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Flat feet- Children’s feet | The Podiatrist and yourfeetnz

 

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Children with flat feet, also called pes planus, have a flattening of the arch during standing and walking.

Flat foot is normal in infants and young children. At this age, in the absence of any associated symptoms, treatment is highly debatable.

Flat foot usually naturally corrects itself as muscles strengthen and soft tissues stiffen. The height of the arch in the foot increases with age until about 9 years. The problem is when flat foot persists, spontaneously occurs in older children or later in life, or is associated with pain and disability.

Flat feet can be flexible or rigid, painful or painless and associated with a tightness of the calf muscles (Achilles tendon). The majority of flat feet are painless, but when pain is present it is usually during weight-bearing activities such as walking and running. The pain can be in the sole of the foot, the ankle, or non-specific pain all around the foot area.

 

What causes flat feet?

A complex and sophisticated interaction of bones, ligaments, muscles and nerves within and above the foot defines its anatomy and function. Anything that interrupts the integrity of these structures leading to a collapsed arch can cause symptomatic flat feet.

Examination of the foot begins with an examination of the entire child, because the flat foot may have an underlying cause.

Flat foot can also originate from unusual anatomy such as a tarsal coalition (bones joined together), ligament or muscle damage, restricted ankle movement, outward rotated lower legs, and knock knees (where the legs bow inwards at the knee). Obesity can result in collapse of the arches by the increased load on the foot. If knock knees also develop, the middle of the foot will tend to turn out (abduct). The foot will point outwards when walking, instead of straight ahead, which is inefficient and can cause early fatigue.

Footwear in early childhood has been thought to cause flat foot. It is likely that children who wear shoes, are not physically active and have flat feet will have decreased muscle activation in their feet and thus impaired foot function and weakness.

Some older children and adolescents develop flat feet in the absence of any disorder or associated factors.

 

Does flat foot need to be treated?

Flat feet require treatment only if clearly associated with pain or decreased function. Managing the underlying cause or disease is of highest priority; just treating the symptoms should be secondary.

If flat foot is observed in a child who is overweight and has knock knees, or in a child with excess joint flexibility and poor footwear, each of these factors could be contributing to the symptoms, and each should be addressed.

If a child’s quality of life is affected by how their feet look, feel or function, then the associated issues should be addressed.

For any foot problems, contact The Podiatrist.

http://www.thepodiatrist.co.nz

http://www.kidsnmotion.co.nz

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Keep those feet happy | The Podiatrist and yourfeetnz

foot-care

The importance of our feet has been understood for centuries. Even the Greek philosopher Socrates is reputed to have said, “To him whose feet hurt, everything hurts.” So, what comprises foot care that promotes comfort at any age?

  • Wear shoes and socks that fit and are comfortable.
  • Be sure your toes are not cramped.
  • Change socks daily and if possible have two pairs of shoes in everyday use so that you can alternate the pairs daily.
  • Elastic laces are handy if your feet swell.

Shoes should be worn that cover, protect, provide stability for the foot and minimize the chance of falls.

Whatever your age – student or grandparent – foot care is important.

  • Remember to cut or file your nails straight across and never shorter than the end of your toe.
  • If you are older, and particularly if you are diabetic, it is helpful to get The Podiatrist to do your foot care.
  • It is best to wash feet daily and always test the water’s temperature beforehand. Pat, do not rub, your feet dry and remember to dry between and under the toes. If your feet are bothering you you’ll find that short soaks of even ten minutes are soothing.
  • Use a lanolin (ointment base) moisturizing cream for dry and cracked skin. If your feet perspire, dust lightly with talcum powder. Remember to remove excess cream of powder from between your toes to avoid skin problems. If you are diabetic it is wise to examine your feet daily.
  • Exercise each day if possible. Walking is always good but there are also special foot exercises that can be done like rolling your feet over a rolling pin several times daily or picking up a crumpled towel with your toes.

Despite reasonable care throughout life, however, the older foot is subject to problems. Heredity is a factor as are the stresses over the years and complications from systemic diseases. It has been estimated that at least 80 percent of people over 50 have at least one foot problem.

The most common are corns and calluses, ingrown toenails, bunions, hammertoes, strained arches, heel pain and arthritis including gout.

In many cases there can be improvements jus by switching shoes to the type with wider, box-type toes. Also. shoe size can actually change with added years.

Feet carry our body’s weight, help hold us erect, co-ordinate and maintain balance in walking. We need to give them tender, loving and skilled care.

The returns are high, including the joy of a walk.

Make an appointment with The Podiatrist today.

www.thepodiatrist.co.nz

 

Auckland Marathon 2015 | The Podiatrist and yourfeetnz

auckland marathon

Good Luck to all those running this weekend.

Drink plenty of fluids and enjoy the view.

http://www.thepodiatrist.co.nz

Keeping children on their feet – when should you seek assistance?

  • You first notice a problem with your child’s feet.
  • A relative or friend makes comment about your child’s feet.
  • Your child complains of tired or sore feet or legs.
  • Your child is not walking by the age of 18 months.
  • Your child wants to be carried most of the time.

As registered podiatrists in Auckland, New Zealand we believe our parents and little patients deserve to have the information needed to make good choices about their foot and ankle care.

Caron Orelowitz – Podiatrist

www.kidsnmotion.co.nz

Quality Paediatric Foot Care at Kids ‘n Motion Podiatry

Kids ‘n Motion Podiatry- Leading Podiatrist in Children’s Foot Problems, invites parents to bring their children into the one of its kind in Auckland- a child specific Podiatry practice. The clinic has a friendly environment and is ideally set up for assessing children of all ages (lots of fun activities). Parents are asked to be cautious of the health of their children’s feet to help maintain a healthy, active life style.

