Understanding the Differences Between Adult and Children's Feet

Understanding the Differences Between Adult and Children's Feet

The journey from childhood to adulthood is marked by numerous transformations, and the evolution of your feet is no exception. Children's feet, characterized by their pliability and cartilage dominance, are more susceptible to external influences. Their arches may appear flat, and the bones are still developing. As children age, these structures solidify, forming the more defined arches and shapes typical of adult feet. Moreover, the fat pads on children's feet provide natural cushioning, while adults may experience thinning of these pads over time. The growth patterns and proportions differ significantly, with children's feet being relatively wider in comparison to their length. Recognizing these distinctions is vital for selecting appropriate footwear and addressing potential concerns in either developmental stage. If you would like additional knowledge about how adult and children’s feet vary, it is suggested that you confer with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of InStride Family Foot Care. Our doctors 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 offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Care for Your Child's Feet

Ingrown Toenails

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Types of Ingrown Toenails

Types of Ingrown Toenails

Ingrown toenails, a common foot ailment responsible for approximately 20 percent of podiatric visits, can be attributed to a variety of causes. Among these, improper nail trimming plays a significant role, as cutting nails too short or rounding them incorrectly encourages ingrowth. Wearing tight shoes or high heels that exert pressure on the toes is another prevalent cause. Trauma to the toe, such as injuries, can also contribute to the formation of an ingrown toenail. Three main types of ingrown toenails are categorized by their location on the toe. The lateral ingrown toenail, occurring most frequently, involves the side of the nail edge growing into the skin at the sides of the toe. A distal ingrown toenail can occur when the nail edge grows or curls into the skin at the end of the toe, where the top of the nail meets the skin. Proximal ingrown toenails happen when the nail grows into the skin at the base of the toe, near the cuticle area. This type is characterized by new toenail growth pushing the old nail upwards, causing it to become thick and embedded. Avoiding excessive shortcuts and wearing well-fitted footwear can significantly diminish the risk of ingrown toenails. In instances of persistent discomfort or suspected ingrown toenails, seeking professional advice from a podiatrist is suggested. Podiatrists possess the expertise to accurately diagnose the issue, determine the severity and type of ingrown toenail, and suggest suitable treatment options. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of InStride Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Read more about Ingrown Toenails

Rare Foot Conditions

Rare Foot Conditions

A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions. 

Managing Charcot-Tooth-Marie Disorder

Managing Charcot-Tooth-Marie Disorder

Charcot-Marie-Tooth disorder, or CMT, is an inherited neurological disorder that affects individuals globally. CMT is characterized by a gradual degeneration of muscles in the foot, lower leg, hand, and forearm, accompanied by a mild loss of sensation in limbs, fingers, and toes. The initial signs of Charcot-Marie-Tooth disorder are often a high-arched foot or difficulties in walking. Additional symptoms can include foot bone abnormalities like hammer toes, challenges with balance, occasional muscle cramping in lower legs, and loss of reflexes. While there is currently no cure for CMT, proper foot care, including wearing custom-made shoes and leg braces, can alleviate discomfort and help retain function. Moderate activity are often recommended to maintain muscle strength, with adaptive devices or surgery considered based on medical indications. Most individuals can continue to work, and wheelchair confinement is rare. For help in managing Charcot-Marie-Tooth disorder, it is suggested that you schedule an appointment with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of InStride Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

Read more about Rare Foot Conditions

We Can Treat Your Foot or Ankle Pain

We Can Treat Your Foot or Ankle Pain

Foot or ankle pain can negatively affect your day-to-day life and can occur due to several different conditions. Pain can also be an indicator of a more serious underlying condition, which is why you should seek professional help as soon as you notice any abnormalities in your feet.

Exercise for Your Feet

Whether your feet are over-worked or under-worked, chances are they could benefit from some special attention. Even those who exercise regularly probably do not spend any time strengthening their feet. This can be just as rewarding as strengthening the rest of the body, since the health of your feet affects the health of the rest of the body as well, especially the ankles, legs, and spine.

