Clubfoot is a congenital condition that causes a baby’s foot to turn inward or downward, affecting one or both feet. The heel and calf on the affected side are often smaller, and, in severe cases, the foot may appear twisted and almost upside down. Although clubfoot is not painful for babies, it prevents normal walking, if left untreated. Genetics appears to play a role in this condition, as risk increases when there is a family history. Other contributing factors include smoking during pregnancy or reduced amniotic fluid in the womb. A podiatrist can diagnose clubfoot soon after birth, and, in some cases, it may even be detected on prenatal imaging. Treatment often begins within weeks of delivery. It may involve gentle stretching with casting and a gradual repositioning of the foot. Surgery is considered when the deformity is severe. If your baby has a clubfoot deformity, it is suggested that you promptly schedule an appointment with a podiatrist, including this type of doctor on your healthcare team. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Katie Besselman, DPM of Advanced 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 Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar warts are small growths that appear on the soles of the feet and are caused by the human papillomavirus, or HPV. The virus enters through tiny cuts or breaks in the skin, often in places like public showers, pool areas, or locker rooms. Symptoms include a thickened, rough patch of skin with a small black dot in the center, which is a clotted blood vessel. They may feel tender or painful, especially while walking or standing. Plantar warts can grow individually or in clusters and may be mistaken for calluses or corns. A podiatrist can diagnose plantar warts through a physical examination and sometimes remove a small portion to confirm the presence of the virus. Relief options include topical medications or minor surgical removal. Early treatment can help prevent the spread of the virus and reduce discomfort. If you notice a painful or unusual growth on your foot,  it is suggested that you schedule an appointment with a podiatrist who can effectively treat plantar warts.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, leading to pain, swelling, redness, and sometimes infection. The area may feel tender to the touch, appear swollen, or drain pus if an infection is present. Walking or wearing shoes can become uncomfortable. Common causes include trimming nails too short, wearing tight shoes, or having naturally curved nails. While mild cases may be managed at home, persistent or worsening symptoms require professional attention. A podiatrist can diagnose an ingrown toenail through a physical exam and determine the most effective treatment. Options include gently lifting the nail, partial nail removal, or treating any underlying infection. In severe or recurring cases, a small portion of the nail root may be removed to prevent regrowth. Prompt care can relieve pain and prevent complications. If you notice signs of an ingrown toenail, it is suggested that you make an appointment with a podiatrist.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

For medical professionals who spend long hours on their feet, the right footwear is essential. Proper shoes can reduce pain, prevent injuries, improve posture and body alignment, enhance stability, reduce the risk of falls, and even boost professional confidence. Supportive, well-fitted footwear helps maintain comfort during demanding shifts, while protecting joints and muscles from strain. A podiatrist can assess foot structure, identify any underlying conditions, and recommend footwear or orthotics tailored to individual needs. Investing in proper shoes not only benefits physical health, but also supports better performance in patient care. If you have foot pain from wearing the wrong shoes, it is suggested that you consult a podiatrist who can treat various foot conditions, and provide you with expert advice  on the proper shoes to wear for your profession. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Katie Besselman, DPM from Advanced 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 contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.