November 2023

The journey of infancy unveils the uniqueness of every child, including the diverse ways their little feet may develop. Clubfoot and metatarsus adductus stand out as congenital foot conditions that influence the early stages of a child's mobility. Clubfoot presents as a deformity where the foot turns inward and downward, affecting the bones, muscles, tendons, and ligaments. Conversely, metatarsus adductus, involves a curved or turned in position of the front part of the foot. Both conditions are noticeable from birth and can be attributed to a combination of genetic and environmental factors. While clubfoot necessitates gentle manipulations and casting to guide the foot into proper alignment, metatarsus adductus often resolves with stretching exercises and wearing proper footwear. Understanding these congenital foot conditions empowers parents and podiatrists to initiate timely interventions, providing the best foundation for a child's healthy and active future. If your child has been born with one of these foot conditions, it is strongly suggested that you are under the care of a podiatrist who can promptly begin the correct treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our doctors of New England Foot & Ankle . 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 Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Gout is a form of inflammatory arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in joints, often at the base of the big toe. It is caused by elevated levels of uric acid in the blood, which can form needle-like crystals in a joint, triggering inflammation and intense pain. Risk factors for developing gout can include a diet rich in purines, found in red meat, seafood, and alcohol. Additionally, obesity, and certain health conditions such as high blood pressure, diabetes, and kidney problems may also lead to developing gout. Men and postmenopausal women are more susceptible. If you think you may have gout and you have pain in your big toe, it is suggested that you make an appointment with a podiatrist for an evaluation and treatment that can restore your comfort.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our doctors from New England Foot & Ankle . Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton's neuroma, a nerve condition that affects the ball of the foot, can bring about discomfort and pain. Its symptoms are often distinctive and can be recognized with attention to detail. Individuals with Morton's neuroma may experience a sharp, burning, or tingling pain that radiates from the ball of the foot, typically between the third and fourth toes. This discomfort often feels as if there is a small pebble or an object inside the shoe, causing an irritation. It tends to worsen with weight-bearing activities, such as walking or standing and may improve with rest. Wearing tight, constrictive footwear can exacerbate the symptoms, making shoe choices essential for managing the condition. Additionally, some individuals may feel numbness in the affected toes, contributing to a sense of discomfort and imbalance. Swelling or a palpable mass at the base of the toes is occasionally noticed. Early recognition of these common symptoms is essential for timely diagnosis and appropriate treatment of Morton's neuroma, helping individuals find relief from their foot discomfort. If you have pain in this part of your foot, it is strongly suggested that you schedule an appointment with a podiatrist. This type of doctor can accurately diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our doctors of New England Foot & Ankle . Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pregnancy is a transformative journey for a woman's body, and it is not just the baby bump that undergoes changes. The feet also experienced their share of adjustments during this remarkable period. As the body produces the hormone relaxin to prepare for childbirth, it can affect the ligaments and tendons throughout, including the feet. This increased flexibility can lead to a temporary increase in shoe size. Swelling, known as edema, is another common foot change during pregnancy and is often caused by fluid retention. This can make wearing comfortable footwear imperative. Added pressure on the arches can trigger or exacerbate flat feet, resulting in discomfort or pain. Be prepared for these transformations, and remember that they are all part of the incredible journey to motherhood. If you would like more information about how to find relief from foot pain during pregnancy, in addition to learning more about how the feet change during this exciting time, it is suggested that you confer with a podiatrist who can provide you with useful knowledge.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our doctors from New England Foot & Ankle . Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.