Juvenile idiopathic arthritis, or JIA, is an autoimmune disease that causes chronic inflammation in children’s joints, including the feet. This condition can lead to joint pain, stiffness, and swelling, particularly in the ankles and feet, making movement challenging and uncomfortable. For kids with JIA, customized preformed orthotics can provide essential support. These orthotics start with a pre-made structure, which is then tailored to the child’s specific foot shape and needs, offering personalized comfort and stability. By adjusting the orthotic’s arch support, heel cushioning, and alignment, these inserts help reduce pressure on inflamed joints and improve gait, which is often affected in JIA. Customized preformed orthotics can relieve pain, reduce joint stress, and enhance mobility, making daily activities more manageable. If your child has JIA, it is suggested that you schedule an appointment with a podiatrist to discuss if orthotics can help manage pain in their feet and ankles.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Comprehensive Foot & Ankle Centers. Our doctors 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 offices located in Shepherdsville and Louisville, KY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An ingrown toenail occurs when the edge of the toenail grows into the surrounding skin, causing pain, swelling, and redness. This condition most commonly affects the big toe but can occur on any toe. The main causes of ingrown toenails include improper nail trimming, where the nails are cut too short or rounded at the edges, and wearing tight or ill-fitting shoes that put pressure on the toes. Injuries to the toe, such as stubbing, can also lead to an ingrown toenail. Prevention involves trimming toenails straight across to avoid sharp edges that can dig into the skin. Wearing shoes that fit properly and allow for adequate toe room is also essential. Keeping the feet clean and dry, and avoiding excessive pressure on the toes, can further help prevent ingrown toenails and reduce the risk of infection. If you have an ingrown toenail, it is strongly suggested that you promptly contact a podiatrist who can offer you appropriate treatment solutions.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Comprehensive Foot & Ankle Centers. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Excessive supination, or underpronation, occurs when too much weight is placed on the outer edges of the feet while walking or running. This gait problem is often due to structural factors like high arches, genetic foot shape, or ankle instability. Supination of the foot strains the ankles and outer foot areas, potentially leading to ankle sprains, shin splints, and plantar fasciitis. Improper footwear and misalignment can also contribute to supination. Old injuries, prolonged impact on hard surfaces, and restricted range of motion may worsen these issues, increasing susceptibility to calluses, bunions, and stress fractures. Identifying signs of supination involves examining shoe wear patterns or footprint analysis, but a professional gait analysis by a podiatrist provides the most accurate assessment. A podiatrist can recommend custom orthotics and appropriate footwear to support proper foot alignment, reduce pain, and avoid injury. If you have foot problems related to gait issues, it is suggested that you make an appointment with a podiatrist for analysis and treatment.

If you have any concerns about your feet, contact one of our podiatrists from Comprehensive Foot & Ankle Centers. Our doctors 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 Shepherdsville and Louisville, KY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toe fractures can occur for various reasons, with some common causes being crushing injuries and joint hyperextension. A crushing injury often happens when a heavy object falls onto the foot, resulting in significant trauma. Joint hyperextension, where the toe is forced beyond its normal range of motion, can also result in fractures. Stress fractures are another concern, typically caused by repetitive impact or overuse, often seen in athletes or those engaged in high-intensity activities. Symptoms of a toe fracture include intense pain, swelling, bruising, and difficulty in moving the affected toe. In some cases, the toe may appear to be misaligned or deformed. If you have symptoms of a broken toe, it is suggested that you contact a podiatrist who can offer you appropriate treatment options.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact one of our podiatrists from Comprehensive Foot & Ankle Centers. Our doctors 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 offices located in Shepherdsville and Louisville, KY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.