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Understanding Polydactyly

Polydactyly is a congenital foot defect where a child is born with extra fingers or toes. The name comes from a combination of Greek words, “poly” for many and “dactylos” for digits. There are different types of polydactyly of the feet. The most frequent form is an extra toe next to the fifth toe. The extra digit can be complete and fully functional or partially formed with some bone. It can also present as a small mass of soft tissue. When polydactyly occurs without other abnormalities, it is referred to as isolated or non-syndromic polydactyly. When there is another genetic condition present, such as a cognitive and developmental abnormality, it is called syndromic polydactyly. This condition tends to be hereditary and can occur from genetic mutations and environmental reasons. The left foot is most often affected and is twice as common among males. Treatment for polydactyly is dependent on where the extra toe is. Surgery to remove the extra toe is frequently done in the first two years of a child’s life to allow typical use of the foot and a better ability to fit into shoes. If you have a baby born with polydactyly, it is strongly suggested that you take them to a podiatrist as soon as possible who can consult with you on the best way to treat this condition.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Jeffrey Parrett, DPM of Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Stop Your Toenail Fungus

Have you noticed discoloration of your toenails? Have they become thickened or brittle? If so, you may be experiencing symptoms of a fungal nail infection. For some, having a fungal nail can be embarrassing. Overcome your embarrassment, and get treated.

How Footwear Can Help Prevent Injuries at Work

Foot injuries in the workplace are classified into two general categories, injuries or slips and falls. Common foot injuries include punctures, crushing, sprains, and cuts. Among the other conditions that result in pain are calluses, ingrown toenails, and tired feet. Long periods of standing and the type of shoes worn may also contribute to foot pain on the job. High heels, pointed shoes, lack of arch support, and shoes that are too loose or tight may contribute to foot pain. Workplace safety experts recommend replacing footwear with better options. Included are shoes that grip the heel firmly, while the front of the shoe allows the toes to move freely. Choose shoes that fasten across the instep to help prevent tripping. The heels of the shoe should be no higher than 2.5 inches and no lower than the ball of the foot. Have the feet measured properly before purchase, and if the feet are different sizes, it is best to purchase the larger size. Wearing socks and stockings that are too tight can also contribute to foot pain. If you are having trouble with job-related foot pain, it is suggested that you make an appointment with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

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X-Ray Needed for a Broken Ankle

A broken ankle develops when an individual breaks, or fractures, one or more of the bones in the ankle area. In order to determine whether or not the ankle has in fact been fractured, a medical professional may perform an X-ray. An ankle X-ray can look at each of the different types of bones in the ankle, including the tibia, fibula, and talus. Importantly, there are different types of views that an ankle X-ray may capture. For example, this type of X-ray can present an AP, mortise, and lateral view. Each of these different types of views show various angles of the ankle area. Having an ankle X-ray taken is helpful for a medical professional and the patient because it can illuminate which areas of the ankle have been impacted. If you are someone that has recently broken their ankle, it is suggested that you contact a podiatrist today for an appointment.

Broken ankles need immediate treatment. If you are seeking treatment, contact Jeffrey Parrett, DPM from Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Broken Ankle Causes, Differences, Symptoms and Treatments

Treatment for a Broken Toe

Common reasons people can break a toe can include a heavy object dropping on one of them, or it may happen from stubbing it into a piece of furniture. There is no mistaking a broken toe when it happens, as there is immediate pain, bruising, and swelling. Additionally, it is often difficult to walk, and mild relief may be found when the foot is frequently elevated. It is beneficial to have an X-ray performed which can confirm the fracture, and determine its severity. Patients may find success in using the buddy taping method as a possible remedy for their broken toe. This is done by taping the affected toe to the toe next to it, which can generally provide the stability that is needed as it heals. Severely broken toes may have a bone protruding from them and will require medical attention. If you have a broken toe, it is suggested that you visit a podiatrist who can correctly diagnose it, and offer the treatment method that is right for you.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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

Read more about What to Know About a Broken Toe

How Do Blisters Develop?

The best way to treat a blister on the foot is by leaving it alone. This may be challenging while wearing shoes and it may pop prematurely. A blister is defined as a small area on the skin that has been irritated. It resembles a bubble that is filled with liquid. Blisters can occur due to excess friction from wearing shoes and socks that do not fit correctly. The liquid is a protective fluid that can help to protect the damaged skin by preventing bacteria and fungus from entering it. The blister will naturally drain when new skin has formed, but it can help to cover it with a dressing until the blister drains. It may be beneficial to elevate the foot to help reduce swelling. If you have a blister on your foot, it is suggested that you confer with a podiatrist who can properly treat this ailment.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

Read more about Blisters

Causes of Heel Pain

Heel pain is common and there are several causes. It can occur as a result of an injury or from wearing shoes that do not have adequate cushioning in the heel area. The foot condition known as plantar fasciitis can cause severe heel pain and a podiatrist is often consulted for relief. Additionally, enduring an Achilles tendon injury can also produce heel pain, and it can become difficult to walk. People who are afflicted with arthritis in the feet may have swollen heels and a reduced range of motion. For moderate heel pain, performing gentle stretches can help to strengthen the heel and it is helpful to avoid wearing high heels. A heel spur is a bony growth that forms on the bottom of the heel that causes heel pain, too. A heel spur can be diagnosed by having an X-ray taken to determine its size. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can analyze the cause and offer you the correct treatment solutions.

Many people suffer from bouts of heel pain. For more information, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain

Ankle Fracture? Don’t Wait for Treatment

If you're suffering from an ankle fracture, professional attention shouldn't wait. Fractures may worsen over time and can make completing everyday activities incredibly difficult. See your podiatrist for treatment and guidance through the healing process. 

Caring for Wounds on the Feet

Cuts and sores are common occurrences, and many happen to the feet. This is especially true during the summer months, when people are more likely to wear sandals and flip flops. In most cases, these minor wounds heal with a small amount of antiseptic gel and a bandage. However, if a wound does not heal properly, it may cause painful foot conditions. Signs that a wound needs professional care can include excessive bleeding, increasing pain, and pus or discharge. If a foot wound is becoming worse, a podiatrist can treat it with a series of actions. This can begin with flushing out the wound for any foreign particles that may be embedded, likely followed with a tetanus shot. With larger wounds, especially those bleeding profusely, stitches may be required, and pain medication will likely be prescribed. In certain cases, such as a diabetic ulcer, surgical treatment may be necessary. For more information about foot wound care, it is suggested that you make an appointment with a podiatrist as quickly as possible.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

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Risk Factors for Spraining an Ankle

Ankle sprains are a common injury for people who are active in sports, but they also can happen to anyone. Certain behaviors put a person at more risk for this type of injury. A typical risk factor is embarking on strenuous physical activity when your body is not in shape. Another is pushing through muscle and ligament fatigue, toward the end of a run for instance, rather than resting for a little while before continuing. A third risk factor for ankle sprains is not warming up thoroughly before an activity. This causes tight muscles and ligaments to be more likely to tear. Carrying extra weight is another contributor to the likelihood of spraining an ankle, because of an increased load on the joint. Ill-fitting or inappropriate footwear is another factor. This applies in ordinary life, such as walking on slippery surfaces in high heels, not just during athletic endeavors. Anyone who has previously sprained an ankle is at more risk of incurring another such injury. Making sure the previously injured ankle has completely healed before resuming activity can help to prevent this. For more information on ankle sprains, it is suggested that you contact a podiatrist.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

Read more about Three Grades of Ankle Sprains
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