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Newton, NJ 07860


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Items filtered by date: January 2018
Friday, 26 January 2018 17:22

Parenting a Child with Clubfoot

Clubfoot is a general term used to describe a range of unusual positions of the foot. Most types of clubfoot are congenital, meaning that they are present at birth. Clubfoot can happen in one foot or in both feet. In almost half of affected infants, both feet are involved. This condition is called talipes equinovarus by medical professionals.

What Causes Clubfoot?

The causes of clubfoot have not been firmly established, but heredity is believed to be the most significant factor. If someone in your family has clubfoot, your baby is at risk. Happily, clubfoot can be spotted on prenatal ultrasound tests so that new parents can be prepared to initiate treatment shortly after their baby’s birth. Early intervention is key. Clubfoot is painless for babies, but can cause significant problems as a child grows. However, with early treatment, most cases of clubfoot can be entirely corrected.

What Does Clubfoot Look Like?

Any or all of these characteristics may be present, and may be mild, moderate, or severe:

  • The foot may be smaller than would be expected.
  • The foot may point downward.
  • The front of the foot may be rotated toward the other foot.
  • The foot may turn in, and in extreme cases, the bottom of the foot can point up.

How is Clubfoot Treated?

The most common approach to treating clubfoot is called the Ponseti Method. With this method, stretching is used in combination with a cast. Your podiatrist will stretch your baby’s foot toward the correct position and then place a cast on it to hold it there. Every week or so, the doctor will remove the cast, stretch the foot further toward the correct position, and re-cast it. It can take several months to maneuver the foot fully into the correct position.

In a handful of cases, even after treatment, surgery is necessary.

If you are expecting a child with clubfoot, click here or call Wexler Foot Center at (973) 383-3115 today to schedule an appointment to see Dr. Craig Wexler in our comfortable and convenient Newton office. Dr. Wexler has decades of specialized training and experience working with patients of all ages. He is well-qualified to help you welcome your new addition and get your son or daughter on the road to a normal, active, healthy childhood and adult life.

Published in Blog
Tuesday, 16 January 2018 21:16

Maybe the Problem is Fallen Arches

If you’re finding yourself dealing with symptoms including foot pain, restricted mobility, and difficulty wearing shoes, you may be dealing with a case of fallen arches, also known as flat feet and called pes planus by medical professionals.

If you look at a typical adult foot from the inside, you'll usually notice an upward curve in the middle. This is the arch. It’s formed by tendons in your foot and lower leg working in cooperation. When all the tendons pull the proper amount, your foot forms a moderate, normal arch. When tendons do not pull together properly, there is little or no arch. Occasionally, the tendons are over-active and pes cavus, an atypically high arch, occurs.

If the flat arch occurs only when standing and returns when the foot is lifted off the ground, the condition is called flexible pes planus. Rigid pes planus refers to a situation in which the arch is flattened both when standing and when the foot is elevated.

Numerous factors can be involved in the development of fallen arches, including family history, injury, and obesity. Other causes can include torn or damaged tendons, pregnancy, aging, and medical conditions including rheumatoid arthritis.

You can easily test yourself to see if you might have fallen arches. Start by getting your feet wet. Next, step onto a flat surface where your footprint will show, such as a concrete walkway or a pad of newspaper. Step away and take a look. You should see a large dry spot on the inner edge of your foot where the arch is located. If you see complete imprints of the bottom of your feet, you may have flat feet. It’s time to see the podiatrist.

With decades of education and experience, Dr. Craig Wexler is an expert in all conditions of the feet, ankles, and lower legs. If you suspect that you’re suffering from flat feet or any other podiatric issue, click here or call Wexler Foot Center to schedule an appointment in our comfortable and convenient Newton office. Using modern equipment, Craig Wexler, DPM will provide you with a thorough examination, accurate diagnosis, individualized treatment, and comprehensive aftercare. 

Published in Blog

Did you wear your high-heeled shoes to holiday parties in December? They probably looked great, but those same fashion-forward stilettos cause damage to your feet, ankles, and lower legs when worn frequently over a long period of time.

