The accessory navicular is an extra bone or piece of cartilage on the inner side of the foot, just above the arch. This is congenital, or present at birth. Most people do not have this as it is not part of the normal bone structure. People who have this condition are often unaware that they have it, especially if it does not cause problems. However, some people with this extra bone develop accessory navicular syndrome, which is painful. The pain comes from aggravation to the bone or posterior tibial tendon that can come from trauma (like a foot or ankle sprain), chronic irritation (from friction from shoes rubbing against the extra bone), or prolonged activity or overuse. Many of those with this affliction also have flat feet or fallen arches. Having flat feet puts more strain on the posterior tibial tendon, and this can cause inflammation or irritation of the accessory navicular. Symptoms of this syndrome usually appear in adolescence when the bones are mature and cartilage develops into bone. Signs and symptoms of this condition include a visible bony prominence with redness or swelling on the inside of the foot, just above the arch, and a vague pain or throbbing in the midfoot and arch areas, usually after periods of activity. If you or your child have pain in this area of the foot, please see a podiatrist for proper diagnosis and appropriate treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. 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 Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ice skating requires balance, flexibility, strength, and power. In the 1990s, patterns that generated shapes like circles and figure eights were replaced with more physically demanding jumps and spins. As expected, skating can stress the muscles, bones, and joints of the feet and ankles. Injuries in skating often happen from falls. A skater’s feet are tightly bound in leather or synthetic composite boots so the feet and ankles bear the brunt of various motions performed. Problems can arise from repetitive stretching of the Achilles tendon, located at the heel of the foot, and a skater can get Achilles tendinopathy, tendonitis in the ankle, plantar fasciitis, bunions, calluses, hammertoes, or other foot and ankle problems. Skaters should warm up and stretch before skating to loosen stiff muscles and wear properly fitting boots. If you are a skater and have sports-related pain in your feet or ankles that is not relieved with rest, see a podiatrist for proper diagnosis and treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

If you are obese, which is classified as having a body mass index (BMI) of 30 or higher, you may be putting undue stress on your feet and ankles. Studies show that obese individuals are more likely to have foot pain than those who are not obese. Some conditions that obesity may contribute to include flat feet, plantar fasciitis and other heel pain, hammertoes, and bunions. Also, being obese can increase your chances of having certain diseases that can negatively impact your feet such as gout and diabetes. Aside from trying to lose weight, you can relieve pain and reduce the negative effects of obesity on your feet by choosing better footwear and using custom orthotics in your shoes. Custom orthotics can help to relieve pressure points, support your arch, and distribute your body weight more evenly across your feet. A podiatrist can help you with these proactive measures as well as treat any painful conditions that excess weight may have caused in your feet.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

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

If you care for your children’s feet as they grow, this can help protect them from having problems with their feet as adults. Practicing a regular routine when it comes to caring for children’s feet is similar to what is recommended for adults. Wash your child’s feet every day, dry them carefully, and apply a bit of baby powder to keep them healthy. Buy them shoes that fit right – whether they are at the soft or hard shoe stage. Make sure that the shoes have enough room in the foot box for the toes to grow. Use socks made of cotton or wool and that fit properly without pinching your child’s feet. Cut their toenails in a straight line so that they do not develop ingrown toenails. Allow your children to go barefoot around the house so that their feet will develop and gain strength without being restricted. If questions or problems arise related to your children’s feet, consult with a podiatrist, an expert in this area.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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