June 2023

Clubfoot is a common congenital foot defect that causes a newborn’s foot to turn in or down, and the toes point toward the opposite foot. The foot, heel, and calf muscle on the affected foot may be smaller than in the other foot. In severe instances, the foot may be twisted upside down. The tendons that connect the leg muscles to the heel are too short, which causes the baby’s foot to twist into an unnatural position. It is thought that this can happen due to genetic reasons or if there is low amniotic fluid surrounding the baby in the womb. It is more common in babies with mothers who smoked or used recreational drugs during pregnancy. It is twice as likely to impact boy infants as girls. Clubfoot can affect one or both feet and may be mild or severe. Clubfoot is not painful and can often be corrected while the child is an infant if treated immediately. The success rate is high for those treated, and the majority of children will walk normally and lead an ordinary life. If you know your child has clubfoot in utero or is born with this affliction, it is strongly suggested that you visit a podiatrist as soon as possible after birth to have the severity of the deformity determined, and to begin the correct treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Steven Spivak, DPM of Mount Holly Family Footcare. 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 office located in Lumberton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Peripheral artery disease is a cardiovascular condition that can seriously affect the health of your feet. When fatty deposits build up in the arteries that serve the legs, the flow of blood to the feet and toes can be restricted. Common symptoms of peripheral artery disease, or PAD, include hair loss and weakness in the legs and feet, brittle or slow-growing toenails, and numbness in the lower extremities. One of the more serious results of PAD is the increased inability of sores or cuts on the feet and ankles to heal normally. If these wounds are not noticed or left unattended, they can become ulcerous. This is a common side effect of diabetes as the result of high levels of blood sugar. Foot ulcers can become gangrenous and increase the danger of losing a limb. Eating a healthy diet, quitting smoking and drinking, along with losing weight can all help to reduce the effects of peripheral artery disease. For help with this condition as it affects the feet, it is suggested that you make an appointment with a podiatrist. 

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

People who are afflicted with toenail fungus are often embarrassed by how their feet look. This is an unsightly foot condition that is contagious. Common symptoms that many patients experience can consist of thickened and yellowed toenails that may have separated from the nail bed. The nail may change shape or look distorted and can become brittle. People who have a weakened immune system may be prone to developing toenail fungus, in addition to patients who are diabetic or who have poor circulation. The fungus that causes this ailment lives in warm environments like shower room floors, public swimming pools, and surrounding areas. If you frequent these types of places, it is beneficial to wear appropriate shoes such as flip-flops or water shoes. It is also helpful to refrain from sharing shoes, socks, and towels, and putting powder in the shoes can be a good prevention technique against toenail fungus. If you have developed toenail fungus, it is strongly suggested that you are under the care of a podiatrist who can effectively treat this foot condition. 

For more information about treatment, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Patients who have poor circulation may notice their feet are cold, regardless of the temperature in the room. Additionally, having swollen feet may also be a sign of poor circulation. This may be a result of reduced blood flow, possibly causing the kidneys to function improperly. People who are constantly tired may have poor circulation, which can come from a lack of oxygen and nutrients. A weakened immune system and poor circulation may be linked together, possibly improving with regular exercise. Poor circulation can cause the scalp to become dry, and may lead to a gradual loss of hair. Patients who are afflicted with this condition may notice their nails are affected, as they can become fragile and break easier. If you have the above symptoms and your feet are affected, it is suggested that you confer with a podiatrist who can properly diagnose and treat poor circulation.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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