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Posts for category: Children's Feet

By Crofton Podiatry
January 07, 2019
Category: Children's Feet
Tags: shoes   surgery   orthotic inserts   child   intoeing  

When your baby begins to stand and try to take the very first steps, it feels like such a major accomplishment. Your baby is growing up so quickly and learning so much, it’s hard to keep track. The body is also developing at a rapid pace, and now you’ve got to consider so much more when it comes to physical growth!

Before you know it, your toddler will be an expert walker, soon headed to pre-school. Oh, how the time flies. But wait, is he walking a bit strangely? Maybe he hasn’t outgrown the waddle of a novice walker? He might even seem to be tripping over his own feet. Should you be worried?

Don’t fret just yet. Your child might just be intoeing as he learns to walk. More commonly known as pigeon-toeing, it describes a condition in which his toes point inward, toward each other, rather than straight ahead.

Possible causes of pigeon toes:

  • Congenital: While he was in the womb, he may not have had enough space for his feet to grow. It could have caused his feet to curve inward.
  • Genetics: Pigeon toes can be inherited from the parents.
  • Twisted leg bones: During development in his toddler years, his bones may have grown a bit twisted, causing the feet to turn inward.
  • Turned hip bones: If the hip bones develop abnormally rotated, it can also cause the rest of the leg to turn.

The good news is that with time, the condition usually resolves on its own. For those who seem to have more than a mild case of pigeon toeing, our podiatrist can help.

Treatment options will include:

  • Splinting or casting, if the condition is severe from birth.
  • Stretching and massages to help the foot resolve the problem over time.
  • Orthotic inserts or shoes to help the foot point forward.
  • Surgery, but only if the problem is severe and impedes in the way of life, and does not go away by the time he is 10 years old.

Remember that when it comes to children’s feet, growing pains are not part of growing up. Our podiatrist can guide you through the developmental processes to ease your mind. Make an appointment with our board-certified podiatrist, Dr. Brad Toll to help you find treatment for your children’s feet. Call Crofton Podiatry at (410) 721-4505 today. We provide services to Crofton, Gambrills, Odenton, and Bowie, MD areas.

By Crofton Podiatry
September 18, 2018
Category: Children's Feet
Tags: swelling   corns   calluses   blisters   shoes   Sever's disease   gait problems  

Depending on the age of your children, they may or may not be able to vocalize their foot problems to you. Some children might even ignore or hide foot pain or discomfort so that they do not have to “go see the doctor.”

 

Remember: Foot pain is NOT normal for growing children. Pain in the feet or ankles should not be attributed to growing pains. If your child complains of discomfort, it’s more than likely that they have a foot problem that needs attention, such as Sever’s Disease. Bring them in as soon as possible to receive an assessment with our podiatrist.

The following are signs that your child might have a foot problem:

Non-verbal signs:

  • Cranky and keeps touching feet.
  • Does not want to put shoes on and/or does not want you to touch their feet.
  • Wants to be picked up more often, rather than spend time walking or running. Keeps going back to crawling, even after they have become “expert walkers.”

Verbal signs:

  • Complains of foot pain or discomfort (Make sure that their shoes are not too small or too tight).

Visual signs:

  • Redness, swelling, bruising, and/or heat. (After an injury, your child might have some of these symptoms. However, if they won’t go away after a few days of home treatment, there could be a more serious problem.)
  • Blisters, corns, or calluses developing on the feet (Look for these when you have them in the bath or when you are clipping toenails).
  • Toe or foot deformities.
  • Gait problems, such as in-toeing or toe walking. Watch them as they walk to see if something seems abnormal or if they seem to be tripping over their own feet. Some problems do correct themselves as children grow, but it doesn’t hurt to have them checked out.
  • Limping or refusal to run. If feet or ankles are uncomfortable, your children might limp without realizing that they are doing so.

Because children’s bodies continue to develop and grow, it’s best to correct problems before they become worse. Some children need some orthotics to help them feel better, while other children might need surgery to correct a major deformity. Our podiatrist can help you find the best solution for your children’s foot problems.

