Posts for category: Foot Condition

By Iowa Foot & Ankle Clinic
April 02, 2021
Category: Foot Condition
Tags: Pigeon Toes  
Pigeon ToesDo your child’s feet turn inward? If so, it’s fairly easy to tell, particularly when they walk. This condition is known as pigeon toes and it is often genetic (so if you have a family history of pigeon toes chances are more likely that your child will develop this foot problem, too).
 
How are pigeon toes diagnosed?

When you bring your child into the podiatrist’s office, the specialist will examine your child’s walk and gait. They will also observe how your child stands to see if their feet turn inwards or to look at how your child’s hips are positioned. Your podiatrist may also recommend imaging tests to look at the alignment of the bones.

While a pediatrician may be the first person to look at and diagnose your child’s pigeon toes, a pediatric podiatrist is going to be able to provide your little one with the specialized treatment and care they need.
 
How are pigeon toes treated in children?

Most parents are relieved to find out that many children grow out of mild to moderate forms of pigeon toes. While this may take a few years, this is nothing to worry about and children won’t require special treatment or care.

However, if this issue is detected in your infant, they may need to wear a cast on the feet to fix the alignment before your child begins walking. A podiatrist can also show you a series of stretches and massages that can help the bones grow into the proper alignment.

If your child’s pigeon toes are still causing them issues by 10 years old, then you may want to talk with your podiatrist about whether surgery may be necessary to correct these bone alignment issues.
While mild pigeon toes may not be a cause for concern, children with more severe cases may have trouble walking or may not be able to participate in sports. Some children may also deal with teasing due to their condition. It’s important to discuss all of these issues with your child’s podiatrist so they can help you find the right treatment option to meet your child’s needs.
 
If your child has pigeon toes, it’s best to speak with a qualified foot doctor to find out the best way to address this issue to prevent mobility issues in your growing little one. A podiatrist can easily treat pigeon toes and other foot and ankle conditions in children, teens, and adults.
By Iowa Foot & Ankle Clinic
January 18, 2021
Category: Foot Condition
Tags: Sprain   Fractured Foot   Broken Bone  
Did I Break My FootWhether you took a bad tumble or your child had a rough collision while playing sports, it’s important that you do not just recognize the signs of a broken foot but that you also seek immediate medical attention. Of course, we know that it isn’t always easy to differentiate a break from a sprain. Here are some signs that your foot is broken and need to be seen by a qualified podiatrist,
  • Pain that occurs immediately after an injury or accident
  • Pain that is directly above a bone
  • Pain that is worse with movement
  • Bruising and severe swelling
  • A cracking sound at the moment of injury
  • A visible deformity or bump
  • Can’t put weight on the injured foot
If you or your child is experiencing symptoms of a fractured foot or ankle they must turn to a podiatrist for care. We can diagnose, set, and treat all types of fractures; however, if the bone is dislocated or looks severely broken (a visible bump or deformity appears on the foot) it’s a good idea to head to your local ER.
 
How can I tell the difference between a break and a sprain?

The symptoms of a sprain are far less severe. You can often put weight on the injured foot with a sprain; however, you may notice some slight pain and stiffness. You may also have heard a popping sound at the moment of the injury with a sprain, while a broken bone often produces a cracking sound. The pain associated with a sprain will also be above soft tissue rather than bone. A podiatrist will perform an X-ray to be able to determine if you are dealing with a break or a sprain.
 
How is a broken bone in the foot treated?

Rest is key to allowing an injury, particularly a fracture, to heal properly. Along with rest, your doctor may also recommend either an over-the-counter or prescription-strength pain reliever, depending on the severity of your fracture. Those with more moderate to severe fractures may require a special boot, brace, or splint. Those with more severe fractures may need to wear a cast and use crutches, so they can avoid putting any weight on the foot.
 
If you are on the fence about whether or not to see a podiatrist about your injury, why not simply give us a call? We can discuss your symptoms on the phone to determine whether we can take a wait-and-see approach or whether you need to come in right away for care.
By Iowa Foot & Ankle Clinic
December 16, 2020
Category: Foot Condition
How Rheumatoid Arthritis Affects the FeetRheumatoid arthritis is one of the most common types of arthritis, and it is characterized by joint pain, inflammation, and damage. RA, like other kinds of arthritis, is progressive, which means that symptoms will gradually get worse over time if left untreated. So, how do you know if you might be developing RA in your feet? While a podiatrist can certainly provide you with a definitive diagnosis, here are some telltale signs of rheumatoid arthritis.
  • You experience pain, inflammation, and stiffness in the joints of the foot, particularly the toes
  • You experience aching feet, particularly after activity or long periods of standing
  • Some parts of your foot may feel oddly warm to the touch or may emanate heat while the rest of the foot feels normal
  • The joints of the toes and ankles may swell
Symptoms are often mild at first and you may not even think that you have arthritis. Those between the ages of 30 to 60 are more likely to develop RA. You may notice intense flare-ups that are characterized by bouts of remission (in which you don’t experience symptoms). Do not take these symptom-free moments to mean that you are fine. It’s important to see a podiatrist right away if you are experiencing any of the symptoms above.

What does RA do to the feet and ankles?

Along with painful joints and stiffness, you may also notice other changes to your feet over time. Some of these changes include,
  • Bunions
  • Corns
  • Hammertoes and claw toes
  • Bursitis
  • Circulation issues (e.g. atherosclerosis; Raynaud’s phenomena)
How is rheumatoid arthritis treated?

