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Crofton, MD 21114

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Posts for category: Childrens Feet

By Crofton Podiatry
August 02, 2017
Category: Childrens Feet
Tags: surgery   clubfoot  

What is clubfoot?

Clubfoot is congenital deformity that is found in about one newborn for every 1,000 live births. The infant is born with one or both feet turned inward, changing the shape and/or positioning of the foot.  This deformity can be identified during pregnancy or right after birth, since the foot is so abnormally shaped. Genetics and environmental factors seem to play a big part in whether or not a child is born with clubfoot.

How do you treat clubfoot?

The baby’s doctor will be able to begin treatment almost immediately. If left untreated, quality of life can be severely impacted, since the child’s mobility will be compromised. Treating the deformity early can make it easier to correct the problem, since babies are more flexible compared to when their bodies develop and bones begin to harden.

Typically successful methods of treatment include:

Ponseti method – This method includes one or two sessions per week of stretching the child’s foot to the correct positioning, and then casting it. Since they are still very flexible while they are babies, it is easier to get the feet to the correct position before they develop and set. This resetting and casting can happen over several months. Toward the end, your podiatrist may need to perform surgery to correct the length of the Achilles tendon.

French Functional method – This physical therapy method includes 3 sessions per week over several months. The process includes stretching, mobilization, and taping to slowly move the foot into the correct position. Exercise and massage helps to coax the foot back into the right shape and place, and then a plastic splint is placed to keep the foot in place.

Both methods are found to be successful, but only if the parents continue to stretch, exercise, and brace the foot and ankle to retain the correct position.

In the case where the above methods do not work, surgery might be necessary. The tendons may need to be adjusted to the right size and position as well. Afterward, the child will require a cast. If treatment is not started early, bones may need restructuring as well.

Was your child born with clubfoot or other congenital foot disorder? Consult with 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.

By Crofton Podiatry
December 14, 2016
Category: Childrens Feet
Tags: flat feet   arch   pediatric   feet muscles  

At birth, you may not notice the exact shape of your baby’s feet. In fact, you probably just think about how cute the little toes are on those tiny feet. Then you put them in cute little baby shoes (non-functional as they don’t even walk yet) and go ga-ga over how precious they are.

Then, in what seems like a blink of an eye, they are standing up and starting to walk. You begin to pay attention to the way they take their steps. They have a funny waddle at first, but then their legs start to straighten out and it looks like their gait is normal. But wait, is there something off? Why don’t your child’s feet look like yours? The way they walk is to hit the entire feet on the ground instead of the heel-to-toe foot strike.

Don’t panic! Did you know that children are usually born with flat feet? There is a lot of padding on the feet until they begin to use them to stand and walk. The tissues begin to tighten and feet muscles develop the arch area into a curve. As the leg muscles strengthen and your child becomes more confident in their walking habits, their gaits should normalize too.

However, some children do not develop an arch because the tissues do not tighten. This may be a case of pediatric flat feet. As they continue to develop, children may grow out of this. They may experience no painful symptoms and may not have any other developmental issues. Others, however, may experience pain, cramping along the bottom of the feet, or incorrect bone growth as the heel grows in a tilted manner.

If you are concerned about your child’s flat feet, make an appointment at Crofton Podiatry. Our board-certified podiatrist, Dr. Brad Toll will assess whether or not your child needs corrective treatment, such as orthotic inserts or shoes. He may diagnose the flatfeet as flexible or rigid flat feet, with the latter having no arch form at all, even when the child is tiptoeing. Pain is not part of the development process, so you call us at (410) 721-4505 if your child is experiencing it. We are happy to serve all patients in Crofton, MD and the surrounding Gambrills, Odenton, and Bowie areas.

Germany’s 1-0 victory over Argentina in extra time was watched by 17.324 million viewers this past World Cup, marking it the most-watched men’s soccer final ever.  The match also set a new Twitter record, with nearly 618,725 tweets per minute at the final buzzer toll, and totaling over 32.1 million tweets throughout the course of the game. However, since the impressive international soccer feats are complete for the year, it’s time to return our attention to their feet of our own soccer players at home (or any other summer sport player for that matter).

Foot and ankle problems are extremely common in children, and oftentimes may go unnoticed or unreported. Many times this is due to the subtle nature in which these problems present themselves, and other times it simply has to do with the resiliency of a child’s body, and their difficulty in communicating health issues. To combat this, the American College of Foot and Ankle Surgery has outlined important warning signs parents should watch out for in their children.

1.      Children not keeping up with their peers in activities

2.      Children voluntarily withdrawing from activities they would usually enjoy

3.      Children being nervous about showing their feet

4.      Children who seem overly prone to tripping or falling

5.      Child complaining of any persistent pain in their feet

If you notice that your child seems to fit any of the above 5 characteristics, it is important that they get prompt examination by a foot specialist. Additionally, common problems such as warts, disfigured nails, and shoe-wear advice are routine care for a foot specialist and also warrant proper diagnosis and treatment. As always, for the most up to date and patient specific information regarding you or your child’s foot health contact your local foot specialist for an appointment today. And if you’re in the Bowie or Crofton area, stop by our office at Crofton Podiatry.

By Brad Toll.




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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