Children with strong, healthy feet avoid many kinds of lower extremity problems later in life. That is why it is important to inspect your children’s feet periodically. If a problem is suspected, I encourage you to bring your children into the clinic for evaluation. It is always our joy to make sure our paediatric patients remain fit, and active with healthy feet.

The size and shape of an infant’s feet change quickly during their first year. Because a baby’s feet are flexible, too much pressure or strain can affect the shape of their feet. It’s important to allow an infant to kick and stretch their feet freely. The Podiatrist also suggests that parents make sure their baby’s shoes and socks do not squeeze the toes, as this can cause painful foot conditions.

For toddlers, it is important to not force them to walk before they are ready. Once walking begins naturally, watch the toddler’s gait. Many toddlers have a pigeon-toe gait, which is normal. Some will initially learn to walk landing on their toes instead of their heels, but most children outgrow both of these problems. The Podiatrist informs parents that conditions detected early can be treated more easily than waiting for pain to occur.

The foot’s bone structure is well-formed by the time children reach age seven or eight, but if a growth plate (the area where bone growth begins) is injured, the damaged plate may cause the bone to grow oddly. With The Podiatrist’s care, however, the risk of future bone problems is reduced.

The Podiatrist urges parents to check their child’s show size often, making sure there is space between the toes and the end of the shoe and that the shoes are roomy enough to allow the toes to move freely. Whether children are experiencing heel pain, knee pain, or any other conditions, The Podiatrist invites parents to bring their children in.

Kids ‘n Motion Podiatry is committed to providing patients with exceptional care.

www.kidsnmotion.co.nz

http://www.thepodiatrist.co.nz

Are your flip-flops harming your foot health?

 

The wrong footwear is often the chief cause of foot pain, and many types of flip-flops can cause foot problems due to lack of support and other factors.

The wrong flip-flops can leave you vulnerable to sprained ankles, ligament injuries, and a higher incidence of cuts, scrapes, and stubbed toes.

During the warmer months of the year, many podiatrists treat a greater number of foot problems that can be traced back to wearing flip-flops. However, people don’t have to give up wearing this type of footwear altogether. There are certain types of flip-flops that offer a superior amount of stability and support than others.”

Enhanced Biomechanical Function.

Vasyli Jandals help restore natural foot function. Our feet were designed to walk on soft, natural surfaces like soil and sand. Today we walk on hard, unnatural “man made” surfaces. The loss of our “Footprint” causes our feet to compensate unnaturally by rolling in (over pronation).

Over pronation can lead to a number of common lower limb biomechanical conditions. Vasyli’s clinically tested and patented Orthotic technology – now available in the Vasyli Medical sandal – is designed to control over-pronation. This allows our feet, lower limbs and overall posture to function as nature intended.

The 1ST MPJ drop zone has been incorporated into the plantar outsole. This allows the softer density midsole to depress under load from the 1ST MPJ. The drop zone is undetectable from the dorsal surface eliminating any look or feel of a modified foot bed.

The Vasyli Medical sandal is both stylish and functional with patented foot bed technology designed to enhance foot function. The contoured foot bed helps control over pronation– rolling in of the foot – maintaining control and alignment which in turn helps improve overall posture, and treat common lower limb complaints. The unique 1ST ray plantarflexor technology enhances gait function by improving the mobility of the great toe, an essential element in human mobility.

5 Do’s and 5 Don’ts to avoid a flip-flop fiasco.

5 Flip-flop Do’s:

  1. Do gently bend the flip-flop from end to end, ensuring it bends at the ball of the foot. Shoes of any kind should never fold in half.
  2. Do wear a sturdy pair of flip-flops when walking around a public pool, at the beach, in hotel rooms and in locker room areas. Walking barefoot can expose foot soles to plantar warts and athlete’s foot.
  3. Do ensure that your foot doesn’t hang off of the edge of the flip-flop.
  4. Do shop for a flip-flop made of high-quality, soft leather. Leather minimizes the potential for blisters and other types of irritation.
  5. Do look for flip-flops that hold a seal of Acceptance. Evaluated by a team of  podiatrists, these products are shown to allow for the most normal foot function and promote quality health.

5 Flip-flop Don’ts:

  1. Don’t re-wear flip-flops year after year. Inspect older pairs for wear. If they show signs of severe wear, discard them.
  2. Don’t ignore irritation between toes, where the toe thong fits. This can lead to blisters and possible infections.
  3. Don’t wear flip-flops while walking long distances. Even the sturdiest flip-flops offer little in terms of shock absorption and arch support.
  4. Don’t do yard work while wearing flip-flops. Always wear a shoe that fully protects feet when doing outside activities such as mowing the lawn or using a weed-eater.
  5. Don’t play sports in flip-flops. This practice can lead to twisting of the foot or ankle, as well as sprains and breaks.

Your feet – Ingrown toenails

Definition

An ingrown toenail is a common condition in which the corner or side of one of your toenails grows into the soft flesh of that toe. The result is pain, redness, swelling and, sometimes, an infection.

Often, you can take care of ingrown toenails on your own. If the pain is severe or spreading, however, your Podiatrist can take steps to relieve your discomfort and help you avoid complications of an ingrown toenail.

If you have diabetes or another condition that causes poor circulation to your feet, you’re at greater risk of complications from an ingrown toenail.

Contact a Podiatrist

Practice Details – Auckland

Remuera Podiatrist Clinic Remuera 347 Remuera Road 550 6324
BirkenheadLife Pharmacy Birkenhead 32 Mokoia Road 480 7001
Orewa Orewa 16BMoana Avenue 09 426 1122
Westgate Medical Centre Massey Fernhill Drive 833 3134
The Doctors NewLynn New Lynn 19 Delta Avenue 827 7810
Home Visits 021722302

www.thepodiatrist.co.nz