Since RA is not curable, your podiatrist will focus on crafting a treatment plan that will help to alleviate your symptoms and slow the progression of the disease to prevent severe and irreparable joint damage. Prescription medications known as disease-modifying antirheumatic drugs (DMARDs) are biologics that can reduce inflammation and prevent the progression of the disease.

Of course, there are also lifestyle changes you can make along with taking prescription medication that can also ease symptoms,
  • Warm soaks
  • Custom insoles or orthotics
  • Pain relievers
  • Compression
  • Stretching exercises for the feet
  • Bracing
  • Steroid injections (for targeting severe inflammation)
Surgery is only necessary if there is severe joint or cartilage damage, or if inflamed tissue needs to be removed from around the joint.

Most people with RA will eventually develop foot and ankle problems, which is why it’s important to have a podiatrist on your team that can help you manage your RA effectively.
By Iowa Foot & Ankle Clinic
July 28, 2020
Category: Foot Condition
Tags: Footwear   Hammertoe  
HammertoesWhile tight, cramped shoes and those towering high heels may not immediately show you the damage that’s being done to your feet, over time you will certainly notice changes in the structure and function of your feet. Along with bunions, a common foot deformity, hammertoes are another deformity that causes the toes to bend downward at the middle joint. If the problem isn’t corrected, this simple and rather uncomfortable deformity can become severe. Here’s how to determine whether you may have hammertoes and what you can do about it now to prevent it from getting worse.

Wear Appropriate Footwear
You need to make sure that any shoes you wear properly fit your feet. While this might sound silly, many people are guilty of wearing shoes that are too narrow and put too much pressure on the toes. Look for shoes with a wide toe box that allows your feet enough room to wiggle freely. If your toes are bunched up in any of the shoes you have (particularly high heels or shoes with pointed toes) then you will want to avoid these types of shoes whenever possible.

Consider Shoe Inserts
While it’s important to find shoes that cushion and support your foot structure, sometimes people with hammertoes, bunions, and other foot problems that can cause pain can benefit from prescription shoe inserts (also known as orthotics). Orthotics can be crafted to fit the shape of your feet and also to address the issues you’re having (aka alleviating pressure on the toes when standing or walking).

Apply Protective Padding
A hammertoe causes the toe to bend down like a claw. This means that the toe’s joint is sticking out. As you may already know, this causes shoes to rub against the joint, causing a callus to develop. One way to prevent this from happening is to apply a non-medicated pad over the toe joint before putting on shoes.

Practice Pain Management
If your hammertoe starts to ache or hurt, you may want to apply ice to the area throughout the day to help alleviate pain and swelling. If the pain is intense or persistent then you may want to consider taking a nonsteroidal anti-inflammatory medication such as ibuprofen, which can help with both pain and swelling; however, if your symptoms are severe, you must see a podiatrist about your hammertoe.

Do I need surgery for a hammertoe?
If the hammertoe is flexible (meaning that you can straighten the toe out) then you won’t need surgery; however, if the hammertoe becomes rigid and causes pain and problems with mobility then surgery is recommended.

If you are dealing with hammertoes or other foot problems, you must have a podiatrist that you can turn to for regular and immediate care.
By Iowa Foot & Ankle Clinic
April 22, 2020
Category: Foot Condition
Tags: Arch Problems  

The arches of the feet play a role in supporting your body’s weight when standing or in motion. The tarsal and metatarsal bones make up the arches of the feet, also receiving additional support and stability from tendons and ligaments; however, our feet, like the rest of our body, can be affected by infections, disorders, and structural changes that can impact not only the health of our feet but also our mobility. It’s important to recognize the warning signs of arch problems so you know when you need to see a podiatrist.

Arch Pain Causes

If you are dealing with arch pain it is most likely caused by an injury or by structural abnormalities in the foot. For example, those with very high arches as well as those with flat feet may experience arch problems due to these common structural issues.

As a result, there are other factors that could also lead to further arch problems including:

  • Being overweight or obese
  • Aging
  • Plantar fasciitis
  • Cavus foot
  • Posterior tibial tendon dysfunction

It’s important to understand a little bit more about these common foot disorders and how they could affect the arches of your feet.

Plantar fasciitis

This condition that causes inflammation and microtears in the plantar fascia is also the most common cause of heel pain. Of course, because the plantar fascia (a ligament that connects the toes to the heel bone) also supports the arches of the feet this can also lead to arch pain. This condition is usually the result of overuse and is seen most often in runners. If you have plantar fasciitis it’s important to avoid physical activities until the fascia has fully healed.

Cavus foot

This condition, which affects the structure of the foot, leads to excessively high arches. People who’ve had a stroke, as well as people with certain conditions such as cerebral palsy may be more likely to develop cavus foot. This problem causes arch pain when standing or walking and can increase the risk for ankle injuries. Your podiatrist may choose to treat cavus foot through custom-made orthotics (shoe inserts), bracing, or by recommending specialized and supportive footwear.

Posterior tibial tendon dysfunction

The posterior tibial tendon runs from the calf muscles to the inner portion of the foot. This condition leads to changes in the tendon, which in turn affects its ability to support the arches of the foot. Flat feet can be caused by posterior tibial tendon dysfunction, and this is often the cause of flat feet that develop in adulthood. Like the other conditions above, treatment for PTTD usually involves bracing, orthotics, or providing custom devices that provide additional support to the arches of the feet.

If you are experiencing foot pain, swelling or other problems that affect mobility then it’s time that you turned to a podiatrist for care. Conditions and injuries that don’t respond to rest and at-home care may require more advanced treatments and therapies.



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Iowa Foot & Ankle Clinic

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