Systemic Sclerosis and Its Impact on Feet

Color changes in the feet, such as redness, blue tones, or pale patches, can be an early indicator of autonomic involvement in systemic sclerosis, a rare autoimmune disorder. Systemic sclerosis affects blood flow by tightening blood vessels and altering circulation, which can cause noticeable color shifts in response to temperature or stress. Feet may appear blue due to reduced oxygen, red with increased blood flow, or pale when circulation is restricted. These color changes may also come with symptoms like numbness, tingling, or sensitivity to cold, signaling an underlying problem with the autonomic nervous system, which regulates involuntary functions, including blood vessel dilation. If you have this condition and it affects your feet, it is strongly suggested that you visit a podiatrist to manage symptoms and prevent complications. These foot specialists can assess circulation, suggest protective strategies for temperature changes, and work with other specialists to ensure proper blood flow and nerve function, ultimately helping to maintain foot health.

Some foot conditions may require additional professional care. If you have any concerns, contact Jennifer M. Kern, DPM of South Carolina. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

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Ankle Osteoarthritis and the Impact of Past Injuries

Osteoarthritis of the ankle is a degenerative joint condition that occurs when the protective cartilage within the ankle joint gradually wears down. This leads to bone-on-bone contact, resulting in pain, stiffness, and reduced mobility. Unlike other joints, ankle osteoarthritis is often linked to prior injury rather than age alone. Ankle trauma, including fractures and sprains, can disrupt joint alignment and increase the risk of long-term damage. Understanding the definition and causes of ankle osteoarthritis can help individuals recognize early signs and seek proper care.

Symptoms of osteoarthritis in the ankle include persistent pain, swelling, stiffness, and limited range of motion. These symptoms may worsen with activity and improve with rest, but discomfort can become more constant. Individuals may also experience a grinding sensation within the joint or difficulty walking on uneven surfaces. These changes can affect daily activities and reduce overall quality of life if left untreated. Early identification of symptoms is important for managing progression.

 

Risk factors for ankle osteoarthritis often involve a history of injury. Ankle sprains, which are among the most common athletic injuries, can weaken ligaments and lead to joint instability. Repeated trauma or improper healing can accelerate cartilage breakdown. Additional risk factors include high-impact sports, excess body weight, and poor joint alignment. These factors place increased stress on the ankle and contribute to gradual joint degeneration. Recognizing these risks allow for better prevention strategies.

 

Managing ankle osteoarthritis involves reducing stress on the joint and maintaining mobility through supportive care. Wearing stable footwear, engaging in low-impact exercise, and addressing previous injuries can help protect the ankle. Early treatment can slow progression and improve comfort. If you have symptoms of osteoarthritis in your ankles, it is suggested that you consult a podiatrist for effective relief and management solutions. 

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Jennifer M. Kern, DPM from South Carolina. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

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Understanding In-Toeing and Out-Toeing in Children

In-toeing and out-toeing are common foot and lower-limb alignment conditions that affect the way a child’s feet point while walking or standing. In-toeing occurs when the feet turn inward, while out-toeing occurs when the feet point outward. These conditions are often noticed when children begin walking and may change as the bones and muscles develop. Understanding the definition and causes of in-toeing and out-toeing can help parents recognize normal development patterns and identify when professional evaluation may be needed.

Signs of in-toeing include toes pointing inward, frequent tripping, or an uneven walking pattern. Out-toeing may appear as feet turning outward while walking, standing, or running. Some children may have difficulty with balance or coordination, although many cases improve naturally with growth. Risk factors include family history, differences in bone development, muscle tightness, and positioning during early growth. The alignment of the hips, knees, and feet can all influence how a child walks and moves.

 

The causes of in-toeing and out-toeing vary depending on the child’s stage of development. In-toeing may result from curved foot structure, inward rotation of the shin bone, or inward positioning of the thigh bone. Out-toeing may develop from outward rotation of the hip, leg alignment differences, or foot positioning issues. These conditions are not always caused by footwear or walking habits, but certain structural factors can influence how the feet align.

 

Early observation and regular monitoring can help ensure healthy foot development. Supportive footwear, proper movement habits, and professional guidance may be recommended depending on the severity of the condition. Most children improve as they grow, but some cases may require treatment to support proper alignment and function. If your child shows signs of in-toeing or out-toeing, it is suggested that you consult a podiatrist for effective treatment and management solutions. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Jennifer M. Kern, DPM of South Carolina. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Treadmill Running Can Help Fitness but Challenge the Feet

Treadmill running offers a convenient way to exercise in a controlled setting. Runners can choose their speed, adjust the incline, and follow a pace without dealing with traffic or challenging weather. The belt provides a smooth, predictable surface that can feel gentler than concrete. This consistency can help new runners learn pacing and gradually build endurance. A treadmill makes interval training easier because speed settings are precise. For people with busy schedules, indoor access can make regular running more practical. These benefits make the treadmill a useful option for fitness, training, and maintaining a routine throughout the year.

However, treadmill running has drawbacks. The moving belt assists with forward motion, so the legs and feet work somewhat differently than they do outdoors. A flat, even surface also places the body through the same movement repeatedly. This lack of variety can contribute to soreness or strain, especially when speed or distance rises too quickly. Treadmills do not prepare runners for uneven ground, sharp turns, or downhill sections. They can also feel repetitive, and some runners find the indoor setting less motivating. Having poor form and wearing shoes that lack proper support can increase pressure on the heels, arches, and ankles.

A podiatrist can help runners gain the benefits of treadmill exercise while reducing injury risks. The visit can include an examination of foot structure, joint movement, and running form. A podiatrist can identify problems linked to heel pain, arch strain, or repeated stress. Advice can cover proper shoe selection, safe training changes, and the use of custom orthotics. These are shoe inserts designed to improve support and distribute pressure more evenly. A podiatrist can also explain whether treadmill running suits a patient's foot health, symptoms, and training goals. If your feet hurt after running on a treadmill, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Jennifer M. Kern, DPM of South Carolina. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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

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