Symptoms Of Heel Pain and Heel Spur Treatment Options

Metatarsal pain, often referred to as metatarsalgia, can be caused by several foot conditions, including Freiberg’s disease, Morton’s neuroma and sesamoiditis. According to a 2003 article in the British Journal of Sports Back Pain Medicine,” a flat or high arch is one of many risk factors for lower extremity injuries including foot injuries. Poor circulation occurs when there is not enough blood supplied to an area to meet the needs of the cells.

TOE CONDITIONS: Ingrown toenails, blood accumulation under the nail plate (subungual hematoma), corns and calluses are all often seen as a result of playing baseball. It is important that good foot hygiene be practiced with washing between the toes and drying the feet well after bathing. Topical antifungals work well to treat athletes foot. ORTHOPEDIC INJURIES: Most orthopedic baseball foot and ankle injuries are acute or sudden. If an individuals foot or ankle is injured, seek immediate evaluation with one of our doctors. If your athlete has a baseball related injury, call our specialists at Advanced Foot and Ankle Center in McKinney and Prosper Texas at 972-542-2155. However, toe numbness and pain occurring together is one such problem that you cannot afford to ignore. Common symptoms are flat feet knee problems , burning sensation, numbness.

Those affected by inflammatory conditions such as rheumatoid arthritis and Achilles tendonitis are also likely to experience pain and swelling in the ankles. If the joints in the feet get affected by osteoarthritis, it gives rise to pain, stiffness, swelling in or around the joint, and restricted range of motion. Since pain in the feet could be caused due to a variety of reasons, the treatment will depend on the underlying cause. Many a time, pain could be experienced by people who perform high-impact exercises such as running, jogging and other sports. Those who have been experiencing pain while running must make sure that they wear a good quality footwear. Painkillers or steroids might be prescribed for the treatment of a sprained ankle.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Rheumatoid arthritis causes forefoot deformity and often may cause displacement and even dislocation of the metatarsal joints themselves. Morton’s Neuroma can also be a source of metarsalgia and is characterized by pain in the forefoot. Sesamoiditis is located on the plantar surface of the foot and will be located near the first metatarsal phalangeal joint.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Junctional Epidermolysis Bullosa: A condition that causes blistering of the skin because of a mutation of a gene which in normal conditions helps in the formation of thread-like fibers that are anchoring filaments, which fix the epidermis to the basement membrane. Kanner Syndrome: Also referred to as Autism, this is one of the neuropsychiatric conditions typified by deficiencies in communication and social interaction, and abnormally repetitive behavior. Kaposi’s Sarcoma: A kind of malignancy of the skin that usually afflicts the elderly, or those who have problems in their immune system, like AIDS. For example, a year of perfect health is regarded as equivalent to 1.0 QALY.

Learn About Feet

Elderly individuals (can be called geriatric) are susceptible to a number of foot specific conditions Some of these conditions can leave individuals disabled if they are not prevented and/or taken care of. Some of these common foot related conditions include: arthritis, ingrown toenails, fungal nails, diabetic ulcers, and corns/calluses. It is an interesting fact that if you were to go barefoot every day of your life, you would not suffer with feet corns.

They also increase the chances for a long-term relief from Heel Pain. Although most foot problems are not life threatening, their presence can spoil many of life’s enjoyable activities. Many foot problems can be corrected by modifying shoes, by medication, or through a simple procedure to relieve pain and suffering. Bunions are swellings or enlargements that develop at the joint of the big toe where it meets the foot. Women develop bunions about 10 times as often as men, and the prevalence of bunions increases with age. Left untreated, bunions may lead to bursitis (inflammation of the sac that cushions the joint), pressure and foot pain. Changing the type of shoe to accommodate the bunion will usually reduce pain. Pain occurs on the top of the middle joint of the toe.

