Pigeon toes (intoeing) is a condition in which the feet point inward when walking. It is commonly seen in children and may resolve in very early childhood with no treatment or intervention.  The child should be examined by a foot and ankle surgeon if the intoeing is causing significant tripping, difficulty

What is the Plantar Fibroma?  A plantar fibroma is a fibrous knot (nodule) in the arch of the foot. It is embedded within the plantar fascia, a band of tissue that extends from the heel to the toes on the bottom of the foot. A plantar fibroma can develop in one or both feet, is benign (non-malignant),

What is a Plantar Wart? A wart is a small growth on the skin that develops when the skin is infected by a virus. Warts can develop anywhere on the foot, but typically they appear on the bottom (plantar side) of the foot. Plantar warts most commonly occur in children, adolescents, and the elderly.   There

What Is PTTD?The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking. Posterior tibial tendon dysfunction (PTTD) is a condition caused by changes in the tendon, impairing its ability to support the arch. This results in flattening

What Is Hallux Rigidus? Hallux rigidus is a disorder of the joint located at the base of the big toe. It causes pain and stiffness in the joint, and with time it gets increasingly harder to bend the toe.  ‘Hallux” refers to the big toe, while “rigidus” indicates that the toe is rigid and cannot

What Is a Puncture Wound? Puncture wounds are not the same as cuts. A puncture wound has a small entry hole caused by a pointed object, such as a nail that you’ve stepped on. In contrast, a cut is an open wound that produces a long tear in the skin. Puncture wounds require different treatment from

Rest: Stay off the injured (foot/ankle). Walking may cause further injury. Ice: Apply an ice pack to the injured area, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again. Compression: An elastic wrap should be used to control

A rash on the foot can have a variety of causes. It may be a form of eczema, which is usually very itchy. It also may be an allergic reaction to something with which your feet have come into contact, such as materials in your shoe or poison ivy. Another common reason for a foot rash is athlete’s foot,

Raynaud’s phenomenon is a condition which results in a bluish-white discoloration of fingers and toes, often as a result of exposure to cold. Stress, smoking, and certain medications may trigger or worsen symptoms. The color change, which occurs from spasms in small blood vessels, becomes red and then

An uncontrolled urge to move one’s legs is referred to as "restless legs." This can happen while trying to sleep, while traveling, or any time the legs are at rest. There is no known test to diagnose the problem; instead, the foot and ankle surgeon considers the individual’s history to determine

What is Rheumatoid Arthritis? Rheumatoid arthritis (RA) is a disease in which certain cells of the immune system malfunction and attack healthy joints. RA causes inflammation in the lining (synovium) of joints, most often the joints of the hands and feet. The signs of inflammation can include pain,

Rugby is hard on the feet and ankles! Injuries can occur from running and cutting, direct trauma during tackling, and during the scrum. Rugby players should be aware of the following risks: Inversion ankle sprains can damage the ankle ligaments, and can also be associated with peroneal tendon

Whether an athlete is a recreational, competitive, or elite runner, foot and ankle health is essential for optimal performance. Runners are susceptible to overuse injuries including heel pain (plantar fasciitis), Achilles tendonitis, sesamoiditis, neuromas, capsulitis of the second toe, stress

What is a Sesamoid? A sesamoid is a bone embedded in a tendon. Sesamoids are found in several joints in the body. In the normal foot, the sesamoids are two pea-shaped bones located in the ball of the foot, beneath the big toe joint.   Acting as a pulley for tendons, the sesamoids help the big

“Shin splints” is a term to describe pain and swelling in the front of the lower legs. The pain usually appears after and is aggravated by repetitive activities such as running or walking. Contributing causes are flat feet, calf tightness, improper training techniques, worn out or improper shoes/sneakers,

Arch supports and shoe inserts are devices that are placed inside of shoes to support and align the foot and lower extremities (knees, hips, and lower back), thus preventing the progression of a foot deformity, improving the function of the foot, and diminishing or eliminating pain. These devices can

“Skin cancer” is a general term for three distinct cancers that can appear on the foot: melanoma, basal cell carcinoma, and squamous cell carcinoma.   Basal cell carcinoma, the most common type of skin cancer, appears on sun-exposed areas as a smooth, raised bump or a sore that is not healing.

