The Ponseti method is a nonoperative approach used to correct clubfoot by gradually guiding an infant’s foot into a healthier position. Clubfoot causes the foot to turn inward and downward, and the method works by gently adjusting the foot over a series of casts before a brace is used to help maintain alignment. Later in the process, the term equinus is introduced to describe when the heel is pulled downward, which the Ponseti method helps address. This approach has replaced more invasive options like surgery for early correction, and it has shown success even in more complex cases. A podiatrist can help by monitoring the foot’s alignment, guiding each step of the casting plan, and identifying early signs of relapse so long-term progress is protected. If your infant exhibits clubfoot symptoms it is suggested that you consult a podiatrist for an exam and treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Neeta Hasmukh, DPM of Total 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 offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle sprains occur when a roll or twist of the foot places force on ankle ligaments, bands of tissue that connect bones and support joint stability. Quick stops, landing wrong from jumps, and sudden changes in direction during basketball can cause the foot to turn inward and downward, stretching or tearing ligaments along the outside of the ankle. Immediate pain is followed by swelling, bruising, and difficulty bearing weight through the foot and ankle. Repeated ankle sprains, reduced motion, and balance problems raise the risk of future injury and ankle instability. A podiatrist can evaluate the foot and ankle by checking swelling, tender areas, joint stability, walking ability, and ordering X-rays to rule out fractures. Treatment focuses on ankle protection, restoring motion, addressing instability, and surgery for severe damage. For help with foot problems, it is suggested that you consult a podiatrist for an exam and treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Neeta Hasmukh, DPM from Total 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 are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

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

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

The ankle joint is a complex structure that allows the foot to move while supporting body weight and maintaining balance. It is formed by the meeting of the lower leg bones with the foot, creating a stable yet flexible joint. Surrounding muscles and tendons help control movement and absorb shock during walking and running. Strong ligaments connect the bones and provide stability, preventing excessive motion that could lead to injury. These ligaments play a key role in protecting the ankle during daily activities and sports. When the ankle joint is injured or stressed, pain, swelling, and instability may occur. A podiatrist can help by evaluating ankle anatomy and function, diagnosing ligament or joint problems, and creating a treatment plan to restore strength and mobility. If you have sustained an ankle injury, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions.

If you have any concerns about your feet, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

The skin on the bottom of the feet can be sensitive, despite it being able to support the weight of the body. The foot condition that is known as cracked heels can be uncomfortable, and it can happen for a variety of reasons. These can include wearing shoes that have an open back and standing on hard or uneven surfaces for most of the day. Additionally, it can occur from not drinking adequate amounts of water, or from a lack of moisturizing the feet. Some patients notice they have cracked heels from taking extremely hot baths or showers, or from using harsh soaps on their feet. Severely cracked heels may lead to developing fissures, which can bleed and become infected. It is beneficial for people who are diabetic to pay extra attention to their feet, and this may help to avoid complicated foot conditions from developing. If you have cracked heels, it is suggested that you confer with a podiatrist who can offer you treatment solutions, in addition to learning about effective prevention techniques.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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