Nationality can also influence foot structure: Many Mediterranean people, for instance, have particularly low arches, while many Northern Europeans tend to have high ones. One of your best precautions against foot pain is to be aware of both the hereditary factors (which you can’t change) and the lifestyle and life-stage factors (which you can change or, at least, influence) that determine whether your feet are healthy or hurting. This article offers easy and helpful suggestions for treating many of the more common foot conditions people experience. However, there are certain foot problems that are so serious, you should seek a doctor’s care immediately. Likewise, certain people should never attempt to self-treat a foot problem.

The olive oil acts as a soothing agent and smoothens the skin. You could also add one cup of honey to a gallon of water and soak your feet in it. The honey moisturizes the skin and acts as a natural antiseptic, thereby healing the cracked soles. After allowing the skin to soak for 15 – 20 minutes gently scrub off the dried skin by using a pumice stone.

When a patient suffers a foot or lower leg injury they should see a podiatrist as soon as possible to receive the appropriate advice and treatment. The podiatrist will need to understand the cause of the injury, any previous injuries and the level of activity prior to the injury occurring. A comprehensive biomechanical assessment of the patient walking or running will then be carried out to outline any issues with foot/knee or hip alignment that may be causing or contributing to the condition. Podiatrists care for any skin and nail problem involving the feet. The skin may turn red, and start peeling.

Footwear can be modified with stretching over the protruded area to further reduce pressure and in extreme cases footwear can be modified with a balloon patch. In this case, the Pedorthist would cut a hole in the upper of the shoe at the bunion area and place a patch over the hole to create more space for the bunion. Orthotics in this case can help to bring the foot into a more neutral position therefore reducing pressure on the joint and resulting pain. It should be noted that orthotics should always be put into proper fitting footwear to achieve the best results. Proper footwear is the first step in the treatment of a neuroma.

The best way to prevent risks on the worksite is to dress properly for the type of weather you’ll be working in. Work Wear Headquarters ( ) provides top of the line attire for such conditions. The Big Bill Work Wear line provides the outdoor clothes necessary for safe outdoor working conditions.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Learn About Feet

Elderly individuals (can be called geriatric) are susceptible to a number of foot specific conditions Some of these conditions can leave individuals disabled if they are not prevented and/or taken care of. Some of these common foot related conditions include: arthritis, ingrown toenails, fungal nails, diabetic ulcers, and corns/calluses. It is an interesting fact that if you were to go barefoot every day of your life, you would not suffer with feet corns.

Ingrown nails cause pressure and pain along the nail edges. The most common cause of ingrown toenails is pressure from shoes. Other causes of ingrown toenails include improperly trimmed nails, crowding of the toes, and repeated trauma to the feet from activities such as running, walking, or doing aerobics. Severe problems with ingrown nails may be corrected with surgery to remove part of the toenail and growth plate. Plantar warts — Plantar warts look like calluses on the ball of the foot or on the heel. Plantar warts are caused by a virus that infects the outer layer of skin on the soles of the feet. If you are not sure if you have a plantar wart or a callus, let your health care provider decide. Wash your feet in warm water every day, using a mild soap. Dry your feet well, especially between the toes. If you have poor blood flow, it is especially important to do a daily foot check.

There are four major stages with which pain will begin in our body. The first is the actual stimulus, which starts the pain information pathway to the brain. Before the electrical information finally enters the brain, the body has a third step in the pain route, called modulation. Once the brain accepts the electrical signal and final process begins, which is the awareness of pain in the body. The two main goals that a podiatrist wants to achieve in treating pain are to eliminate the source of the problem and also to treat the symptoms caused by the problem. In order to do so, the podiatrist will need to investigate the cause of the pain by first asking the patient a series of questions regarding the problem. There are different types of pain in the body. If the pain is tingling or burning, the problem is most probably associated with the nerve.

Most cases of foot pain can be treated without surgery, whether it’s metatarsal foot pain, ball-of-foot pain, foot arch pain or some other type. At the start to notice soreness or discomforts around the foot area, it is imperative to take rest, put on or apply cold or ice compress, and or elevate the affected foot. Generally, foot pains vary from mild to severe. However, prevention is above all better than to deal with any pain though. Never take for granted to any pain; focus on getting foot pain reliever at the soonest is vital. In case the pain is unbearable which it hampers the usual life activities, it is imperative to look for urgent medical or therapist to help and also consider the ordinary methods to lessen foot pain. Stretching exercises also facilitate to soothe the muscles on the feet and help out in the contraction of the muscles. Not all skin disorders respond to treatment.

