Intoeing, commonly known as pigeon toes, is a condition where a child's feet turn inward instead of pointing straight ahead. This condition often appears in infants and young children and can involve one or both feet. In many cases, intoeing is due to natural variations in bone alignment and often improves as the child grows. For infants, the inward curve may be caused by a condition called metatarsus adductus, where the front part of the foot turns inward. As children get older, intoeing may be related to the twisting of the tibia, or shinbone, or the femur, or thighbone. While intoeing in children often resolves on its own without treatment, a podiatrist can evaluate the condition to determine if stretches, braces, or in rare cases, surgery may be required. Early consultation helps to ensure that your child's gait develops normally and prevents future complications. If your child is intoeing, it is suggested that you schedule an appointment with a podiatrist for an evaluation and treatment options.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. David Ungar of Personal Foot Care. 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 Farmington, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetes can significantly impair wound healing, particularly in the feet, where the risk of complications is higher. Elevated blood glucose levels in diabetic patients disrupt vital healing processes that delay tissue repair. For instance, diabetes often leads to poor circulation, which reduces oxygen and nutrient delivery to wound sites and further slows healing. Diabetic neuropathy, or nerve damage, makes it difficult for patients to feel foot injuries, which allows wounds to go untreated and increases the risk of infection. Meanwhile, the immune system is often weakened by this disease, making it harder for the body to fight infections that can further delay healing. Regular foot checks and early intervention are essential to managing foot wounds for people who are diabetic. If you have foot wounds that will not heal, it is suggested that you include a podiatrist as part of your medical team for treatment. 

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. David Ungar from Personal Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

The feet are remarkable structures designed for movement and support, playing a critical role in running. Made up of 26 bones, numerous joints, and a complex network of ligaments and tendons, the feet provide both stability and flexibility. When running, the foot strikes the ground absorbing impact through the arches, which act like natural shock absorbers. The big toe plays a vital role in propulsion, helping to push off the ground efficiently. The intricate arrangement of muscles in the foot allows for adaptability on various surfaces, enhancing balance and coordination. Proper biomechanics are essential as any misalignment can lead to injuries. Therefore, understanding the foot's construction and function can help runners make informed choices about footwear and training, ultimately improving performance and reducing the risk of injury. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can offer effective treatment solutions.

If you have any concerns about your feet, contact Dr. David Ungar from Personal Foot Care. Our doctor 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 Farmington, MI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ingrown toenails develop when the nail grows into the surrounding skin, or when the skin grows over the edge of the nail. A primary cause of ingrown toenails is improper nail trimming, such as cutting the nail and rounding the edges instead of cutting straight across. This may result in the nail curling under and digging into the skin, which often results in pain as well as potential for infection. Other risk factors for ingrown toenails are wearing shoes that squeeze the toes, engaging in activities that put pressure on the feet, and having foot abnormalities like bunions or hammertoes. People with a family history of ingrown toenails, diabetes, or poor circulation are also more susceptible. Symptoms often include redness, swelling, and pain, and if untreated, can progress to infection. A podiatrist can assess and treat the condition, using techniques to relieve pain and in severe cases removing part of the nail or nail bed. If you have a painful or infected ingrown toenail, it is suggested that you schedule an appointment with a podiatrist.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. David Ungar of Personal Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Recurrent ankle sprains happen when the ligaments supporting the ankle are weakened, leading to chronic instability. To prevent recurring ankle sprains, it is important to strengthen the muscles surrounding the ankle through targeted exercises. Balance training, both static and dynamic, can help improve proprioception, which is the body’s ability to sense movement and position. Addressing swelling and ensuring that a full range of motion is restored after an injury is also critical to avoid re-injury. In cases where these strategies are not enough, a podiatrist can assess your ankle’s biomechanics and offer customized treatments. These include rehabilitation exercises, ankle braces, or custom orthotic devices. A podiatrist also can guide you through proper rehabilitation and help identify any underlying factors that may be contributing to recurring sprains. If you have recurrent ankle instability, it is suggested that you schedule an appointment with a podiatrist for a full exam and treatment.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. David Ungar from Personal Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Farmington, MI . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.