Congenital vertical talus, or rocker bottom foot, is a rare condition that affects foot structure from birth. This deformity occurs when the talus bone is improperly positioned, causing the foot to curve abnormally and point upward. The arch appears excessively convex, and the sole may have a rounded shape, making it difficult for your baby’s foot to bear weight properly. Unlike flexible flatfoot seen in newborns, congenital vertical talus leads to stiffness and instability that often requires medical intervention. It is frequently linked to neuromuscular or genetic disorders, and, in some cases, improper positioning in the womb may contribute to its development. A diagnosis is made through a physical examination and confirmed with X-rays, which reveal a misaligned talonavicular joint. While casting may be attempted in early infancy to improve alignment, surgery may be required to reposition the bones and restore function. A podiatrist can assess the condition, discuss treatment options, and provide extended follow-up care. If your baby has a congenital foot deformity, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Franklin Harry, DPM of Best Foot Forward. Our doctor 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 offices located in Festus and St. Louis, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Toenails change over time, just like the rest of the body. As people age, nails tend to grow more slowly, becoming thicker, harder, and more brittle. Many notice a yellowish or dull appearance, making them harder to trim. Years of pressure from shoes, minor injuries, or underlying conditions like poor circulation and arthritis can cause nails to become misshapen or develop ridges. Fungal infections are more common in older adults, leading to discolored, crumbly nails that may lift from the nail bed. Some people may experience dry, splitting nails due to decreased moisture retention. Thickened nails can press against shoes, causing discomfort or even pain. Regular foot care is essential. Keeping nails trimmed, moisturizing, and wearing well-fitted shoes can help. If your toenails become too thick, painful, or infected, it is suggested that you see a podiatrist who can provide proper care to keep feet healthy.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Franklin Harry, DPM from Best Foot Forward. Our doctor 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 offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot stress fractures are tiny hairline cracks in bones caused by repeated stress, especially common in the metatarsal bones of the feet. They are caused by activities involving frequent running, jumping, or dancing. Stress fractures, which are considered to be an overuse injury, lead to pain during physical activity, swelling, bruising, and tenderness when touched. Because stress fractures in the metatarsal bones are not easily detected through standard X-rays, a podiatrist may order advanced imaging, like a bone scan, for an accurate diagnosis. Treatment generally involves resting the affected area, using supportive devices like casts or protective footwear, or possibly surgery to ensure proper bone healing. Preventing metatarsal stress fractures includes gradually increasing activity levels and avoiding pushing through pain, which can result in further injury or prolonged recovery. If you suspect you have sustained a metatarsal foot stress fracture, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Franklin Harry, DPM from Best Foot Forward. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.