A smelly foot is a common condition in children and adults who wear shoes on a daily basis. People with smelly feet may also suffer from sweaty feet. Most people with this condition will have sweaty and smelly feet year round, not just in the hot summer months. The odor is produced by bacteria and/or

Soccer is hard on the feet! Injuries to the foot and ankle can occur from running and side to side cutting, sliding or tackling, and from striking the ball or another player with the foot. Soccer players should be aware of the following risks: Inversion ankle sprains can damage the ankle ligaments,

What is a Soft Tissue Biopsy? A soft tissue biopsy is the removal and microscopic examination of a small sample of soft tissue for diagnostic purposes. “Soft tissue” includes the skin, fat, muscle, and tendons that surround, connect, or support other tissues or organs.   Soft tissue biopsies

Your feet and ankles take a beating when you’re playing softball. Softball players should be aware of the following risks: Ankle sprains may occur while running, fielding balls, stepping on or sliding into bases. Sprains should be evaluated by a foot and ankle surgeon to determine the extent

Staphylococcus aureus is a type of bacteria that can be spread through the skin or open wound contact and is known to cause serious illness and infection if contracted. In recent years, certain types of staph bacteria, such as drug-resistant MRSA (methicillin-resistant Staphylococcus aureus), have become

Stress fractures are tiny, hairline breaks that can occur in the bones of the foot. They can be caused by overtraining or overuse, improper training habits or surfaces, improper shoes, flatfoot or other foot deformities, and even osteoporosis. These tiny breaks in the bones of the feet can lead to a

The number of sweat glands is most dense at the feet and hands. Sweaty feet are a common disorder in which the sweat glands of the feet produce excessive sweat. Persons with this condition usually have a genetic predisposition or are under stress, which activates the brain to produce more sweat to keep

Swelling of the ankles may be due to many factors, including trauma, infection, tumor, varicose veins, improper function of the lymphatic system, poor circulation, hypertension, and congestive heart failure, to name a few.  The foot and ankle surgeon will recommend treatment based on examination and

Swelling of the feet may be due to many factors, including trauma, infection, tumor, varicose veins, improper function of the lymphatic system, poor circulation, hypertension, and congestive heart failure, to name a few.  The foot and ankle surgeon will recommend treatment based on examination and diagnosis

Synovitis is inflammation of the tissues that line a joint. It is commonly associated with specific diseases such as arthritis or gout, but may also be the result of overuse or trauma. Symptoms of synovitis may include redness, swelling, warmth, and pain with joint motion. Evaluation by a foot and

What Is a Tailor’s Bunion? Tailor’s bunion, also called a bunionette, is a prominence of the fifth metatarsal bone at the base of the little toe. The metatarsals are the five long bones of the foot. The prominence that characterizes a tailor’s bunion occurs at the metatarsal “head,” located

What is a Talar Dome Lesion? The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. The top of the talus is dome-shaped and is completely covered with cartilage—a tough, rubbery tissue that enables the ankle to move smoothly. A talar dome lesion is

What is a Tarsal Coalition? A tarsal coalition is an abnormal connection that develops between two bones in the back of the foot (the tarsal bones). This abnormal connection, which can be composed of bone, cartilage, or fibrous tissue, may lead to limited motion and pain in one or both feet.   The

What Is the Tarsal Tunnel? The tarsal tunnel is a narrow space that lies on the inside of the ankle next to the ankle bones. The tunnel is covered with a thick ligament (the flexor retinaculum) that protects and maintains the structures contained within the tunnel—arteries, veins, tendons, and nerves.

Tennis involves a great deal of foot work. Foot and ankle injuries can occur from the continuous side to side and quick stopping and starting motions required in this sport. The playing surface also plays a role, as hard courts are less forgiving compared to clay courts. Tennis players should be aware

Toenails will often become thick as an individual grows older. Thickening may also occur as a result of trauma to the toenail, such as when it repeatedly hits the end of a shoe that is too short. Sometimes when something is dropped on the toenail, the nail will fall off. When a new toenail grows back

“Tingly feet" can be a sign of nerve loss. The nerves in the feet come from the lower back. Pressure or chemical change in the nerve can cause a tingling sensation in the feet. Any sensation that is out of the ordinary can be an early sign of neurologic or vascular problems. In addition to tingling,

"Tired feet" are not a medical condition, but are a common complaint related to various medical conditions. Abnormal foot structure (flatfoot or high arched foot) can overburden the foot, resulting in muscle fatigue. Obesity, improper footwear, pregnancy, leg swelling, increased activity level, or compensation