A lot of professionals believe that common physical activity may be the answer to gout. You’ll want to have an expert to look at the concerns with your feet. The feet might be experiencing pain for a lot of numerous reasons. The deep tissue massage is ideal for people experiencing chronic muscle pain on their upper and lower back, legs, and shoulders. A deep tissue massage frees our muscles of toxin build-up that is usually the main cause of pain and muscle immobility. Some massage therapists call it pressure therapy” since it involves applying pressure to specific points on the foot. A foot massage is a very relaxing way of addressing problems with your body’s internal organs. A trained massage therapist can also put pressure on different meridians or energy lines on the sole and side of the feet to determine the cause of illness. A sports massage is ideal of active individuals that are engaged in sports or intensive work-outs. However, they may be contagious for weeks after symptoms go away.

Footwear can be modified with stretching over the protruded area to further reduce pressure and in extreme cases footwear can be modified with a balloon patch. In this case, the Pedorthist would cut a hole in the upper of the shoe at the bunion area and place a patch over the hole to create more space for the bunion. Orthotics in this case can help to bring the foot into a more neutral position therefore reducing pressure on the joint and resulting pain. It should be noted that orthotics should always be put into proper fitting footwear to achieve the best results. Proper footwear is the first step in the treatment of a neuroma.

Avoid sharing personal items like towels, footwear and clothes with other people. Podiatry is a branch of medicine that is focused on the study, diagnosis and ultimately, the treatment of disorders that occur on the foot, ankle or lower leg. Podiatrists are able to easily identify, diagnose and treat a foot related problem that a person is suffering from. You can also prevent foot problems by some exercising and stretching.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

How To Prevent Hammer Toe

4.Continue to bounce the ball until you find one spot that seems to sound the best and you get a better bounce off the face of the club and the club face doesn’t wiggle as much, (torque) in your hand. On most golf clubs, the center of gravity will not be the exact center of the club face. Don’t forget nutrition. Eating fresh foods, good lean proteins, and getting enough of the right vitamins that convert proteins to muscle in your body is important. The Vitamins B12, B6, and Folic Acid are needed for this. Add Vitamin D3, and plenty of dark green vegetables and salads count too.

If examined by a podiatrist before the tendons have stiffened, crooked toes can be repaired without surgery. It is important to address toe issues BEFORE they become painful so options without surgery can be applied. Once a toe has become stiff and the tendons are no longer pliable, even if it is not a painful condition, the toes cannot be repaired without surgery. If you are wearing a cast, do not put anything in the cast and keep the cast clean and dry. If you are itching beneath the cast, take Benadryl and blow cool air down the cast with a hair dryer.

The Red Cameron Cord comes standard but you can also choose from the Black Studio Design, Red Studio Design, Black Baby T, Red Baby T, and Red Winn AVS Midsize for your custom orders. If none of those suit your fancy, don’t forget the Custom Shop has many more to choose from as well as some new paintfills and headcovers to make your Studio Select stand out. The Odyssey White Ice 2-Ball putter offers an extended mallet head that features the revolutionary 2-Ball alignment system, a double-bend shaft and full-shaft offset. The new White Ice Insert is Odyssey’s best feeling, multi-layer insert to date.

Cleveland Golf is more famous for its lines of wedges and wood clubs, but they have an interesting line of putters as well which offer a nice variety of choices even though they only have about a dozen models in their latest offerings. I really like the Cleveland Golf Putter line. It has lots to offer, several areas of unique innovation, and quite a few choices for a line with only a dozen offerings. A fair number of pros on the PGA Tour are using these putters, so they must perform well as well.

