
Are Bunions Affecting Your Everyday Life?
What Is Skew Foot?

Skew foot, also known as serpentine foot, is a complex foot deformity often identified at birth or in childhood. It is characterized by a combination of abnormalities that affect the alignment and function of the foot. This condition involves a combination of forefoot abduction, where the front part of the foot turns outward, and hindfoot varus, where the heel turns inward. These alterations lead to a zigzag appearance of the foot, hence the name skew foot. Individuals with skew foot may experience difficulties in walking, balance, and may have discomfort or pain due to the abnormal pressure distribution on the foot. Treatment options vary depending on the severity and underlying cause of the condition. Conservative management includes wearing orthotic devices and special footwear to support and realign the foot. In more severe cases, surgical intervention may be required to correct the deformity and improve function. Early diagnosis and treatment are essential in preventing progression and maintaining mobility and quality of life. If your child has what appears to be skew foot, it is strongly suggested that you make an appointment with a podiatrist as quickly as possible for treatment.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Edward Sharrer, DPM of Premier Foot and Ankle Clinic. Our podiatrist 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 North Little Rock, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Congenital Foot Problems
A congenital foot problem is a problem affecting the feet, toes, and/or ankle that a child is born with. Several issues with a child’s feet can occur congenitally. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. Some of these problems have a genetic basis, with someone in their family history having a gene causing the condition, and some are simply an anomaly.
The following are specifics about a few of these conditions:
- Clubfoot, also called congenital talipes equinovarus or talipes equinovarus, is When the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing an inward and downward pointing of the foot. The soles of the feet might also face each other. In most cases of clubfoot, both feet are affected. If not treated, the affected child will walk on the sides of their feet or ankles.
- Polydactyly is a condition where the child has more than five fingers or toes on either or both feet. Presentation 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 is where the talus bone forms in the wrong position, other bones in the foot do not line up properly, the front of the foot points up, and the bottom of the foot is stiff, has no arch, and usually curves out. This can occur in one or both feet and if left untreated, can lead to serious disability or discomfort as the child grows.
- Tarsal coalition is when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot. The tarsal bones, located toward the back of the foot and in the heel, are the ones affected. This condition is often present at birth, but signs of the disorder usually come on in early adolescence.
- Cleft foot is a rare condition where the foot has missing toes, a V-shaped cleft, and other anatomical differences. Surgery can often help improve the foot’s function since the heel remains normal and is what is most needed for walking. The main issues with this affliction are whether the affected foot can fit into a shoe and the shape and appearance of the foot.
- Macrodactyly is when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for the child to use the affected foot for certain activities.
Understanding How to Live With Gout

Gout, a form of arthritis, paints a distinctive portrait of discomfort that individuals must learn to decipher. Recognizing the signs is pivotal, and sudden, intense joint pain, often in the big toe, signifies the onset. Swelling and redness can accompany these flares, underscoring the need for early identification. The causes of gout reside in an excess of uric acid, leading to the formation of sharp crystals in the joints. Factors such as diet, genetics, and underlying health conditions contribute to the heightened uric acid levels. Living with gout necessitates a multidimensional approach. Adopting a gout-friendly diet, staying hydrated, and managing weight are fundamental steps. Navigating life with gout demands an understanding of one's body and a commitment to a holistic lifestyle that fosters joint health and overall well-being. If you are afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Edward Sharrer, DPM from Premier Foot and Ankle Clinic. Our podiatrist will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in North Little Rock, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
Symptoms and Diagnosis of Heel Pain

Heel pain can come from many different things. The area of the heel that is painful can give clues about the cause. The most frequent cause of heel pain is plantar fasciitis, which is characterized by sharp pain on the bottom of the heel when standing after sitting or lying down. Heel pain can also come from a crack in the heel bone, if one has been more active or walked on hard ground. Pain at the back of the heel can arise from problems with the Achilles tendon, or, if the tendon at another spot is hurting, that is where the pain will be. A bony bump on the heel that causes swelling or pain can also cause back of heel pain. If the inside part of the foot hurts after standing for a long time, it may indicate a nerve is being compressed. Additionally, if the outside part of the foot hurts or feels wobbly, especially when active or on rough ground, it could be sinus tarsi syndrome. If you have any kind of heel pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment plan.
Many people suffer from bouts of heel pain. For more information, contact Edward Sharrer, DPM of Premier Foot and Ankle Clinic. Our podiatrist 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 North Little Rock, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Heel Pain
Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.
One condition is plantar fasciitis. Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.
There are various options your podiatrist may suggest for heel pain. Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.
Preventing heel pain is possible. If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.
Causes and Treatment for Bunions

Bunions are painful bumps at the base of the big toe, primarily the result of hallux valgus, where the big toe deviates outward and tilts toward the second toe. Contributing factors for the formation of bunions include foot pronation, wearing tight shoes, injuries, osteoarthritis, and heredity. Bunions can cause pain, especially in narrow shoes, and may enlarge over time. Painful swelling caused by inflamed bursa under the toe often accompanies bunions and limits joint motion. Diagnosing bunions relies on symptoms and physical exams, such as X-rays, while joint fluid analysis rules out infectious arthritis or gout. Treatment options depend on the severity of the bunion. A podiatrist can guide you toward non-invasive treatment solutions, including orthotics, nonsteroidal anti-inflammatory medication, and corticosteroid injections to manage pain and inflammation. In severe cases, or when more conservative measures fail, surgical bunionectomy becomes an option. This procedure corrects joint alignment and removes the bunion. To determine the best treatment plan for your specific needs and taking into account the severity of your bunion, it is suggested that you make an appointment with a podiatrist.
If you are suffering from bunion pain, contact Edward Sharrer, DPM of Premier Foot and Ankle Clinic. Our podiatrist can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in North Little Rock, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Bunions
A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.
There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.
The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.
Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.
Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.
Will Orthotics Help With Flat Feet?

Flat feet, or fallen arches, are a common condition that can lead to discomfort and pain in the feet, knees, and even the lower back. Walking and standing for long periods can be uncomfortable in people with collapsed arches. Also, due to lack of a supportive arch, there can be substantial pressure on other parts of the foot, causing problems with posture and foot movement. A fallen arch can also strain the ligaments and tendons of the foot and leg. One solution to overcoming the discomfort of having flat feet is wearing orthotic inserts in your shoes. It's important to have an insole that strikes the right balance between rigidity and flexibility. Insoles that are too firm may lack the proper amount of shock absorption, while overly cushioned insoles may not provide the support necessary to counteract flat feet. People with problematic flat feet may wish to consider investing in orthotics that are made especially for their feet. A podiatrist can examine your feet and make molds for orthotics that are individualized for you. Because the feet may need some time to adapt to the changes provided by insoles, it is a good idea to gradually increase the time you wear them in the beginning. For help with flat feet and custom orthotics, it is suggested that you make an appointment with a podiatrist.
If you are having discomfort in your feet and would like to try orthotics, contact Edward Sharrer, DPM from Premier Foot and Ankle Clinic. Our podiatrist can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact our office located in North Little Rock, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.