child foot pain

Does your Child Walk Like a Pigeon?! Lonnie Kaplan DPM

In toeing, more commonly known as pigeon toes, is a disorder that is commonly seen in infants and children. The easiest way to describe this condition is that the child’s feet point in while walking. This can lead to many complications such as falling frequently and inability to keep up with friends at school. It is true that sometimes this can resolve on its own especially in infants but it is important to determine the cause of in-toe deformity because not all in-toes will resolve on their own. There are a few main causes of in-toe. The deformity can be in the foot itself when the long bones of the foot are pointing inwards but commonly the deformity is not located in the foot (although the in-toe presents in the foot) but actually occurs higher up in the leg or hip. If the child’s leg bones are turned inwards while walking, this can lead to a presentation of in toeing in the feet. The same can be seen if the child’s knees or hips are facing inward.

Treatment of in-toe deformity cannot begin until a clear understanding of where the in-toe is coming from is determined by your podiatrist. If it is occurring in an infant it can sometimes be controlled by serial casting to hold the foot out of the in toe position. If it is occurring or first noticed after the child begins to walk at around 18 months, certain orthotics for the child’s shoes can be used to allow the child to hold there foot out of internal position when walking. If it is occurring in the knee or hips, certain bracing may be needed and sometimes if ineffective, surgical intervention can be discussed.

Call Quality Foot Care today at 215-230-9707 for an appointment with Doylestown’s community podiatrists. We would be happy to discuss the above or any other foot and ankle concerns you many have!

 

Do I Need to Treat my Child’s Flat Feet? Lonnie Kaplan DPM

Flat feet are one of the most common pathological foot types that are seen in the world. Most people agree that you tend to inherit your parents foot type and thus if your parents have flat feet, your children will develop as well. Most of the time, the parent brings the child to the pediatrician for evaluation- this is fine as a starting point but the child should visit a podiatrist for the condition. Many people think that children “out-grow” flat feet and this is not the case most of the time. Many children who are told to outgrow flat feet present to a podiatrist in their teens and 20’s for foot pain and trouble walking and keeping up with friends due to the progression of the condition. Some start to develop hammertoes and bunions. Many times, if flat feet are treated early on, progression can be slowed or even avoided leading to less long term complications.

Depending on the age of the child, the flat foot can be caused by many factors including compensation in the feet for issues in the hip, knee and ankle. It is important that the child have a complete biomechanical examination from the hips down to determine the root cause to appropriately treat. Many times flat feet can be treated with orthotics (go in the child’s shoes) to help stabilize the arch. In other cases, further bracing and support may be necessary.

Call Quality Foot Care today at 215-230-9707 to visit with Doylestown’s community podiatrists. We will be happy to discuss the above and help your entire family stay on their feet!

 

Does your Child Have Heel Pain? Lonnie Kaplan DPM

Does your child have pain in the heels after playing sports or after activity? One possible diagnosis is Sever’s Disease. Sever’s Disease is pain and inflammation at the growth center of the heel bone (calcaneus) The area of the growth plate of the heel bone in children is also the attachment of the achilles tendon. Sever’s Disease is a very common condition that tends to be seen in growing children.

Most of the time, your child will complain of heel pain either on the bottom of the heel or in the back of the heel bone especially after activity. It is commonly seen in children who are on sports teams, dance teams or are very active. It is commonly seen in children between 9 and 14 years of age as the growth center of the heel starts to close around 14 years of age.

There are multiple treatment option that your podiatrist can discuss with you for treatment. X-rays may be ordered occasionally to rule out other causes of heel pain (fractures, bone tumors). Treatment options can include icing the affected area, stretching the calf muscles, taking NSAID’s, placing heel lifts in shoes (this can decrease the stress on the growth plate), and decreasing activity level. Sometime in cases that do not appear to be resolving with the above, short term casting can be utilized as well.

Call Quality Foot Care Today at 215-230-9707 to visit with Doylestown’s community podiatrists. We will be happy to discuss the above in detail and help your family stay on their feet!

 

Keeping your Children Active! Lonnie Kaplan DPM

When most people think of a podiatrist, they think of someone who elderly people go and see to have their nails and calluses trimmed and diabetic shoes ordered. Most people do not realize how important it is for children to see a podiatrist as well. Children tend to be on their feet and are always running around the playground and chasing after friends. A lot of foot and ankle conditions start in childhood and progress through life. What is important to understand is that catching/ treating common foot conditions early in life will make for a world of difference in children as they get older. A lot of times people think that children will just out-grow their foot/ ankle issues and that there is no need for treatment. I have seen so many teens who come in with their parents having foot and ankle conditions (flat foot, in-toes) that could have been avoided or progression slowed down by having treatment earlier in life.

My next set of blogs will discuss lower extremity conditions that children tend to develop and discuss treatment options and when to see a podiatrist. Conditions will include flat feet, Severs Disease, warts, ingrown nails, in toes/out toes amongst many other conditions. It is my hope that after this set of blogs over the next few weeks, you will be better educated on when to bring your children to see a podiatrist to give them the best chance to live a healthy pain free life when it comes to the lower extremities!

Call Quality Foot Care Today at 215-230-9707 to visit with Doylestown’s community podiatrists. We will be happy to discuss the above in detail and help your family stay on their feet!

Why is My Child Limping: A Guide To Children’s Heel Pain

Pediatric heel pain is a common occurrence because a child’s feet are constantly growing. The bones in the foot of a child between the ages of 8 and 14 grow faster than the tendons, and the calcaneus, or heel bone, doesn’t fully develop until age 14. Until the calcaneus forms, new bone will grow in the area of the growth plate. There is also uneven development of the heel cord and leg bone, resulting in the heel cord pulling on the growth plate. This is the root of most of the heel pain children will experience, however, there are various other causes, including:

  • Sever’s Disease, an inflammation of the heel’s growth plate which occurs because of muscle strain and repeated stress
  • Tendo-achillies Bursitis, an inflammation of the fluid-filled sac  (bursa) between the Achilles tendon and heel bone, which is caused by injury, juvenile rheumatoid arthritis, or wearing improper footwear
  • Stress fractures, which are hairline breaks resulting from repeated stress on the bone
  • Frequent irritation caused by running on hard surfaces
  • Achillies tendonitis, inflammation of the achillies tendon caused by intensive or repeated exercise which is stressful on the tendon
  • Plantar faciitis, a strain of the plantar fascia ligament that connects the heel bone to the toes, which can be caused by various conditions and occurrences

The following are the symptoms and warning signs of pediatric heel pain:

  • Limping
  • Walking on the toes
  • Pain in the bottom of or back of the heel
  • Difficulty taking part in sports

If you believe your child is experiencing heel pain, it may be time to give Dr. Ken Lefkowitz of Quality Foot Care a call at 215-230-9707. Diagnosing the underlying cause of pediatric heel pain is a challenging task which requires a trained professional, and early intervention is necessary to avoid a lifetime of discomfort. Dr. Lefkowitz and his staff would be happy to schedule an appointment at their Doylestown office.