• FAQs

    Answers to Your Foot and Ankle Questions

    Children's Feet

    How do feet develop?

    The development of a child’s feet starts very early on. By the 7th week of pregnancy, the feet are completely formed including the joints and toes. At birth, the average size of a baby’s foot is 7.5 cm. At this stage the bones are very soft and supple as many of the bones are just starting to calcify. The ligaments are loose, the muscles are weak and there is no sign of any arch. The feet will appear flat, largely due to baby fat and a lack of developed arch. The arches do not fully develop until age 5 or 6.

    What is normal?

    To put many parents at ease, only a small percentage of babies are born with any type of foot deformity. The feet will appear flat initially but the arches will gradually develop in most cases over the first 5-6 years. Children’s body proportions, shape and alignment change as they grow. At times they be “clumsy” and trip easily but this is usually temporary until muscles and ligament structures strengthen. It is important to note that children do not develop “straight” legs until they are about seven years old. So there is no need to panic if your child is bow-legged, knock-kneed or flat-footed. Depending on their age, this is most likely just a normal stage of their development. If there is something about your child’s development that concerns you as a parent, we encourage you to bring your child in for an assessment.

    Do babies need shoes?

    The simple answer is no, as they are not walking and encountering any dangerous objects on the floor or ground. Many parent use soft shoes, such as slippers. This is fine as long as the fit is checked regularly to ensure the toes have ample room to function and grow normally. In the past, many parent put their children in “good” strong leather shoes. This is not necessary and may actually cause more harm than good – plus replacing leather shoes so frequently can be expensive.

    What is the Right Shoe to Buy?

    When children start walking, shoes are necessary to protect their feet from harmful external elements such as heat, cold, sharp stones, etc. It is critical that the feet be measured at a reputable shoe store by someone who has extensive experience with fitting children’s shoes. A good shoe should have a flexible sole and the upper should be soft and comfortable. It is important to have a firm heel counter to support the heel as it strike the ground. I personally have had New Balance running shoes for my 3 kids. They also have supportive sandals with a back strap for use in the summer and crocs are limited to the beach or pool area only.Enter answer here

    Heel Pain

    How Can I Treat Achilles Tendonitis Myself?

    1) Rest – reduce or modify your activities 2) Icing or cold therapy 3) Ensure you wear proper footwear 4) Use a temporary heel lift in BOTH shoes 5) Gentle stretching program

    As Achilles tendonitis becomes chronic:

    1) Pain may be present with exercise and it persists throughout the activity 2) Walking up stairs or up hills may be difficult 3) Lumps may form in the Achilles tendon, usually 2-4 cm above the heel 4) The Achilles tendon may swell and become thick. What are the Risk Factors for Achilles Tendonitis? (ie. Who gets it?) Middle age athletes who are not used to exercising commonly get Achilles tendonitis, often because they fail to warm up and stretch prior to, and after, exercising. Their muscles may be tight due to inactivity and therefore can not withstand the stress of vigorous exercise right from the start. Runners that participate in middle to long distance event may develop problems with their Achilles tendon as the tendons will fatigue as the run time increases. Athletes who participate in sports such as basketball, tennis, and dancing in which there may be sudden starts and stops or a lot of jumping are also prone to Achilles tendon injuries. What Causes Achilles Tendonitis? 1)Too much activity too soon 2)Improper footwear for the activity or for your foot type 3)Poor foot mechanics(usually over- pronation or “rolling in”) 4)Not resting for sufficient periods between activities 5)Poor training surface 6)Doing a lot of uphill running 7)Congenital tightness of the calf muscles 8)Shortening of the calf muscles due to prolonged wearing of high heel shoes 9)Uneven leg lengths (can lead to over-pronation of the long leg) 10)Trauma

    What are the symptoms of Achilles tendonitis?

    1) Foot pain when going up on toes or pushing off when walking 2) Gradual onset of pain over days or weeks 3) Stiffness or swelling in the ankle 4) Pain when first starting to exercise that may ease as you continue to exercise 5) Pain will usually subside with rest 6) May be a lump at the back of the heel that is tender on palpation

    What is Achilles tendonitis?

    Achilles tendonitis is basically an overuse injury and pain may be experienced at the insertion into the heel bone or in the mid-portion of the tendon about 4 cm above the heel bone. The Achilles tendon is the thickest and strongest tendon in the body. It is found at the back of the lower leg and connects the calf muscle (made up of the Gastrocnemius and Soleus muscles) to the heel bone (calcaneus).

    Nail and Skin Conditions

    How do you treat plantar warts?

    There are many over-the counter products available to treat plantar warts. The truth is they are not strong enough to kill most warts. At Abbott Foot & Ankle Clinic, we use several stronger products which are more effective and will reduce the overall time it takes to rid you of that nasty wart. Laser treatment of resistant warts is also available at Abbott Foot & Ankle Clinic.

    What causes warts?

    Plantar warts are caused by a virus that is most commonly found in warm, moist environments like pools and public locker rooms, but can be found in carpets and other hard surfaces. Usually the skin is enough of a barrier to protect you from getting a wart however some people are just more susceptible to warts. A small break or scratch in the skin is a perfect entry point for the virus. Once the virus invades the skin, you will start to feel a hard lump forming, followed by changes in the skin appearance. Warts are contagious and often multiply and spread to the surrounding tissues. Warts are more common in children and young adults, but may present at any age. If left untreated, warts often spread and become unsightly and painful to walk on. A variety of conservative treatments are available for plantar warts. Surgical removal is not usually recommended.

    What are Plantar Warts?

    Plantar warts are caused by the Human Papilloma Virus (HPV) which causes a hard growth that can be painful to walk on. As the term plantar refers – these occur on the plantar aspect or the bottom of the feet. Plantar warts are often confused with corns, but characteristically are quite different A simple test to determine if you have a wart versus a corn starts with a visual examination. Warts have small black dots within which are the ends of tiny blood vessels that the virus feeds off. If you look closely, the lines on the skin will also be interrupted. The “squeeze test” also helps to confirm the presence of a wart. Squeezing the area from the sides will usually produce a sharp pain or a tingling sensation.