Items filtered by date: Saturday, 26 April 2025
Walking Development of Children
The process of learning to walk is a significant milestone in a child's foot development, marking the transition from dependency to independence. As infants, babies typically begin to explore their surroundings by lifting their heads, rolling over, and eventually crawling. Over time, they develop the strength and coordination needed to pull themselves up and stand with support. As they gain confidence and stability, they take their first tentative steps, often holding onto furniture or caregivers for balance. With practice and encouragement, children gradually refine their walking skills, progressing from unsteady toddling to confident, independent walking. Along the way, they learn to coordinate their movements, maintain balance, and navigate obstacles in their environment. Walking not only facilitates physical exploration but also fosters cognitive and social development, enabling children to engage more actively with their surroundings and interact with others. If your child is delayed in walking, it is suggested that you confer with a podiatrist who can address any concerns you may have.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
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 care needs.
Plantar Warts
Plantar warts are growths that typically appear on the heels or other weight-bearing areas of the feet. These warts are caused by the human papillomavirus (HPV). The virus enters the body through breaks in the skin, such as cuts, that are on the bottom of the feet. Plantar warts are more likely to affect children and teenagers, people with weakened immune systems, people who have a history with plantar warts, and people who walk barefoot in environments exposed to a wart-causing virus.
If you suspect you have plantar warts, you may have the following symptoms: pain or tenderness while walking, a lesion that interrupts the ridges in the skin of your foot, small fleshy lesions on the bottom of the foot, or a callus where a wart has grown inward over a well-defined spot on the skin.
HPV causes plantar warts to form and is very common. There are more than 100 kinds of the virus in existence. However, only a few of them cause warts on the feet. The other types of HPV are likely to cause warts on other parts of the body.
If you have plantar warts, your podiatrist may try different treatment methods depending on your specific case. Some treatments for plantar warts are peeling medicines (salicylic acid), freezing medicines (cryotherapy), or surgical procedures. Laser treatments and vaccines are also used to treat plantar warts.
Causes of Plantar Warts
Plantar warts are noncancerous growths caused by the human papillomavirus, or HPV, infecting the outer layer of skin on the soles of the feet. They often appear as small, grainy lesions with black dots embedded within them, causing discomfort or pain, especially when walking or standing. Those individuals with diabetes or compromised immune systems should be particularly watchful of such growths. These warts are contagious and can spread through direct contact with infected surfaces or skin. Treatment options can include salicylic acid to prescription strength treatments such as cryotherapy, laser therapy, or surgical removal. If you have a plantar wart that causes persistent pain, changes in appearance, or interferes with walking, it is suggested that you seek podiatric attention.
Plantar warts can be very uncomfortable. If you need your feet checked, contact Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
Treatment
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
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.
Do You Suffer From Painful Feet?
Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!
Sesamoiditis
Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.
The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.
Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.
Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.
When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.
Diagnosis and Treatment of Sesamoiditis
Sesamoiditis is a painful condition that affects the tendons around two small bones in the foot. These specialized bones, known as sesamoids, are unique in that they connect to muscles via tendons rather than to other bones. Typically, tendons become inflamed often due to overuse or repeated trauma, causing inflammation. This causes pain beneath the ball of the foot that gradually intensifies and may cause swelling or bruising. Certain activities, like running, basketball, or ballet, which impose considerable pressure on the ball of the foot, heighten the risk of developing sesamoiditis. Diagnosis involves a thorough physical examination to assess tenderness and limitations in mobility. A podiatrist will order imaging studies, such as X-rays, MRI scans, or ultrasounds to confirm the diagnosis and evaluate the extent of the condition. Treatment primarily focuses on lifestyle modifications, including modifying activity and changes in footwear. Pain management strategies such as custom orthotics and certain medications may also be prescribed. In severe cases where conservative measures fail, surgery may be necessary. If you are experiencing symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
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.
Elderly Foot Care
As you grow older, you will start to notice more problems with your feet due to wear and tear. This may also happen because the skin will start to become thin and lose elasticity. Some signs of aging feet are regular aches and pains, bunion development, and clawed toes.
Fortunately, there are ways you can improve comfort, relieve pain, and maintain mobility in your feet. One of the best ways to deal with aging feet is to exercise. If you keep active, your muscles will become toned which will then strengthen the arches in the foot and stimulate blood circulation.
It is important that you practice proper foot care to protect your aging feet. You should wash your feet in warm water on an everyday basis. Afterward, the feet need to be dried well and it is important to dry between the toes. Your toenails should be trimmed and kept under control; nails that are poorly cut may become ingrown. At the end of each day, performing an inspection of your feet will allow you to detect any ailments in their early stages.
As you grow older, it becomes more important that you wear comfortable shoes. Your shoes should be secure, and they should provide decent arch support. If you are looking to buy a new pair of shoes, it is best to look for a pair that are made from a breathable material. It is also helpful to have shoes that have a bit of extra room at the top of the shoe, especially if you suffer from swollen feet.
The most common foot problems that elderly people will encounter are bunions, calluses, corns, hammertoes, heel pain, and foot problems related to diabetes. Some other issues include arch pain, tarsal tunnel syndrome, Achilles tendonitis, and Morton’s neuroma
An annual foot examination is a great way for you to ensure that you do not have any serious health problems with your feet. You should talk to a podiatrist about the available treatment options for whichever foot issue you are dealing with.
Common Foot Problems Among Seniors
With age comes a myriad of changes to the feet that can affect both their health and functionality. Seniors need to recognize and address common foot problems to maintain mobility and overall well-being. Wearing ill-fitting shoes is a frequent cause of foot problems among older adults. Footwear that lacks proper support and space, can lead to issues like bunions, corns, calluses, and hammertoes. Additionally, the natural aging process brings physical changes, such as decreased padding, flattened arches, stiffened joints, and dry skin, all of which contribute to heightened vulnerability to foot ailments. Underlying health conditions like diabetes, arthritis, neuropathy, poor circulation, and obesity can contribute to foot pain. These ailments increase the risk of complications such as diabetic foot problems and arthritis-related foot deformities. Heel pain, arch problems, tarsal tunnel syndrome, and skin growth are additional problems among seniors. Regular check-ups with a podiatrist not only address existing concerns but also offer proactive measures to maintain healthy feet and sustain an active lifestyle. For personalized care and treatment plans to alleviate foot pain, it is suggested that you schedule an appointment with a podiatrist.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.
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 offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Biomechanics in Podiatry
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.
Causes and Treatment of Foot Drop
Foot drop is a condition characterized by the inability to lift or move the foot and toes. It is characterized by the failure to clear the ground when you take a step, forcing the need to have a marching gait when walking. Foot drop typically results from nerve injury, such as sports injuries, keeping the legs in one position for a long time, or peripheral neuropathy. Certain surgeries, including hip or knee replacements, also may increase the risk of foot drop. Treatment approaches vary, depending on the underlying cause and the duration of the condition. Exercises to strengthen and stretch the muscles of the leg and foot can help to improve mobility. Additionally, braces, splints, or custom orthotic shoe inserts can provide support and maintain proper foot alignment. In some cases, electrical nerve stimulation devices may be employed to aid nerve function. Surgical interventions, such as joint fusion or nerve repair, may be considered for those with permanent impairment. For help with managing foot drop, it is suggested that you schedule an appointment with a podiatrist for a full examination and an accurate diagnosis to determine what the proper treatment is for you.
If you have any 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.
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 offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
