child limping

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!

 

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.