pediatrics

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!

 

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!