Ever had that annoying pain in your toe and wondered what was going on? You might be dealing with an ingrown toenail. This happens when the edges of your toenail start growing into the surrounding skin, causing pain, swelling, and even an infection. Ingrown toenails often occur on the big toe and can be triggered in several ways. One common cause is cutting your toenails too short. When you trim too close, the skin can fold over the nail, making it grow inward. Rounded or torn nails are also prone to becoming ingrown, since they do not grow back with clear corners. Wearing shoes that are too tight or too short can push the skin over the nail. Injuries or repetitive activities, like soccer kicks, can worsen the issue. Keep an eye out for pain, swelling, and redness surrounding the toenail. If your toe is causing you trouble and you suspect an ingrown toenail, it is suggested you schedule an appointment with a podiatrist. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Congenital foot problems are deformities present from birth, affecting the structure and function of the feet. Metatarsus adductus causes the toes and the front of the foot to curve inward toward the other foot. It can be flexible, often correcting itself by six to 12 months of age, although surgery may be needed if it does not improve. Clubfoot, similar in appearance but with toes pointing downward and the bottom of the foot facing inward, is usually detected via prenatal ultrasound and treated with casting or surgery. Calcanevalgus involves a dislocation of the talus bone, causing the top of the foot to touch the shin. This condition often improves on its own but may require intervention if it persists. Congenital vertical talus causes the foot to bend upwards and outwards. Treatment typically involves casting and, in some cases, surgery. If you notice any signs of these conditions on your baby, it is suggested you promptly schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. 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 Key West, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Tibia and fibula fractures are breaks in the two bones of the lower leg. The tibia, or shinbone, is the larger, weight-bearing bone, while the fibula is the thinner bone running alongside it. These fractures commonly occur due to trauma, such as falls, car accidents, or sports injuries. Symptoms include severe pain, swelling, bruising, inability to bear weight, and in some cases, visible deformity.  Complications can include nerve or blood vessel damage, delayed healing, and infection if the fracture is open. Diagnosis typically involves a physical exam and imaging tests like X-rays or CT scans to assess the extent of the injury. Treatment varies depending on the severity, but may include casting or splinting for less severe fractures, while surgery with plates, screws, or rods may be necessary for more complex breaks. If you have sustained an ankle fracture, it is suggested that you visit a podiatrist as quickly as possible.

Broken ankles need immediate treatment. If you are seeking treatment, contact Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

Sever's disease, medically known as calcaneal apophysitis, is a condition that affects children and adolescents, particularly those who are active in sports. This condition involves inflammation of the growth plate in the heel, which is a cartilage area where the heel bone and tendons attach. Risk factors include activities that put repetitive stress on the heel, such as running or jumping, as well as being overweight. Symptoms often result in heel pain, which may worsen with physical activity. If your active child has heel pain, it is suggested that you visit a podiatrist who can recommend specific stretches for relief and guide you toward appropriate treatment methods. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Key West, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

High foot arches, also known as cavus foot, often result from inherited structural differences and may not be linked to other health issues. However, high foot arches can also develop due to neurological conditions, including Charcot-Marie-Tooth disease, cerebral palsy, or spina bifida. These conditions cause muscle imbalances that affect the foot's structure, leading to the high arch deformity. High arches can cause significant discomfort and affect your balance, leading to frequent ankle sprains or other injuries. A podiatrist can evaluate your foot's structure, identify any underlying conditions, and recommend appropriate treatment options. These may include custom orthotics to provide arch support, exercises to strengthen the foot and ankle muscles, or in some cases, surgery to correct severe deformities. If you have pain in the arches of your feet, it is suggested that you schedule an appointment with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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