Many shoes place a person’s feet in a bunion configuration, which means that they cause the big toe to deviate toward the foot’s midline. Over time, this deviation predisposes a person to bunion formation. Wearing shoes that are flat, flexible and widest at the ends of the toes, along with returning the toes to their natural anatomical position using a toe-spacing product, may help prevent and treat bunions. You Might Also Like Hammertoes Splints must hold the fingertip straight and be worn full-time for 4-6 weeks. The splint can be removed carefully for washing and skin care but you must keep your finger straight at all times.mallet toe splint

Hammertoes are a type of crooked toe that involve unnatural contracture, or bending, of your toes. In most cases, a hammertoe is characterized by a toe malposition in which the end of your affected toe points down and the first joint of your same toe—your proximal interphalangeal joint—points up. This crooked toe syndrome usually leads to rubbing within your shoe and pain. A hammertoe resembles an upside-down letter v when viewed from the side. This crooked toe syndrome most commonly affects your second to fifth toes, though it may also affect your big toe. This health problem is more commonly experienced by women than men.

Now, there are the traditional steel toe shoes and the composite toe work boots and both actually meet safety standards, although many buyers think that the latter is lightweight. On the other hand, some people don’t notice the difference in weight. The only way to find out how light or heavy shoes are is to wear them and try to walk in them. If you are unable to hit balls left of your target, begin using an earlier release of your hands in your downswing. Concentrate on bringing the toe of the club face around to the left prior to impact with the ball. You Might Also Like Step 4

Most children have moments of defiance when they test their independence, talk back, don’t do what they are told and just act up. Children with oppositional defiance disorder have extreme episodes of defiance when they will question authority, become argumentative and break rules with no regard to the consequences that may result. A neuroma is a growth within the nerve tissue that may or may not be cancerous. An abdominal neuroma, or neuroma in the abdominal wall, is a common ailment among women, especially those who are post-menopausal. This condition also occurs frequently in women who have undergone surgery in other parts of the body, such as breast reconstruction.

A thirty year chain-smoker, he muttered inaudible words and stumbled about with a cigarette dangling from his mouth. The long ash on the end of the cigarette appeared ready to fall off at any second which held people’s interest more than than the small talk about the Eagles’ victory over the hated Cowboys. His hacking cough announced his presence and the familiar tinny “clink” his large metal cigarette lighter made as he flicked it open followed by the loud resounding clank heard four seconds later when he snapped it shut pinpointed his whereabouts. He never quite caught up with the tasks Stan assigned and was constantly playing “catch up”.

The Titleist Scotty Cameron California Monterey putter uses all Scotty Cameron’s expertise to harness Titleist’s existing putter technology and provide every golfer with a putter that enhances their performance whatever their putting stroke. Precision milled from soft 303 stainless steel to provide enhanced feel and performance, the Scotty Cameron California Monterey features a honey dipped, rich bronze finish and offers the classic but contemporary design that has made Scotty Cameron such a popular choice on the professional golf circuits. The Titleist Scotty Cameron California Monterey putter is a blade putter with a double step flange and pocket and plumbing neck and features a stepless steel shaft.mallet toe splint

Footwear For People Living With Diabetes

Diabetes and foot problems occur together more frequently than you might imagine. It becomes much more difficult to heal properly when you are suffering not only from high blood sugar levels, but impaired blood circulation. Still, the inevitable development of foot complications as the result of your diabetes does not have to be your destiny. If you dedicate yourself to taking the extra care necessary, you can maintain healthy feet for the rest of your life. When you have diabetes you have three main problems, all working together and conspiring against you, that can lead to a diabetic foot amputation. It involves your nerves, blood flow and immune system.

Autonomic Neuropathy This type of neuropathy involves nerves that work without your needing to pay any attention to them-for example, nerves relating to control of the blood pressure (orthostatic hypertension), to the stomach or gastrointestinal tract (possible problems include disease of the stomach called gastroparesis or the intestine diabetic diarrhea), to the sweat glands (loss of the ability to perspire), to the bladder (problems with urinating), to balance, and to sexual function. Autonomic neuropathy is not as closely associated with diabetes control as is peripheral neuropathy (neuropathy of the hands and feet), but diabetes control is still needed.

