Among things that can go wrong at birth, newborn foot problems are common. Clubfoot describes an array of deformities that cause a newborn baby’s feet to be twisted, pointing down, and inward. About half of babies born with clubfeet have it in both of their feet. Boys are more likely to be born with this than girls. Clubfoot is not painful, but it can cause long-term problems and affect the child’s ability to walk. Another condition affecting newborns is metatarsus adductus. This is detected when a baby’s toes and forefoot are pointed inward, and it is difficult to straighten them. The baby’s sole resembles a bean. Polydactyly means that a baby has an extra toe or toes. This affliction can run in a family but is not necessarily genetic. Congenital vertical talus is an unusual cause of a type of flatfoot in newborns. With this, the sole of the baby’s foot looks like the bottom of a rocking chair. Congenital curly toes occur when a baby’s toes are abnormally rotated and in a bent position. Overlapping toes happen when the baby’s fifth digit (baby toe) crosses over the top of the fourth toe. With proper treatment, these conditions can be corrected or dealt with, sometimes with surgery, in early childhood. If you have a baby born with a congenital foot problem, please consult with a podiatrist for proper diagnoses and treatments.

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.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A neuroma is defined as a tumor or growth. The most common one is known as Morton’s neuroma and it affects the nerves between the third and fourth toes. Research has indicated that it may be beneficial to consume a diet that is healthy for the nerves. This can include eating plenty of fresh fruits and vegetables, whole grains, and lean protein. Additionally, eating foods that are rich in Omega-3 fatty acids may positively affect the nerves. It is helpful to avoid foods and drinks that are made with large amounts of sugar and reducing the amount of alcohol may strengthen the nerves. Relief may be found when wearing comfortable shoes and it is important to refrain from wearing high heels. Some patients choose to wear orthotics and this may lessen the pressure felt from the neuroma. If the neuroma grows in size, surgery may be necessary for permanent removal and lasting comfort. If you have Morton’s neuroma, it is suggested to schedule an appointment with a podiatrist who can diagnose and treat this ailment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A common form of ankle pain is a sprain. It can be painful and is often difficult to walk. Ankle sprains can happen as a result of twisting the ankle unexpectedly while stepping off a curb, and from changing direction when running on uneven surfaces. Many times the ligament on the outside of the ankle becomes damaged from the twist and this is known as the lateral ligament. The best way to diagnose an ankle sprain is via X-ray. This imaging is an effective method of ruling out a broken ankle. The symptoms that many patients experience include bruising, swelling, and the inability to walk. There are three grades of ankle sprains that people can endure. Grade one is the least painful, and consists of a few tissue fibers that are torn. Considerable pain often accompanies grade two and involves more fibrous tissues torn. Patients are often unable to walk with a grade three sprain, and this is classified as a complete tear of the ligament. Mild relief may come from elevating the affected ankle frequently during the day as this may reduce existing swelling. An ankle sprain can be treated by a podiatrist, and it is important to schedule an appointment as quickly as possible so the correct treatment can begin.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Toenails protect toes. They are made up of keratin which makes toenails tough and resilient to the daily wear and tears they take. Friction from shoes, physical activity, heat and moisture, and some medical conditions can all affect the toenails. Pain, itching, and discoloration can all be signs of toenail problems. Some of the more common toenail ailments are described here. Toenail fungus is an infection that has gotten into the nail causing it to become jagged or crumble, and can spread to other toenails and surrounding skin. An ingrown toenail occurs when the corner or side of a toenail grows into the skin. This can cause redness and pain and may turn into an infection. Toenail trauma can occur as stubbing a toe, dropping something heavy on the foot, or wearing ill-fitting shoes. These can lead to bruising, separation of the nail from the toe, or injury to the underlying bone. Treatment of toenail issues depends on the cause. If you are experiencing such problems, it is suggested you seek the counsel of a podiatrist for proper diagnosis and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Beyond how active kids are, there are many reasons why children might complain of sore feet.  A child may injure the foot resulting in a sprain or fracture. They may have athlete’s foot and find the skin in between their toes or the soles of their feet to be itchy, dry, and scaly. Kids experiencing growth spurts or who play sports involving running and jumping may complain of sore heels and this could be indicative of a condition called Sever’s disease. Children who are flat-footed may have foot pain that extends up to their ankles and calf muscles. Tight or ill-fitting shoes can cause blisters or corns. Kids can even develop bunions due to genetics or if the arch of their foot is overcompensated. Sometimes, if the toenails are clipped improperly, a toenail can dig into the surrounding skin and cause pain. Because children’s feet are so important to their overall functioning and each condition mentioned causes foot pain, it is suggested that a podiatrist be included as part of your child’s routine health care. A podiatrist can diagnose problems that arise and help direct the proper foot care of your child.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A type of injury that affects the lower inside of the leg, ankle, and arch is known as posterior tibialis tendonitis. Because injury to this tendon can easily be overlooked, it may cause ongoing problems with stability and arch support. Further, it can cause flat feet. Symptoms include painful inflammation to the inside of the ankle, difficulty bearing weight, tightness when flexing the foot, and tenderness in the arch. The most common causes of posterior tibialis tendonitis are a change in gait to compensate for pain from another injury or swelling in the ankle joint. One way to detect posterior tibialis tendonitis is to stand on tiptoe on the affected leg. Pain in this position may indicate injury. If so, it is a good idea to consult a podiatrist for a thorough exam and treatment options. 

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

The most common causes of toe fractures are stubbing your toe (known medically as axial force) or by dropping something heavy on it. Symptoms of toe fractures include bruising, swelling, and throbbing pain. You likely will feel tenderness when you touch the site of the injury. The most common fractures are to the big toe. The big toe affects your balance, as well as your ability to walk and bear weight. A series of X-rays may be used to determine the site and severity of the break. A fractured big toe will usually be treated with a splint and rigid sole shoe to prevent joint movement. For the lesser toes, two or even three may be taped together with gauze in between to stabilize them, a process known as buddy taping. Some kind of open walking cast may also be used. It may take from three to six weeks for toe fractures to heal, or until point tenderness subsides. For help with a broken toe, or toes, it is suggested you consult with a podiatrist for appropriate treatment.  

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

It’s not about the looks or the status, it’s about the fit. When in doubt, experts recommend that when shopping for running shoes to put fit over fashion, brand, or price.  Shoes that are too tight can cause blisters, while shoes that are too wide can hurt your toes. Shoes that fit poorly can cause tendonitis, pinched nerves, heel pain, ankle sprains, and stress fractures. Signs that your shoes don’t fit properly include heel slippage, numbness on the top of the feet, and bruising on the toes. The best way to prevent these from occurring is to measure your feet while also wearing the socks you will use as you run. Check your foot measurements periodically, as foot size can change if you gain or lose weight. A rule of thumb is to have at least a half-inch of room between your toes and the end of the shoe. Running shoes usually run about half a size larger than street shoes, to allow for the feet to expand as you run. Try on several types of shoes before making a decision. If you need guidance on the best running shoe for you, please consult a podiatrist. 

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.