Lingering Foot Concerns After Early Clubfoot Surgery

Clubfoot is a congenital condition in which a baby is born with one or both feet turned inward and downward due to abnormal development of the bones, muscles, and soft tissues of the lower leg and foot. Some adolescents and young adults who were treated for clubfoot in childhood continue to notice foot and ankle challenges later in life. Early surgical approaches often focused on releasing tight soft tissues to improve alignment, which helped restore function at the time. As the body grows, however, those altered tissues may lack flexibility or strength. This can lead to stiffness, fatigue with activity, limited ankle motion, or discomfort during prolonged walking or sports. Changes in foot mechanics may also contribute to uneven shoe wear or callus formation. These symptoms are not uncommon and do not mean treatment failed, but they do deserve attention. Modern care focuses on restoring comfort, mobility, and balance through individualized evaluation. If ongoing foot or ankle symptoms interfere with daily life, it is suggested that a podiatrist evaluate the condition and discuss appropriate care options.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Carrie Frame, DPM of West Virginia Foot & Ankle. 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 office located in Charleston, WV . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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A Podiatrist's Role in Treating Morton’s Neuroma

Morton’s neuroma is a painful condition that affects the nerves between the toes, most commonly between the third and fourth toes. It occurs when the nerve becomes thickened or compressed, often due to repetitive stress, wearing tight footwear, or abnormal foot mechanics. Symptoms typically include sharp or burning pain, tingling, numbness, and a feeling of something being stuck in the shoe. Risk factors include wearing high heels or narrow shoes, participating in high-impact activities, and having certain foot structures like flat feet or high arches. A podiatrist can evaluate the foot, provide orthotic support, recommend footwear modifications, and offer treatment to reduce pain and prevent progression. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Carrie Frame, DPM of West Virginia Foot & Ankle. Our doctor 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 office located in Charleston, WV . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Choosing Proper Footwear for Children

Choosing proper footwear for children is essential for healthy foot development, balance, and overall comfort as they grow. Shoes should support natural movement while protecting developing feet during daily activities. Infants benefit from soft, flexible shoes that allow natural motion, while toddlers need lightweight shoes with room for growing toes and stable soles for early walking. Additionally, school-age children require supportive shoes with cushioning and structure for active play, and adolescents need footwear that balances comfort, durability, and sport-specific support. Poor shoe choices may contribute to pain, posture issues, or foot deformities over time. A podiatrist can evaluate foot structure, gait, and growth patterns, and recommend appropriate footwear or orthotics, when needed. If your child has foot discomfort or you have questions about shoe selection, it is suggested that you consult a podiatrist for expert guidance and an appropriate treatment plan.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Carrie Frame, DPM of West Virginia Foot & Ankle. 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 Charleston, WV . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Caring for Ingrown Toenails and Keeping Them From Returning

Ingrown toenails develop when the edge of a nail grows into the surrounding skin, leading to redness, swelling, and discomfort. Treatment depends on severity. Mild cases may improve with careful trimming, soaking the foot, and reducing pressure from tight shoes. When pain persists or infection develops, professional care is important. A podiatrist can safely remove the problematic nail portion and address underlying causes. In some cases a procedure is performed to prevent part of the nail from growing back. Prevention focuses on proper nail care and footwear choices. Toenails should be trimmed straight across rather than rounded at the corners. Shoes should allow enough room in the toe box to avoid crowding. Addressing nail thickness, foot shape, and walking mechanics can also reduce recurrence. If you have a problematic ingrown toenail, it is suggested that you make an appointment with a podiatrist.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Carrie Frame, DPM of West Virginia Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

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Are You Suffering From Nerve Damage?

Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

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