Items filtered by date: April 2023

Tuesday, 25 April 2023 00:00

When Does Clubfoot Develop?

A common congenital foot condition is known as clubfoot. It is a birth defect that causes the infant’s foot to turn inward, forcing the bottom of the foot to face sideways. It happens during pregnancy and is a result of shortened tendons in the legs. Clubfoot is divided into two categories, and isolated clubfoot can also be referred to as idiopathic clubfoot, which is the most common type. Non-isolated clubfoot may be associated with additional health problems such as spina bifida or other defects of the brain. Research has shown clubfoot is caused by genetics or environmental factors, and the chances of this developing may increase with baby boys. Additionally, pregnant moms who smoke may double the chances of having a child that is born with clubfoot. This condition is generally diagnosed during pregnancy by having an ultrasound performed, which can help the parents to decide on a treatment when the baby is born. If you have determined your unborn child may have this condition, it is suggested that you consult with a podiatrist who can examine your child soon after birth and help you to decide on a successful treatment method.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Mack Jay Groves IV, DPM of Practice. 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 our office located in Covington, LA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Friday, 21 April 2023 00:00

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!

Tuesday, 18 April 2023 00:00

Taping and Cuboid Syndrome

Some conditions of the foot can occur when certain bones in the feet become misaligned. Cuboid syndrome is one such foot condition. It occurs when the cuboid bone, located on the outside of the foot, moves out of alignment. To address this foot affliction, a patient may take several steps. Commonly, an individual might utilize taping to treat their cuboid syndrome. A medical professional can use taping on a patient by wrapping medical tape around the foot. This is done to ultimately stabilize the foot and its bones, ensuring that the affected cuboid bone stays in proper alignment. If taping is effective, it will help the affected area of the foot heal and return to normal. If you have cuboid syndrome, it is highly suggested that you schedule an appointment with a podiatrist today for treatment.  

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Mack Jay Groves IV, DPM from Practice. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.


The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.


A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.


Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.


Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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


Read more about All About Cuboid Syndrome
Tuesday, 11 April 2023 00:00

Where Is the Tarsal Tunnel Located?

There is a narrow passageway that is found inside the ankle and is connected by soft tissue and bone. This is known as the tarsal tunnel, and the posterior tibial nerve is located within this area. Tarsal tunnel syndrome may develop if this nerve becomes damaged, and may happen if there is consistent pressure. The symptoms that patients notice are sharp pain, and a tingling or burning sensation. There may be existing medical conditions that may lead to the development of tarsal tunnel syndrome. These can consist of having flat feet, diabetes, or inflammation from arthritis. A proper diagnosis consists of having a Tinel’s sign test performed. This is done by pressing the affected nerve with the intention of triggering symptoms that represent tarsal tunnel syndrome. Resting the foot can bring temporary relief, and it is suggested that you speak with a podiatrist who can offer options for permanent relief.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Mack Jay Groves IV, DPM of Practice. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

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Tuesday, 04 April 2023 00:00

How Can I Prevent a Bunion?

Bunions are a particular kind of bony bump that can form on the outside of the joint of the big toe or small pinky toe. It is important to note that some types of bunions can cause pain in individuals, while others do not. In this sense, a bunion can be a cosmetic issue for some patients. There are several steps that a patient can consider taking to prevent the formation of bunions. For example, an individual can be mindful of the shoes that they are wearing. Particularly tight shoes can lead to bunions developing. Instead, an individual can be sure to wear shoes that are spacious and comfortable. Secondly, an individual might be able to prevent the development of bunions by doing what they can to stop overpronation. Importantly, overpronation can occur when the foot rolls inward. Orthotics may be used to correct this. If you are someone that is struggling with bunions, it is suggested that you contact a podiatrist today for treatment. 

If you are suffering from bunions, contact Mack Jay Groves IV, DPM of Practice. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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

Read more about Bunions

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