childrens feet

A Podiatrist Can Do That?

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This weather today makes me look forward to summer and kayaking- picture of Dr. Kaplan and his dog Barley!

As a practicing podiatrist, a week does not go by without a patient coming in for one issue and during the course of exam I find another issue that the patient did not know we treated. Commonly it’s a patient that comes in for foot pain and I notice a skin condition on their foot and right away they say they are going to make an appointment with their dermatologist. I am here today to tell you that podiatrists treat ALL conditions related to the feet whether it be pain or not.

Should I hand down Sneakers from one Child to the Next?! Lonnie Kaplan DPM

Now that the fall is here, many parents will be bringing their children to the store to buy new sneakers. When buying new sneakers for children, there are many things that should be taken into account. It is important to remember that children’s feet grow and you will most likely have to buy a new pair for your child every 3-4 months. You should always bring your child with you to the store so that he/she can be properly sized as every shoe fits a bit differently. If you purchase sneakers for your child that are too big or too small it can cause discomfort and irritation leading to your children complaining about the shoes.

Handing down sneakers between siblings is a big NO, NO! Although a younger sibling may grow into the same size sneaker as an older sibling, over time sneakers lose stability. This lack of stability can lead to injuries of the foot and ankle. It is also very important to check your child sneakers for wear. If you notice that one side of the sneaker wears down a lot quicker than the other side, you should bring your child to a podiatrist for evaluation as there may be a foot abnormality present. It is also important that a sneaker feels good when the child first puts it on. You should not need a break in period and it is also important to have your child try on new sneakers with the type of socks they will be wearing with them.

If you have any questions about the above or have children that wear down their shoes more on one side than the other, contact Quality Foot Care today at 215-230-9707 to make an appointment in our podopediatric center of excellence!

 

 

Photo From Striderite

Keeping your Children OFF their Toes! Lonnie Kaplan DPM

A common pediatric foot and ankle abnormality is toe walking. Many people think that toe walking should be ignored and it will resolve on its own. Occasionally, it does resolve on its own but it is very important to have it evaluated by a podiatrist. There are many causes of toe walking in children. Some include cerebral palsy, muscular dystrophy as well as spinal cord problems. Once the neurological causes are ruled out, other diagnosis include idiopathic (unknown cause) toe walking which occurs commonly. Your podiatrist will complete a thorough developmental history including asking questions about strength, coordination, and bowel and bladder control. Other important findings that can help point to a diagnosis include whether the child was walking on the toes since birth or it developed over time and if the toe walking is occurring on one or both feet. Treatment options vary widely based on the root cause. Most include a team approach with a physical therapist specializing in pediatrics to work on stretching and strengthening. Sometimes, AFO (ankle foot orthotics) can be made which sometimes need to extend to the calf while in other cases, orthotics can be prescribed that go directly in the child’s shoes and do not need to extend past the ankle.

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 keep the entire family 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.