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November 2023

The journey of infancy unveils the uniqueness of every child, including the diverse ways their little feet may develop. Clubfoot and metatarsus adductus stand out as congenital foot conditions that influence the early stages of a child's mobility. Clubfoot presents as a deformity where the foot turns inward and downward, affecting the bones, muscles, tendons, and ligaments. Conversely, metatarsus adductus, involves a curved or turned in position of the front part of the foot. Both conditions are noticeable from birth and can be attributed to a combination of genetic and environmental factors. While clubfoot necessitates gentle manipulations and casting to guide the foot into proper alignment, metatarsus adductus often resolves with stretching exercises and wearing proper footwear. Understanding these congenital foot conditions empowers parents and podiatrists to initiate timely interventions, providing the best foundation for a child's healthy and active future. If your child has been born with one of these foot conditions, it is strongly suggested that you are under the care of a podiatrist who can promptly begin the correct treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor 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 Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Pes planus, commonly known as flat feet, occurs when the foot's arch does not develop or collapses, leading to the entire sole touching the floor. Children typically have flat feet, and their arch develops as they grow into toddlerhood. It usually suffices for podiatrists to provide shoe advice for the majority of kids who have this condition. However, for kids with hypermobility or hypotonia, further intervention might be required. Flat feet typically emerge as the infant's fat pad recedes and motor skills progress, but sometimes arch development is impeded by factors such as calf muscle tightness or ligament hypermobility. While flat feet often do not trouble children, they can eventually cause gait changes, clumsiness, or pain. Early treatment is important to prevent these types of issues. If your child has flat feet that are causing problems, it is suggested that you make an appointment with a podiatrist for appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 14 November 2023 00:00

Lymphoedema and Swelling of the Feet

Lymphoedema is a condition where the legs or feet swell due to fluid buildup because the body's lymphatic system, which functions similarly to veins, is struggling to remove it. This swelling is called edema and can happen when you do not move enough, such as after sitting for long periods during a flight. Persistent swelling of the feet, swelling that lasts over three months, is known as chronic edema, which suggests the beginning of lymphatic failure or early lymphoedema. If left untreated, chronic foot edema can cause skin changes, deeper tissue damage, and increase the risk of infections such as cellulitis. It is often associated with chronic venous insufficiency. Various factors can contribute to lymphoedema, including genetics, obesity, inactivity, vein problems, or damage from cancer treatments. Joint surgery may also impair lymphatic vessels, leading to lymphoedema. If you are experiencing swollen feet on a regular basis, it is suggested that you make an appointment with a podiatrist as quickly as possible to obtain treatment and prevent serious complications.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

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Tuesday, 07 November 2023 00:00

Understanding Bunion Symptoms

Bunions, those bony protrusions that form at the base of the big toe, can be both painful and unsightly. Recognizing the symptoms of bunions is essential to address this common foot condition effectively. One of the most apparent signs is the visible bump on the side of the big toe, which may be accompanied by redness and swelling. Bunions often cause pain, which can range from mild to severe, especially when wearing tight shoes or engaging in activities that put pressure on the affected area. Over time, the big toe may start to deviate towards the other toes, causing further discomfort and potentially leading to complications like hammertoes. Apart from the physical symptoms, bunions can impact daily life by limiting choice of footwear and causing difficulty in finding comfortable, supportive shoes. Early intervention can help alleviate pain and prevent the condition from worsening, making it vital to recognize the signs and seek professional advice from a podiatrist to address bunions and regain foot comfort and functionality. If you see symptoms of a bunion developing, it is suggested that you schedule an appointment with a podiatrist who can offer you various forms of relief and effective treatment methods.

If you are suffering from bunion pain, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Friday, 03 November 2023 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

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