
Symptoms and Causes of Clubfoot
Clubfoot, medically known as congenital talipes equinovarus, is a condition where a baby is born with one or both feet turned inward and downward. Some cases are mild and others more severe. Symptoms include twisted or curved feet and underdeveloped calf muscles. While the exact cause of clubfoot is unknown, it may result from improper development of bones and ligaments in the womb. Clubfoot can be hereditary, affecting approximately one in 1,000 babies, more commonly boys. Diagnosis can occur via prenatal ultrasound or shortly after birth through a physical examination and sometimes an X-ray. Early treatment is essential for normal foot growth, with the Ponseti method being extremely effective. This involves gentle manipulation and casting of the feet over several weeks, followed by bracing to maintain correct positioning. In some cases, minor surgery may be needed to lengthen the Achilles tendon. If your baby is diagnosed with clubfoot, 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 one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. 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 one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic tools and technology to treat 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.
Tips for Finding Shoes That Fit Properly

Surprisingly, about 70 percent of people wear shoes that don’t fit well, leading to discomfort and potential long-term issues affecting the feet and ankles, as well as other body parts. To ensure a proper fit, start by measuring your feet, as sizes can vary between brands and your feet change over time. Shop in the afternoon when your feet are slightly swollen, ensuring a fit that accommodates daily activity. Look for shoes with adequate support and structure, avoiding overly soft footwear that lacks stability. Check for a thumb’s width of space at the toe and consider the shape of the shoe to avoid cramped toes. Heels higher than 1.5 inches can worsen foot problems. For those on carpets or with mobility issues, lightweight polyurethane soles are a better option than heavy rubber. Breathable materials and appropriate socks are also important to prevent moisture buildup and subsequent issues, like corns or blisters. Special features can accommodate specific conditions like diabetes, bunions, or hammertoe. For personalized advice and to address any foot-related concerns, it is suggested that you make an appointment with a podiatrist.
Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors will treat your foot and ankle needs.
Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:
- Be sure the shoes fit correctly right away
- Ensure the ball of your foot fits comfortably in the widest portion of the shoes
- Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
- Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity
Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.
If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How to Get a Proper Shoe Fit
Many people suffer from foot problems because their shoes are poorly fitted. When shopping for a new pair of shoes, fashion usually triumphs over comfortability. A pair of well fitted shoes is essential in preventing foot problems and potential injuries.
Poorly fitted shoes can cause foot issues such as plantar fasciitis, bunions, hammertoes, ingrown toenails, and foot pain. Shoes such as high heels and sandals may cause problems for your feet. These shoes put the foot in an unnatural position for long periods and fail to provide good foot support. It is recommended to not wear either one for an extended period.
When you are trying on shoes, make sure they have enough space for your toes to move around. Shoes shouldn’t be cramped but also shouldn’t have too much room that your foot moves around in them. A snug shoe is a good choice. They should also provide good arch support and cushioning. Athletic shoes tend to offer both good support and cushioning. A degree of flexibility is necessary so they aren’t too stiff or too unsupportive.
If you can wear your shoes for a long period of time without experiencing any discomfort, this is a sign that your shoes fit properly. Do not be too dismayed if the shoe isn’t a perfect fit at first; many shoes take a few days to weeks to properly break in. However don’t expect an uncomfortable shoe to become fitted to your foot.
For those with foot conditions such as flat feet or pronation, orthotics may be helpful or even necessary to prevent foot pain. Orthotics are inserts that are placed in the shoe and provide support and cushioning for the foot. While there are many types of orthotics out there, custom-made orthotics may be necessary depending upon your foot and foot conditions.
Feet change in size over time. It is important to check your foot size over time so that you can make sure you have the perfect fit for your feet. A podiatrist can provide more information on proper shoe fitting and foot orthotics.
Key Facts About Foot Stress Fractures
Foot stress fractures are tiny cracks, usually found in the long bones of the foot, that result from repetitive force or overuse. These fractures often occur in athletes and individuals who engage in high-impact activities like running or jumping. Risk factors can include a sudden increase in activity intensity, wearing improper footwear, and conditions like osteoporosis that weaken bones. Stress fractures develop when muscles become fatigued and lose their ability to absorb shock, transferring the impact to the bones. Common sites for these fractures are the metatarsal bones, which bear significant weight during movement. Symptoms often include pain, swelling, and tenderness that worsen with activity. Early diagnosis is vital for healing and preventing further complications. If you have foot pain after bouts of exercise, it is suggested that you contact a podiatrist who can accurately diagnose and treat stress fractures.
Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors 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 one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Dealing with Stress Fractures of the Foot and Ankle
Stress fractures are small breaks in the bone that are caused by repetitive stress. They typically occur due to overuse, forcing the bones of the foot or ankle to continually absorb the full impact of each step taken. Stress fractures can also be caused by abnormal foot structure, osteoporosis, bone deformities, or wearing improper footwear during exercise.
Stress fractures are common for individuals whose daily activities cause high levels of impact on their feet and ankles. Those who run, play tennis or basketball, or practice gymnastics tend to experience these fractures more frequently. Anyone is susceptible to this problem, though. Individuals who are normally sedentary and suddenly begin an intense, high impact workout may sustain stress fractures. This is because their muscles are not yet strong enough to handle and cushion the intensity of their activity. Osteoporosis may also cause someone to get stress fractures, because the disease weakens an afflicted person's bones and makes it easier for them to break down.
Pain from stress fractures typically occurs in the general area of the fracture. Pain can also manifest as “pinpoint pain” or pain that is felt when the site of the injury is touched, and can be accompanied by swelling. It may occur during or after activity, and it may disappear while resting and return when standing or moving. Engaging in any kind of activity, high impact or otherwise, will aggravate the pain. If the intensity of the activity increases before the stress fracture has properly healed, it can cause a full fracture.
Treatment can vary depending on the individual and the degree of injury. The primary way to treat a stress fracture is to rest the hurt foot. Some fractures will heal quickly with only a little bit of rest, while others may require a long rest period and the use of crutches, immobilization, or physical therapy. Under certain circumstances, surgery may be required to install support pins around the fracture to assist in healing.
If you are undergoing a new exercise regimen in running or some other kind of high impact activity, set incremental goals on a weekly basis so you can build up muscle strength. Make sure to wear supportive shoes to better protect you feet.
If you begin to experience any symptoms of stress fractures, you should stop exercising and rest. If the symptoms persist, consult with your podiatrist. Remembering these tips can help you prevent stress fractures to your foot and ankle, and allow you to continue living normally.
The Pain of Plantar Fasciitis
Plantar fasciitis is a common foot condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. It occurs when this tissue is overstretched or overused, often due to excessive running, standing for long periods, or wearing inadequate footwear. The condition manifests as a sharp, stabbing pain in the heel, particularly noticeable with the first steps in the morning or after long periods of inactivity. Those at higher risk include runners, individuals with high arches or flat feet, people who are overweight, and people who wear shoes with poor arch support. Preventing plantar fasciitis involves wearing supportive footwear, maintaining a healthy weight, and incorporating stretching exercises into daily routines to improve flexibility. Treatment options include rest and stretching exercises, For persistent pain, custom orthotics may be necessary. If you have continued heel pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.
There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.
People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.
Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.
If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.
What is Achilles Tendinopathy?
Achilles tendinopathy is a condition characterized by pain, swelling, and stiffness in the Achilles tendon, which connects the calf muscles to the heel bone. This condition often results from overuse, particularly in athletes and individuals who engage in repetitive activities such as running or jumping. It can also arise from a sudden increase in physical activity, wearing poor footwear, or biomechanical issues like flat feet. The pain associated with Achilles tendinopathy usually starts as a mild ache above the heel or in the back of the leg, worsening with activity. The condition can range from mild inflammation to more severe degeneration of the tendon fibers. Diagnosis typically involves a physical examination and imaging tests, such as ultrasound or MRI scans to assess the extent of the damage. Treatment options include rest, targeted exercises, and nonsteroidal anti-inflammatory drugs. In severe cases, surgery may be required to repair the tendon. Preventative measures include proper warm-up routines, wearing appropriate footwear, and gradually increasing the intensity of physical activity. If you experience symptoms of Achilles tendinopathy, it is suggested that you schedule an appointment to see a podiatrist for an accurate diagnosis and effective treatment plan.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
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