August 2022

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 Cory Brown, DPM of Brown Foot and Ankle. 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 Abilene, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Ordinary foot problems are often more complicated for diabetic patients. Diabetes can occur as a result of elevated blood sugar levels and affects the nerves in the feet. This can make it difficult to feel existing cuts, scrapes, or bruises that have developed which may cause diabetic foot ulcers to form. It is important to practice proper everyday foot care and there are simple methods to accomplish this. It is beneficial to start with washing and drying the feet thoroughly, followed by applying a good moisturizer. Many patients find it helpful to use a mirror to look at the bottom of their feet for any wounds that may have developed. It is imperative to have the toenails trimmed properly and many people choose to have this done by a podiatrist. It is beneficial to wear shoes that fit correctly, and it may help to wear socks that can absorb moisture. It is frowned upon to walk barefoot as this can help to protect the feet from the elements. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition in addition to treating any other foot conditions that are associated with diabetes.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Cory Brown, DPM from Brown Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Participating in athletic activities account for approximately 50% of broken or dislocated ankles. The remaining half of the population can break their ankle from pursuing daily activities which can include shopping, walking, and traveling. It can range from a hairline crack to a full blown fracture, and this can cause severe pain and discomfort. The ankle has three sections, consisting of the tibia, the fibula, and the talus bones. There are a total of 26 bones in each foot, and are surrounded by numerous tendons, ligaments, and muscles. In a severe fracture, one or more of the bones break, and may also affect the adjoining ligaments. Ankle function is often affected when any of these bones are broken. There are three types of ankle fractures that can occur. The bump on the inside of the ankle is called medial malleolus, and can become fractured from direct trauma. This often indicates a long recovery time. The bump on the outside of the ankle is created by the fibula, and may be injured as a result of a stress fracture. A bimalleolar fracture happens when both sides of the ankle become broken, and this can occur from a traumatic event such as a car accident. If you have broken your ankle, it is strongly advised that you consult with a podiatrist who can determine what the best course of treatment is for you.

Broken ankles need immediate treatment. If you are seeking treatment, contact Cory Brown, DPM from Brown Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

It is easy to take running for granted. After all, we learned to run at an early age with little or no training. But as an adult, taking up running for fitness, as a sport, or even as a challenge, requires training and taking precautions. Running a 10K, for instance, can cause a great deal of pain and possible injury if you are not prepared. The following are a few ways to keep your feet and body safe when you take up running. First, get a pair of running shoes that fit properly and provide the cushioning needed to protect your feet from injury. Find socks that wick sweat and help prevent blisters. Tend to any blisters carefully, seeking help from a podiatrist if necessary. Embark on a training plan that begins slowly and builds gradually in time, distance, and speed. Train consistently, rather than leaving long gaps between runs. Make sure you eat healthy foods, boosting the carbohydrates before a run to give you the fuel you will need. Drink lots of water to avoid becoming dehydrated. Pay attention to calluses and corns that may form. It is suggested to check with a podiatrist to see if they can be prevented with orthotics. Podiatrists can also help to address any other toe, foot, or ankle problems that may have developed. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Cory Brown, DPM of Brown Foot and Ankle. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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

A popular form of foot therapy is a foot massage. Many people who have foot pain reap the benefits of getting a foot massage. These can include improved circulation, and relief of stress and pain, in addition to releasing muscle tension. Reflexology started in traditional Chinese medicine, and it is an effective form of foot therapy. It is commonly used to help cancer patients. This is done by touching the feet at specific pressure points and this can create an overall feeling of well-being. This can also stimulate the nervous system and positively affect energy flow. People who have regular reflexology and massage sessions may experience better sleeping patterns, lower blood pressure, and possibly diminished psychological and physical pain. Many people enjoy additional forms of foot therapy, including having a Swedish massage, shiatsu, or Thai massage performed. Massages and reflexology sessions begin by removing the shoes and socks and asking the patient if there are specific areas of pain. If you would like to know more about the benefits of foot massages and reflexology, please consult with a podiatrist who can answer any questions you may have.

Foot therapy is often necessary for those recovering from either foot deformities or foot injuries. If you have concerns regarding therapy, Cory Brown, DPM of Brown Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Most Common Injuries

People who are active or athletes are prone to a variety of injuries. Therefore, it is often important to take part in physical therapy in order to quickly get back on the right track. 

What to Do When Injured

Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. It is a proven method that has helped millions of people return from any injury.

During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. Physical therapy often involves:

Basic stretching and twisting exercises – getting the feet’s mobility and flexibility up.

Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.

Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.

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