June 2024

Clubfoot is a congenital condition where the baby’s foot is turned inward due to issues with bones and muscles. Treating clubfoot requires a multi-step treatment approach. Initially, the Ponseti method of serial casting is used to correct the foot's position. After achieving correction, the next vital step involves using a boots-and-bar orthosis. This device consists of two open-toed boots connected by a metal bar. It keeps the feet turned outward to maintain the corrected position. A podiatrist will fit your child with this device, ensuring that the boots fit snugly and the foot remains secure inside. For the first three months, your child will need to wear the device for 23 hours a day, gradually reducing to nighttime use after periodic evaluation by the podiatrist. It is important to consistently use the orthosis until your child is four to five years old to prevent the foot from reverting to its clubfoot position. Adherence to wearing the orthosis is key to successful long-term results. To ensure the best treatment for your child's clubfoot, it is suggested that you schedule an appointment with a podiatrist for a treatment plan.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Frank Henry, DPM of Marble Falls, TX. 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 our office located in Marble Falls, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Orthotics can significantly alleviate first-step pain often experienced with new shoes by providing customized support and cushioning for the feet. These devices are designed to fit the contours of the foot precisely, reducing stress on the plantar fascia, which is often the source of discomfort. When new shoes lack adequate arch support or cushioning, the plantar fascia can become strained, leading to pain. Orthotics help distribute pressure more evenly across the foot, minimizing the impact on sensitive areas. They also enhance the alignment and function of the foot, promoting a more natural gait and reducing the likelihood of further strain. The materials used in orthotics, such as gel or foam, provide additional shock absorption, making each step less painful. If you are experiencing persistent or severe first-step pain, it is suggested that you consult a podiatrist to discuss whether orthotics can help you and to address any underlying foot conditions. 

If you are having discomfort in your feet and would like to try orthotics, contact Frank Henry, DPM from Marble Falls, TX. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot stress fractures are small cracks in the bones of the foot that result from repetitive force or overuse. Unlike acute fractures caused by a sudden impact, stress fractures develop gradually, often due to the cumulative effect of repeated stress. Sports that frequently lead to foot stress fractures include running, basketball, and dance. In running, the constant pounding on hard surfaces places significant stress on the foot bones. Basketball involves frequent jumping and quick direction changes, which can strain the foot. Dance, particularly styles like ballet, requires repetitive movements and weight-bearing on the toes, increasing the risk of fractures. Athletes in these sports should be vigilant about wearing proper footwear, getting adequate rest, and gradually increasing training intensity to prevent stress fractures. Recognizing early signs, such as pain and swelling, is essential for prompt treatment and recovery. If you have a foot stress fracture, it is suggested that you consult a podiatrist who can effectively treat this condition.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Frank Henry, DPM from Marble Falls, TX. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Braces and splints play a vital role in the management and rehabilitation of foot and ankle injuries, particularly ankle sprains. These supportive devices are designed to immobilize and protect the affected joint. They also help to reduce pain and swelling, which can accelerate the healing process. For acute ankle sprains, the use of a functional ankle brace has been shown to be more effective than immobilization or compression wraps. This is true not only in terms of enhancing functional outcomes but also in preventing future ankle sprains. However, it is essential to seek professional guidance from a podiatrist for a proper diagnosis and treatment plan tailored to the individual’s needs. A podiatrist can assess the severity of the injury and recommend the most suitable brace or splint, ensuring correct sizing, fit, and length of use. Selecting the wrong brace or splint or using it incorrectly may impede healing or even worsen the symptoms. Also, prolonged use of a brace without proper rehabilitation may lead to joint stiffness and muscle weakness, increasing the risk of further complications. If you have sustained an ankle sprain, it is suggested that you schedule an appointment with a podiatrist to ensure optimal recovery and prevent recurrent injuries.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Frank Henry, DPM from Marble Falls, TX. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.