Items filtered by date: February 2024
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 of Flat Feet
Flat feet, or fallen arches, can lead to discomfort and pain, affecting daily activities. Treatment options aim to alleviate symptoms and improve foot function. Custom-made orthotics to support the arch and provide cushioning, can help distribute pressure evenly and reduce pain. Wearing supportive footwear with proper arch support and shock absorption can also alleviate discomfort. Stretching exercises to strengthen the muscles and improve flexibility may be beneficial. In severe cases, corticosteroid injections may be recommended to reduce pain and inflammation. Surgery is rarely necessary, but may be considered for individuals with persistent pain and significant foot deformities. If you have pain from having flat feet, it is suggested that you schedule an appointment with a podiatrist for an evaluation and a plan tailored to your individual needs.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Franklin Harry, DPM from Best Foot Forward. Our doctor 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 offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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.
Polydactyly Versus Syndactyly in Congenital Foot Conditions
Polydactyly and syndactyly are different congenital foot conditions that affect the development of the toes. Polydactyly occurs when there are extra toes on the foot. This condition can vary in severity. Some people having a small extra toe that may not cause significant issues. Others may have a fully formed extra toe that requires surgical removal for functional and cosmetic reasons. Conversely, syndactyly occurs when two or more toes are fused together. This condition ranges from partial fusion, where only the skin connects the toes, to complete fusion, where the bones are fused together. Syndactyly can affect adjacent toes or more distant toes. Polydactyly and syndactyly are generally treated surgically to restore normal toe alignment and function. If you or your child has a congenital foot condition, it is suggested you consult with a podiatrist for proper evaluation and tailored management 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.
Wound Care
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
Scar Management of Foot Wounds
Properly caring for foot or ankle surgical scars is closely linked to the different stages of wound healing. When preparing a patient for surgery, it is important to consider factors that cannot be changed, such as age and any history of raised scars. To prevent scars from getting worse, the most important thing to control is the tightness of the wound during healing. This depends on how the surgical cut is made. Usually, cuts are made along the natural lines of the skin, but in some areas, there are no such lines. Taking care of a surgical scar does not stop when the stitches are removed, and it should continue for about a year. Podiatrists will keep checking the scar during follow-up visits to make sure it is not getting worse. If it starts to become raised and thick, steroid injections and other treatments can be used to help. If you are having foot or ankle surgery, it is suggested that you speak to a podiatrist about past wound healing
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Franklin Harry, DPM from Best Foot Forward. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
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 care needs.
How to Treat Heel Spurs
Heel spurs are calcium deposits that cause bone protrusions on the heel bone. Heel spurs are usually associated with plantar fasciitis, which occurs when the plantar fasciitis in the foot becomes inflamed. Typically, heel spurs don’t cause any symptoms. However, they can produce chronic or intermittent heel pain. Those who have had the condition often describe the irritation as a stabbing pain.
There are risk factors that may make you more likely to develop heel spurs. People who have abnormal walking gaits, run and jog on hard surfaces, are obese, or wear poorly fitting shoes are more likely to develop heel spurs.
Fortunately, there are precautions you can take to avoid developing heel spurs. One of the best ways to do this is by wearing well-fitting shoes with shock-absorbent soles. Another preventative technique is to choose running shoes if you plan on running, and walking shoes if you plan on walking. Shoes are made for different activities and it is important to research a shoe before you purchase a pair.
The pain associated with heel spurs often decreases the more you walk. However, a recurrence of pain after an extended period of rest or walking is likely to occur with this condition. Those with severe heel spur pain may opt to go the surgical route for treatment. However, more than 90% of those with the condition get better without surgical treatment. If you have a heel spur and want to know if surgery is right for you, you should go to your podiatrist and he or she will be able to conduct a pre-surgical test or exam to determine if you are an optimal candidate for surgery.
Relationship of Heel Spurs to Plantar Fasciitis
Plantar heel pain is a widespread problem that affects many people from different backgrounds. It can make life difficult for those who are affected by it. A common issue is plantar fasciitis. Some studies have linked heel spurs to plantar fasciitis. People with type 2 spurs, or posterior calcaneal spurs, seem to have more pain before and after surgery, and their foot function is not as good as those with other types of spurs. Type 2 heel spurs are categorized based on their location and are typically found on the back of the heel, just above the insertion point of the Achilles tendon. They are more likely to cause plantar fasciitis. Type 2 heel spurs are differentiated from type 1 heel spurs, also known as inferior calcaneal spurs. They are found on the undersurface of the heel bone, and type 3 heel spurs, or superior calcaneal spurs, which are found on the upper surface of the heel bone. If you have a heel spur that is causing you pain, it is suggested that you schedule an appointment with a podiatrist to understand what type of heel spur you have and how your pain might be relieved.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Franklin Harry, DPM from Best Foot Forward. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our offices located in Festus and St. Louis, MO . We offer the latest in diagnostic and treatment technology to meet your needs.
Keep Your Feet Healthy So You Can Stay Active
Have your feet inspected by a professional before starting a new sport or physical activity. Taking charge of your foot health will keep you in good physical condition and can help you avoid a potential injury, such as a fracture or sprained ankle.
Prevent injuries and see a foot specialist.