Clubfoot is a congenital condition in which a newborn foot appears twisted inward and downward due to abnormal development of muscles, tendons and ligaments. The exact cause is not always known, but genetics play a significant role and the condition may run in families. Environmental factors during pregnancy may also contribute. Diagnosis is often made at birth through a physical examination and sometimes confirmed with a prenatal ultrasound. Symptoms include a visibly rotated foot, limited range of motion, and stiffness, although the condition is not typically painful in infancy. A podiatrist provides early evaluation, guidance, and ongoing care through stretching, casting, bracing, and monitoring progress. Early treatment improves long-term mobility and function. If your child has been born with clubfoot, it is strongly suggested that you include a podiatrist on your health care team to ensure the best outcome for your child’s development.

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 and treatment technologies for all your foot care needs.

Diabetes affects how the body handles blood sugar, but it also has a major impact on foot health. Over time, high glucose levels can damage nerves and blood vessels in the feet. Reduced sensation makes it easier to miss blisters, cuts, or pressure points, while poor circulation slows healing and increases infection risk. Small problems can quietly turn into open sores or ulcers if they are not noticed early. Changes in foot shape, walking patterns, and skin condition can add even more stress to vulnerable areas. These complications can interfere with daily life, and, in severe cases, lead to serious outcomes that affect mobility and independence. The good news is that many foot problems related to diabetes can be prevented. Daily self-checks, wearing proper footwear, and routine professional care make a real difference. If you have diabetes, it is suggested that you see a podiatrist for regular foot evaluations and guidance.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

A vascular exam allows a podiatrist to assess how well blood is flowing to the feet and ankles. The exam often begins with observation of skin color, temperature, swelling, and changes in hair or nail growth that may signal reduced circulation. Pulses on the top of the foot and near the ankle are gently felt to evaluate arterial flow. The podiatrist gently presses on the skin of the toes to observe how quickly normal color returns, which reflects small vessel function. In some cases, a handheld device is used to listen to blood flow more clearly. These findings help identify circulation concerns that may affect healing, nerve health, or skin integrity. Vascular assessment is especially important for individuals with diabetes, wounds, leg pain, or slow-healing sores. If changes in foot color, temperature, or healing are noticed, it is suggested that you see a podiatrist for further evaluation and appropriate care.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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 Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

If you have any questions please 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.

A foot ulcer is an open sore that may appear as a shallow red crater or a deep wound extending to tendon or bone. Ulcers often develop on the bottom of the foot or toes and are most common among people with diabetes, nerve damage, or poor circulation. When sensation is reduced, pressure or friction may go unnoticed, allowing skin breakdown to worsen. Limited blood flow slows healing and increases the risk of infection, cellulitis, or bone involvement. Structural deformities, arthritis, and abnormal walking patterns can also create pressure points that lead to ulcers. A podiatrist evaluates depth, tissue health, circulation, and nerve function, and may order imaging or laboratory testing to detect infection. Treatment includes removing unhealthy tissue, relieving pressure, controlling infection, and addressing biomechanical causes to promote healing and prevent recurrence. If you have developed foot ulcers, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

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 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.