Flexible flatfoot is a common condition in school age children where the arch of the foot appears when sitting but flattens when standing or walking. This occurs because the ligaments and soft tissues in the foot are still developing and may not yet provide full structural support. While many children do not experience pain, some develop symptoms that affect daily movement and physical activity. Understanding flexible flatfoot helps parents recognize when additional support, such as insoles, may be beneficial for improving comfort and alignment.

Symptoms of flexible flatfoot in children can include foot fatigue, arch discomfort, heel pain, and uneven walking patterns. Some children may complain of tired legs after school or physical activity, while others may show signs of poor balance or inward rolling of the feet. These symptoms can become more noticeable during growth periods or increased activity levels. Identifying these signs early allows for supportive care that can reduce strain on the feet and lower limbs.

The causes of flexible flatfoot often relate to ligament laxity, muscle weakness, and natural development of the foot structure. Risk factors include family history, obesity, and prolonged standing or walking during the day. Without proper support, the foot may remain in a flattened position, leading to increased stress on joints and soft tissue. Insoles are designed to provide arch support, improve alignment, and distribute pressure more evenly across the foot. This can reduce discomfort, enhance stability, and support healthy foot development during important growth stages.

Using properly fitted insoles can help children maintain better posture and reduce strain during daily activities, such as walking, running, and standing at school. Wearing supportive footwear combined with insoles promotes comfort and encourages active movement without pain. Early intervention can prevent long-term complications and support overall foot health. If your child has flat feet, it is suggested that you consult a podiatrist who can discuss the benefits of orthotics with you.

Custom orthotics are specialized shoe inserts created to support and align the feet according to each person’s unique structure and walking pattern. They are an effective way to relieve foot discomfort caused by conditions such as flat feet, high arches, plantar fasciitis, bunions, and heel pain. When the natural alignment of the foot is off balance, it can lead to pressure points, strain, and pain that affect how a person stands, walks, and moves. Orthotics work by redistributing weight evenly and supporting the arch to reduce stress on the muscles, tendons, and joints of the feet and lower legs.

Foot discomfort can develop for many reasons, including wearing improper footwear, long hours of standing, repetitive motion, or underlying structural problems. Over time, this discomfort can extend beyond the feet, contributing to knee, hip, or lower back pain. Custom orthotics help correct these issues by improving alignment and promoting more efficient movement. They are made using precise measurements and imaging to ensure the best fit for each patient, providing targeted support and cushioning where it is needed most.

Unlike generic insoles, custom orthotics are durable, medically designed, and tailored to your specific needs. Whether you are managing chronic pain, recovering from an injury, or simply seeking better comfort and stability, orthotics can make a noticeable difference in how your feet feel throughout the day.

If you are experiencing persistent foot discomfort or fatigue, it may be time to have your feet evaluated by a podiatrist. Call our office today for more information or to schedule an appointment.

If you have any questions, please feel free to contact our office located in Hot Springs, AR . 

Stress fractures are tiny cracks in a bone that develop from repeated force instead of a single injury. They frequently affect the bones of the foot because these bones absorb pressure with every step. Running, jumping, or suddenly increasing activity can place more stress on the bones than they can safely handle. Wearing shoes that lack proper support can also contribute to the problem. Symptoms include pain that gradually becomes worse during activity, tenderness over one area of the foot, and swelling. The pain usually improves with rest at first but can become more constant as the injury progresses. Early evaluation is important because untreated stress fractures can become more serious injuries. Healing can take several weeks, depending on the location and severity of the fracture.

A podiatrist evaluates the foot, walking pattern, and areas of tenderness to determine whether a stress fracture is likely. Imaging tests can help confirm the diagnosis when necessary. Treatment includes protecting the injured foot, reducing pressure on the affected bone, and recommending shoes that provide proper support. A podiatrist also identifies factors that contributed to the injury, including abnormal foot mechanics or uneven pressure. Regular follow-up visits help monitor healing and guide a safe return to normal activities. Care is tailored to the location of the fracture and the patient's daily activity level.

Ignoring a stress fracture can increase the risk of a complete fracture and delay recovery. Some stress fractures heal on their own, while others require closer monitoring because of their location or severity. Early podiatry care helps protect the injured bone, improve foot function, and reduce unnecessary stress on surrounding tissues. Prompt diagnosis also supports better healing and lowers the chance of long-term complications affecting mobility. If you have symptoms of stress fractures, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our office located in Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ballet dancing places unique demands on the feet, requiring controlled movements, pointed positions, and repeated impact. Foot injuries in ballet often occur because dancers put significant pressure on their toes, arches, and ankles during training and performances. The definition of ballet-related foot injuries includes any damage or irritation affecting the bones, joints, or soft tissues of the foot caused by dance activity. Individual foot structure can influence how a dancer responds to these demands.

Common symptoms include soreness, swelling, and pain during or after practice. Dancers may experience problems such as ingrown toenails, tendon inflammation, and stress injuries. The way the toes are positioned during ballet can place pressure on the nails, causing them to grow into the surrounding skin. Toe length also affects how weight is distributed when shaping the foot and performing movements. Some dancers may experience discomfort because their foot shape does not match the demands of specific techniques or footwear.

Risk factors include repetitive training, inadequate rest, and improper shoe fit. The natural structure of the foot, including toe length and heel shape, can influence injury development. A heel that does not fit securely may allow the foot to slide inside the shoe, increasing friction and pressure. Dancers with certain foot shapes may need specialized support to maintain proper alignment. Weak foot muscles, limited flexibility, and sudden increases in training intensity can also contribute to injuries.

Protecting ballet feet involves choosing properly fitted shoes, strengthening the muscles of the feet, and addressing pain early. Dancers should avoid ignoring symptoms, as minor problems can become more serious over time. A podiatrist can evaluate foot structure, identify injury risks, and recommend appropriate treatment options. If you have developed foot injuries from ballet, it is suggested that you seek care from a podiatrist for an accurate diagnosis and appropriate treatment.

If you have any concerns about your feet, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Diabetic foot neuropathy is a nerve related condition that develops as a result of prolonged high blood glucose levels. It occurs when elevated sugar levels damage the nerves, particularly in the feet, leading to reduced sensation and impaired function. This condition is a common complication of diabetes and can affect balance, mobility, and overall foot health. Because the nerves are responsible for transmitting signals, any disruption can prevent the body from recognizing pain or injury, increasing the risk of serious complications.

Symptoms of diabetic foot neuropathy often begin gradually and may include tingling, burning sensations, numbness, and a feeling of pins and needles in the feet. Some individuals experience sharp or shooting pain, while others notice a loss of sensitivity to temperature or touch. This reduced sensation can make it difficult to detect cuts, blisters, or pressure points. As the condition progresses, muscle weakness and changes in foot shape may occur, further increasing the risk of injury and infection.

The primary cause of diabetic neuropathy is uncontrolled high blood glucose, which damages the small blood vessels that supply the nerves. Risk factors include long term diabetes, poor blood sugar management, smoking, and reduced circulation. Individuals with a history of foot problems or those who are overweight may also face a higher risk. These factors contribute to nerve damage over time, making early detection and consistent care essential for preventing complications.

Managing diabetic foot neuropathy involves controlling blood glucose levels and protecting the feet from injury. Regular foot examinations, wearing proper footwear, and daily hygiene play a key role in prevention. Medical treatment may include medications to manage nerve pain and improve function. Early intervention can reduce the risk of ulcers and infections. If you have symptoms of neuropathy from diabetes, it is suggested that you are under the care of a podiatrist who can offer relief and management tips.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Joseph M. LaCava, DPM from Arkansas. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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