Sesamoiditis can make every step uncomfortable because it affects two small bones beneath the base of the big toe. These bones, called sesamoids, sit inside a tendon and help the foot absorb pressure while walking, running, and pushing off the ground. When the sesamoids become irritated or inflamed, pain develops under the ball of the foot near the big toe. The discomfort usually becomes worse while walking, especially when wearing thin-soled shoes or high heels. Mild swelling, warmth, or redness can also appear in the area. Sesamoiditis affects runners, dancers, and people with high arches. It also affects many people with bunions because changes in foot structure place extra pressure on the sesamoid bones.

A podiatrist begins by asking about symptoms and examining the foot. Gentle pressure on each sesamoid bone helps identify the exact source of pain. When swelling surrounds the big toe joint, additional testing helps rule out gout or an infection. If a fracture or changes in the position of the sesamoid bones are suspected, X-rays are commonly ordered. An MRI scan, which creates detailed images of bones and soft tissues, provides more information when X-rays do not give a clear answer. An accurate diagnosis allows the podiatrist to recommend the most effective treatment.

Treatment focuses on reducing pressure on the sesamoid bones and allowing the irritated area to recover. A podiatrist can recommend shoes with thick soles, custom orthotics, or offloading pads that shift pressure away from the painful area. When a fracture is present without the bones moving out of place, the foot can be protected with a rigid medical shoe while healing occurs. Surgery is considered only when other treatments do not relieve symptoms. Early care helps prevent ongoing pain and allows many patients to return to comfortable movement. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Gerald Erskine, DPM of Seneca Family Footcare. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Morton's neuroma develops when scar tissue and nerve endings thicken around a nerve, usually between the third and fourth toes. This painful condition affects the front of the foot and can make every step uncomfortable, especially while walking or wearing tight shoes. Burning pain in the ball of the foot is one of the most common signs. Tingling and numbness in the toes also occur. Many patients describe the feeling as if they are standing on a small pebble or a folded sock inside the shoe. Symptoms usually become worse when wearing tight shoes or shoes that lack proper support. The discomfort can gradually make walking, exercising, and even standing for long periods of time more difficult.

Several factors increase the risk of developing Morton's neuroma. Repeated pressure on the front of the foot is one of the leading causes. Shoes with a narrow toe box can squeeze the nerves between the toes. High-heeled shoes also increase pressure on the ball of the foot. Foot problems like bunions or flat feet can change the way weight is distributed across the foot. Sports or activities that involve repeated pushing off the toes can also contribute to irritation. 

A podiatrist can perform a careful examination of the foot and review your symptoms. Imaging tests may be ordered to help confirm the diagnosis or rule out other foot conditions. The podiatrist then creates a treatment plan based on the cause and severity of your symptoms. Professional care includes custom orthotics to reduce pressure on the affected nerve. Padding and shoe recommendations can improve comfort while walking. In some cases, injections help reduce inflammation surrounding the irritated nerve. When symptoms continue despite other treatments, surgery can remove the painful nerve or relieve pressure around it. If you have symptoms of Morton's neuroma, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Gerald Erskine, DPM of Seneca Family Footcare. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Flat feet in children, often referred to as pediatric flatfoot, is a condition in which the arch of the foot does not fully develop. This causes the entire sole to come into contact with the ground. This is common in infants and younger children, as the arch typically forms gradually as muscles strengthen and bones mature. In many cases, flat feet resolve naturally with growth. However, when the condition persists or begins to cause symptoms, it may affect posture, balance, and overall movement patterns. A clear understanding of flat feet can help parents determine when observation is appropriate and when professional evaluation is needed. The symptoms of flat feet in children can range from mild to more noticeable concerns. Some children remain symptom free, while others may report aching in the feet, heel discomfort, or fatigue after activity. Parents may observe that the ankles roll inward, a pattern known as overpronation, or that shoes wear unevenly over time. Children may also avoid physical activities that involve running or prolonged standing due to discomfort. These signs can indicate that the structure of the foot is influencing stability and alignment.

There are several causes and risk factors associated with pediatric flatfoot. Genetics is one of the most common influences, as children may inherit flexible foot structures or low arches from family members. Additional contributors include ligament laxity, muscle weakness, or differences in bone development. Excess body weight can increase stress on the feet and contribute to arch flattening. In some cases, flat feet may be linked to underlying neurological or developmental conditions that affect coordination and muscle control.

While flat feet are often a normal part of early development, ongoing symptoms should not be overlooked. Early recognition and evaluation can support proper alignment and help prevent long-term strain on the feet and lower extremities. If your child is experiencing discomfort or difficulty with movement, it is suggested you consult a podiatrist for an accurate diagnosis and guidance on appropriate care and management.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Gerald Erskine, DPM from Seneca Family Footcare. 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 Ronceverte, WV . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain is a common problem that can affect people of all ages and activity levels. The ankle is a complex joint that supports body weight and helps with movement, making it vulnerable to injury and wear-and-tear. Ankle pain may develop suddenly after a sprain or twist, or it can appear gradually over time. Common causes include ligament injuries, tendon problems, arthritis, and overuse-related conditions. Symptoms can vary but often include pain, swelling, stiffness, or difficulty walking. Some people may also notice instability in the ankle, making it harder to move with confidence. Because ankle pain can have many causes, a professional evaluation is important for determining the source of the problem.

In some cases, ankle pain may interfere with work, exercise, sports, and daily activities. Persistent ankle pain should not be ignored, especially if symptoms continue to worsen or limit mobility. Conditions affecting the ankle can sometimes lead to changes in walking patterns, which may place added stress on the feet, knees, and other joints. Early diagnosis can help identify whether the pain is related to a sports injury, joint condition, tendon issue, or another underlying problem. Understanding the cause of ankle pain is often the first step toward effective treatment and improved function.

A podiatrist is a foot and ankle specialist trained to diagnose and treat ankle pain and related conditions. During an evaluation, a podiatrist can assess the ankle joint, review symptoms, and recommend appropriate treatment options based on the underlying cause. Treatment plans are designed to reduce pain, improve mobility, and help prevent future complications. Seeking timely podiatry care may improve outcomes and support a faster return to normal activities. If you are experiencing ankle pain, swelling, stiffness, instability, or difficulty walking, it is suggested that you consult a podiatrist for a comprehensive evaluation and appropriate treatment options.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Gerald Erskine, DPM from Seneca Family Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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