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Congenital vertical talus, or rocker bottom foot, is a rare condition that affects foot structure from birth. This deformity occurs when the talus bone is improperly positioned, causing the foot to curve abnormally and point upward. The arch appears excessively convex, and the sole may have a rounded shape, making it difficult for your baby’s foot to bear weight properly. Unlike flexible flatfoot seen in newborns, congenital vertical talus leads to stiffness and instability that often requires medical intervention. It is frequently linked to neuromuscular or genetic disorders, and, in some cases, improper positioning in the womb may contribute to its development. A diagnosis is made through a physical examination and confirmed with X-rays, which reveal a misaligned talonavicular joint. While casting may be attempted in early infancy to improve alignment, surgery may be required to reposition the bones and restore function. A podiatrist can assess the condition, discuss treatment options, and provide extended follow-up care. If your baby has a congenital foot deformity, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact John Killough, DPM of Regional Foot Center. Our doctor 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 Charleston and Effingham, IL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Walking barefoot on the beach feels refreshing, but it can take a toll on your feet in ways you might not expect. Known as beach feet, this condition refers to the stress and strain caused by prolonged barefoot walking on sand. While sand provides a natural exfoliation, it also lacks support, forcing the foot muscles and tendons to work harder, which can lead to soreness, fatigue, and even arch pain. Hot sand can burn the soles, while tiny shell fragments and rough grains may cause cuts, blisters, or abrasions. Walking unevenly on soft sand can also contribute to instability, potentially aggravating conditions like plantar fasciitis or hammertoes. To protect your feet, wear supportive water shoes when needed, moisturize after exposure, and check for injuries. If pain or discomfort persists, it is suggested that you schedule an appointment with a podiatrist who can help prevent further issues.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact John Killough, DPM of Regional Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

A stiff big toe, medically known as hallux rigidus, affects the larger joint at the base of the big toe, reducing its ability to move freely and causing pain during activities like walking. Initially, people may notice mild stiffness in the big toe, which progressively worsens as movement becomes increasingly limited. Hallux rigidus is often linked to osteoarthritis, a condition involving joint wear-and-tear. This can lead to symptoms like persistent pain, swelling, limited range of motion, and eventual loss of joint mobility. Risk factors for a stiff big toe include prior toe injuries, repetitive stress from sports or work activity, genetic predisposition, specific foot structures, and inflammatory arthritis. Early symptoms include difficulty bending the toe and pain that intensifies with activity, eventually becoming constant, even at rest. A podiatrist can conduct a thorough examination of the big toe joint through imaging studies like X-rays to determine the correct treatment. Options range from custom orthotics to surgery, in advanced cases. If your big toe becomes unusually stiff and continually painful, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact John Killough, DPM of Regional Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Charleston and Effingham, IL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Trail running shoes are designed for off-road running, offering essential features to enhance performance and comfort. One key feature is waterproofing, which helps keep feet dry in wet conditions, preventing discomfort and blisters during rainy runs or when crossing streams. For runners with wider feet, wide-fit trail running shoes provide extra space, ensuring a more comfortable fit and reducing pressure on the toes. Mud shoes are another important type of trail running shoe, equipped with specialized traction to handle slippery and muddy trails. These shoes typically have deeper treads that provide better grip and stability, preventing slips. Whether running through wet terrain, navigating rocky paths, or tackling muddy routes, the right trail running shoes ensure durability, support, and comfort for every adventure. If you have sustained a foot injury while trail running, it is suggested that you consult a podiatrist who can offer effective relief tips, and guide you on the correct shoes to wear.

If you are a runner, wearing the right running shoe is essential. For more information, contact John Killough, DPM from Regional Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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