Overpronation occurs when the foot rolls excessively inward with each step, placing abnormal stress on the arches, ankles, and toes. Treatment for overpronation primarily involves relieving this pressure to reduce pain or discomfort in the feet and ankles. Wearing supportive footwear, featuring firm cushioning around the heel and midfoot, can help limit unnecessary foot motion and stabilize the arch. Custom orthotics may be prescribed by a podiatrist to offer individualized foot support, effectively aligning and stabilizing the feet and ankles. In moderate cases, kinesiology taping or braces are beneficial in providing extra support, improving foot alignment, and preventing further pronation. In rare instances, severe overpronation due to flat feet or structural damage might require surgery. Such procedures typically involve reconstructing or realigning foot bones and tendons to stabilize the arch, correct the foot's alignment, and relieve symptoms. If you suspect you have a pronation problem, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

If you have any concerns about your feet, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 and ankle needs.

Juvenile gout is a rare condition in children where uric acid builds up in the bloodstream, leading to the formation of crystals that cause pain and inflammation in the joints. This condition is similar to gout in adults, but it occurs in younger individuals, typically affecting the big toe, knees, or ankles. The primary cause of juvenile gout is an overproduction of uric acid, often linked to genetic factors that cause the body to either produce too much uric acid or fail to eliminate it properly. Other causes include kidney problems, obesity, and certain medications. In some cases, a diet high in purine-rich foods, such as red meat and seafood, may contribute to the condition. Symptoms of juvenile gout include sudden joint pain, swelling, redness, and warmth, which can be quite severe. If your child has sudden pain in the big toe and other symptoms of gout, it is suggested that you promptly consult a podiatrist who can effectively treat this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 and ankle needs.

Dry feet, especially split heels, can result from both external and internal factors. External causes include prolonged standing, walking barefoot on hard surfaces, and wearing open-backed shoes that fail to support the skin. Exposure to dry air, harsh soaps, and excessive moisture loss can further weaken the skin’s protective barrier, leading to painful fissures. Internally, dehydration, vitamin deficiencies, and medical conditions like diabetes or hypothyroidism can contribute to skin breakdown. Poor circulation, which reduces the delivery of essential nutrients to the feet, can also make the skin more prone to cracking. If the cracks deepen, they may become painful or even infected. Keeping feet moisturized and wearing supportive footwear can help prevent and heel cracks. However, if deep fissures, pain, or signs of infection develop, it is suggested that you see a podiatrist for proper care and appropriate treatment.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

Navicular stress fractures, which occur in the top inner side of the midfoot, frequently affect physically active people, particularly runners. These hairline fractures of the navicular bone often cause a dull pain in the midfoot that may extend along the inside of the arch and worsen with activity. Because X-rays may not detect a navicular stress fracture, advanced imaging like bone scans or CT scans may be needed for an accurate diagnosis. The navicular bone is prone to stress fractures due to its location and the amount of repetitive impact it endures. A delayed diagnosis can prolong healing, and in such cases, a non-weight-bearing immobilization in a cast may be prescribed for several weeks. If the fracture does not heal with conservative treatment, surgery may be required to stabilize the bone and restore function. A podiatrist can assess your foot biomechanics, recommend appropriate treatment, and help prevent future injuries. If you are experiencing midfoot pain, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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 and ankle needs.

Foot pain can stem from a variety of factors, with improper footwear being one of the most common culprits. Wearing shoes that are too tight, too loose, or lack proper support can lead to a range of foot problems. One common condition caused by poor footwear is plantar fasciitis, where inflammation occurs in the band of tissue connecting the heel to the toes, causing heel pain. Corns, which are thickened areas of skin, can also develop from pressure or friction from ill-fitting shoes, leading to discomfort. Ingrown toenails, another frequent cause of foot pain, occur when a toenail grows into the surrounding skin, causing irritation and swelling. Achilles tendonitis is an overuse injury affecting the tendon at the back of the heel, causing pain and stiffness, especially during physical activities. Proper footwear, regular foot care, and addressing these issues early can help alleviate foot pain and prevent further complications. If you have any type of foot pain, it is suggested that you contact a podiatrist who can offer you a proper diagnosis and effective relief and treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.