The Downstream Effects of Congenital Foot Conditions

Congenital or genetic foot conditions can act as a catalyst for the development of other foot problems later in life. This can increase the risk of developing secondary foot conditions, even if those conditions are typically associated with lifestyle or environmental factors. In this article, we at  PodiatryCare, PC, and the Heel Pain Center will discuss these consequences at length.

Congenital Foot Deformities Present at Birth

These conditions often arise due to genetic factors or disruptions during fetal development. Some common congenital foot deformities include clubfoot (when the foot is twisted inward and downward), metatarsus adductus (when the front part of the foot turns inward), polydactyly (when there are extra toes present), and vertical talus (when the ankle bone is abnormally positioned).

These conditions typically require early intervention to correct the deformity, improve function, and prevent long-term complications. Treatment may involve casting, bracing, or surgery, depending on the severity of the condition.

If you don’t intervene, here are some ways these congenital or genetic foot conditions can contribute to secondary problems.

Foot Problems Caused by Congenital Deformities

  • Altered Foot Mechanics: Conditions like flat feet or high arches can change the way the foot distributes weight and absorbs shock. This can lead to excessive pressure on certain areas of the foot and cause plantar fasciitis, heel spurs, metatarsalgia, and even stress fractures.  

  • Muscle Imbalances: Congenital foot deformities can cause muscle imbalances in the feet and legs, as some muscles may become overused while others weaken. These imbalances can further alter foot mechanics, create gait abnormalities, and increase the risk of injuries and pain.  

  • Joint Instability: Conditions like clubfoot or tarsal coalition can cause joint instability in the foot and ankle. This makes the joints more prone to sprains, dislocations, and even early-onset arthritis.

  • Limited Footwear Choices: People with congenital foot deformities may have difficulty finding shoes that fit properly and accommodate their condition. This can lead to pressure points, blisters, and further complications.  

Examples of Secondary Foot Problems

  • A child born with flat feet may be more likely to develop plantar fasciitis or heel spurs as an adult, especially if they engage in high-impact activities or wear unsupportive footwear.

  • Someone with a congenital high arch may be more prone to ankle sprains or stress fractures due to the increased rigidity and decreased shock absorption of their foot.  

  • A person with a tarsal coalition may develop arthritis in the affected joint earlier in life due to abnormal joint mechanics and increased wear and tear.  

It’s not easy to pinpoint to what extent early childhood foot problems contribute to bunion formation and other complications decades down the line. This is why we strongly advise parents to see a podiatrist who can assess the risks and benefits of early intervention.

At PodiatryCare, PC, and the Heel Pain Center, we treat a wide variety of foot and ankle ailments. Dr. Matthew Tschudy, Dr. Rebecca Wiesner, Dr. Kristen Winters, Dr. Laura Vander Poel, and the rest of our team are ready to serve our Hartford County patients. To schedule an appointment at our Enfield location, call (860) 741-3041; for an appointment at our South Windsor location, call (860) 644-6525.