Make an appointment by calling (410) 721-4505 to see our board-certified foot doctor, Dr. Brad Toll at Crofton Podiatry. Our team is ready to assist you and your family at our Crofton, MD office, which also serves the surrounding Gambrills, Odenton, and Bowie, MD areas.

By Crofton Podiatry
August 22, 2018
Category: Children's Feet
Tags: Orthotics   walk   inward   supportive shoes   gait  

Got your Back-to-School lists in hand? Clothing companies and office supply stores are ready to get your kiddos equipped with the latest and greatest. Backpacks, pencil cases, loose leaf paper, and of course, the best locker supplies, are at the top of the list. But don’t forget about those rapidly growing feet!

Get measured!

Children’s feet can grow at such a pace that they might need new shoes within three months (depending on their developmental stage)! While you might not add “get new shoes” to your back-to-school shopping list, you might want to add “measure feet for new shoes.” This way, if their feet have indeed grown, you’ll already be in a shoe store!

Observe their walk

Have your children walk in a straight line in their current shoes. Are they walking in a heel-to-toe gait or are they flat stomping? Do their ankles seem to roll inward or outward? Are their feet pointing inward or outward? Are the outer soles more worn down on one side than the other? Have they complained about any pain?

If you notice any of these issues, it might be a good time to review whether or not their shoes are supportive enough. Supportive shoes (with adequate arch and heel support) can help to reduce the risk of foot problems from developing. However, if your child complains of pain or if you notice that their gait is off, you may want to consider orthotics to correct issues and reduce pain.

Function OVER Fashion or Convenience

The “in” thing at school might be backless sandals or the latest Nike LeBron 15’s. While popularity might seem to be the most important thing for children and teenagers, remind them that uncomfortable or painful feet can get in the way of that. Encourage your children to find a balance between fashion and function, especially if they walk long distances to and from school. Oh! And don’t forget those socks! Not wearing socks with closed-toe shoes can really make for a stink fest (and talk about embarrassing smelly feet!).

Additionally, we warn parents against simply buying a pair of shoes for your children without them present. Unless they tried the specific pair of shoes on very recently, it’s in your children’s best interest to try the shoes on themselves. Each pair of shoes fits a bit differently, so it’s best to get a feel for them in the store.

If your child has been complaining of foot pain, or if you notice that your children are walking abnormally, make an appointment at our Crofton, MD office to see our board-certified podiatrist, Dr. Brad Toll. At Crofton Podiatry, we use the latest treatment options to assess and take care of your family’s foot and ankle care needs. Our Crofton, MD office serves the surrounding Gambrills, Odenton, and Bowie, MD areas.

By Crofton Podiatry
April 18, 2018
Category: Children's Feet

Did you know that children’s bones do not fully develop until the ages of 18 to 25? That’s why it’s so important to make sure that when your child incurs an injury, a doctor looks it over. This is especially true when the injury involves the feet or ankles since there are 26 bones that can be affected on each side.

A condition that commonly affects growing children’s growing bones is Sever’s Disease. Also known as Calcaneal Apophysitis, the growth plate in the back of the heel bone has inflammation or swelling, causing pain to your child. Overuse, repeated impact, or blunt injury to the heel bone can cause pain in the back of the foot, making it painful to stand or walk.

Who is usually affected?

The causes of foot pain described above are typical for children and teens that play sports. Those who jump and run repeatedly during practice and games tend to be the ones who suffer from Sever’s Disease. Football, basketball, and long jump athletes tend to experience this type of heel pain. Additionally, children who are obese or have conditions like flat feet are also at higher risk of developing heel pain from the repeated strain on the Achilles tendon.

How can my child feel better?

