Clubfoot, or talipes equinovarus, is a congenital condition where a newborn’s foot appears twisted or turned inward. The exact causes of clubfoot are not fully understood, but it is believed to result from a combination of genetic and environmental factors. In many cases, clubfoot occurs in isolation, but it can also be associated with other congenital conditions. The Ponseti method is a widely recognized treatment for clubfoot, involving a series of gentle manipulations and the application of casts to gradually correct the foot’s position. This method is typically initiated shortly after birth and aims to achieve a functional and pain-free foot. After the initial treatment, a brace is often used to maintain the corrected position. Early diagnosis and intervention are critical for successful treatment, allowing children to develop normally and engage in activities without limitations. If your child has been born with clubfoot, it is suggested that you include a podiatrist on your healthcare team who can help you to properly monitor and manage this condition.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Pennsylvania Foot & Ankle. 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.
The ankle's movement and stability rely on bones, ligaments, and muscles working together. The main bones involved are the tibia, fibula, and talus. These form the ankle joint, which allows the foot to move up and down. Ligaments, like the deltoid, anterior talofibular, and calcaneofibular ligaments, help keep the ankle stable and control side-to-side movements. When we walk, the ankle flexes upwards when the heel touches the ground and pushes down as we lift the foot off. In cases of severe damage or arthritis, ankle replacement surgery may be needed, where the joint is replaced with artificial parts to restore movement. If you have ankle pain or discomfort, it is suggested that you schedule an appointment with a podiatrist who can diagnose the problem and recommend treatments to help you regain proper walking function and stability.
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. This common condition usually affects the nail on the big toe and can result from improper nail trimming, wearing tight shoes, or injury to the toe. In some cases, a naturally curved nail shape increases the likelihood of developing an ingrown toenail. To prevent or treat ingrown toenails, it is important to trim nails straight across and avoid cutting them too short. Wearing shoes that provide enough room for your toes can also help. If left untreated, ingrown toenails can lead to more serious complications, such as infection, abscess formation, or even the need for surgical removal of part of the nail. If you have an ingrown toenail, it is suggested that you promptly visit a podiatrist who can offer you correct treatment.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
Bacterial infections
Improper nail cutting such as cutting it too short or not straight across
Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
Ill-fitting shoes that bunch the toes too close together
Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
