June 2024
Stages of Children's Feet From Pre-Crawling to School

Children's feet go through various stages of development, each requiring specific care and attention. During the pre-crawling stage, infants have soft, pliable feet that need freedom to move and grow, so bare feet or socks are ideal. For newborns, shoes are not necessary, but soft, flexible booties can provide warmth. As babies start taking their first steps, known as the first walker stage, they need lightweight, flexible shoes that allow natural foot movement and provide protection. In preschool, children become more active, necessitating sturdy shoes that offer support and durability. By the time they reach school age, kids' feet have developed arches and require well-fitting shoes that support prolonged periods of walking and running. If you have questions regarding your child’s foot development, it is suggested that you consult a podiatrist who can address any concerns you may have.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors 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 one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Explaining Haglund’s Deformity

Haglund's deformity, commonly known as pump bump, is a bony enlargement that forms where the Achilles tendon attaches to the back of the heel bone. This painful condition often results from repetitive friction caused by wearing stiff or poorly fitting shoes, such as high heels or rigid-backed footwear. The constant rubbing leads to inflammation, redness, swelling, and the formation of calluses around the affected area. Those with abnormal foot mechanics, such as foot supination or high arches, are at higher risk of Haglund’s deformity. Symptoms include a visible bony bump, pain at the back of the heel, and swelling, particularly when wearing tight shoes. Conservative treatment includes reducing pressure and friction through wearing better-fitting footwear, heel pads, and certain exercises to alleviate pain and inflammation. In severe cases, surgery may be necessary to remove the bony protrusion and restore normal function. If you are experiencing persistent heel pain or suspect you have Haglund's deformity, it is suggested that you schedule an appointment with a podiatrist for an exam, a diagnosis and suggestions for treatment.
Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Understanding Custom Orthotics
Custom orthotics are specialized medical devices designed to support and comfort your feet. Crafted uniquely for your foot's contours, they are inserted into shoes to correct biomechanical foot issues such as problems with walking, standing, or running. These devices work by aligning the foot and ankle into the most anatomically efficient position, redistributing weight to relieve pressure points, and providing support precisely where it is needed. Custom orthotics are beneficial for people with flat feet, high arches, plantar fasciitis, and heel spurs, and for those who experience foot pain due to medical conditions like diabetes or arthritis. They are also advantageous for individuals whose daily activities put excessive stress on their feet, such as athletes or those with physically demanding jobs. If you are considering custom orthotics, it is suggested that you schedule an appointment with a podiatrist who can assess your specific needs and provide a prescription tailored to your foot's unique structure and the issues you are experiencing.
Experience a transformative solution to heel pain and foot pain through the personalized benefits of custom orthotics and shoe inserts. If you’re grappling with the persistent agony of plantar fasciitis, these customized inserts are designed to alleviate the strain on the plantar fascia, providing targeted relief. Engineered to adapt to your unique foot anatomy, custom orthotics tackle not only plantar fasciitis but also general foot and heel pain, offering unparalleled support and comfort. Don’t let every step be a reminder of discomfort; step into a world of tailored well-being. Say farewell to the limitations imposed by heel pain and embrace the freedom of pain-free mobility. Invest in your foot health and redefine your daily stride with the transformative power of custom orthotics and shoe inserts, ensuring each step is a step towards lasting comfort.
If you have any questions please contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What Can Be Done About Broken Toes
Toe fractures can occur due to various reasons, such as stubbing, dropping heavy objects, or even sports injuries. The impact can cause the toe bone to break, leading to pain, swelling, and difficulty in walking. Individuals may experience tenderness, bruising, and sometimes even a visible deformity depending on the severity of the fracture. To evaluate toe fractures, podiatrists may perform physical examinations and order X-rays to determine the type and severity of the break. Treatment options range from simple rest and elevation to immobilization using splints, buddy taping, or wearing a special shoe. In severe cases or for fractures that involve displaced bones, surgery may be necessary to realign and stabilize the bones. If you have a broken toe, it is suggested that you schedule an appointment with a podiatrist for treatment to facilitate optimal healing and prevent complications.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Basketball Players and Achilles Tendon Injuries

For basketball players, the Achilles tendon stands as a vital yet vulnerable component of their anatomy, often susceptible to injury due to the demands of the sport. The explosive movements, sudden changes in direction, and repetitive jumping place significant stress on this tendon, increasing the risk of strain or rupture. To prevent such injuries, athletes must prioritize proper conditioning and strengthening exercises, focusing on calf muscles and Achilles tendon flexibility. Incorporating dynamic warm-up routines and gradual progression in training intensity can also lower the risk of tendon overuse. Footwear plays a pivotal role, with supportive basketball shoes providing stability and shock absorption to lessen the strain on the Achilles tendon. Maintaining adequate hydration and nutrition aids in tissue health and recovery, further reducing the likelihood of tendon injuries. If you are a basketball athlete or a weekend warrior and have endured an Achilles tendon injury, it is suggested that you consult a podiatrist who can determine the right treatment for you.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


