Items filtered by date: June 2025

Clubfoot is a condition seen at birth where a baby’s foot twists inward and downward, making the sole face sideways or even upward. One or both feet can be affected, and the calf and foot may appear smaller than normal. Clubfoot involves the foot and ankle bones, joints, and tendons, leading to stiffness and limited motion. While the cause is not always known, it occurs more often in boys or when there is a family history. A similar issue, called positional clubfoot, can happen if the baby’s foot was pressed into an awkward position in the womb, but that form does not affect bone structure. True clubfoot requires early treatment to help move the foot into a better position. A podiatrist can assess the severity, take X-rays if needed, and monitor foot growth to determine whether a brace, casting, or surgery is necessary. If your baby displays symptoms of clubfoot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and ongoing treatment.

Congenital foot problems require immediate attention to avoid future complications. 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.

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 Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Supination of the foot is a natural motion that occurs when the foot rolls outward during walking or running. This helps the foot form a stable structure for push-off. When this motion becomes excessive, it is called over-supination or underpronation. Too much outward rolling can place stress on the outer edge of the foot and reduce shock absorption. This may lead to heel pain, ankle sprains, arch strain, and fractures in the heel bone. Over-supination is often related to high arches, poor walking patterns, or previous foot injuries. People who over-supinate may notice that their shoes wear out more along the outer edges, causing instability while walking. A podiatrist can evaluate your gait and determine if your foot alignment is contributing to the pain. Custom orthotics, bracing, or surgery may be recommended to correct the issue and improve balance. If you have foot pain caused by your gait, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

If you have any concerns about your feet, contact one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 and ankle needs.

Playing tennis requires quick lateral movements, sudden stops, and rapid changes in direction, all of which increase the risk of ankle sprains. These injuries occur when the ligaments supporting the ankle are overstretched or torn, often from landing awkwardly, pivoting too quickly, or stepping on an uneven surface. Inadequate warm-ups, wearing improper footwear, and weak ankle muscles can also contribute to the likelihood of injury. Symptoms of ankle sprains include pain, swelling, bruising, and difficulty bearing weight. A podiatrist can diagnose the severity of the sprain through a physical examination and imaging, if needed. They provide tailored treatment that may include rest strategies, bracing and strengthening exercises. If you have sustained an ankle injury while playing tennis, it is suggested that you contact a podiatrist who can provide the necessary treatment for relief and recovery.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

A plantar fibroma is a benign growth that forms within the plantar fascia, the thick band of tissue along the bottom of the foot. This firm lump usually develops in the arch and may increase in size over time. The exact cause is not always clear, but it may be linked to genetics, repeated trauma, or underlying conditions that affect connective tissue. Symptoms include a noticeable bump in the arch, discomfort when walking or standing, and pain when pressure is applied to the area. A podiatrist can diagnose a plantar fibroma through physical examination and imaging, and offer treatments such as custom orthotics, footwear modifications, or other noninvasive options to reduce pain and improve foot function. If you have a lump in the arch of your foot, it is suggested that you contact a podiatrist for an exam and treatment options.

A plantar fibroma may disrupt your daily activities. 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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.