Items filtered by date: December 2019
Congenital Foot Deformities and a Focus on Clubfoot
Congenital foot deformities, occurring at birth, present a spectrum of conditions that impact the structure and function of the feet. One notable congenital deformity is clubfoot, a condition where the foot is twisted inward and downward. This malformation results from a combination of genetic and environmental factors influencing the development of tendons, muscles, and bones in the foot during pregnancy. In clubfoot, the Achilles tendon is often shorter than usual, exacerbating the inward rotation of the foot. While the exact cause remains elusive, early identification and intervention are pivotal. Advances in medical understanding and technology continue to enhance treatment outcomes, providing hope for those born with congenital foot deformities. Those born with clubfoot can lead active and fulfilling lives with proper care and intervention. If your child has been born with clubfoot, it is strongly suggested that you consult a podiatrist who can immediately begin appropriate treatment.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Podiatry Associates of Texas. 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 offices located in Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Foot and Ankle Trauma
Broken Feet
A broken foot can either refer to a fracture or a straight break. The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.
Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.
Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.
When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones.
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 sits directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in our 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 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 activities. Another common cause is a fall or jump from a tall height.
One immediate treatment for pain relief is elevating the feet above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankles 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.
Treatment for Severe Foot and Ankle Injuries
Traumatic injuries to the foot and ankle can lead to lasting problems that affect how an individual can move and live their life. It is not always easy for doctors to figure out the best way to diagnose and treat these injuries. Some injuries, like those in the lower leg near the ankle, can be especially tricky. One area of debate is how to handle injuries involving the distal tibiofibular syndesmosis. This is where two bones in the lower leg meet, and injuries here can be complicated to deal with. Another topic of discussion is what to do when someone breaks a bone in their heel. Some doctors argue about whether surgery is needed, and if so, whether to fuse the subtalar joint. These debates make it important for someone with a serious foot or ankle injury to schedule an appointment with a podiatrist to discuss the best course of treatment for the specific injury.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from Podiatry Associates of Texas. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
- Broken bones
- Muscle strains
- Injuries to the tendons and ligaments
- Stress fractures
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
- Bruising
- Inflammation/ Swelling
- Pain
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact our offices located in Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What is a Podiatrist?
The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.
To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.
When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.
Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.
Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.
Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.
How Podiatrists Can Help You
In our daily lives, there are habits that can harm our foot health, and podiatrists can provide advice to help us break them. Examples of that are provided here. Attempting DIY ingrown toenail removal with non-sterile tools can lead to infections. Believing our shoe size remains constant is a misconception. Periodic foot measurements and trying different brands can help find the best fit. Wearing flats as daily footwear may lack cushioning for shock absorption, causing heel pain or metatarsalgia. Walking barefoot on surfaces like hardwood floors can lead to issues. Worn-out shoes affect body alignment and should be replaced when they show wear. Protect your feet in locker rooms with flip-flops. Running without socks increases the risk of blisters and infections. Using running shoes for different sports can cause injury, and appropriate gear for specific sports should be invested in. Most importantly, if you have foot injuries, infections, or seek appropriate footwear recommendations tailored to your specific foot shape and function, it is suggested that you schedule an appointment with a podiatrist who can help with all foot and ankle-related issues.
If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact one of our podiatrists from Podiatry Associates of Texas. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.
What Do Podiatrists Do?
On a daily basis, a podiatrist may perform the following activities:
- Diagnose foot ailments such as ulcers, tumors, fractures, etc.
- Use innovative methods to treat conditions
- Use corrective orthotics, casts, and strappings to correct deformities
- Correct walking patterns and balance
- Provide individual consultations to patients
It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.
If you have any questions please feel free to contact our offices located in Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Athlete's Foot
Athlete’s foot is an extremely contagious infection caused by a fungus that results in itching, burning, dry, and flaking feet. The fungus that causes athlete’s foot is known as tinea pedis and thrives in moist, dark areas such as shower floors, gyms, socks and shoes, commons areas, public changing areas, bathrooms, dormitory style houses, locker rooms, and public swimming pools. Athlete’s foot is difficult to treat as well because of the highly contagious and recurrent nature of the fungus.
Tinea is the same fungus that causes ringworm, and is spread by direct contact with an infected body part, contaminated clothing, or by touching other objects and body parts that have been exposed to the fungus. Because the feet are an ideal place for tinea to grow and spread, this is the most commonly affected area. It is, however, known to grow in other places. The term athlete’s foot describes tinea that grows strictly on the feet.
