Clubfoot, or congenital talipes equinovarus, is a foot deformity present at birth that causes the baby’s foot to point downward and inward. Clubfoot affects the bones, muscles, and tendons in the foot and ankle, resulting in stiffness and limited mobility. Several types of clubfoot may be seen in infants. Positional clubfoot is caused by the foot being held in an unusual position in the womb but does not involve abnormal bone structure. Idiopathic clubfoot has no known cause and varies in severity, with untreated cases often requiring more intensive care. A podiatrist can help evaluate the type and severity of clubfoot and determine whether a course of casting, bracing, or surgery is needed. If your newborn is diagnosed with a foot deformity, it is suggested that you make an immediate appointment with a podiatrist for an exam and treatment plan.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Patricia A. Kirk, DPM of Kirk Podiatry. 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 Lexington, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

As infants and toddlers grow, their feet go through various developmental stages that require different types of footwear. In the early stages, when babies are crawling and shuffling, barefoot is often best as it allows for natural movement. However, if footwear for your child is necessary for protection, their shoes should be soft, flexible, and roomy to accommodate delicate feet. Pre-walking shoes offer gentle support and protection while still allowing for free movement of the toes and heels. As toddlers begin to walk independently, they will need more structured shoes for support, especially as they spend more time on their feet. At this stage, it is important to focus on fit, as poorly fitting shoes can cause discomfort, even though toddlers may not be able to communicate this. When children reach the toddler and preschool stages, they require footwear that promotes coordination and accommodates their growing feet. For guidance on the kind of shoes needed for your child, it is suggested that you schedule an appointment with a podiatrist for expert advice and guidance.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Patricia A. Kirk, DPM of Kirk Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

An ingrown toenail happens when the edge of the nail presses into the surrounding skin, often causing pain and swelling. If bacteria enters the broken skin, the area can become infected. Signs of infection include redness, warmth, pus, and increased tenderness. Wearing tight shoes, improper nail trimming, or injury can increase the risk. Infections can spread if not treated promptly, sometimes leading to more serious problems. A podiatrist can safely remove the ingrown portion of the nail, clean the area, and recommend antibiotics, if necessary. For recurring cases, a minor procedure may be suggested to stop part of the nail from growing back. If your toe is painful, swollen, or shows signs of infection, it is suggested you visit a podiatrist for proper treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Patricia A. Kirk, DPM of Kirk Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

A diabetic foot ulcer is an open wound or sore that typically forms on the bottom of the foot in individuals with diabetes. Poor circulation and reduced sensation increase the risk of skin breakdown, making even minor injuries potentially serious. Proper care includes keeping the ulcer clean, covered, and protected from pressure. Managing blood sugar levels and inspecting the feet daily are also important. A podiatrist provides expert wound care, offloading solutions, and guidance to prevent infection and promote healing. If you have diabetes and notice a sore on your foot, do not delay. It is suggested that you are under the care of a podiatrist who can effectively treat diabetic foot ulcers, and help you to manage this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Patricia A. Kirk, DPM from Kirk Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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