October 2023

Clubfoot is a congenital condition that affects infants' feet, making them appear rotated inward and downward. While it may sound intimidating, clubfoot is both a common and treatable condition. It occurs during fetal development when the tendons and ligaments in the foot are shorter than usual, pulling the foot into an abnormal position. In some cases, both feet may be affected. Clubfoot is not painful for the infant, but if left untreated, it can lead to severe mobility issues as they grow. The good news is that with early intervention, clubfoot can be effectively corrected. The Ponseti method, a non-surgical approach, is often employed. It involves gentle manipulation of the foot and the use of a series of casts to gradually move the foot into the correct position. Afterward, a brace is used to maintain the corrected position. In some cases, a minor surgical procedure may be necessary. Early detection and treatment are essential for the best outcome, and with the right care, many children with clubfoot can grow up to lead active, pain-free lives. If your child has been born with clubfoot, it is suggested that you speak with a podiatrist as quickly as possible who can begin the correct treatment method.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of North Bay Ankle & Foot Center. 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 Petaluma and Sonoma, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Bunions, a common foot condition, can cause significant discomfort and affect daily life. Understanding the causes behind their development is important in finding effective preventive measures and treatments. Often, bunions are inherited, as a result of genetic factors influencing foot structure and mechanics. Wearing tight or ill-fitting shoes, especially those with pointed toes or high heels, can exert pressure on the toes and contribute to bunion formation. Foot stress and overuse, commonly seen in athletes or individuals with occupations that require prolonged standing, can also aggravate bunions. Additionally, medical conditions such as arthritis may increase the risk of developing bunions. Gender plays a role, with women being more susceptible due to wearing footwear that cramps the toes. Recognizing these causes empowers individuals to make informed choices regarding footwear and foot care. If you have a bunion, it is suggested that you are under the care of a podiatrist who can help you to manage this condition, and offer potential relief options.

If you are suffering from bunion pain, contact one of our podiatrists of North Bay Ankle & Foot Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

As you age, your feet undergo changes that require extra care and attention. To maintain healthy feet in your senior years, effective strategies can be implemented. Regularly inspecting your feet for cuts, sores, or signs of infection, and promptly addressing any issues helps to prevent complications. Keep your feet clean and dry to prevent fungal infections, especially between the toes. Moisturize your skin, and avoid applying lotion between the toes, as excessive moisture can lead to fungal growth. Trim your toenails carefully to prevent ingrown nails or infections. Choose footwear that is comfortable and supportive, with ample room for your toes and cushioned soles. Orthotic insoles can provide additional support and alleviate discomfort. Lastly, engage in gentle foot exercises to maintain flexibility and circulation, such as ankle rolls and toe stretches. By adopting these practices, you can ensure your senior feet remain comfortable and healthy for years to come. It is suggested that you contact a podiatrist if you are interested in learning about additional senior foot care tips.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from North Bay Ankle & Foot Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our offices located in Petaluma and Sonoma, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Running can be a fantastic way to stay fit and energized, but it is essential to take care of your feet to prevent injuries and discomfort. Incorporating foot stretches into your routine can help keep your feet in top shape for your runs. One effective stretch is the toe stretch. This is done by sitting with your legs extended and then using your hands to pull your toes back gently, stretching the underside of your foot. After holding for approximately 15 seconds, this can be repeated several times. The calf stretch is also beneficial. Stand facing a wall, with one foot forward and the other extended behind you. Lean into the wall while keeping your back heel on the ground, feeling the stretch in your calf muscle. It is helpful to hold this stretch for 15 seconds on each leg. Lastly, the plantar fascia stretch can relieve tension in the arch of your foot. Sit with one leg crossed over the other, and gently pull your toes back towards you, while holding for 15 seconds on each foot. Regularly incorporating these stretches into your running routine can help improve flexibility and reduce the risk of injuries. A podiatrist can provide you with additional foot stretches that are tailored for runners, and it is suggested that you contact this type of doctor for useful tips.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with one of our podiatrists from North Bay Ankle & Foot Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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

Baxter's nerve entrapment, or Baxter’s neuritis, is a condition where a small nerve, known as the Baxter's nerve or the first branch of the lateral plantar nerve, becomes pinched between two muscles in the inner foot. This can result in sharp, burning pain in the inner heel, often accompanied by numbness, or a pins and needles sensation. It can develop gradually without a specific injury and is not limited by age or gender. It can be challenging to differentiate between Baxter's nerve entrapment and plantar fasciitis because they have similar symptoms. Diagnosis involves a clinical interview, physical testing, and a diagnostic ultrasound scan to confirm the presence of Baxter's nerve entrapment. Treatment typically begins with conservative approaches, including pain management, strengthening exercises, stretches, and orthotics. If conservative treatment does not work, ultrasound guided steroid injections may be considered to reduce inflammation. It is beneficial that these injections are used in conjunction with conservative care to prevent the pain from returning. If you have heel pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of North Bay Ankle & Foot Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Petaluma and Sonoma, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.