Newborn feet can look unusual at first, and much of this comes from how the baby was positioned in the womb. Some infants have feet that curve inward, called metatarsus adductus, which often improves naturally as they begin to move and grow. Others may appear flat-footed because the arch has not yet formed. Occasionally, a foot may point upward or downward due to soft tissues still adjusting after birth. Most of these early differences resolve over time with gentle movement and normal development, but some may benefit from closer observation. A podiatrist can evaluate flexibility, check alignment, and offer guidance to support healthy growth. If your newborn’s feet look unusual or if you notice little improvement as they grow, it is suggested that you see a podiatrist for proper evaluation and reassurance.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Katie Besselman, DPM of Advanced Podiatry. 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 Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot fractures are broken bones resulting from trauma, falls, sports injuries, or repetitive stress. The feet may look swollen, bruised, or deformed, and in some cases the toes or midfoot may appear misaligned. Symptoms include sharp, intense pain at the time of injury, followed by tenderness, difficulty walking, or an inability to bear weight. Stress fractures, which are small hairline cracks in the bones, are common in athletes and dancers due to repetitive impact and may not be immediately visible on X-rays. A podiatrist can provide a thorough evaluation, including physical examination and imaging such as X-rays or an MRI, to confirm the diagnosis and determine the severity of the foot fracture. Treatment options include immobilization with casts or splints, protective footwear, activity modification, or in severe cases surgery. Early professional care promotes proper healing, reduces pain, and prevents long-term complications. If you suspect a foot fracture, it is suggested that you make an appointment with a podiatrist.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

Diabetes can slow the body’s ability to heal wounds, particularly on the feet where circulation is reduced and nerve damage is often present. High blood sugar levels interfere with blood flow and damage small vessels, making it harder for oxygen and nutrients to reach injured tissue. When this happens, even a small blister or cut on the foot can turn into a deep ulcer. Nerve damage, known as neuropathy, can reduce sensation, so a person may not feel pain or notice an injury developing. Diabetic foot ulcers are prone to infection because bacteria thrive in the warm, moist environment of shoes and because immune responses are weakened. A podiatrist can evaluate circulation, remove dead tissue to promote healing, and monitor for infection or other complications. If needed, a podiatrist may recommend specialized footwear, orthotic devices, or surgery to prevent limb loss. If you have foot ulcers related to diabetes, it is suggested that you make an appointment with a podiatrist for management of this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Rheumatoid arthritis is an autoimmune condition in which the immune system mistakenly attacks the lining of the joints. It often affects the smaller toe joints first, leading to tenderness, swelling, and stiffness that can gradually spread to the ankles. As inflammation progresses, the joints may weaken and become painful during daily activities. Causes include an overactive immune response and risk factors include family history, age, and smoking. When rheumatoid arthritis involves the feet and ankles, walking and balance can become difficult. A podiatrist can help by providing custom orthotics, footwear guidance, and supportive treatments that ease pressure and improve joint function. If your ankles are stiff or swollen, it is suggested that you consult a podiatrist who can offer you relief solutions, helping you to manage this condition.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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