A1c test is largely used to confirm fasting blood glucose levels. It is very helpful in keeping a check on diabetes. Since, it gives average results, one does not require to take the test again and again. However, one should not forget the fact that this test does not provide daily glucose levels of the blood. Hence, day-to-day monitoring has to be done if someone is on insulin dosage, as insulin administration adjustments require day-to-day monitoring of blood sugar level. Proper monitoring, diet control and lifestyle changes can help a person in controlling diabetes very well and have a healthy life.diabetic foot

During a typical day, the average person spends approximately four hours on their feet and takes around 8,000-10,000 steps. So this means that your feet support a united force equal to several hundred tons of repetitive stress in every day. For this reason, foot pain and swelling becomes one of the most common complaints heard by family practice physicians today. Think about how many times at the end of the day your feet are hurting and all you want to do is to get off your feet for a few minutes. Painful feet will certainly get your attention.

Take a Low Fat Diet and Exercise Regularly. A low fat diet and regular exercise are good for your general health. (Avoid weight bearing activities such as dancing and jogging in the presence of diabetic foot ulcers.) Such a healthy living also helps prevent and even reduce blockages in the arteries, including the arteries serving your arms, hands, legs, and feet. Flow of nourishing blood in these distant parts of the body keeps them healthy and reduces the risk for amputation. If the skin of your feet is dry or cracked, use a moisturizing lotion. To avoid fungus, do not use the lotion between the toes.

Doing ice massage can be very helpful, you can do it with the help of an ice pack, gel pack or other frozen stuff by wrapping them in a cloth and apply to the area of pain after every 3-4 hours for at least 15 to 20 minutes. Use of arch support or inserts (usually called orthotics) can be very helpful, just use orthotics as per recommendation of your physician. You can buy ready to use orthotics from a pharmacy or a shoe store and you can also go for the custom made orthotics option which is more helpful.diabetic foot care

How To Treat A Diabetic Foot

The most important thing is to express that you suffer from diabetes to the nail technician. They will be more receptive of your questions and accommodating to your special requests during your pedicure appointment. This will open a dialog to create a more satisfying experience for your well-deserving feet. The nail technician will also know to handle your feet with extra care during any grooming to your nails or filing your heels and callouses. The skin of a diabetic can be more fragile, leading to easy tearing. A little extra caution will go a long way to keeping your skin healthy.

The complete package of sensor insert, wireless-enabled “shoe pod” data hub, specially designed smart watch, app downloads and access to an online tracking portal, costs $695. The inserts should last for 12-18 months, after which time they can be replaced for $325, though Hehr said the price should drop as sales volume goes up and the manufacturer gains production efficiencies. The commercial debut of SurroSense Rx is quite a bit different from a prototype shown in July 2012 “We did a lot of user testing and realized we had to go back to the drawing board,” Hehr said. This also put production at least nine months behind the original schedule.diabetic foot cream

We investigated thermographic findings in DF patients with and without osteomyelitis and assessed the validity of screening for osteomyelitis using thermography. An area of increased skin temperature extending to the ankle was seen in DF patients with osteomyelitis. Furthermore, this thermographic finding (the ankle pattern) was shown to be quite valid, with high positive predictive value. Thermography might therefore be useful for screening for osteomyelitis in patients with DF. Acknowledgment The commercialization of Heberprot-P is under negotiation in Brazil and Peru, while the medication is being submitted to clinical tests in Europe before its registration, said the official.

