Toe walking means a child walks on their tiptoes without letting their heels touch the ground. It can happen some, most, or all of the time. Toe walking can be part of normal development, and many children stop doing it between ages two and seven. However, continued toe walking deserves attention, especially when it affects balance, comfort, or the way a child moves. When there is no clear medical cause, it is called idiopathic toe walking. In a small number of children, toe walking can be linked to conditions that affect the brain, nerves, or muscles. These include cerebral palsy, muscular dystrophy, and autism spectrum disorder. A podiatrist can assess your child’s feet, legs, and walking pattern. They can also check muscle strength and flexibility to determine whether further evaluation is needed.

Frequent toe walking can be associated with tight calf muscles, which connect with the heel. Tight calves can make it harder for a child to place the heels flat on the ground when standing or walking. A podiatrist can help identify whether tight muscles, foot structure, or another concern is contributing to toe walking. This evaluation also helps determine whether the child’s walking pattern is changing or causing problems with everyday activities. Treatment options may include regular monitoring and supportive footwear.

Parents should seek professional advice when toe walking is apparent mainly on one side or if it begins suddenly after a child previously walked with their heels down. An exam also may be needed if the heels are prevented from touching the ground while standing. Attention is important when a child has stiff legs, unusual movements, or pain. A podiatrist can monitor changes in walking and recommend treatment when necessary. If your child exhibits toe walking on a regular basis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our doctors of Andrea Hyperbaric Wound Care & Health Center. Our doctors 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 Astoria, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot pain from wearing sandals is common when footwear does not provide enough support for the arch or heel. Flat sandals can allow the foot to roll inward while walking. Thin soles may also increase pressure on the bottom of the foot. Symptoms can include aching or tenderness after walking. Risk factors include prolonged walking, existing foot problems, and suddenly switching from supportive shoes to sandals. People with poor arch support needs may notice discomfort quickly.

Wearing unsupportive sandals also can aggravate certain conditions. Plantar fasciitis is irritation involving the thick band of tissue along the bottom of the foot. It often causes heel pain after rest. Bunions are structural changes that cause the big toe to move toward the other toes. They may cause swelling and pressure near the big toe joint. Morton’s neuroma involves irritation around a nerve between the toes. It can cause burning pain beneath the forefoot. Seeing a podiatrist can help deal with any of these conditions.

A podiatrist begins by reviewing your symptoms, footwear habits and medical history. The foot is examined for tenderness, swelling, and pressure areas. Imaging may be recommended when structural problems need evaluation. Treatment depends on the diagnosis and may include wearing supportive footwear, custom orthotics, or medication, if appropriate. A podiatrist may also recommend stretching exercises, if suitable. Persistent bunions or nerve pain may require additional treatment if conservative care does not provide relief.

Choosing sandals with arch support, cushioning, and a secure fit can help reduce strain during walking and daily activities. Avoid unsupportive sandals for long periods of time when your feet already hurt. Gradually increase walking time and pay attention to changes in pain. Persistent symptoms should not be ignored because early care may prevent worsening. If foot pain caused by wearing sandals continues, it is suggested that you consult a podiatrist for effective relief tips, and guidance on choosing more appropriate shoes.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our doctors from Andrea Hyperbaric Wound Care & Health Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Sesamoiditis is irritation or inflammation of the two sesamoid bones beneath the big toe joint. These tiny bones help absorb pressure and support movement. Sesamoiditis causes pain under the ball of the foot, especially beneath the big toe. Discomfort may develop gradually and worsen during activity. Tenderness, swelling, and pain when bending the big toe can also occur. Pain may increase with weight-bearing and repeated push-off. This condition affects the underside of the forefoot.

Several factors can increase the risk of developing sesamoiditis. Activities that place repeated pressure on the forefoot can contribute, particularly running, dancing, or jumping. Wearing high-heeled or poorly cushioned shoes may increase stress around the sesamoids. Foot structure can affect pressure distribution and place extra stress on the sesamoids. A sudden increase in activity may trigger symptoms. Repetitive stress, direct injury, and prolonged standing are common causes. People who participate in sports requiring push-off may have a greater risk.

A podiatrist begins treatment by reviewing symptoms, activities, and history. A foot examination helps identify tenderness and pain with movement. X-rays may be recommended to check the bones and rule out a fracture. Treatment options include activity changes, wearing supportive footwear, or temporary immobilization when appropriate. Medication may help control pain, when appropriate. Activity is gradually adjusted as healing progresses, helping prevent a flare-up.

Sesamoiditis can improve when repeated stress is addressed early. Wearing comfortable shoes with adequate cushioning and avoiding painful activities can help protect the area during recovery. Do not ignore persistent pain beneath the big toe, especially when walking becomes difficult. A podiatrist can determine whether sesamoiditis is responsible for your symptoms and create a treatment plan suited to your needs. If you have symptoms of sesamoiditis, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our doctors of Andrea Hyperbaric Wound Care & Health Center. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Rare foot conditions can cause unusual pain, stiffness, or changes in the structure of the feet. One example is a complex regional pain syndrome. It often begins after an injury and can cause persistent burning pain, swelling, and skin changes. Symptoms may make it difficult to move the affected foot comfortably. Another rare condition is tarsal coalition, which occurs when two bones in the foot are connected where a movable joint would normally be present. Although people are born with this condition, pain may not appear until later in life.

Tarsal coalition can make the foot stiff and more likely to experience sprains or other injuries. Reduced movement may also place greater stress on nearby joints and contribute to early osteoarthritis. Another uncommon problem is Bessel-Hagen disease. This inherited condition causes abnormal bony growths that can affect the feet and other areas of the body. Some growths cause no discomfort, while others can become painful if they press against nerves or interfere with normal movement. These rare foot conditions can affect mobility in different ways, making an accurate diagnosis important.

A podiatrist can evaluate unexplained foot pain and determine whether a rare foot disorder may be contributing to the symptoms. Medical imaging may be used to identify conditions such as tarsal coalition. Depending on the diagnosis, professional treatment may include foot orthotics or other approaches designed to improve function. Surgery may be considered in certain cases when a condition seriously limits foot mobility. Some rare foot diseases may produce few noticeable symptoms, which can make professional assessment especially valuable when unexplained problems continue. A podiatrist can determine the source of discomfort and develop a treatment plan based on the specific condition. If unexplained foot pain, stiffness, or structural changes are affecting your comfort or mobility, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our doctors of Andrea Hyperbaric Wound Care & Health Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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