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Posts for category: Foot Conditions

By DANIEL METHUSELAH, DPM
August 27, 2021
Category: Foot Conditions
Tags: Cavus foot  
High Arches in ChildrenWhen babies are born they are born with flat feet. Typically the arches of the feet don’t develop until children are 3-4 years old; however, sometimes the arches of the feet develop higher than they should, which can cause the feet to flex. This is known as cavus foot and this problem typically occurs within the first 10 years of a child’s life. Since this condition can impact mobility you must see a podiatrist if this is something you think your child might be dealing with.

The Problem with Cavus Foot

Cavus foot needs to be addressed right away by a podiatrist, as this condition can lead to a variety of issues for your child. Cavus foot is more likely to lead to imbalances within the feet, which in turn can also impact the function of the ankle, legs, hips, and even lower back. Children and teens with cavus foot may be more likely to deal with aches, pains, and strains within the feet, ankles, legs, and hips. This condition can also lead to metatarsalgia, Achilles tendonitis, and chronic ankle sprains.

Causes of Cavus Foot

In many cases, a muscle or nerve disorder that impacts how the muscles function causes cavus foot. This leads to imbalances that cause the distinctive high arches of this condition. Of course, other conditions such as Charcot-Marie-Tooth disease, muscular dystrophy, and spina bifida can also increase the chances of developing cavus foot.

Treating Cavus Foot

You must be watching your little ones as they start to walk to see if you notice any differences in how they move. Catching these issues early offers your child the best chance at improved mobility and less risk for developing foot problems later on. Your podiatrist may work together with a neurologist to pinpoint whether a nerve disorder could be the underlying cause.

Once your foot specialist determines the root cause of your child’s cavus foot then they can map out a customized treatment plan. Milder cases may benefit from more conservative treatment options such as custom orthotics and arch supports; however, surgery is often necessary to correct this problem.

Any issues with mobility, particularly in children, should be addressed and assessed as quickly as possible. Turn to a podiatrist that also specializes in providing pediatric podiatry to children and teens, as they will be able to provide the most thorough treatment plan for your little one.
By DANIEL METHUSELAH, DPM
June 03, 2021
Category: Foot Conditions
Tags: Thyroid Disease  
Thyroid Disease and FeetThe thyroid gland releases and regulates hormones and is responsible for everything from heart rate to peripheral nervous system functions. So, you may be surprised to discover that this same disorder that may make you feel tired and brain foggy can also cause changes in your feet. In fact, your feet may be trying to alert you that something might be wrong with your thyroid.
 
You have dry, cracked feet

While we know that there are a lot of reasons why someone might have dry, cracked feet including being on your feet all day, long-distance running or winter weather, your thyroid might also be playing a role. Many people with hypothyroidism, an underactive thyroid, complain of dry, cracked skin on the soles of their feet, particularly the heels. You may also notice that you get deep, painful fissures or that your skin seems almost leathery in thickness and appearance. This could be a sign to have your thyroid checked.
 
Your feet (and hands) always seem cold

Since your thyroid is responsible for your metabolism it’s not too surprising that an underactive thyroid slows the metabolism, which in turn causes the body’s temperature to drop. This is why you notice that your feet and hands always seem to be cold to the touch. You may notice that this problem is made worse during cold weather. Some people with hypothyroidism deal with a condition known as Raynaud’s phenomenon, in which the feet and hands are so cold that they go numb and turn blue or white.
 
Your feet are swollen

Again, there are a lot of things that can lead to swollen feet; however, if you notice swelling in your feet and ankles rather regularly then you may want to have your thyroid checked. Since people with hypothyroidism are also prone to developing tarsal tunnel syndrome, which can lead to permanent nerve damage if left untreated, you must have a podiatrist you can turn to for regular care if you have been diagnosed with a thyroid disorder.
 
If you notice any changes in your feet and you’d like to take a closer look, your podiatrist will be the best specialist to turn to. Should they suspect that a thyroid disease might be at play you can also speak with a primary care doctor for blood work.
By DANIEL METHUSELAH, DPM
March 31, 2021
Category: Foot Conditions
Tags: Pigeon Toes  
Pigeon ToesDo your child’s feet turn inward? If so, it’s fairly easy to tell, particularly when they walk. This condition is known as pigeon toes and it is often genetic (so if you have a family history of pigeon toes chances are more likely that your child will develop this foot problem, too).
 
How are pigeon toes diagnosed?

When you bring your child into the podiatrist’s office, the specialist will examine your child’s walk and gait. They will also observe how your child stands to see if their feet turn inwards or to look at how your child’s hips are positioned. Your podiatrist may also recommend imaging tests to look at the alignment of the bones.

While a pediatrician may be the first person to look at and diagnose your child’s pigeon toes, a pediatric podiatrist is going to be able to provide your little one with the specialized treatment and care they need.
 
How are pigeon toes treated in children?

