Parents may wonder when babies should start wearing shoes. Before a child begins to walk, shoes are not necessary indoors. In fact, bare feet allow babies to feel the floor and practice foot movements. Most children begin walking sometime between nine and 18 months, although this varies. Once a baby starts taking independent steps, soft-sole baby shoes can provide protection while allowing movement. Shoes should fit without squeezing growing toes.

Soft-sole baby shoes are a choice for early walkers because they allow the feet to bend naturally. Look for flexible materials, a toe area, and a good fit. Supportive does not mean stiff. Early footwear should protect the feet while allowing movement. Wearing shoes that are too tight can create pressure and discomfort. Poorly fitting footwear may also cause blisters, rubbing, or changes in walking patterns. Parents should check shoe fit because feet grow quickly.

Healthy baby foot development depends on choosing the right shoes. Babies benefit from opportunities to crawl, stand, and walk. Walking barefoot indoors can help develop balance and foot awareness when the environment is safe. Risk factors for foot problems include wearing restrictive footwear, poorly fitted shoes, and prolonged use of rigid shoes. Watch for persistent pain, swelling, redness, or differences between the feet. These symptoms deserve professional attention.

A podiatrist can examine a child’s feet and ankles when concerns arise. The evaluation may include checking foot structure, movement, and walking development. If a problem is found, the podiatrist may recommend footwear changes, monitoring, or other age-appropriate treatment. Parents should avoid choosing rigid corrective shoes without professional guidance. With proper fit and healthy movement, early shoes can protect developing feet without limiting natural motion. If your baby needs shoes, it is suggested that you consult a podiatrist who can guide you on the correct shoes to purchase for your child's needs.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Kent DiNucci, DPM of Ankle and Foot Clinic . 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 Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pregnancy can bring noticeable changes to the feet as the body adjusts to added weight and shifting balance. Swelling is one concern, especially later in pregnancy. Extra fluid can collect in the feet because of the baby's weight and position. Foot size can also change. A hormone called relaxin makes ligaments more flexible to prepare the body for delivery. This flexibility can allow the feet to become wider and longer, sometimes resulting in a permanent increase of up to half a shoe size.

Arch pain is another foot problem that can develop during pregnancy. Added weight can increase strain on the arches, while changes in foot structure can cause the arches to flatten. This flattening places extra stress on the plantar fascia, the strong band of tissue that supports the arch. Ingrown toenails can also develop when shoes become too tight as the feet swell or change size. Pressure from wearing tight shoes can push the nail into the surrounding skin, leading to tenderness and inflammation. These changes can make standing and walking less comfortable.

A podiatrist can evaluate pregnancy-related foot pain and determine what is causing the discomfort. Treatment can focus on relieving pressure, supporting the arches, and protecting painful areas of the feet. A podiatrist can recommend wearing properly fitted shoes and custom foot orthotics to improve support. An orthotic is a shoe insert designed to support the foot and improve its position. Podiatrists can also treat ingrown toenails safely and assess persistent swelling or pain. Professional foot care can help patients remain comfortable and active as their bodies change throughout pregnancy. If you have symptoms of pregnancy-related foot problems, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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

Running can improve heart health, endurance, and confidence, but running when overweight places greater force on the feet and ankles with each step. This does not mean that an overweight person should not run. A careful start can reduce strain and make this exercise more comfortable. Begin with short sessions that alternate brisk walking and easy running. Choose a flat, predictable surface rather than steep hills or uneven trails. Increase distance or speed gradually, but avoid raising both during the same week. Pain that changes your stride, causes swelling, or remains after a run deserves attention.

Proper running shoes are important because they help absorb impact and keep the feet stable. Shoes should fit the length and width of the foot without squeezing the toes or allowing the heel to slide. Replace shoes when the cushioning or tread becomes worn. Moisture-wicking socks can help limit blisters. A pre-run warmup prepares the muscles and joints for activity. Keep the pace slow enough to speak in short sentences, and schedule recovery days between runs. Stop running if sharp pain, dizziness, or unusual shortness of breath develops.

A podiatrist can examine the feet, ankles, and walking pattern before a new running program begins. The doctor can identify flat feet, limited joint movement, or areas under excess pressure. This evaluation can reveal problems that raise the chance of heel pain, tendon injuries, or stress fractures. A podiatrist can also recommend running shoes based on foot shape and gait. Custom orthotics can improve alignment and distribute pressure more evenly when appropriate. For an injury, the podiatrist can order imaging, explain activity limits, and create a plan for returning to running. Regular follow-up visits allow the doctor to check progress and adjust recommendations as mileage increases. If you are overweight and have developed foot pain while running, it is suggested that you schedule an appointment with a podiatrist for effective relief and guidance tips.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Kent DiNucci, DPM of Ankle and Foot Clinic . 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 Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a type of inflammatory arthritis that can cause sudden and intense joint pain. It often affects the big toe, although it may also develop in other toes, the ankle, or the knee. Gout develops when uric acid builds up and forms needle-like crystals inside a joint. Uric acid is produced when the body breaks down substances called purines. When the kidneys do not remove enough uric acid, these crystals may collect and trigger inflammation. A gout attack often begins suddenly, frequently at night, and can cause severe pain and swelling.

Gout attacks may occur only once or return periodically. Without proper treatment, repeated attacks can affect more joints, last longer, and become more severe. Some people eventually develop hard deposits of uric acid crystals, called tophi, around joints or in other tissues. Several factors can increase the likelihood of gout, including family history, certain chronic health problems, and some medications. Because gout symptoms can resemble other forms of arthritis, an accurate diagnosis is important. Medical evaluation may include a physical examination, blood testing, or analysis of fluid taken from the affected joint.

When gout affects the feet, a podiatrist can evaluate painful joints and determine how symptoms are affecting walking and mobility. A podiatrist can also help distinguish gout-related foot pain from other problems that may cause similar symptoms. Treatment depends on the frequency and severity of gout attacks. Medical care may include medications that reduce inflammation during a flare or lower uric acid to help prevent future complications. Managing gout can help protect joints and preserve normal movement. Early diagnosis and appropriate treatment may reduce the risk of long-term joint damage and recurring pain. If sudden pain, swelling, or tenderness develops in the big toe or another foot joint, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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