Congenital vertical talus, or rocker bottom foot, is a rare condition that affects foot structure from birth. This deformity occurs when the talus bone is improperly positioned, causing the foot to curve abnormally and point upward. The arch appears excessively convex, and the sole may have a rounded shape, making it difficult for your baby’s foot to bear weight properly. Unlike flexible flatfoot seen in newborns, congenital vertical talus leads to stiffness and instability that often requires medical intervention. It is frequently linked to neuromuscular or genetic disorders, and, in some cases, improper positioning in the womb may contribute to its development. A diagnosis is made through a physical examination and confirmed with X-rays, which reveal a misaligned talonavicular joint. While casting may be attempted in early infancy to improve alignment, surgery may be required to reposition the bones and restore function. A podiatrist can assess the condition, discuss treatment options, and provide extended follow-up care. If your baby has a congenital foot deformity, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Patrick Bruton, DPM of Big Country foot and Ankle. 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 offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Caring for your feet is essential if you have diabetes, as poor circulation and nerve damage can lead to serious complications. Check your feet every day for cuts, blisters, or swelling, even if they feel fine. Wash them with warm water and mild soap, then dry thoroughly, especially between the toes. Keep your skin moisturized to prevent cracks, but avoid putting lotion between the toes, as excess moisture can lead to infections. Wear comfortable, well-fitted shoes and soft, non-restrictive socks to protect against pressure points and irritation. Never walk barefoot, even at home, to reduce the risk of injury. Avoid soaking your feet for long periods of time, as this can weaken the skin. If you notice any pain, redness, or wounds that are not healing, it is suggested that you see a podiatrist to prevent complications before they become serious.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Toenail problems can indicate underlying health issues, with several distinct conditions affecting the nails. Beau's lines are horizontal indentations that can occur when growth is temporarily disrupted by illness, injury, or stress. Clubbing refers to a rounding of the toenails and fingertips, often associated with lung or heart disease. Green nail syndrome is a bacterial infection caused by Pseudomonas bacteria, leading to a green discoloration of the nail. Koilonychia, also known as spoon nails, causes nails to become thin and concave, potentially linked to iron deficiency anemia. Additionally, median nail dystrophy is a condition where the nails develop vertical grooves or splits, which may be a result of trauma or skin conditions. These toenail problems should not be ignored, as they may be a sign of nutritional deficiencies, infections, or systemic health conditions that require attention. If you have any of these toenail conditions, it is suggested that you consult a podiatrist who can offer effective treatment remedies.

Toe pain can disrupt your daily activities. If you have any concerns, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor 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 Abilene, and Brownwood, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A foot stress fracture is a small crack in the bone that occurs due to repetitive pressure or overuse, often caused by high-impact activities such as running or jumping. These fractures are most common in the metatarsal bones of the foot but can occur in other areas as well. The primary cause of a stress fracture is repetitive force or stress that exceeds the bone's ability to heal. Risk factors for developing a stress fracture include engaging in intense physical activity without proper rest, wearing improper footwear, and having poor bone health or alignment. Individuals with conditions like osteoporosis or those undergoing rapid increases in exercise intensity are also at higher risk. Symptoms typically include pain, swelling, and tenderness in a specific area of the foot, especially during activity. If you have endured a foot stress fracture, it is suggested that you consult a podiatrist who can guide you toward the necessary treatment for recovery.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Patrick Bruton, DPM from Big Country foot and Ankle. 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 offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.