May 2024
Genetics and Congenital Foot Problems
Genetics can play a significant role in the development of congenital foot problems, particularly in pediatric patients. Common deformities such as clubfoot, flat feet, and metatarsus adductus often manifest at birth or during early childhood. Clubfoot is characterized by a twisted foot that points downward and inward, whereas flat feet involve a lack of arch in the foot when standing. Metatarsus adductus presents with the front half of the foot turned inward. These conditions are believed to occur due to a combination of genetic and environmental factors, although the precise causes are still not fully understood. Symptoms typically include abnormal foot shape, difficulty in walking, and discomfort. Treatment options vary from custom orthotics to surgical intervention, depending on severity. Prognosis is generally good with early treatment. If you are a parent and notice signs of foot deformities in your children, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate management.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Family Foot Care. 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 Valatie and Albany, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Cuboid Syndrome and Other Cuboid Injuries
Cuboid syndrome occurs when the cuboid bone, located on the outer side of the midfoot, partially dislocates. This condition typically results from injury or repetitive strain that disrupts the alignment and stability of the cuboid bone. The hallmark symptom of cuboid syndrome is pain on the lateral side of the foot, especially when weight is placed on the foot or when pushing off the toes. Other symptoms can include tenderness, swelling, and difficulty walking. Athletes or people with poor foot biomechanics are more prone to getting cuboid syndrome. Another type of cuboid injury, cuboid fractures, are less common. Fractures result from direct trauma or severe force to the cuboid bone, leading to more acute and localized pain, significant swelling, and bruising. Both conditions require proper medical assessment and treatment. For cuboid syndrome, treatment might involve various techniques, such as manipulation to realign the bone, taping to stabilize it, and orthotics to correct biomechanical issues. For fractures, immobilization with a cast or boot and possibly surgery may be necessary. A podiatrist, or foot doctor, can diagnose these conditions through clinical evaluation and imaging studies like X-rays. They can also provide the appropriate management techniques to alleviate pain and restore function. If you suspect an injury to the cuboid bone in the foot, it is suggested that you make an appointment with a podiatrist as soon as possible.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from Family Foot Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our offices located in Valatie and Albany, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
The Running Gait Cycle
The running gait cycle, a complex sequence of movements, plays a vital role in the biomechanics of the feet. As runners progress through each phase of the gait cycle, their feet undergo a series of motions aimed at generating propulsion and absorbing shock. The cycle typically consists of stance and swing phases. During the stance phase, the foot strikes the ground, starting with the initial contact, followed by mid-stance and propulsion, where the foot pushes off to propel the body forward. Throughout these phases, the foot experiences various biomechanical forces, including pronation, or inward rolling, and supination, which is outward rolling to adapt to the terrain and distribute pressure evenly. In the swing phase, the foot lifts off the ground, preparing for the next stride. Understanding the intricacies of the running gait cycle and how it influences your foot biomechanics is essential for optimizing performance, preventing injuries, and selecting appropriate footwear for runners of all levels. If you are looking for a gait analysis, or if you have endured a foot or ankle injury from running, it is suggested that you visit a podiatrist.
If you have any concerns about your feet, contact one of our podiatrists from Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our offices located in Valatie and Albany, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Live with Pain and Numbness in Your Feet?
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
The Impact of Rheumatoid Arthritis on Feet
Rheumatoid arthritis, or RA, a chronic autoimmune condition, can have a profound effect on the feet, causing pain, swelling, and stiffness that significantly impair mobility and quality of life. In RA, the immune system mistakenly attacks the lining of the joints, many of which are in the feet, leading to inflammation and joint damage. Common symptoms of RA in the feet include tender, swollen joints, particularly in the toes and ankles, and difficulty walking or bearing weight due to pain and stiffness. Over time, untreated RA can cause deformities such as bunions, hammertoes, or flat feet, further compromising foot function and comfort. Additionally, RA can increase the risk of other foot problems, such as corns, calluses, or ulcers, particularly if mobility is limited or proper foot care is neglected. If you are afflicted by this condition, it is suggested that you are under the care of a podiatrist who can accurately diagnose RA and provide you with a comprehensive management plan.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Family Foot Care. Our doctors will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
- Swelling and pain in the feet
- Stiffness in the feet
- Pain on the ball or sole of feet
- Joint shift and deformation
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
If you have any questions please feel free to contact our offices located in Valatie and Albany, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.