Originally created more than 400 years ago for use while riding horses, high-heel shoes quickly became a fashion staple. Today, more than 70% of American women own at least one pair. 31% wear them to work daily and 50-77% choose them for special occasions.

Every time you wear high-heeled shoes, you put your body out of alignment, putting you at risk of numerous physical problems. Long-term result of misalignment caused by daily wearing of high heel shoes can be pain not only in your feet and legs, but in your shoulders, neck and back as well. Further, the intense and ongoing reshaping of the feet can lead to a variety of deformities.

  1. Because high heels decrease the amount your foot is actually in contact with the ground, balance is diminished and your risk of falls that lead to foot and ankle injuries increases.
  1. Your stilettos cause increased stress along the sole of the foot and can contribute to heel pain.
  1. High-heeled shoes frequently have cramped, narrow toe boxes. They squeeze the toes and can lead to hammertoes and neuromas.
  1. Bunions, painful bony bumps that form at the base of the big toe can result from years of working in high heel shoes. They are also a primary factor in the development of Haglund’s deformity, a bony enlargement on the back of the heel that is known informally as “pump bump.”
  1. The unnatural pressure that high-heeled shoes put on the feet can create painful accumulations of dead skin cells called corns and calluses.

Give your feet a break. Put your high-heels away for a month or two, and switch to sensible shoes. Pick a comfortable pair made of a breathable material like leather. Look for low heels, a wide toe box, and a sole with treads for stability. Even better, select two or three pairs and rotate them to ensure that feet stay dry and free from nail fungus.

Are you experiencing discomfort or any other problem in your feet, ankles, or lower legs? Call Wexler Foot Center at (973) 383-3115 or click here today to schedule an appointment with Craig Wexler, DPM. With decades of experience and specialized education, Dr. Wexler will thoroughly examine your feet, accurately diagnose any current or potential issues, and then provide state of the art treatment and comprehensive follow up. 

Published in Blog
Friday, 05 January 2018 17:13

Diagnosing and Treating Clubfoot

Clubfoot (also called talipes equinovarus by medical professionals) is a general term used to describe a range of unusual positions of the foot. Approximately one infant in 1,000 will be born with clubfoot, about half with the condition in both feet. In these children, tendons that connect muscles to bone in the feet and ankles are shorter than usual, turning the foot or feet inward. Most types of clubfoot are congenital, meaning that they are present at birth. In almost half of affected infants, both feet are involved.

Most often, clubfoot in newborns is idiopathic, meaning that doctors don’t know exactly why it occurs. In utero positioning may be a factor while heredity certainly is. If you have a family history of clubfoot, you must be on the lookout for the condition in your own children. Some physical disorders, such as spina bifida, can be a correlating condition. Clubfoot can also occur after birth, or even in adulthood, as a result of brain or nervous system illness or injuries such as stroke.

Clubfoot can be detected with a prenatal ultrasound scan, which is good news for prospective parents. Left unattended, clubfoot can have long-term detrimental effects; however, if treated early, it is entirely correctible and will have neither an affect on childhood activity nor ramifications in adulthood.

In infants, clubfoot is painless but it will certainly cause discomfort and lead to disability if left untreated. Clubfoot absolutely will not heal independently. Medical intervention is necessary. Symptoms will become more obvious and more of a problem as the child grows. Balance and walking will be affected. Fitting into shoes, participating in play and athletics will all become problematic. Negative self-image and depression can result.

Years ago, babies born with clubfeet were destined for disability. Parents can take comfort knowing that is no longer the case. With expert treatment, today’s infants born with clubfeet will not be handicapped adults. They can grow into active children, teens, and adults whose feet are normal in appearance and function.

For best results, treatment should begin as quickly as possible, often within a week or two of birth. Non-surgical methods, including taping, splinting, and casting will be used initially. It is possible, though unlikely, that surgery will be required.

Have you recently learned that your child will be born with clubfoot? With years of specialized training and experience, your podiatrist is the best-qualified professional to help your family. Be ready. Click here or call Wexler Foot Center at (973) 383-3115 today to schedule an appointment with Craig Wexler, DPM in our comfortable and convenient Newton office.

Published in Blog