From a Podiatry perspective children cannot be treated like smaller versions of their parents, and neither can their feet. Foot orthotics for children present a unique opportunity to control the growth and development of the foot.
You may be familiar with orthotic therapy because you may have a diagnosis or problem related to your feet. Many common foot problems are thought to have a genetic component and your child’s feet play a crucial role in their development. This is especially true when considering the growing number of children increasing their activity levels and entering organized sports at a young age.
The possibility of improved outcomes when your child is skeletally mature, and the prevention of future problems are great reasons to consider having your child evaluated for custom foot orthotics.
Research has shown that the early use of foot orthotics in children can have beneficial results that can be seen clinically and on an X-ray. Problems with foot development and biomechanics can eventually lead to problems higher up in the ankles, knees and hips.
Some common problems that can be addressed with a foot orthotic include flatfoot, the overpronated foot (Ankles turning in), torsional deformities of the lower leg, juvenile bunions and other biomechanical inefficiencies of the foot.
In all likelihood your child will adapt wonderfully to his or her new orthotics. As we know, the ligaments and bone structures of a child have a unique ability to adapt to new or corrected positions, and their feet are no different. A custom foot orthotic is different than other off-the- shelf orthotics in that it is precisely calibrated to your child’s foot. This means that the orthotic is designed based on your child’s foot type and weight to provide just the right amount of flexibility. Tolerance issues in children are extremely rare.
When your child is undergoing rapid growth, his or her orthotics will need to be replaced approximately every two shoe sizes, or every one to two years.
Re-evaluation of your child as he or she develops will often lead to changes in the orthotic prescription .Just as your child experiences unique clinical situations, his or her orthotic is a unique and custom device. Some problems can be prevented without life-long wear, some developmental problems may require longer-term use, and some children would simply benefit from prevention their whole lives.
Consider the use of eyeglasses in children. The concern that a child will become dependent on the prescription eyewear is not a valid reason to dismiss the correction needed to improve visual function. In addition The Podiatrist may prescribe exercises for the foot to give your child every opportunity to develop a muscularly sound foot.
If your child does not complain about any foot pain but obvious problems are observed by the parent, chances are the child will not just outgrow it. To treat the child with the proper tools to lead a future normal, pain-free life is an individual decision that every parent has to make with the assistance of their health care provider.
Considerations in this decision should include the preventative payoffs for instituting such therapy weighed against any potential down-side, which is often primarily financial.
Get started on resolving your child’s foot problem today.
Call The Podiatrist.
The shoes you wear can make you feel slim, sexy, and stylish—or they can leave you wincing in pain.
Ever wonder how much damage you are doing when you walk to work in sky-high heels or scuff through errands in flip-flops?
How High Heels Cause You Pain
There’s a reason most women willingly forgo comfort to squeeze their feet into stilettos: Adding inches makes you look slimmer, accentuates calf muscles, and even lifts your backside.
But you may be doing lasting damage if you live your life in heels. A 2011 Danish study found that walking in heels can increase the risk of osteoarthritis six-fold.
Imagine standing on the edge of a ski slope with your toes pointing downhill. To compensate for this tipped-forward position, it’s natural to bend your knees slightly and arch your back. As a result, your quads are forced to work overtime, which makes them tight and prone to injury. Walking with your knees slightly bent also puts 200 percent more stress on your kneecaps, which can wear away at the cartilage and increase your risk of developing arthrits.
The added height of heels puts extra strain on the shin muscles, which control the forefoot. This repetitive strain can eventually lead to painful shin splints.
Heels put your calf muscles in a shortened position. Over time, this can become permanent: One study in the Journal of Experimental Biology found regular heel wearers had calf muscles that were an average of 13 percent shorter than those of nonheel wearers, making it uncomfortable for them to walk without heels because their natural stride was thrown off.
High Heels Help
Stretch it out.