Peter Lazzarini, Senior Research Fellow at the Queensland University of Technology and Metro North Hospital and Health Service, who was an author of the study, explained that co-ordinated hospital and community-based foot care teams, protocols and research focused on diabetic foot health such as those in Queensland hold the key to reducing foot hospitalisation and lower limb amputation among all Australians with diabetes. While the results in Queensland are very encouraging, further nationally co-ordinated efforts are required to decrease diabetes related amputations to the low levels experienced in other countries,” he said.diabetic foot

You must make sure you always maintain proper glucose levels to facilitate healing. Special cleaning enzymes may be used to dissolve dead skin and tissue. Be careful with the wound and clean it constantly and regularly. Avoid excessive walking and wearing tight shoes or sandals. The use of socks with some extra padding around the infected area will be very helpful. So, you must always give enough time to heal the infection and wait till it recovers to a normal condition. Thus, you must have to be stick strictly to the above cautions for better results.

You’d Better Care

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One of the most common reasons for a visit to the foot doctor is a problem with your toenails. If you have ever experienced an ingrown toenail that just won’t go away, you may have made an appointment to have the podiatrist cut that portion of the nail away, allowing it to grow back without going into the skin. While many people attempt to take care of this on their own, there comes a point when the only solution is to seek medical attention. In spring 2010, just weeks before the UK general election, the wife of the then-Prime Minister Gordon Brown went on the election campaign trail in England.

All types of diabetics should focus on oral care, suggests MayoClinic.com. There is an increased prevalence of gum disease among people with diabetes reports the American Diabetes Association. Gum infection and other complications may lead a higher rate of tooth loss than non-diabetics. MayoClinic.com advises diabetics to brush and floss twice daily and visit a dentist twice a year. A dentist should inspect swollen, red or infected gums. Diabetes causes increased healing time; infections often prove difficult to treat and may quickly progress. Non-emergency dental procedures should be postponed if blood glucose levels are unstable, according to the American Diabetes Association.

A bunion bump that grows larger can lead to an inflammation of the fluid-filled sac around the bone. The body’s response is normally to cover the bump and the bone with a callus of hard protective tissue. Warm soaks, ice packs or pain relievers like aspirin and ibuprofen, are often recommended for painful bunions. If you use ice packs to reduce inflammation, perform a stroking massage of your bunion in the direction towards the body, to encourage blood flow to the heart. Vaseline and a small amount of lamb’s wool in your shoes can help with friction blisters.bunion callus

For painful bunions and calluses, try Acetaminophen (Tylenol). You can also use ibuprofen (Advil, Motrin) or naproxen (Aleve) for relieving pain and reducing inflammation. Soak your feet in whirlpool baths for relief from pain and inflammation. Wear orthotics to help control excessive movement of your foot. This will alleviate symptoms and prevent bunions from getting worse. It is recommended that both men and women use a sunscreen with a minimum of SPF 15 on top of their feet. The skin on your feet is just as susceptible to melanoma and basal cell carcinoma as the skin on the rest of your body.

Often, women only think about their feet when summer rolls around, and they start thinking about wearing sandals. Sometimes women think of their feet only after years of abuse has caused foot pain. Women, and foot lovers like me would all be much happier if women would consider and care for their feet all year-round. As far as toe length goes, I pretty much think anything is cool. My personal favorite is “Roman Toes” in which the second toe is longer than the big-toe. The only toe length I find less than attractive is really short toes of about the same length.

All of the surgical procedures for bunions can be done on an out-patient basis or in the office under local anesthetic. The patient can usually return to work almost immediately, if she wears a special sandal for a few weeks. This was done with minimal incision surgery. This is one of the hundreds of procedures that Dr. Zuckerman has done in his twenty years of practice. Notice the lack of long, ugly painful incisions. This procedure was done in thirty minutes. Numbness as a result of anemia is probably the easiest to treat and simple home remedies are more than sufficient. For example, eating food rich in vitamin B12 helps.

hammertoes. Now the aesthetics – if the above information doesn’t deter you from wearing this style of sandal, how about the extreme grotesqueness of how bunions and toe deformities are displayed in them. These sandals are in fashion, but they are not a smart or attractive choice. The same applies to the high heel version, including all of the points above. There are other toenail issues that might be addressed at an appointment. Discoloration of the nail, incorrect growth and deformities can all be examined. Depending on the diagnosis, it might be something simple that can be remedied right away or require more in-depth investigation.