The most commonly infected body parts are the hands, groin, and scalp, as well as the feet. Around 70% of the population suffer from tinea infections at some point in their lives, however not all of these cases are athlete’s foot. Just like any other ailment, some people are more likely to get it than others, such as people with a history of tinea infections or other skin infections, both recurring and non-recurring ones. The extent to which a person experiences regrowth and recurrent tinea infections varies from person to person.
Sometimes people will not even know that they are infected with tinea or that they have athlete’s foot because of a lack of symptoms. However, most experience mild to moderate flaking, itching, redness, and burning. However, some of the more severe symptoms include cracking and bleeding skin, intense itching and burning, pain while walking or standing, and even blistering.
Because of the recurring nature of the tinea fungus and the athlete’s foot it causes, the best way to treat this condition is with prevention. You can take some preventative measures such as wearing flip flops or sandals in locker rooms and public showers to reduce contact with the floor. It also helps to keep clean, dry feet while allowing them to breathe. Using powders to keep your feet dry is a good idea, as well as keeping your feet exposed to light and cool air, to prevent the growth of tinea. If you do happen to get athlete’s foot, opt for using topical medicated creams, ointments or sprays. These treatments help eliminate and prevent it from coming back.
Causes and Risk Factors for Athlete’s Foot
Athlete's foot, or tinea pedis, is a fungal infection that affects up to 70 percent of the population. Despite its name, athlete’s foot is not limited to athletes. It can affect anyone exposed to various fungi that thrive in warm and moist environments, such as gyms, locker rooms, swimming pools, and communal showers. Exposure is also possible at nail salons and through contact with contaminated socks, towels and clothing. Direct person-to-person transmission is also possible. Walking barefoot in areas frequented by someone with athlete's foot is a common mode of transmission. Warmth combined with moisture is a popular breeding ground for fungal infections like athlete’s foot. Several factors increase the risk of developing this annoying condition. Walking barefoot in wet, dark areas and wearing footwear made of material that does not breathe create an ideal environment for fungal growth. Excessive sweating or exposure to external moisture increases the risk. Wearing the same shoes and socks for extended periods can damage the skin and leave you open to infection. Individuals with diabetes are predisposed, and having eczema may contribute. Athlete's foot appears to affect more men than women. Pedicures performed in contaminated environments also can contribute to the spread of the disease. If you have been infected with athlete’s foot that has become problematic, it is suggested that you schedule an appointment with a podiatrist for an examination and advanced treatment measures.
Athlete’s Foot
Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Podiatry Associates of Texas. Our doctors will assess your condition and provide you with quality treatment.
What Is Athlete’s Foot?
Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.
Prevention
The most effective ways to prevent athlete’s foot include:
- Thoroughly washing and drying feet
- Avoid going barefoot in locker rooms and public showers
- Using shower shoes in public showers
- Wearing socks that allow the feet to breathe
- Changing socks and shoes frequently if you sweat a lot
Symptoms
Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:
- Redness
- Burning
- Itching
- Scaly and peeling skin
Diagnosis and Treatment
Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.
If you have any questions, please feel free to contact our offices located in Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Warts Can Be Treated!
Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.
Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.
Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.
Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.
It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.
Foot Pain Can Affect Your Golf Swing
Considering the less aggressive nature of the sport, golf injuries are not usually associated with foot pain. However, quite contrary to popular belief, golfers are prone to a number of foot injuries, including Morton’s neuroma, heel pain, tendonitis in the arch, and subungual hematoma. Considered to be overuse injuries, repetitive motions, and incorrect biomechanics are the main contributors. Morton's neuroma is a common foot injury associated with golf, typically affecting the non-dominant foot due to overuse and the mechanics of the golf swing. Heel pain is another prevalent foot injury among golf players, resulting from excessive movement of the rear foot, which puts pressure on ligaments. This often results in inflammation of the plantar fascia, a broad ligament that runs beneath the sole of the foot. Tendonitis can occur when repeated golf swings exert excessive pressure on the foot, leading to inflammation of the tendon in the foot's arch. Subungual hematoma is a foot injury caused by exerting too much pressure on the big toe during a golf swing, resulting in the formation of a blood clot beneath the toe. If these or other foot problems interfere with playing golf or affect your daily activities, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from Podiatry Associates of Texas. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
If you have any questions, please feel free to contact our offices located in Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
