they have healthy feet.

Do Your Child's Feet Hurt?

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Flat Feet

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes. 

Definition and Causes of Flat Feet

Definition and Causes of Flat Feet

Flat feet, medically known as pes planus, refers to a condition where the arches of the feet are significantly flattened, causing the entire sole to touch the ground. This deviation from the typical arch structure can result from various factors. Weak arch development during childhood, often due to genetics, is a common cause of flat feet. Additionally, injuries or inflammation in the tendons and ligaments that support the arch can contribute to this condition. Arthritis and certain neurological conditions may also affect the arches, leading to the collapse of the foot's natural curve. Pregnancy and obesity can exert extra stress on the feet, potentially causing the arches to flatten over time. Understanding the definition and causes of flat feet is important for individuals experiencing discomfort or seeking preventive measures. If you have flat feet, and have difficulty in completing daily activities, it is strongly suggested that you schedule an appointment with a podiatrist.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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All About Broken Ankles

All About Broken Ankles

Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint: the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sit directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in the ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.

A broken ankle is different from an ankle sprain, which occurs when the ankle ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate X-ray to determine the severity of the break.

A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activity. Another common cause is a fall or jump from a tall height.

One immediate treatment for pain relief is elevating the foot above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankle to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.

It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.

Types of Ankle Fractures

Types of Ankle Fractures

Ankle fractures, involving breaks in the bones forming the ankle joint, vary in location and severity. A lateral malleolus fracture occurs in the fibula, which is the smaller leg bone, and is the most frequent type of ankle fracture. Medial malleolus fractures affect the tibia's inner side, while a posterior malleolus fracture involves the back of the tibia. Bimalleolar fractures involve both the medial and lateral malleoli, and trimalleolar fractures include the posterior malleolus as well. Pilon fractures are severe, affecting the bottom of the tibia and potentially damaging the ankle joint's surface. Stress fractures, resulting from repetitive stress rather than a single injury, are minor cracks in the bone. Each type of ankle fracture varies in treatment and recovery, with severity ranging from simple breaks that may heal with rest and immobilization to complex fractures requiring surgical intervention. If you have fractured your ankle, it is strongly suggested that you schedule an appointment with a podiatrist who can determine the type and severity of the break, and provide appropriate treatment options.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Different Types of Heel Pain

Different Types of Heel Pain

Heel pain is a common issue that can have various causes, often related to mechanical factors. The location of the pain can provide clues for diagnosis. Plantar fasciitis, a prevalent condition, leads to medial plantar heel pain, especially during the first steps in the morning or after rest. Other causes of plantar heel pain include calcaneal stress fractures, nerve entrapment, heel pad syndrome, neuromas, and plantar warts. Posterior heel pain is often due to Achilles tendinopathy, while pain at the tendon's insertion point is related to other tendinopathies. Haglund deformity, a protrusion of the calcaneus, can cause pain between the calcaneus and Achilles tendon. In children, Sever’s disease, a calcaneal apophysitis, may be the cause. Medial midfoot heel pain, especially with weight-bearing, might be linked to tarsal tunnel syndrome, caused by nerve compression. Sinus tarsi syndrome leads to lateral midfoot heel pain. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis of the problem so that the proper treatment can be provided.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Advanced Foot & Ankle Medical Center . Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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