One foot condition parents may encounter in their child’s feet is known as metatarsus adductus, recognizable when a child's foot looks like it's forming a C shape. Known by other names, such as metatarsus varus or pes adductus, it is a condition your child might have from birth. The front part of the foot, or the forefoot, points inward toward the back part of the foot. This makes the inside edge of the foot look curved and the outside edge look more rounded. Metatarsus adductus can be confused with other foot problems like skewfoot, which has a bump on the outside edge, or clubfoot, where the whole foot is turned inwards and down. Sometimes, this condition fixes itself as your child grows, but regular check-ups with a podiatrist are essential for monitoring progress. This medically trained foot doctor can suggest simple stretching exercises to help the foot align correctly. In addition, your podiatrist can prescribe custom shoe inserts for extra support and help correct the foot's shape. In more severe cases, your child's foot might be gently cast to guide it into the right position. Surgery may be suggested in extreme cases. With the right care and guidance, your child can have happy, healthy feet. If your child exhibits intoeing, it is suggested that you make an appointment with a podiatrist for a complete examination and a treatment plan.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Foot & Ankle Associates of Maine. 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 office located in Brunswick, ME . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Tarsal tunnel syndrome is a rare condition that affects the nerves in the foot and ankle. It can cause foot pain or tingly sensations and may weaken some foot muscles. This syndrome is usually caused by things like wearing shoes that do not fit well, or by a tight cast. Sometimes, injuries like sprains or fractures can also lead to this condition. Rarely, it could be caused by lumps, cysts, or infections. It can be hard to diagnose, but podiatrists rely on a clinical assessment and can use special tests like electromyography, EMG, or electroneurography, ENG. These diagnostic tools show which muscles are having problems because of nerve damage. If it is found that the issue is in the tarsal tunnel area of your foot, the next step is to find out what is causing the nerve to be pinched or squeezed. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist for an evaluation, precise treatment, and management strategies for symptom relief.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Foot & Ankle Associates of Maine. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Both custom and prefabricated orthotics aim to provide foot support and alleviate discomfort, but they differ significantly in their design, purpose, cost, and adaptability. Custom orthotics are tailor-made to fit an individual's unique foot contour and biomechanics. A podiatrist typically takes a mold or digital scan of the patient's foot and designs the orthotic based on specific needs. As a result, they provide targeted support, correct biomechanical imbalances, and address specific medical conditions. Prefabricated orthotics are mass-produced and come in standard sizes and shapes. They offer generalized support and cushioning but lack the personalized fit of custom orthotics. They may be useful for minor foot discomfort or as a temporary solution. They are less expensive than custom-made versions but may not provide the exact support or correction needed for more complex foot issues. In deciding between the two, it is suggested that you make an appointment with a podiatrist to discuss your particular foot issues.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Foot & Ankle Associates of Maine. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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