Congenital foot problems are known as birth defects, and they occur before a baby is born. Clubfoot is defined as the foot and ankle being twisted out of their normal position. There are two categories of clubfoot, consisting of positional and true. The former happens from being in an awkward position in the uterus and can be corrected after birth by immobilizing the joints. Additionally, manipulation can be performed that can help to stretch the foot and ankle.  True clubfoot is an abnormally structured foot, which happens during the baby’s development.  This is often corrected by performing surgery, which can be complex. Metatarsus adductus is a congenital foot condition that is noticeable as the foot turns inward, and wearing corrective shoes or splints may accelerate correction. When the bottom of the foot is turned inward, it raises the arch, and this is indicative of metatarsus varus. This generally develops as a result of unusual positioning in the womb. If you would like additional information about congenital foot disorders, please consult a podiatrist who can provide you with the information you are seeking.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Podiatry Care Specialists. 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 West Chester, and Broomall, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

The majority of people often notice immediately if they have broken their ankle. There are many moving parts each ankle has, ranging from ligaments and tissues that are connected to the bones. The ankle is key to moving the foot forward, and extreme pain and discomfort may occur if it is broken. Most patients experience symptoms that include swelling, bruising, and redness, and it is often impossible to walk. A protruding bone may happen with a severely broken ankle, and it can look displaced. If this happens, surgery may be necessary to realign the bone back to its natural position. A broken ankle is typically diagnosed by having an X-ray taken. This is a successful method for determining the extent of the fracture. At this point, treatment often begins with placing the foot in a protective boot or cast, which can provide adequate stability as the healing process occurs. A broken ankle can be treated by a podiatrist who can accurately diagnose and treat this condition, and it is strongly suggested that you contact this type of doctor for an appointment.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Podiatry Care Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in West Chester, and Broomall, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toddlers are usually flat-footed when they start to walk, and their feet may turn inward known as in-toeing. Flat feet should resolve as bones develop and the feet become stronger. In-toeing should also improve with age. Toddlers should go barefoot or wear soft-soled shoes to promote balance, posture, and coordination. Children receive important sensory information from the soles of their feet touching the ground and they develop muscle strength this way. When children have been walking confidently for some time, they can begin to wear firmer-soled shoes. Footwear can help protect their feet from injury and temperature. Their feet should be professionally measured for length and width. Kids' feet grow quickly, and their shoe size may change every few months. Shoes that are too tight can negatively affect a child’s walking pattern and cause other problems like ingrown toenails. Instead, children’s shoes should be comfortable, with plenty of room in the toe box. They should have a flexible, flat sole that can bend near the toe. The front of the shoe should be wider than the heel, to match the foot's natural shape. The shoes need to be secured with laces or straps that prevent the foot from moving or slipping. See a podiatrist if your child is experiencing foot pain or if you are concerned with how they walk. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Podiatry Care Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in West Chester, and Broomall, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A diabetic foot ulcer is a common foot wound. Without prompt medical treatment, it can quickly become infected, possibly lead to gangrene, and amputation. There are different types of foot ulcers, and they fall into three categories. There are diabetic foot wounds that are considered to be neuropathic, and the patient generally loses sensation but there is no underlying arterial disease (ischemia). This comprises approximately 35% of foot wounds.  An ischemic wound occurs when the patient retains feeling in the foot but there is an indication of underlying arterial disease. The neuroischemic bracket represents 50% of all foot wounds, and both iscehemia and neuropathy can be present. Effective healing begins with having a healthy environment for the wound to heal, in addition to the patient having little or no health issues. Most wounds begin healing by accessing the cause of the wound, followed by removing any damaged tissue from it. It is beneficial to refrain from putting any weight on the foot, and this may help to accelerate the healing process. Treating a wound on the foot is often done by a podiatrist, and it is suggested that you contact this type of doctor who can effectively provide relief treatments.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Podiatry Care Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in West Chester, and Broomall, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fibromatosis is a foot condition that affects the arch in the foot. It is also known as Ledderhose disease, and is characterized by lumps that form on the soles of the feet. These are considered to be benign growths, despite the severe pain they can cause. The symptoms that people experience who have this condition include foot and ankle pain, and a tingling sensation that can be likened to a “pins and needles” feeling. Mild relief may be found when soft insoles are worn in the shoes, which may help to cushion the feet. Also, there are specific stretches that can help the foot feel better overall. In severe cases, surgery may be necessary for permanent removal if milder treatments prove to be ineffective. If you have any of these symptoms, it is strongly advised that you schedule an appointment with a podiatrist as quickly as possible who can help you find relief.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Podiatry Care Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our offices located in West Chester, and Broomall, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.