Children’s shoes should support natural growth while protecting developing feet. This calls for wearing soft, flexible footwear that allow freedom to move. For infants who are not yet walking, shoes are not needed for proper development. Barefoot movement allows the foot to strengthen and adapt naturally to surfaces. Pre-walkers benefit from minimal interference, as restrictive footwear may limit muscle activation and coordination. This early stage sets the foundation for balance, posture, and healthy walking patterns.

As children begin taking early steps, footwear needs begin to change. Flexible shoes are recommended during this transition stage to allow natural bending and movement. A proper shoe should feel light, with a soft sole that supports without restricting motion. Symptoms of improper footwear may include difficulty walking, irritation, or visible pressure marks on the skin. Shoes that are too rigid can alter natural gait patterns and create unnecessary strain. Choosing the right design helps maintain comfort and supports early mobility.

Independent walkers require shoes that offer a balance of flexibility and structure. At this stage, supportive soles and secure closures help stabilize the foot while allowing freedom of movement. Risk factors for developing foot issues include narrow shoes, stiff materials, and improper sizing. Pressure on the toes can lead to discomfort and affect walking confidence. Parents should regularly check shoe fit as children grow quickly. 

The causes of many pediatric foot concerns can be traced to poor footwear choices during key developmental stages. Shoes that restrict movement or apply uneven pressure can interfere with natural growth. Selecting stage-appropriate footwear encourages proper alignment and reduces the likelihood of discomfort. A thoughtful approach to shoe selection supports healthy development and active movement. If your child has foot pain, from possibly wearing the wrong type of shoes, it is strongly suggested that you consult a podiatrist who can offer effective relief tips, and guide you on the correct shoes to buy for your child. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Jason Bell, DPM of Advantage Foot and Ankle Center . 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 Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Orthotics are shoe inserts designed to improve foot function, reduce discomfort, and support healthy movement. They help position the feet more effectively when muscles, tendons, ligaments, joints, or bones are not working together as they should. Orthotics can relieve pain caused by conditions like plantar fasciitis, bunions, hammertoes, flat feet, and high arches. They also help reduce foot fatigue during daily activities. Orthotics come in several forms, including over-the-counter inserts and custom-made devices. Choosing the right option depends on the cause of the problem, the structure of the foot, and the level of support needed. A careful evaluation helps determine which type is most appropriate for each patient.

A podiatrist performs a detailed examination that includes foot structure, walking pattern, and activity level before recommending orthotics. This assessment helps identify abnormal movement patterns and pressure points that contribute to pain. Custom orthotics are tailored to a patient’s unique foot structure, while over-the-counter inserts offer a generic solution that may not adequately address individual needs. A podiatrist also recommends shoes that provide proper support because even the best orthotics perform better inside well-fitting footwear. Regular follow-up visits help monitor comfort and determine whether adjustments are needed as symptoms or activity levels change.

Orthotics are not a one-size-fits-all solution, and using the wrong type can limit their benefits. Some patients need custom orthotics because of more complex foot problems or medical conditions like diabetes and severe arthritis. A podiatrist can determine which type best matches each patient's needs and long-term goals. Early evaluation helps improve comfort, support healthy foot mechanics, and reduce unnecessary stress on the feet while walking and standing. If you have symptoms of foot pain or conditions that could benefit from custom orthotics, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

If you are having discomfort in your feet and would like to try orthotics, contact Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Foot surgery can restore comfort and improve movement when other treatments no longer provide enough relief. Many foot problems respond well to conservative care, but some conditions continue to cause pain or limit daily activities. One example is hammertoe, which develops when a toe bends abnormally at the middle joint. As the deformity becomes more severe, the toe can become stiff, painful, and difficult to straighten. Pressure from shoes can also lead to corns, calluses, and irritation. A podiatrist carefully evaluates the affected foot to determine whether surgery is the best option based on the condition and its impact on daily life.

Before recommending surgery, a podiatrist performs a thorough examination and reviews symptoms, foot structure, and joint movement. Imaging tests, like X-rays, help show the position of the bones and the severity of the deformity. Surgery includes different techniques depending on the problem being treated. A podiatrist might straighten the toe by releasing tight tendons, removing a small section of bone, or stabilizing the joint. The goal is to reduce pain, improve alignment, and restore function while making it easier to wear shoes comfortably. Each treatment plan is designed to match the patient's condition and activity level.

Recovery after foot surgery depends on the type of procedure and the condition being corrected. A podiatrist provides detailed instructions, monitors healing, and evaluates progress with follow-up visits. Careful monitoring helps reduce the chance of complications and supports a successful outcome. Early evaluation also allows a podiatrist to determine whether surgery is necessary before the condition becomes more limiting. Prompt treatment can improve comfort, increase mobility, and help patients return to daily activities with greater confidence. If you have a hammertoe that requires surgery, it is suggested that you schedule an appointment with a podiatrist  to discuss the benefits of foot surgery with you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Jason Bell, DPM of Advantage Foot and Ankle Center . 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 Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Extensor tendonitis causes pain on the top of the foot due to inflammation of the tendons responsible for lifting the toes. These tendons play a vital role in maintaining balance and proper stride during running. When they become overworked or irritated, discomfort can develop. This condition is often seen in runners who place repeated stress on their feet. Learning the definition and causes of extensor tendonitis can help prevent injury and support long term activity.

Common symptoms include aching or sharp pain along the top of the foot, especially during or after running. The affected area may feel sore to the touch and may show mild swelling. Some individuals experience increased discomfort while wearing tight shoes, or when bending the foot upward. Symptoms may worsen with continued activity and improve with rest. Recognizing these warning signs early can help reduce the risk of further damage.

Risk factors for extensor tendonitis include overtraining, sudden increases in activity, and wearing improper footwear. Shoes that are too tight across the top of the foot can create pressure and irritation. Running on hard or uneven surfaces may also contribute to strain. Poor flexibility and lack of proper warm up can increase susceptibility. These factors place stress on the tendons and can lead to inflammation over time.

Managing this condition involves addressing the underlying causes and allowing the tendons to recover. Wearing properly fitted shoes and adjusting lacing can reduce pressure. Rest and gradual return to activity can support healing. Stretching exercises can improve flexibility and reduce tension in the tendons. Seeking podiatric care ensures accurate diagnosis and effective treatment. If you have pain on the top of your foot while running, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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