November 2023

Juvenile rheumatoid arthritis, or JRA, can significantly impact a child's feet, leading to symptoms like swollen, stiff, painful joints, and warmth in the affected area. These symptoms can cause difficulty in walking, often observed as limping, particularly in the morning when stiffness is at its worst. The condition varies in how it presents itself. Symptoms can be intermittent, ranging from mild to intense, and they may persist for years. In JRA, several types affect the feet differently. Pauciarticular JRA, the most common form, typically affects up to four joints, often including those in the ankles or toes. JRA affects five or more joints and often involves the small joints in the toes. Systemic JRA and spondyloarthritis, while less common, can also impact foot health, with systemic JRA potentially causing long-term joint damage. If your child suffers from JRA and has foot discomfort, it is strongly suggested that you make an appointment with a podiatrist for treatment that will help restore easier movement.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact William Urton, DPM of British Columbia. 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 Langley, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet, also known as fallen arches or pes planus, is a common condition where the arches of the feet are significantly reduced or nonexistent. This can be caused by various factors and is often associated with a range of symptoms. The most common cause of flat feet is genetics, where an individual inherits the condition from their family. In some cases, arches may not fully develop during childhood, leading to flat feet. Other causes can include injuries, muscle or tendon imbalances, and conditions such as arthritis, which can weaken the arch-supporting structures. Symptoms of flat feet can vary, with some people experiencing pain and discomfort, particularly in the arch area or heels. Others may not have any noticeable symptoms at all. The condition can lead to overpronation, causing the feet to roll inward when walking, which may result in problems like shin splints or knee pain. If you have flat feet, it is strongly suggested that you are under the care of a podiatrist who can offer you relief and treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact William Urton, DPM from British Columbia. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Toenail fungal infections, medically known as onychomycosis, can lead to brittle, crumbly, or ragged nails, and even separation of the nail from the nail bed. While completely curing toenail fungus can be challenging, there are effective treatments available to manage the condition. Toenail tissue is harder and thicker, which prevents antifungal creams from penetrating effectively. Even antifungal drugs taken in pill form have limited success, because toenails grow slowly and have low metabolic activity. Prescription topical products, in the form of clear lacquers, applied directly to the toenails may take up to a year to produce noticeable results, even if applied daily.  For more severe infections, oral medications taken daily in pill form for approximately three months may have a higher rate of success, potentially about 80 percent. However, they can cause side effects such as stomach upset, diarrhea, and, in rare cases, liver damage. Laser treatments, a relatively new approach to combating toenail fungus, penetrate the nail tissue to break down the fungus. Some studies have reported success rates ranging from 60 percent to 75 percent. For advice with toenail fungal infections, it is suggested that you make an appointment with a podiatrist.

For more information about treatment, contact William Urton, DPM of British Columbia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

People who often twist their ankles may need a type of surgery called ankle lateral ligament reconstruction. This surgery is recommended for patients who experience recurrent ankle sprains, despite repeated conservative treatment. The aim of this surgery is to prevent the development of ankle arthritis and to reduce the risk of developing ankle joint damage, as each episode of ankle sprain may lead to ankle joint injury. In this surgery, a small cut is made near the fibula bone. The stretched out ligaments are made shorter and attached back to the fibula using two tiny bone hooks. These hooks stay in place unless they bother the patient. Following surgery, a bulky dressing is applied and should remain in place for two weeks as this provides cushioning against the pressure of the brace on the wound. During this time, it is important that the dressing is kept dry. The ankle stirrup brace needs to be worn whenever walking but may be taken off when the patient is sitting or in bed. If you have sustained repetitive ankle sprains, it is suggested that you make an appointment with a podiatrist to speak to discuss whether surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact William Urton, DPM of British Columbia. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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