Give your calves a good daily stretch like this one from Bowman: Stand with your feet hip-width apart and place a rolled-up towel under the ball of your right foot. Lower your right heel to the floor. Once you’re comfortable here, take a small step forward with your left foot, keeping your hips square. Hold for 20 to 30 seconds and work up to 60 seconds.
Massage your shins.
Relieve shin pain with a gentle self-rubdown, applying long vertical finger strokes down the front of your lower leg. Then focus on kneading the muscles horizontally, says Bowman.
Embrace the commuter shoe.
Switch to low-heeled options for getting places, and save those skyscrapers for when you’re mostly sitting pretty.
Feet swell over the day, so if a shoe feels slightly tight at 7 a.m., it’ll be a vise by nightfall. Only buy shoes that are roomy enough, and consider going lower. Research shows that 2-inch heels create impact forces 4 percent greater than flats, while 3-inch heels boost stress by 33 percent
How Flats Cause Foot Pain
Flats sound like the healthier alternative to heels, but the truth is that even a basic ballet flat or canvas casual can be just as problematic.
Many flats lack internal support (like the kind you find in a sneaker). Without it, the ligaments and tendons along the bottom of your foot can overstretch and the arch can collapse. This in turn can lead to the painful foot condition plantar fasciitis—a notoriously hard-to-treat burning or aching along the bottom of the foot. Poor internal support is especially problematic if you’re naturally flat-footed.
Many casual flats have even less interior cushioning than heels or sandals. This lack of padding can trigger pain in the heel or ball of your foot when you’re walking, especially if you have high arches.
Fixes for Flat Shoes
Give your feet a workout.
To wear shoes with no built-in support, you need to strengthen the tiny foot muscles that support your arch. Try doing toe lifts: Raise your big toe without moving the rest of the gang. Until you get the knack, wiggle your toes and rub your feet vigorously, which will stimulate your nerve endings and help wake up your feet. Do 20 toe lifts per foot.
Stretch it out.
Just as the abductor/adductor machine at the gym strengthens your outer and inner thighs, you can work your toe abductors and adductors to make the muscles of your foot stronger and more supportive. Start by interlacing your fingers with your toes to help press them apart, then spread and relax them without assistance from your hands. Hold the stretch long enough to sing the alphabet. Do this once a day (or up to three times if you have bunions).
Bump it up.
Help strengthen the small muscles in your feet and lower legs by striding barefoot across an uneven surface such as cobblestones. This also helps stimulate the nerves in your feet. Buy a pre-made cobblestone mat with smooth stones already glued to it, or find (or make) a bumpy space to walk back and forth on in your backyard.
Add OTC insoles.
If you have flat feet (your wet footprint shows the entire foot), foam or rubber insoles can help prevent your arches from collapsing. If you have high arches (you see only the heel and ball of your foot in your footprint), look for an insole with more rigid arch support.
Look for flats with an insole that curves along the same lines as your foot and arch. Then try to fold the shoe in half—it should bend only at the ball (the same place your foot naturally bends as you walk). Also avoid pairs that fold right in the middle or roll up easily.
How Toning Shoes Cause Foot Pain
Shoes with rounded or “rocker” soles that purportedly increase muscle activity and boost calorie burn are big business—after all, who doesn’t want to get a workout without really working out? But despite their medical provenance (rocker-bottom shoes were originally engineered to help patients with pain in the balls of the feet, says Leahy), consider the following before you get a pair as a fitness tool.
The rigid soles prevent arches from naturally flexing. Eventually, this can cause your arches to flatten and lead to overpronation (when the feet excessively roll in while walking). The result: Your feet absorb less shock, causing your knees and back to take on extra stress.
Relief from Rocker Shoes
Be inspired (but don’t skip your strength workout).
If these shoes help you feel more conscious of the benefits of every step you take and make you want to walk more, go for it! But don’t skip proven strengtheners. The best way to tone your lower body is with strength moves such as squats and lunges, not just walking around in toning shoes.
Contact The Podiatrist (www.thepodiatrist.co.nz)