Some genetic disorders can influence the way bones, joints, and connective tissues develop in the feet. Because the feet contain many small bones and joints, inherited conditions may change their shape, alignment, or flexibility. Achondroplasia, a common form of dwarfism, affects bone growth and may lead to changes in leg alignment that place extra stress on the feet and ankles during walking. Ellis van Creveld syndrome is a rare genetic condition that can cause short limbs and sometimes extra toes, which may affect balance and shoe fit. Marfan syndrome affects the body’s connective tissue and often leads to long, flexible feet with loose joints that can increase the risk of ankle instability. These structural differences may lead to discomfort, fatigue, or changes in walking over time. When unusual foot structure or persistent pain develops, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. 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 Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A fractured talus can cause intense ankle pain, swelling, and difficulty walking because this bone connects the leg to the foot and helps control movement. It supports the ankle joint and the subtalar joint, which is located below the ankle and allows the foot to move side to side on uneven surfaces. The injury often follows a strong impact like a fall, and people may notice bruising, stiffness, and trouble moving the ankle or toes. A podiatrist can evaluate foot stability, check circulation and nerve response, and order imaging to see whether the bone has shifted. A stable fracture can be managed with a cast to limit motion, while a displaced fracture can require surgery to realign the bone. Without proper healing, arthritis can develop or the bone can heal in the wrong position. If you have symptoms of a talus fracture, it is suggested that you make an appointment with a podiatrist for a diagnosis and options for treatment.

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Nail fungus, also known as onychomycosis, is not always caused by the same organism. The three main types of fungi that infect nails are dermatophytes, yeasts, and molds. Dermatophytes are the most common and feed on keratin, the protein that forms the nail. These infections often cause yellow or white discoloration, thickening, and a brittle texture. Yeast infections may lead to redness, swelling around the cuticle, and lifting of the nail plate. Molds are less common but can create dark brown, black, or green discoloration with irregular nail changes. The nail may appear distorted, crumbly, or separated from the nail bed. A podiatrist can evaluate the nail, take a small sample for testing, and determine the exact cause. Treatment may include topical medication, oral antifungal therapy, or careful trimming of damaged nails. If you have nail fungus, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

Tarsal tunnel syndrome occurs when a major nerve on the inside of the ankle becomes compressed as it travels into the foot. This pressure can create tingling, burning, numbness, or sharp discomfort that may radiate into the arch, heel, or toes. Symptoms often feel worse after long periods of standing or walking, and some people notice relief only when they rest. Because the nerve sits in a tight space surrounded by ligaments and bone, anything that increases swelling or strain in the area can trigger irritation, including flat feet, prior injury, or certain medical conditions. Ignoring these sensations can lead to ongoing instability or increasing sensitivity in the foot. Early care focuses on reducing pressure, improving support, and calming inflammation to protect the nerve. If the tingling or burning continues or begins to affect your daily routine, it is suggested that you see a podiatrist for an accurate diagnosis and targeted treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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