A broken toe can cause significant pain and make standing or walking difficult. Toe fractures usually result from direct trauma, such as  kicking a hard object or dropping something heavy on the foot. Bruising and swelling can develop soon after the injury. Pain can become worse when pressure is placed on the affected toe. Although many broken toes do not require surgery, proper evaluation is important. The location of the fracture and the position of the broken bone can affect treatment and recovery.

Most toe fractures heal within six to eight weeks, although recovery varies between patients. A broken big toe can require additional support because it plays an important role in balance and walking. Some fractures are treated with buddy strapping, which means securing the injured toe to the neighboring toe for support. Sturdy shoes with a stiff sole and wide toe box can also protect the injured area. Persistent pain, numbness, or changes in circulation can signal a problem that requires prompt evaluation.

A podiatrist can examine an injured toe and determine whether a fracture has occurred. X-rays can show the location and severity of the break and help guide treatment. A podiatrist can provide appropriate support for the toe and recommend protective shoes or a special walking boot for certain fractures. Treatment also focuses on maintaining proper alignment while the bone heals. A podiatrist can also monitor healing and determine when it is safe to return to work, sports, or other demanding activities. Continued pain or difficulty walking after the expected healing period should be evaluated. If you have broken your toe, a it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Akena Wannamaker, DPM from ASW Foot and Ankle. 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 Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet occur when the arches on the inside of the feet are low or appear flattened while standing. This causes more of the sole to make contact with the ground. Flat feet are common, and many people have no pain or difficulty with movement. In children, the arch may not become noticeable until around 10 years of age. Some people continue to have flat feet as adults without experiencing problems. However, others may develop discomfort that affects walking or physical activity. Flat feet can be flexible, meaning an arch appears when the foot is not bearing weight, or rigid, meaning the arch remains flat.

Several factors can contribute to flat feet. Some people inherit a foot shape that makes flattened arches more likely. Other cases may develop because of problems affecting the muscles, ligaments, or bones that support the feet. Flat feet may also become more noticeable with age as the structures supporting the arch change. When symptoms occur, people may experience pain around the arch or heel. The feet may also become tired more easily after standing or walking. In some cases, flat feet can affect how the ankles and legs are positioned during movement. A professional evaluation can help determine whether flattened arches are contributing to discomfort or changes in walking.

A podiatrist examines the feet while a patient stands and walks to assess arch structure and overall foot function. The evaluation may also include checking joint movement and identifying areas of pain. If flat feet are causing symptoms, podiatry treatment can be based on the individual’s foot structure and level of discomfort. A podiatrist may recommend professionally selected footwear or orthotic devices when appropriate. Further testing may be needed if another problem is suspected. If flat feet are causing persistent pain or making walking and physical activity difficult, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Sever’s disease is a heel condition that can affect children while their bones are still growing. It develops when repeated stress irritates the growth plate at the heel. The Achilles tendon attaches in this area and can place increased pulling force on the developing heel during activity. Symptoms include heel pain, tenderness, and discomfort after running or jumping. A child may also limp or avoid activities that put pressure on the heel.

This condition most affects active children during growth spurts, between 8 and 14 years old. Boys and girls can develop Sever’s disease. Children who participate in sports involving running and jumping may have greater risk because their heels experience impact. Tight calf muscles, increased sports participation, and limited recovery between activities can also contribute. Symptoms may become more noticeable when training intensity increases.

A podiatrist evaluates the child’s symptoms, activity level, and walking pattern. The provider may examine ankle flexibility and calf tightness to understand how stress is affecting the heel. Imaging is sometimes used when symptoms are unusual or another injury needs to be excluded. Treatment is usually conservative and focuses on reducing stress. Care may include activity modification, wearing supportive footwear and heel lifts. Follow-up visits help monitor improvement and adjust treatment.

Relief at home can begin by reducing activities that trigger pain and allowing recovery between active days. Supportive shoes can reduce strain, while gentle stretching may help improve calf flexibility when recommended. Children should not be encouraged to continuplayig sports through heel pain. Most children improve as the growth plate matures, but persistent symptoms require evaluation. If your active child has symptoms of Sever’s disease, it is suggested that you consult a podiatrist for effective relief and management solutions. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Akena Wannamaker, DPM from ASW Foot and Ankle. 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 Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Clubfoot is a congenital foot condition that causes one or both feet to develop in an unusual position before birth. The foot typically points downward and turns inward, creating a noticeable difference in alignment. This condition affects the muscles, tendons, and bones of the foot and ankle. Although clubfoot may look concerning, early diagnosis and proper treatment can help many children achieve improved foot function and normal mobility.

Common symptoms of clubfoot include an inward-turning foot, a tight Achilles tendon, a smaller affected foot, and limited flexibility. The foot may appear stiff and difficult to move into a normal position. Without treatment, the child may develop an abnormal walking pattern as they grow. While clubfoot is not usually painful in babies, untreated cases can lead to long-term challenges with balance, footwear, and physical activity.

The causes of clubfoot are linked to abnormal development of the foot during pregnancy. Researchers believe genetic factors and changes in muscle or connective tissue development may contribute to the condition. Risk factors include having a family history of clubfoot and certain neuromuscular conditions. Clubfoot is one of the most common congenital foot conditions, but the exact reason it develops is not always clear.

Diagnosis begins with a detailed physical examination after birth. A podiatrist will assess the position and flexibility of the foot to determine the severity of the condition. Additional evaluations may be performed if needed to understand the structure of the foot. Early attention provides the best opportunity for improving alignment and preventing future complications. If your child has signs of clubfoot, it is suggested that you include a podiatrist on your health-are team to ensure healthy foot development. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Akena Wannamaker, DPM of ASW Foot and Ankle. 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 Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.