Clubfoot, medically known as congenital talipes equinovarus, is a condition where a baby is born with one or both feet turned inward and downward. Some cases are mild and others more severe. Symptoms include twisted or curved feet and underdeveloped calf muscles. While the exact cause of clubfoot is unknown, it may result from improper development of bones and ligaments in the womb. Clubfoot can be hereditary, affecting approximately one in 1,000 babies, more commonly boys. Diagnosis can occur via prenatal ultrasound or shortly after birth through a physical examination and sometimes an X-ray. Early treatment is essential for normal foot growth, with the Ponseti method being extremely effective. This involves gentle manipulation and casting of the feet over several weeks, followed by bracing to maintain correct positioning. In some cases, minor surgery may be needed to lengthen the Achilles tendon. If your baby is diagnosed with clubfoot, 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 Dr. Kenneth Donovan of Advanced Care Foot and 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 one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Ankle pain while walking is a common issue that can arise from various conditions and injuries. This can be difficult just with regular movement, but particularly frustrating when you count walking as an important form of exercise in your life. The ankle is a complex joint connecting the foot to the leg, consisting of bones, ligaments, tendons, and muscles. Pain can result from sprains, strains, fractures, or conditions such as arthritis, tendinitis, and bursitis. Overuse, wearing improper footwear, and sudden changes in physical activity can also contribute to ankle pain. This pain can interfere with walking by causing discomfort, instability, and limited range of motion. Ankle pain may present as a sharp, stabbing sensation or a dull ache, often worsening with weight-bearing activities. Swelling, bruising, and stiffness are common symptoms accompanying the pain. To alleviate ankle pain, rest, compression, and elevation are effective initial treatments. Pain relievers and wearing supportive footwear can also help. Preventative measures include strengthening and stretching exercises, wearing appropriate shoes, and gradually increasing activity levels. If you have persistent or severe ankle pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment plan so you can walk comfortably again. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Experiencing toenail fungus, or onychomycosis, can be a persistent and bothersome condition. Toenail fungus causes nails to become yellow, opaque, and brittle, often leading to crumbling or breaking. The fungus thrives in warm, moist environments, making individuals with sweaty feet or those who wear heavy shoes more susceptible. Not only is it unpleasant, but toenail fungus is also highly contagious. It can spread easily in communal areas, such as swimming pools, locker rooms, and shared showers. Treatment usually involves oral antifungal medications that need to be taken for several weeks. Even as the medication starts working, it might take some time before new, healthy nail growth appears, and the discoloration and brittleness may persist until then. Preventive measures are essential to managing and avoiding the spread of the infection. Keeping feet dry, wearing moisture-wicking socks, trimming nails properly, and ensuring feet are fully dry before putting on socks and shoes can help. If you are experiencing symptoms of toenail fungus, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.