November 2024

As people age, natural changes in gait can affect mobility and stability. Reduced calf muscle strength often leads to taking shorter steps, while balance issues may increase the period in the walking cycle when both feet are on the ground simultaneously. In younger adults, this phase typically makes up about 18 percent of the cycle, but it may increase to 26 percent or higher as people age or experience balance challenges. This added time on both feet offers greater stability, helping to lower fall risk. Joint changes, like reduced ankle flexibility, may further impact stride length. To maintain balance, older adults might shift their weight or adopt postural changes, leading to a wider stance and a less fluid movement. Neurological changes can make coordinating each step more difficult, slowing pace and reducing synchrony in body movement. A podiatrist can assess specific gait challenges in seniors and suggest exercises or custom orthotics to restore stability and improve gait mechanics. If you have trouble walking while carrying out daily activities, it is suggested that you make an appointment with a podiatrist for a gait analysis, exam, and treatment options.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

Clubfoot, or congenital talipes equinovarus, is a birth defect in which one or both feet are twisted out of shape or position. In this condition, the foot is typically rotated inward and downward, with the affected foot’s heel pointing upward, causing the foot to appear club-like. It occurs in about one in every 1,000 births, and is more common in boys than girls. The exact cause of clubfoot is not fully understood, but genetic and environmental factors may play a role. If left untreated, clubfoot can lead to difficulties in walking and other mobility issues. Treatment typically begins shortly after birth, using the Ponseti method, which involves gentle manipulation and casting to gradually correct the position. In some cases, minor surgery may be necessary to release tight tendons. If your baby was born with clubfoot, it is strongly suggested that you seek early treatment from a podiatrist to achieve the best outcome.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors 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 Plymouth, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Stress fractures are small cracks in the bones, often caused by repetitive force or overuse, and commonly seen in athletes and active individuals. Factors contributing to foot stress fractures include sudden increases in physical activity, wearing inadequate footwear, and underlying conditions like osteoporosis. Symptoms typically include localized pain in the midfoot area that worsens with activity, swelling, and tenderness when pressure is applied. Patients may also notice bruising or discomfort during weight-bearing activities. A podiatrist can accurately diagnose stress fractures through a physical exam, and imaging tests like X-rays or MRI scans. This type of doctor may recommend orthotic devices or modified activities to promote healing. In some cases, a short period of immobilization may be necessary. Recovery can vary, but generally takes several weeks, with a gradual return to activity once healing is confirmed. If you suspect a stress fracture, it is suggested that you schedule an appointment with a podiatrist for effective diagnosis and treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors 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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete's foot, also known as tinea pedis, is a fungal infection that affects the skin on the feet, often starting between the toes. It thrives in warm, moist environments like locker rooms, public showers, and sweaty shoes. Causes include walking barefoot in these type of areas or wearing damp footwear for extended periods of time. Symptoms of athlete’s foot consist of itching, redness, peeling, and cracking skin, typically between the toes, and sometimes blisters or sores. In severe cases, the infection can spread to the toenails or other parts of the body. Diagnosis is usually made based on the appearance of the skin, but a podiatrist may take a skin scraping to confirm the presence of fungus. In persistent cases of athlete’s foot, prescription-strength antifungals may be needed. If you have athlete’s foot that is not clearing up, it is suggested that you schedule an appointment with a podiatrist for treatment.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact one of our podiatrists from Greater Boston Foot Care, PLLC.  Our doctors will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

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