April 2025

Toe pain can signal an underlying issue with how blood flows to and from the lower extremities. Because the toes are farthest from the heart, they are often affected first when circulation becomes compromised. Signs of poor circulation include coldness, color changes such as pale, bluish, or reddish tones, or swelling that worsens throughout the day. Some people notice numbness, tingling, or even pain during walking that subsides with rest, which can indicate restricted blood flow. Discoloration or thickened toenails, especially when accompanied by slow healing of minor cuts or sores, may also suggest poor circulation. People with diabetes are especially vulnerable, as nerve damage and vascular disease can reduce blood supply and increase the risk of infections or tissue damage. A podiatrist can conduct a thorough examination and order diagnostic testing to determine the cause. Treatment may involve medication, circulation assessments, or surgery, in more severe cases. If you are experiencing toe pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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 care needs.

Maintaining foot safety in the workplace is essential for preventing injuries and ensuring overall comfort during long hours of standing or walking. Wearing the right shoes that provide proper support, fit well, and match the demands of the job can help reduce the risk of strain or accidents. Regularly inspecting footwear for signs of wear, such as thinning soles or damaged laces, is important to maintain protection and stability. Foot protection should always be used when working in environments with heavy objects or sharp materials, such as steel toe boots or puncture-resistant soles. Being aware of workplace hazards, including slippery surfaces, uneven flooring, or falling objects, helps employees take appropriate precautions. If you have sustained a foot or ankle injury while working, it is suggested that you promptly contact a podiatrist who can offer correct treatment solutions and help with work comfort on the job.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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 care needs.

As children grow, their gait, or the way they walk, develops in stages that reflect both physical and neurological maturity. It is normal for toddlers to walk with their feet wide apart or appear a bit unsteady at first. Over time, their coordination improves, and their stride becomes more fluid. However, certain patterns like frequent tripping, toe-walking, or limping may signal developmental concerns that should not be overlooked. Early identification of gait abnormalities can help prevent future discomfort or mobility challenges. A child’s foot structure, muscle tone, and even leg alignment all play a role in how they move. Paying attention to how your child walks, runs, and stands can provide early clues to potential issues that may benefit from professional guidance. If you notice irregularities in your child’s gait or foot development, it is suggested that you see a podiatrist for an exam and necessary treatment.

If you have any concerns about your feet, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Selecting the right shoes for a baby is essential for their comfort and foot development. The best time to introduce shoes is when the baby begins to walk outdoors, as they need protection from rough surfaces. Soft, flexible materials such as leather or breathable mesh allow natural movement and keep the feet comfortable. A proper fit is important to prevent discomfort, so shoes should have enough room for growth without being too loose. Supportive soles with a slight grip provide stability while allowing natural foot motion. Additionally, easy-to-fasten closures help keep the shoes secure while making them simple to put on and take off. It is vital that your child wears shoes that fit correctly while walking outside. If you would like more information or have questions about specific types of babies first shoes, it is suggested that you consult a podiatrist who can provide you with the knowledge you are seeking.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

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 Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Restaurant workers spend long hours on their feet, making them prone to a variety of foot problems. Among them are plantar fasciitis, bunions, calluses, corns, and ingrown toenails. Constant standing and walking on hard surfaces place excessive pressure on the feet, leading to foot pain and fatigue. Shoes with inadequate support and cushioning can contribute to arch strain, heel pain, and the development of neuromas. Long shifts in tight or damp shoes may also increase the risk of fungal infections and toenail issues. Ankle instability and sprains are common due to quick movements and slippery floors. A podiatrist can assess foot pain, provide treatment for existing conditions, and recommend footwear that offers proper support and shock absorption. Custom orthotics may help alleviate pressure on the arches and heels, while addressing any misalignment that may contribute to discomfort. If you experience foot pain after working on your feet, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options, including guidance on proper footwear.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.