Newborns come into the world with a sense of wonder and curiosity, but some may also have foot deformities that require attention and care. One common condition is congenital talipes equinovarus, commonly known as clubfoot. This causes the baby's foot to twist inward. This congenital foot condition can be detected through having a prenatal ultrasound performed. Metatarsus adductus is another deformity where the baby's foot curves inward, often due to positioning in the womb, but it usually resolves naturally. In-toeing and out-toeing, where the feet point inward or outward, are relatively common problems that often correct themselves as a child grows. Early detection and intervention are essential in addressing these conditions. Performing gentle stretching exercises, casts, and sometimes surgery can help correct deformities like clubfoot. It is beneficial for parents and podiatrists to work together to ensure the best possible outcome. If your child has been born with a congenital foot condition, it is strongly suggested that you have this type of doctor as part of your child's healthcare team. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of InStride 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 Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Beneath the surface of our feet lies a delicate orchestra of bones, working seamlessly to provide stability and flexibility. The ankle bones are the unsung heroes of this intricate composition. These bones, namely the tibia, fibula, and talus, form a complex network that allows us to walk, run, and jump with precision. The tibia, the weight-bearing bone, supports our body's weight, while the fibula adds extra support and stability. The talus, perched atop the heel bone, serves as a vital link between the leg and the foot, enabling pivotal movements. These bones are finely tuned instruments, ensuring smooth walking and running on various terrains. Understanding how the bones in the ankles work together sheds light on the remarkable mechanics that keep us moving effortlessly. If you would like additional information about the various functions of the ankle bones, it is suggested that you speak with a podiatrist.

If you have any concerns about your feet, contact one of our podiatrists from InStride 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 Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken ankle, involving a fracture of the bones in the lower leg above the foot, can result from various stresses on the ankle joint, often due to accidents or injuries. This may include rolling the ankle, twisting it, or sustaining significant force, such as landing heavily from a height. Determining whether the ankle is sprained or broken can be challenging, as both can be painful. Common signs of an ankle injury or fracture include pain, swelling, bruising, and deformity. A broken ankle is typically very painful, especially when bearing weight. Treatment for a broken ankle varies based on the type and severity of the fracture. It often involves immobilization using a boot or cast to allow for healing, along with non-weight bearing using crutches. More severe cases may require surgical intervention. After immobilization, the ankle can be left weak, stiff, and still painful. Exercises will then be needed to aid full recovery. If you suspect a broken ankle, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from InStride Family Foot Care. 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 Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A child's developing feet undergo significant changes during their early years. The medial arch, formed by bones, muscles, and ligaments, gradually takes shape, resulting in a visible arch in the sole. Infants and young children often have flat feet, which is normal due to their flexibility. As kids learn to walk, their ligaments and muscles strengthen, and the arch area becomes less pronounced. By around six years old, most children should have developed normal arches. If a child experiences foot pain or seems to struggle to keep up with peers, a problem may be developing. Two conditions, in-toeing, when the feet turn inwards, and out-toeing, when the feet turn outwards, may require attention. In many cases, in-toeing might resolve on its own, but a persistent or severe case should be assessed, especially if it hinders the child's gait or causes tripping. Out-toeing often resolves as posture and balance improve, but serious cases or those causing pain should be addressed. Parents should also be vigilant about other symptoms like abnormally shaped toes, ingrown toenails, bunions, stiffness, limping, and sudden gait changes. If your child's feet are raising concerns or causing pain, it is suggested that you make an appointment with a podiatrist. 

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 InStride Family Foot Care. 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 Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail fungus, also known as onychomycosis, is a common and bothersome condition that affects millions of people worldwide. This fungal infection occurs when microscopic fungi, such as dermatophytes or yeast, penetrate the nail bed through small cuts or openings. The warm and damp environment inside closed-toe shoes provides an ideal breeding ground for the fungi to thrive. The infection often starts with a white or yellow spot under the nail and gradually spreads, causing the nail to become discolored, thickened, and brittle. Individuals with compromised immune systems, or who have diabetes or poor circulation are generally at a higher risk. Additionally, frequent exposure to moist environments, wearing tight-fitting shoes, or walking barefoot in public places may also increase the likelihood of developing toenail fungus. Early detection and proper treatment are essential in preventing the spread of the infection and can help restore healthy toenails. Toenail fungus can be treated by a podiatrist, and it is suggested that you contact this type of doctor for relief options that are correct for you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of InStride Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact our offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.