Clubfoot is a condition present at birth where the foot turns inward and downward, affecting alignment and walking if not addressed. Management often begins early, when bones and soft tissues are more flexible. Gentle, guided stretching and serial casting are commonly used to gradually reposition the foot over several weeks. After correction, bracing helps maintain alignment as a child grows and reduces the risk of recurrence. In some cases, a minor procedure to lengthen the Achilles tendon may be recommended to improve ankle motion. More complex deformities may require surgery to correct bone position and balance muscle forces. Ongoing monitoring is important, since growth can influence foot structure and gait. A podiatrist plays an important role by evaluating progress, guiding bracing use, and addressing concerns related to walking, shoe wear, and comfort over time. If your child has clubfoot, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. Jonathan Kletz of Texas Foot Works. 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 one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunions are a common foot deformity that develops when the big toe joint gradually moves out of alignment, creating a visible bump along the side of the foot. The area may look swollen, red, or enlarged, and the big toe may angle toward the smaller toes. It often feels sore or stiff, with pain that worsens after long periods of walking or wearing tight shoes. Some people also notice limited joint movement. Causes include genetics, abnormal foot structure, arthritis, and footwear that crowds the toes. A podiatrist can help from the start by examining foot alignment, evaluating symptoms, and confirming the diagnosis with imaging as needed. Early treatment may include footwear changes, padding, orthotics, and inflammation management. Care can then progress into activity modification or surgical options when conservative measures are no longer effective. Early evaluation helps slow progression and improve comfort. If you have a painful bunion, it is suggested that you make an appointment with a podiatrist.

If you are suffering from bunion pain, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Understanding ingrown toenails is important because this common condition can cause significant discomfort when the edge of the nail grows into the surrounding skin. It affects people of all ages, but is more common in males due to nail shape, activity levels, and footwear choices. Early symptoms include redness, swelling, and tenderness along the nail border. Conservative care may help when the problem is mild, including warm foot soaks, careful nail lifting, proper trimming, protective dressings, and medication, if infection is present. When symptoms continue or return, non-conservative options provide more lasting relief. In office procedures can safely remove the offending nail edge and, when appropriate, prevent that part from growing back. These treatments are quick and allow patients to resume routine activities with little downtime. If you have a painful ingrown toenail, it is suggested that you see a podiatrist who can determine the best treatment to ease pain and prevent complications.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swollen feet, or edema, occur when excess fluid collects in the tissues of the feet and ankles, leading to puffiness, discomfort, and difficulty walking. While swelling can be linked to heart failure, where the heart cannot pump blood effectively, other causes include kidney or liver problems, poor circulation, prolonged standing or sitting, pregnancy, and certain medications. Recognizing the underlying cause is essential for preventing complications and maintaining mobility. A podiatrist can evaluate swelling, assess foot and ankle health, and provide treatments such as compression therapy, supportive footwear recommendations, and guidance on lifestyle changes to reduce fluid retention. If your feet are swollen, it is suggested that you consult a podiatrist who can determine what the cause is, and offer effective relief and management solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.