Most parents are relieved to find out that many children grow out of mild to moderate forms of pigeon toes. While this may take a few years, this is nothing to worry about and children won’t require special treatment or care.

However, if this issue is detected in your infant, they may need to wear a cast on the feet to fix the alignment before your child begins walking. A podiatrist can also show you a series of stretches and massages that can help the bones grow into the proper alignment.

If your child’s pigeon toes are still causing them issues by 10 years old, then you may want to talk with your podiatrist about whether surgery may be necessary to correct these bone alignment issues.
While mild pigeon toes may not be a cause for concern, children with more severe cases may have trouble walking or may not be able to participate in sports. Some children may also deal with teasing due to their condition. It’s important to discuss all of these issues with your child’s podiatrist so they can help you find the right treatment option to meet your child’s needs.
 
If your child has pigeon toes, it’s best to speak with a qualified foot doctor to find out the best way to address this issue to prevent mobility issues in your growing little one. A podiatrist can easily treat pigeon toes and other foot and ankle conditions in children, teens, and adults.
By DANIEL METHUSELAH, DPM
March 02, 2021
Category: Foot Conditions
Tags: Puncture Wound  
Puncture WoundA puncture wound in the foot occurs when you step on an object that leaves a small hole behind. One of the most common puncture wounds comes from stepping on a nail. Puncture wounds are not simply cuts and will require different treatment and care to prevent infection and other complications from occurring. If you’re dealing with a puncture wound, you probably took a trip to your local emergency room for care. Even if you’ve done this, you should still follow up with a podiatrist to make sure the wound is properly cared for and tended to.
 
Dealing with a puncture wound? Here are the steps you should take,
  • Seek immediate medical attention (head to your local ER)
  • You may need a tetanus shot if it’s been more than 10 years since your last shot
  • Schedule an appointment with your podiatrist within 24 hours of the injury
  • Your podiatrist will provide you with a variety of care instructions to keep it clean and disinfected (make sure to follow all of these instructions)
When you come into the podiatrist’s office the first thing they will do is assess the wound and make sure it is properly cleaned. They will also make sure there is no debris remaining. To clean the wound, a numbing gel may be applied to the area first. Sometimes a round of antibiotics is prescribed to prevent an infection from developing. If your podiatrist suspects that you might still have a piece of an object in the wound or that there might be bone damage, imaging tests may need to be performed.
 
You must keep off the foot so that it can fully heal. If you’ve been prescribed antibiotics, make sure to take the medication until it is finished (if you stop taking it before the medication is finished it won’t be as effective). While your foot heals you must examine it daily and look for any signs of infection. These signs include,
  • Fever
  • New or worsening pain
  • Swelling
  • Redness
  • Drainage
  • Skin that’s warm to the touch
It’s important to turn to a podiatrist right away to treat your puncture wound to prevent complications. A foot and ankle specialist can provide you with instructions on how to properly care for your wound to ensure that it doesn’t get infected. Seek treatment right away.
By DANIEL METHUSELAH, DPM
October 26, 2020
Category: Foot Conditions
Tags: Sesamoiditis  
SesamoiditisA sesamoid is a bone that connects to a tendon or muscle instead of another bone. The most common sesamoids are the patella (kneecap) and two bones found under the forefoot. The sesamoids in the foot help to provide the foot with weight-bearing support. Unfortunately, just like another bone, sesamoids can fracture or become inflamed. An inflamed sesamoid is known as sesamoiditis and it’s most often found in athletes.
 
What are the symptoms of sesamoiditis?
 
So, how do you differentiate pain from sesamoiditis from other causes of pain? You could be dealing with an inflamed sesamoid in the foot if you are experiencing:
  • Pain at the ball of the foot near the big toe
  • Pain when bending or straightening the big toe
  • Swelling
  • Pain that comes up gradually
Pain that comes on suddenly may be a sign of a fractured sesamoid rather than sesamoiditis, which is a form of tendinitis. You may experience pain when putting weight on the foot.

How is sesamoiditis treated?

The good news is that this inflammatory condition can be treated with rest and home care designed to ease the inflamed tendon or muscle. At-home care for sesamoiditis looks like:
  • Avoiding any activities that put pressure on the foot
  • Taking a pain reliever such as ibuprofen to reduce pain and swelling
  • Wearing supportive shoes with ample cushioning
  • Applying ice to the foot for 10-15 minutes every few hours
  • Avoiding shoes with pointed toes or high heels
It can take up to six weeks for sesamoiditis pain and inflammation to go away. If you are dealing with severe pain or swelling, or if you have trouble walking, then you must see a podiatrist right away. In more severe cases your doctor may recommend bracing the foot or using steroid injections to target unresponsive and more serious inflammation.

If you are experiencing severe or persistent foot pain, you must seek podiatry care from a qualified foot and ankle specialist. Foot pain should not go ignored. Call your podiatrist today.