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A child's gait, or walking pattern, changes as the body grows and develops. Learning to walk is only the beginning because balance, coordination, and muscle control continue to improve throughout childhood. As the feet, legs, and hips mature, children develop longer steps, better stability, and smoother movement. Every child reaches these milestones at a different pace, but healthy foot development plays an important role in normal gait. Some children walk with their toes turned inward or outward, while others walk on their toes or appear flat-footed. Many of these changes improve as children grow. Persistent pain, frequent tripping, uneven shoe wear, or difficulty keeping up with other children can indicate a problem that should be evaluated by a podiatrist.

A podiatrist carefully examines a child's gait to determine whether the feet and legs are developing properly. The evaluation includes checking foot structure, joint movement, and flexibility. The podiatrist also observes how the child walks, runs, and changes direction because each movement provides important information about balance and foot function. Watching a child move can reveal differences in stride length, foot position, or weight distribution that are not noticeable during a seated examination. Early diagnosis allows abnormal movement patterns to be identified before they place unnecessary stress on the feet, knees, or hips. Regular evaluations also help monitor changes as the child continues to grow.

Treatment is based on the child's symptoms, age, and stage of development. A podiatrist can recommend shoes that fit properly and provide good support for growing feet. Care also includes custom orthotics when they improve foot alignment and encourage a healthier walking pattern. Guided exercises can strengthen muscles, improve balance, and support normal gait development. Routine follow-up visits allow the podiatrist to monitor progress as the child's walking pattern continues to mature. If your child has symptoms of foot pain or concerns about gait development, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our offices located in Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus is an infection that changes the appearance and strength of the nail. It usually begins at the edge of the nail and slowly spreads deeper. The affected nail can become yellow, white, or brown. It may also become thicker, brittle, or crumbly, making it harder to trim. In some cases, the nail can lift away from the skin underneath. Although the infection is not always painful at first, discomfort can develop as the nail thickens. Toenail fungus usually affects the big toe, but it can spread to other toenails. Because the infection rarely clears on its own, early evaluation by a podiatrist helps prevent it from becoming more difficult to treat.

Warm, damp environments allow fungus to grow more easily. People are at greater risk if they have athlete’s foot, damaged nails, or certain long-term health conditions like diabetes. Spending long periods of time in shoes that keep the feet hot and sweaty can also increase the chance of infection. A podiatrist examines the nail and may take a small sample to confirm that fungus is causing the problem before recommending treatment. This step helps identify the infection correctly because other nail conditions can look similar. An accurate diagnosis also helps guide the most effective treatment plan.

A podiatrist creates a treatment plan based on the severity of the infection and the condition of the nail. Treatment includes prescription antifungal medicine, medicated nail lacquer, and professional nail care. Regular follow-up visits allow the podiatrist to monitor healthy nail growth and adjust treatment when necessary. Early treatment helps reduce the chance of the infection spreading to other nails and improves the opportunity for a healthier-looking nail to grow back. If you have symptoms of toenail fungus, it is suggested that you schedule an appointment with a podiatrist for effective treatment solutions, which may include prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our offices located in Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete's foot is a fungal skin infection that usually begins between the toes. A fungus is a tiny living organism that grows best in warm, damp environments. The infection can spread to other parts of the foot, and, in some cases, to the toenails. Symptoms include itching, burning, and peeling skin. Some people also develop redness, cracking, or small blisters. The skin can become sore and uncomfortable while walking, especially when the infection worsens. Because several skin conditions have similar symptoms, an accurate diagnosis is important. A podiatrist carefully examines the affected skin and determines whether another condition is causing the problem. In some cases, a small skin sample is examined to confirm the diagnosis and guide treatment.

Athlete's foot spreads through direct contact with the fungus or by touching contaminated surfaces. Places like locker rooms, public showers, and swimming pool areas can increase the chance of exposure. The infection is also more likely to develop when feet remain warm and moist for long periods. Wearing shoes that lack proper support can increase pressure on irritated skin, making walking more uncomfortable, although these shoes do not cause the infection itself. Without proper treatment, athlete's foot can spread to other areas of the foot or lead to bacterial infections. A bacterial infection develops when harmful bacteria enter cracked skin, causing increased redness, swelling, and pain.

A podiatrist provides treatment based on the severity and location of the infection. Care includes confirming the diagnosis, prescribing medications to eliminate the fungus, and monitoring the skin as it heals. If the infection has spread to the toenails or becomes persistent, additional treatment helps prevent further damage. Prompt care also lowers the risk of complications and reduces the chance of the infection returning. Professional podiatric treatment helps restore healthy skin and allows people to return to normal daily activities with greater comfort and confidence. If you have symptoms of athlete's foot, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment tips, which may include prescribed medication.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

If you have any questions, please feel free to contact our offices located in Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Neuropathy is a medical condition that affects the peripheral nerves, most commonly in the feet and legs. It occurs when nerves become damaged and are unable to properly transmit signals between the brain and the body. This can lead to altered sensation, pain, or complete loss of feeling in the affected areas. Neuropathy is a significant concern in podiatry because it increases the risk of foot injuries going unnoticed, which can lead to more serious complications, such as neuropathic ulcers. These are open sores that develop due to repeated pressure or unnoticed trauma in areas with reduced sensation.

Symptoms of neuropathy in the feet often begin gradually and may include tingling, burning sensations, numbness, or sharp shooting pain. Some individuals experience a feeling of walking on pins and needles, while others may notice a complete loss of feeling in parts of the foot. Neuropathic ulcers develop when minor injuries, blisters, or pressure points go unnoticed due to reduced sensation. These ulcers commonly appear on weight-bearing areas, such as the ball of the foot or heel. Because pain signals are diminished, the condition may progress without immediate awareness, increasing the risk of infection.

Risk factors for neuropathy include diabetes, chronic alcohol use, vitamin deficiencies, certain infections, and long-term exposure to toxins. Diabetes is one of the leading causes, as elevated blood sugar levels can damage nerves. Individuals with poor circulation or a history of foot deformities are also at higher risk of developing neuropathic ulcers. Repetitive pressure, ill-fitting footwear, and prolonged standing can worsen the condition and contribute to skin breakdown. Without proper care, neuropathic ulcers can become infected and may lead to more serious complications.

The causes of neuropathy involve damage to the peripheral nerves, which may result from metabolic, infectious, or mechanical factors. When nerve function is impaired, the protective sensation in the feet is reduced, making it difficult to detect injuries. Neuropathic ulcers form when continuous pressure or friction is applied to an area without the natural pain response that would normally trigger protective action. This leads to skin breakdown and open wounds that require specialized care. If you have neuropathy or have developed an ulcer, it is strongly suggested that you consult a podiatrist who can accurately diagnose and treat neuropathy foot ulcers.

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 Dr. Kirk Sherris from Liberty Bay Foot & Ankle. 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 offices located in Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.