For those who might not have any idea on how a foot-specific exercise might be conducted, there are several workouts that are fairly easy to perform in the comfort of ones’ home. One of the easiest is the toe rise, also known as the tip-toe. This exercise involves standing on the tip-toes for a count of 15 then resting the feet on the ground. This process should be repeated a minimum of three times a day in order to strengthen the feet.

Toe pick-ups strengthen the feet by working them in a very different way. In this exercise, small items are picked up using the toes in order to strengthen the muscles on the upper part of the feet. Once again three sets should be performed, with the item in question being held for 15 seconds then dropped. Items that may be picked up using the feet include marbles and even stationery, which works wonders for the toes and the surrounding muscles.

Yet another simple workout is the ankle pump. This can be done either upwards or downwards, but for the workout to be most effective both can be incorporated into the routine. As the term suggests, this involves lifting the foot off the floor and flexing the toes either towards the shin or towards the ground. This movement puts the feet and ankles through a large range of motion which works the muscles.

Last but not least, feet should be stretched so that the muscles can relax and recuperate. This can be done by placing both feet off of the floor and bracing oneself against the wall at a 45 degree angle. This ensures that the feet and ankles are adequately stretched once the workout is complete.

In short, giving the feet a good workout every now and then is important in order to avoid problems such as plantar fasciitis. It’s also important to warm-up or cool-down after running or vigorous walking. Foot exercises may be followed by a good foot massage. This encourages circulation in the feet as well as muscle relaxation.

Podiatric Evaluation of Feet for Exercise

Podiatric Evaluation of Feet for Exercise

Podiatrists conduct thorough evaluations of feet to optimize exercise outcomes and prevent injuries. This process begins with a detailed assessment of the foot's structure, which includes examining the arch, toe alignment, and overall foot shape. This type of doctor pays close attention to any abnormalities or conditions like flat feet, high arches, or bunions that may impact exercise performance or lead to injury. Gait analysis is another critical aspect, where the podiatrist observes how a person walks and runs. This analysis helps identify any irregularities in foot movement that could cause problems during physical activities. A key part of the evaluation is understanding the individual's exercise routine, including the type of activities they engage in, and the frequency and intensity of these activities. This information, combined with the physical examination, enables the podiatrist to make personalized recommendations. These may include specific types of footwear, custom orthotics, or exercises to strengthen the foot and ankle. If you are exercising or embarking on a new exercise program, it is suggested that you make an appointment with a podiatrist for advice to enhance your comfort, improve performance, and reduce the risk of foot-related injuries during exercise.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact one of our podiatrists from InStride Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctors to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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

Read more about Exercise for Your Feet

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Causes of Second Toe Pain

Causes of Second Toe Pain

Second toe pain, though often dismissed as a minor inconvenience, can reveal underlying issues that demand attention. The causes of this discomfort are diverse and can range from mechanical factors to underlying health conditions. Ill-fitting footwear, particularly shoes that squeeze the toes or have inadequate arch support, can contribute to pain in the second toe. Structural abnormalities, such as hammertoe or a longer second toe, may also be culprits. Injuries, whether acute or from repetitive stress, can lead to pain and inflammation. Arthritis affecting the joints in the toe, or conditions like Morton's neuroma, wherein a nerve becomes irritated, can contribute to discomfort as well. Understanding the multifaceted nature of second toe pain is important for identifying the root cause and seeking appropriate medical care. If you are experiencing pain in your second toe, it is suggested that you schedule an appointment with a podiatrist who can determine the cause and offer appropriate treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of InStride Family Foot Care. Our doctors 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 Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain

Connect With Us

Advanced Podiatric Procedures & Services in the Concord, NC 28025, Charlotte, NC 28215, Gastonia, NC 28054 & Salisbury, NC 28144 areas