Clubfoot is a general term used to describe a range of unusual positions of the foot. Also called talipes equinovarus by medical professionals, clubfoot is typically congenital, meaning that the condition is present at birth.
Any of the following characteristics, would result in a clubfoot diagnosis. The degree of severity can be mild or acute and one or both feet may be affected. In almost half of affected infants, both feet are involved.
- The foot may point downward.
- The front of the foot may be rotated toward the other foot.
- The foot may turn in, and in extreme cases, the bottom of the foot can point up.
Fortunately, clubfoot can be seen in a prenatal ultrasound exam, which means that parents can prepare for treatment even before their baby is born. With early treatment, most children born with clubfoot are able to lead normal, active lives. Although clubfoot is typically painless for the baby, treatment should begin immediately because delayed treatment can cause significant problems and eventual disability as the child grows.
Left untreated, clubfoot will not straighten itself out. Its symptoms will become more obvious and have an increasingly negative impact on mobility and activity as the child grows. Early intervention can help overcome these problems.
Nonsurgical treatments such as casting or splinting are the first line of defense. The most widely used treatment is called the Ponseti method. Treatment usually begins as soon as possible after birth. Some children have enough improvement with these treatments that little further intervention is required. In rare cases, surgery will eventually be appropriate.
Parents of infants born with clubfeet may be reassured that, with expert treatment, their baby will have feet that are typical in appearance and function. When treated early and properly, clubfoot is no handicap and is fully compatible with a normal, active childhood and adult life.
Are you expecting or have you recently had a child with clubfoot? Dr. Jason Grossman has decades of specialized education and experience treating clubfoot and other childhood disorders of the feet, ankles, and lower legs. Click here or call Advanced Feet and Ankle Care at (732) 679-4330 to schedule a consultation or examination in our comfortable and convenient Old Bridge or Sayreville offices.
Typically, adult feet have an upward curve in the middle. This is the arch and it is formed by the action of several tendons in the foot and lower leg. Typically, the tendons work together to create the proper amount of tension, and the foot forms a moderate arch. When tendons do not pull together properly, there is little or no arch. This is called flat foot or fallen arch, medically referred to as pes planus.
Causes of Fallen Arches
There are several factors that can contribute to the risk of fallen arches and likelihood of their development, including:
- Family history
- Foot and ankle injuries
- Torn, stretched, or damaged tendons
- Medical conditions including diabetes and rheumatoid arthritis
Symptoms of Fallen Arches
It’s possible to have fallen arches without any issues, but it’s unlikely. People with flat feet typically experience symptoms including foot pain (particularly in the heels and arches), leg pain, lower back pain, swollen feet or ankles, discomfort standing or walking, and difficulty engaging in physically strenuous activities such as jogging or running.
If you’re experiencing foot discomfort and are wondering if pes planus might be the cause, you can do an easy, at home test to see if you might have fallen arches or flat feet. Get your feet wet and stand on a flat surface where your footprint will show, such as a concrete walkway or even a brown grocery bag. Step off and take a look. There should be a blank, dry spot at the inner edge of your foot, toward the middle, where the arch ought to be. If you see complete imprints of the bottom of your feet on the surface, you may have flat feet.
Foot pain is not a normal part of adulthood. It can be avoided or corrected. If your feet, ankles, or lower legs are in pain, click here or call Advanced Feet and Ankle Care at (732) 679-4330 today to schedule an appointment with Dr. Jason Grossman in our comfortable and convenient Old Bridge or Sayreville offices. With decades of specialized education and experience, Jason Grossman, DPM is ready to thoroughly examine your feet, accurately diagnose any current or potential areas of concern, create an individualized treatment plan, and offer comprehensive follow up to ensure that you’re feeling great into the new year and beyond.
After a long day, your feet might feel tired or sore. For most people, sitting down, elevating the legs, a foot soak, or a massage will bring some comfort. For some people – especially those with high arches – relief can be much harder to find.
Pes cavus is a medical term that podiatrists use to describe a foot with a very high arch. High arches cause an excessive amount of weight to be placed on the ball and heel of the foot and can cause instability when standing or walking, difficulty wearing shoes, and pain can result. Pes cavus is the opposite of pes planus, which refers to fallen arches or flat feet. The condition is less common and more problematic. It usually occurs in both feet and at an early age.
High arches can be the result of numerous factors, including heredity and anatomical variation. If pes cavus appears suddenly or in one foot only, it may be the result of trauma or a neuromuscular disease. It can develop at any age and can occur in one or both feet.
Initially, pes cavus may be asymptomatic, but symptoms can appear progressively with age. Feet with high arches are less able to absorb the shock of heel strike during walking than typical feet. The toes may develop a "clawing" deformity resulting in corns at the tips or on the tops of the toes or plantar calluses under the ball of the foot. Stress on the bones, muscles, and tendons of the feet, ankles, and lower legs can cause additional issues, and compensating for that discomfort may refer pain to the knees, hips, and lower back. You may notice a shortening of the foot or pain and inflexibility in the arch area. When high arches go unaddressed for years, other complications can result, including hammertoes, bunions, and foot and ankle injuries.
If you’re experiencing foot pain, the first step is to see your podiatrist. With decades of specialized education and experience, your foot doctor is the most qualified professional for the job. He or she can determine if a high arch is at the root of the problem, or if the cause might be another disease or condition. If pes cavus is to blame, additional investigation will be necessary to rule out any underlying neurological condition. From there, your doctor can work with you to determine what treatment is appropriate and to provide thorough aftercare.
If you suspect that you have pes cavus, or you have any other concerns about your feet, click here or call Advanced Feet and Ankle Care at (732) 679-4330 today to schedule a convenient appointment with Dr. Jason Grossman in our comfortable Old Bridge or Sayreville offices.
Are you in the market for a new pair of boots this winter, perhaps for yourself or someone you love? It’s import to remember that some boots are better for your feet than others. With a bit of education and some careful choices, you can choose a pair of boots that will keep your feet warm, dry, and safe for years.
Here are some suggestions from Jason Grossman, DPM to keep in mind as you make your selection:
- Be sure your new boots are both insulated and waterproof. Even if the manufacturer claims that your boots are waterproof, treat them with a waterproofing product to be safe.
- Select boots made of a natural material, like leather, that allows proper airflow and keep feet dry. Although rubber or plastic boots repel moisture, those synthetic materials do not “breathe.” If you choose synthetic boots, be sure that they are fully lined to help absorb moisture and keep feet fungus-free.
- Choose boots that are supportive, but offer some flexibility. Boots with rigid shaped soles limit natural foot movement and provide little, if any, arch support.
- Boots with a rubber sole and deep tread grooves will provide the best traction on ice and snow and will keep you safe from falls that could cause foot and ankle injuries.
- Select a pair of boots with a low or stacked, chunky heel for additional support.
- Prevent ingrown toenailsby avoiding pointy styles that may squeeze the toes. Choose a pair with a wide, roomy toe box
- Keep feet warm in boots by adding a new pair of wool socks to your order. This is especially important for people with diabetes, or other health issues that may impair circulation.
If you’re having a hard time comfortably wearing shoes or boots, or if you have any other concerns related to the health of your feet, ankles, or lower legs, it’s time to see the podiatrist. Call Advanced Feet and Ankle Care at (732) 679-4330 or click here today to schedule an appointment in our Old Bridge and Sayreville offices. Dr. Jason Grossman will meticulously examine your feet, expertly diagnose any existing or potential issues, create an individualized treatment plan for your care, and offer continuing care until you’re feeling your best again.