Items filtered by date: July 2016

Clubfoot is a congenital disorder that occurs in 1 out of 1,000 births per year. A clubfoot looks as though it was rotated wrongly at the ankle. Several different factors cause clubfoot. Normally, clubfoot occurs due to genetics; however, some environment factors are a possibility as well. Breech presentation and the position of the baby in a womb can cause clubfoot as well. Connective tissue disorders, for example, have been linked to clubfoot. This abnormality is commonly noticed during an ultrasound of the pregnancy at the 20th week.

A common treatment of clubfoot is reshaping. This is suggested to be done soon after a child is born. The foot or feet are put into place, and then casted on the legs for stability. Required check-ups occur once a week to stretch and recast the feet. This process is done for about 5-10 weeks. Following, one more cast is placed on for 3 weeks.

Once positioned correctly, a child needs to wear a brace day and night for 3 months. For the next 3 years, while sleeping, the brace must be worn. These steps are taken to prevent the feet from reverting back to its misshapen position.

This non-surgical approach over the past 15 years has been very successful. However, severe cases require surgery. The surgery is usually performed after nine months of age. If surgery is performed, corrective shoes or a brace must be worn for up to a year as a preventive measure. Secondary or repeat surgeries may be needed to correct scar tissue damage as the child grows. Another surgical procedure may be needed as an adult.

Botox, instead of surgery, is another method that has been used. It is injected into the calf, weakening the Achilles tendon, and allowing the ankle to grow into a normal position. Usually only one injection is needed, but repeat injections can be done. Weakness typically lasts several months from the injection.

Children who go through these treatments have not shown any issues with their feet. A clubfoot sometimes may be slightly smaller than feet without the condition. In other instances, calf muscles may be smaller too. Children born with a clubfoot should grow up and be able to walk, run, play sports, and wear normal shoes. Olympic Gold Medal figure skater Kristi Yamaguchi, soccer star Mia Hamm, and Hall of Fame football player Troy Aikman have all overcome clubfeet. 

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.