As soon as your child complains of heel pain, check for symptoms like inflammation or swelling, redness, and tenderness. Pain when squeezing the sides of the heel bone will also indicate a likelihood of Sever’s Disease. For a proper diagnosis, it’s best to make an appointment to see our podiatrist. Additionally, the following treatments might help:

  • RICE method (at home): Rest, Ice, Compression, and Elevation will help relieve symptoms and reduce pain. Your child should stay off the affected foot (feet) to avoid further aggravation.
  • Orthotic inserts (over-the-counter): You can try to buy some heel inserts to see if supporting and cushioning the heel helps to relieve painful symptoms.
  • Physical Therapy (podiatrist-prescribed): When you see our podiatrist, he might recommend physical therapy to strengthen muscles to better support the heel. Stretching can help relieve symptoms and promote healing.
  • Immobilization (podiatrist-prescribed): If the condition is severe, our podiatrist might recommend a cast or custom orthotic device to prevent your child from experiencing worse symptoms.

If your child complains of foot pain, it’s never a good sign. Make an appointment promptly by calling Crofton Podiatry in Maryland at (410) 721-4505 to consult with our board-certified podiatrist Dr. Brad Toll. He can assess your children’s feet and prescribe the appropriate treatment. Our Crofton, MD office also serves the surrounding Gambrills, Odenton, and Bowie areas.

When it comes to our children, their health is of utmost importance. It’s no surprise, then, that parents would be very concerned if they were born with (or develop) a foot deformity.  These include conditions that may affect the bones, tendons, and muscles of the foot or ankles. While all are not very common, most are treatable and can be almost completely corrected if treated early enough.

Parents, we’d like to make you more aware of possible foot issues that your child may encounter. The following are some of the more commonly seen pediatric foot deformities:

  • Club Foot – Sometimes detected even during an ultrasound, clubfoot is immediately noticeable when the baby is born. One or both of the feet are turned inward and down. You can start treating the issue soon after birth. The recommended treatment is to use the Ponseti Method, in which weekly casting is done to set the feet in normal positioning. In some cases, additional procedures or surgeries may be required. Then, braces are used for a while to maintain proper alignment.
     
  • Metatarsus Adductus / Skewfoot – The deformity occurs in the middle of the foot, making the front half of the foot turn inward. Treatment depends on when the problem begins and how flexible the deformity is. For infants, stretching, manipulation, and casts may help to correct the issue. For some children, the problem can resolve itself too.

  • Flat feet – When children begin to stand on their toes and learn to walk, an arch should appear on the inner part of the midfoot. Otherwise, the feet are considered to be flat feet. Some children will not experience any pain, but others may have issues with foot or joint pain. Treatment usually involves using orthotic inserts, especially with good arch support. Surgery is not usually recommended, but in rare cases, a child may benefit from restoring tendon or ligaments or a procedure involving the midfoot bones.

  • Tarsal Coalition – When an abnormal connection develops between the bones in the midfoot and back part of the foot. It begins to limit foot movement and can cause pain and stiffness. Other foot problems may accompany tarsal coalition, which needs treatment too. Treatments usually involve corrective shoes, custom orthotic inserts, or physical therapy. In severe cases, surgery is performed to allow for pain relief

  • Juvenile Bunions – While most adults that get bunions can attribute them to narrow shoes and high heels, young girls that get bunions typically develop them due to flat feet. The growth of the big toe joint can be painful and uncomfortable, especially when they do not fit the shapes of normal footwear. Treatment includes bunion pads, straps, and orthotics, as well as wearing shoes with roomier toeboxes. If bunion surgery is required, it is recommended to wait until the foot is fully formed.

If you have concerns about your child’s foot pain or possible deformities, come see our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry. Make an appointment by calling (410) 721-4505. Our team is ready to assist you and your family at our Crofton, MD office, which also serves the surrounding Gambrills, Odenton, and Bowie areas.




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2411 Crofton Lane, Suite 25
Crofton, MD 21114

Podiatrist - Crofton, Crofton Podiatry, 2411 Crofton Lane, Suite 25, Crofton MD, 21114 (410) 721-4505