The sesamoid bones are two small pea shaped structures located under the big toe joint. They act like pulleys to assist with movement and balance. When these bones become irritated or injured, pain develops directly beneath the big toe and often worsens with walking or high impact activity. This condition, known as sesamoiditis, is frequently linked to running, dancing, or wearing shoes that place pressure on the forefoot. In some cases, a sesamoid bone may fracture, creating more intense discomfort. Rest, wearing cushioned footwear, and protective padding can ease strain, but the pain should not be ignored. Addressing the problem early can shorten recovery and prevent long term limitations. If you are experiencing ongoing pain under your big toe, it is suggested that you see a podiatrist for a clear diagnosis and appropriate care.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Advanced Podiatry and Wound Care. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Freiberg’s disease is a painful foot condition that affects the metatarsal bones, most often the second metatarsal located near the base of the toes. It occurs when the blood supply to the bone is disrupted, leading to tissue damage and collapse of the bone surface. Causes may include repetitive stress, trauma, or genetic predisposition, and it most often develops in adolescents and young adults. Symptoms include pain in the ball of the foot, swelling, stiffness, and difficulty bearing weight or wearing shoes comfortably. A podiatrist can help by diagnosing the condition, providing orthotics, recommending activity modifications, or discussing surgical options in severe cases. If you have persistent foot pain, it is suggested that you promptly consult a podiatrist who can accurately diagnose the problem and offer effective relief and management solutions.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Advanced Podiatry and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

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 one of our podiatrists of Advanced Podiatry and Wound Care. Our doctors 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 St. Petersburg, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Living with heel pain caused by plantar fasciitis can make even simple steps painful, but custom orthotics often provide lasting relief. These specially designed shoe inserts are made to support the unique shape of your feet, helping to correct alignment and reduce strain on the plantar fascia. Unlike over-the-counter insoles, custom orthotics are crafted after a podiatrist evaluates your foot structure, walking pattern, and pressure points. By cushioning the heel and distributing weight more evenly, orthotics minimize the pulling and inflammation that cause the pain. Many patients notice reduced discomfort not only in their feet but also in their knees, hips, and lower back, since proper support improves overall posture. If heel pain is keeping you from enjoying your daily activities, it is suggested that you schedule an appointment with a podiatrist to see if custom orthotics can help you.

Custom orthotics are often an effective solution for people experiencing heel pain, offering both comfort and correction for the underlying causes of discomfort. Heel pain commonly develops when the natural support of the foot becomes strained or imbalanced, leading to inflammation and irritation in the heel area. Conditions such as plantar fasciitis, heel spurs, or flat feet can all contribute to chronic heel pain that worsens with walking or standing. Custom orthotics are designed to fit the exact shape of your foot, providing the support and alignment necessary to reduce stress on the heel and surrounding tissues.

By redistributing pressure and improving overall foot mechanics, custom orthotics allow the heel to function more efficiently during movement. They cushion each step, absorb shock, and correct abnormal gait patterns that may be contributing to pain. Over time, this consistent support can ease inflammation, protect against re-injury, and enhance comfort during both daily and athletic activities.

Unlike prefabricated insoles, custom orthotics are created from a detailed evaluation that may include digital scans or molds of your feet. This ensures a precise and individualized fit that addresses your specific condition. They can be used in various types of footwear, from athletic shoes to dress styles, making them a versatile option for ongoing relief.

If heel pain is limiting your comfort or activity level, it is suggested that you call our office for more information or to schedule an appointment.

If you have any questions please contact our office located in St. Petersburg, FL .