Hallux limitus and hallux rigidus are conditions that affect movement in the joint at the base of the big toe. Hallux limitus usually begins with reduced flexibility, while hallux rigidus develops when the joint becomes severely stiff and painful. Many people notice discomfort while walking, bending the toe, climbing stairs, or pushing off during movement. Swelling, aching, and a bump on the top of the joint may also appear as the condition progresses. Over time, cartilage inside the joint can wear down, leading to inflammation and bone changes that make motion more difficult. Some patients change the way they walk to avoid pain, which can place added strain on the feet, knees, hips, or lower back. A podiatrist can evaluate joint function, order imaging studies, and recommend treatments such as wearing supportive footwear, custom orthotics, anti-inflammatory care, or surgery, when necessary. It is strongly suggested that individuals with persistent big toe stiffness or pain visit a podiatrist for proper treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Michele Kraft, DPM of Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Clubfoot is a congenital foot deformity in which the foot is twisted inward and the toes point downward. It may affect one or both feet and is present at birth. This condition is often linked to genetic factors and differences in muscle and tendon development. Symptoms include a visible inward position of the foot, limited range of motion, and stiffness in the affected area. Early care is important to support proper alignment and function as a child grows. A podiatrist can assess the condition, guide treatment options, and monitor progress to improve mobility and comfort. With timely care, many children achieve strong and functional movement. If your child has been born with symptoms of clubfoot, it is strongly suggested that you promptly schedule a visit with a podiatrist to support healthy foot development.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Michele Kraft, DPM of Toes on the Go. 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 Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever's disease is a common cause of heel pain in growing children and adolescents, especially those who are active in sports. It occurs when the growth plate in the heel becomes irritated due to repeated stress and tension on the Achilles tendon. This condition often develops during growth spurts when bones grow faster than muscles and tendons can adapt. Symptoms include heel pain, tenderness, and limping during or after activity. It can affect children who participate in running or jumping activities and those with tight calf muscles. A podiatrist can evaluate the condition, recommend stretching, supportive footwear, and activity modifications to reduce strain. If your active child has persistent heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Michele Kraft, DPM from Toes on the Go. 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 Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Fibromyalgia is a chronic pain condition that can affect the feet and make movement difficult. Many people report sharp pain in the soles or tops of the feet. The pain can come and go. It may last for long periods and worsen with standing or walking. This foot pain can change the way a person walks and lead to strain in the ankles, knees, hips, and lower back. The cause of foot pain is not fully understood, but it may involve sensitive nerves and irritation of the plantar fascia, a band of tissue that supports the foot. A podiatrist can evaluate foot structure, check motion, and identify pressure points. Treatment plans include custom orthotics, which are shoe inserts designed to improve support and reduce strain, along with supportive devices and monitoring. If you have foot pain as a result of fibromyalgia, it is suggested that you make an appointment with a podiatrist for help.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Michele Kraft, DPM from Toes on the Go. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact our office located in Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.