May 2022

Many adults complain of plantar fasciitis, which is a painful condition caused by inflammation of the band of tissue that runs from the heel to the toes. This can also be found in children, especially those who participate in sports that involve a lot of running and jumping. Dancers, runners, and basketball players may be more susceptible because the plantar fascia absorbs the pounding of every impact with the floor or ground. This results in pain at the bottom of the heel, typically a result of repetitive use. The pain generally worsens after activity and increases as the day goes on. The heel may be particularly painful in the morning but may lessen after stretching or walking. Plantar fasciitis can become worse from being overweight, wearing footwear that does not provide enough cushioning, tight calf muscles, high arches, and flat feet. If your child complains of heel pain on a consistent basis, it is a good idea to consult a podiatrist to see if plantar fasciitis may be causing the problem.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

People who have severe arthritis may consider having a surgery performed that is known as a triple arthrodesis. It is a procedure that fuses three joints of the ankle. It may help to have this type of foot surgery done to relieve pain if the joints are deformed or unstable as a result of arthritis. Existing conditions that may qualify for a triple arthrodesis can include ankle instability, severe flat foot, or extremely high arches. Some patients have abnormal connections between the bones and may consider this type of surgery. A proper diagnosis is performed by having X-rays taken, which can be beneficial to completely understanding the problems in the ankle. There may be risk factors with this type of surgery. Bones may fuse abnormally, and there could be delayed wound healing or nerve injury. If you have arthritis, and it is severely affecting your ankle, it is suggested to consult with a podiatrist who can determine if this surgery is correct for you

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Plantar warts appear on the bottom of the foot. They grow inward as a result of the constant pressure that is exerted on the feet from standing and walking. They are caused by HPV, human papillomavirus, and can enter the body through small cuts in the feet. It is suggested to wear appropriate shoes while in public swimming areas and locker rooms, as this may prevent the spread of the virus. A plantar wart looks like a small area of hardened skin, and it generally has tiny black dots in the center. These are small, clotted blood vessels that are referred to as wart seeds. This type of wart generally causes severe pain and discomfort, and it may be difficult to walk. Patients who have a compromised immune system, in addition to people who are diabetic, may be prone to getting plantar warts. It is suggested that if you have a plantar wart to speak with a podiatrist who can guide you toward the best treatment methods. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

The foot condition that is known as hammertoe is considered to be a physical deformity. It can develop as a result of wearing shoes that are too narrow or it may form due to genetic reasons. It is defined as the second toe bending at the middle joint, causing it to face downward. The toe may shift toward the other toes, which may force them to bend or overlap. Research has indicated this deformity is caused by shortened muscles that are inside the toes, and this can prompt limited extending. There are stretches that can help to relieve the discomfort from hammertoe and this can be instrumental in regaining structure and movement. Additionally, it is beneficial to wear shoes that have adequate room for the toes to move freely in. In severe cases, surgery may be necessary for permanent straightening. If you have developed a hammertoe, it is suggested that you confer with a podiatrist who can choose the best treatment option for you.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

When your child has been walking for a few weeks, it may be time to think about getting them shoes. Prior to this period, it is thought to be better for a child to go barefoot in order to help develop foot strength, though soft shoes and socks are suggested to help keep baby's feet warm in the colder weather. Selecting the proper shoes starts with size, because giving the toddler’s feet room to grow is important. If shoes are too tight they can negatively affect healthy foot development. There should be some space between the toes and the end of the shoe. Shoes should give ample support and have a solid heel, and sandals should have a closed heel. Check that the front of the shoe is wider than the heel, and avoid shoes with pointy toes or high heels. Shoes with non-slip soles are thought to be safer, as are those that tie, rather than slip on. Stiff outer parts on shoes may be too constrictive. Continue to check the fit of the shoes frequently, and be prepared to buy larger ones as needed to ensure proper growth and development. If you need further information on fitting your child’s first pair of shoes, please consult with a podiatrist who can guide your decisions.  

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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