In-toeing and out-toeing are common foot and lower-limb alignment conditions that affect the way a child’s feet point while walking or standing. In-toeing occurs when the feet turn inward, while out-toeing occurs when the feet point outward. These conditions are often noticed when children begin walking and may change as the bones and muscles develop. Understanding the definition and causes of in-toeing and out-toeing can help parents recognize normal development patterns and identify when professional evaluation may be needed.

Signs of in-toeing include toes pointing inward, frequent tripping, or an uneven walking pattern. Out-toeing may appear as feet turning outward while walking, standing, or running. Some children may have difficulty with balance or coordination, although many cases improve naturally with growth. Risk factors include family history, differences in bone development, muscle tightness, and positioning during early growth. The alignment of the hips, knees, and feet can all influence how a child walks and moves.

The causes of in-toeing and out-toeing vary depending on the child’s stage of development. In-toeing may result from curved foot structure, inward rotation of the shin bone, or inward positioning of the thigh bone. Out-toeing may develop from outward rotation of the hip, leg alignment differences, or foot positioning issues. These conditions are not always caused by footwear or walking habits, but certain structural factors can influence how the feet align.

Early observation and regular monitoring can help ensure healthy foot development. Supportive footwear, proper movement habits, and professional guidance may be recommended depending on the severity of the condition. Most children improve as they grow, but some cases may require treatment to support proper alignment and function. If your child shows signs of in-toeing or out-toeing, it is suggested that you consult a podiatrist for effective treatment and management solutions. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

A black toenail is a condition where the toenail becomes darkened or discolored due to changes under or within the nail. The discoloration may appear black, purple, or dark red, depending on the cause. A black toenail is often related to bleeding beneath the nail, known as a subungual hematoma, but it can also develop from other conditions. Understanding the causes and symptoms can help determine when professional evaluation is needed.

Symptoms of a black toenail may include dark discoloration, swelling, and pressure under the nail. In some cases, the nail may become loose or separate from the nail bed. Pain is common when blood collects under the nail and creates pressure. Some individuals may not experience discomfort, especially when discoloration develops gradually. Changes in nail appearance should be monitored because they may indicate trauma, infection, or another underlying concern.

The causes of a black toenail often involve repetitive trauma or blunt force injuries. Repetitive trauma commonly occurs in runners, hikers, and athletes when the toes repeatedly hit the inside of a shoe during activity. Wearing shoes that are too tight can increase pressure and cause irritation beneath the nail. Blunt force, such as dropping an object on the toe or stubbing the toe, can also damage blood vessels under the nail. Fungal infections may cause darkened or thickened nails and can sometimes contribute to nail discoloration.

Risk factors for developing a black toenail include participating in high-impact activities, wearing improper footwear, and experiencing repeated pressure on the toes. Individuals with circulation concerns or certain medical conditions may also require closer monitoring of nail changes. Properly fitted shoes, wearing protective footwear, and attention to foot care can help reduce the risk of injury. If you have a black toenail, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

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.

Foot pain fromwearing  high heels is a common issue that develops due to unnatural positioning of the foot and ankle. High heels force the ankle to bend forward, shifting body weight onto the front of the foot. This altered alignment increases pressure on the toes, forefoot, and joints. Over time, this repeated stress can lead to discomfort and structural changes. Understanding how high heels affect foot mechanics is important for preventing long term damage and maintaining overall foot health.

Symptoms often begin with soreness in the ball of the foot and may progress to sharp or burning pain. Many individuals experience swelling, redness, or tenderness after prolonged wear. The forward shift of weight can also cause toe crowding, which may lead to conditions such as bunions or hammertoes. Some people report ankle instability or fatigue due to the constant strain placed on the lower leg muscles. These symptoms can worsen with frequent or extended use of high heeled shoes.

Several risk factors increase the likelihood of foot pain when wearing high heels. Individuals who wear high heels daily or for long periods are at greater risk of developing chronic discomfort. Poor foot structure, such as flat feet or high arches, can further increase strain. The primary cause of pain is the uneven distribution of body weight and the forced forward-bending of the ankle, which places stress on joints and soft tissues.

Reducing foot pain involves making thoughtful footwear choices and limiting high heel use. Selecting shoes with lower heels, a wider toe box, and added cushioning can help reduce pressure. Alternating footwear and allowing time for recovery can also support foot health. Stretching and strengthening exercises may improve flexibility and stability. If you frequently wear high heels and have developed foot pain, it is suggested that you consult a podiatrist for effective relief tips.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Michele Kraft, DPM from Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

Poor circulation affects the flow of blood to the legs and feet, reducing the oxygen and nutrients that healthy tissues need. This can lead to cold feet, numbness, and cramping while walking. Some people also notice changes in skin color or slower healing after a minor cut or blister. Hair growth on the feet and lower legs can decrease, and the skin can become shiny or thin. In more serious cases, pain can continue even while resting. Poor circulation is frequently linked to narrowed arteries, which means blood vessels have become smaller because of a buildup of fatty material inside their walls. Early evaluation is important because symptoms can gradually become more noticeable and increase the risk of foot problems.

Several factors increase the risk of poor circulation. Smoking, diabetes, and high blood pressure can damage blood vessels and reduce healthy blood flow. High cholesterol can also contribute by narrowing the arteries. A podiatrist carefully examines the feet and checks for changes in skin temperature, skin color, and pulses. Pulses are the gentle beats of blood flowing through arteries. Weak or absent pulses can suggest reduced circulation. A podiatrist also looks for slow-healing wounds, thickened nails, and other signs that the feet are not receiving enough blood. Early diagnosis helps protect foot health and reduces the chance of more serious complications.

Treatment focuses on improving foot health and reducing the risk of complications caused by poor circulation. A podiatrist provides regular foot evaluations, monitors changes, and recommends supportive care based on your condition. Careful monitoring helps identify concerns before they become more serious. Early attention also supports healthier tissue and improves comfort while walking. Protecting the feet becomes especially important when circulation is reduced because even small problems can become harder to heal. If you have symptoms of poor circulation, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Michele Kraft, DPM of Toes on the Go. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.