July 2022

Clubfoot is considered to be a congenital foot condition. The medical name for it is known as congenital talipes equinovarus, and the abbreviation is CTEV.  A noticeable sign of this condition is that the infant's feet are rotated at the ankle. There are two categories of CTEV - postural and structural. The former involves tightness or muscle imbalance, and the bones and joints are generally not affected by this type of clubfoot. The latter is a deformity that affects the bones and joints, and reaching a full range of motion may be difficult to accomplish. The symptoms that are associated with CTEV can consist of tight calf muscles, and the feet will turn inward. Research has indicated that genetics and environment may contribute to developing structural CTEV. When walking begins, the child may have difficulty in maintaining a normal walking pattern, and they may have foot pain and limited mobility. Specific stretches can possibly help postural CTEV, and surgery may be necessary in structural CTEV, which may help to properly align the feet. If your child has been born with clubfoot, it is strongly advised that a podiatrist be contacted who can diagnose and manage this condition.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. Castillo of Bronx Foot Care. 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 Bronx, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

The simplicity of wearing flip flops is attractive to many people. They are available in many colors and styles, and are easy to slip on in a hurry. Despite their popularity, research has indicated they may cause foot problems. People commonly notice heel pain, and this can be a result of an absence of an arch in the shoe. Additionally, a pain in the big toe may be indicative of a bunion forming, and the toes may ache from constantly trying to keep the flip flop on the foot. A reason the foot muscles work harder when flip flops are worn may have to do with being an open back shoe. Most flip flops do not have a strap on the back, and the gait, or walking style, can be negatively affected. It is beneficial to perform exercises and stretches that can strengthen the foot and calf muscles, which may make it more comfortable to walk. If you would like additional information about what type of flip flops to wear that are good for the feet, please confer with a podiatrist.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Castillo from Bronx Foot Care. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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

Individuals that suffer from obesity are naturally at a higher risk of experiencing a variety of foot ailments and foot pain. One important link between obesity and foot health that every parent should be aware of is the relationship between childhood obesity and flat feet. When an individual has flat feet, their entire soles rest flush against the ground and lack an arch. Although a flat foot does not always cause symptoms, the condition can cause foot pain and eventually contribute to back pain. Scientific studies have demonstrated that obese children were more likely to exhibit flat feet than other non-obese children. Experts have identified two potential explanations for this phenomenon. First, obese children may simply have more fat padding on the bottoms of their feet. And second, obese children may have sunken arches because of the extra weight that they exert on their feet. If your child suffers from obesity and you believe that they may be exhibiting signs of flat feet, it may be wise to contact a podiatrist. A professional will be able to help you identify any problems with your child’s feet and develop a plan to address them.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Dr. Castillo from Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

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

Cuboid syndrome or cuboid subluxation is when the joints and ligaments near the cuboid bone in the foot become injured or torn. Most commonly with cuboid syndrome, pain is felt on the side of the foot where the baby toe is. The discomfort might be greater when you put weight on the side of the affected foot, when you push on the arch of the foot, or pain might spread to other parts of the foot when you stand on the front of the toes. There may be redness and swelling near the site, as well as loss of movement or weakness in the ankle or side of the foot. One might also change the way they walk (such as limping or swaying from side to side) due to the pain they feel. This syndrome may be caused when the cuboid bone moves outward from the foot while the heel bone moves inward, which may dislocate one or more bones or tear nearby ligaments. It can happen from an ankle sprain, injury, overuse or repetitive strain on the foot, or flat feet. Athletes who participate in sports involving jumping, running, or moving from side to side are prone to cuboid syndrome. This condition can also occur from being overweight, having arthritis or osteoporosis, wearing shoes that are too tight or not sufficiently supportive, not stretching the foot properly before a workout or resting it long enough before engaging in physical activity again, or doing activity on surfaces that are not flat. If you think you might have cuboid syndrome or your foot hurts for longer than what might be a normal recuperation period, see a podiatrist for a proper diagnosis and treatment.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Castillo from Bronx Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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