TORONTO PEDIATRIC FOOT PROBLEMS

Infants and young, growing children have special circumstances that necessitate they be evaluated by a specialist familiar with normal development. Many conditions, if caught early, can be easily treated, correcting the problem before it becomes a life-long deformity.

Common foot disorders that we treat include in-toeing and out-toeing, flat feet, curved feet, toe walking, inflamed growth plates in the bones, leg cramps and night cramps, ingrown toenails, athlete's foot, and other skin conditions.  We also treat young athletes and sports related injuries of all ages. Children will often not complain about pain associated with their sport. The demands of soccer, baseball, dance, and gymnastics on the growing child will often uncover underlying developmental problems.

Your Children's Feet 
You worry about your children's teeth, eyes, and other parts of the body. You teach washing, brushing, and grooming, but what do you do about your child's feet--those still-developing feet which have to carry the entire weight of the body through a lifetime? 
Many adult foot ailments, like other bodily ills, have their origins in childhood and are present at birth. Periodic professional attention and regular foot care can minimize these problems in later life. 
Neglecting foot health invites problems in other parts of the body, such as the legs and back. There can also be undesirable personality effects. The youngster with troublesome feet walks awkwardly and usually has poor general posture. As a result, the growing child may become shy, introverted, and avoid athletics and social functions. Consultation between the Chiropodist, pediatrician, and other medical specialists helps to resolve these related problems.

Your Baby's Feet 
The human foot--one of the most complicated parts of the body--has 26 bones, and is laced with ligaments, muscles, blood vessels, and nerves. Because the feet of young children are soft and pliable, abnormal pressure can easily cause deformities. 
A child's feet grow rapidly during the first year, reaching almost half their adult foot size. This is why foot specialists consider the first year to be the most important in the development of the feet. 
Here are some suggestions to help you assure that this development proceeds normally:

Look carefully at your baby's feet. If you notice something that does not look normal to you, seek professional care immediately. Deformities will not be outgrown by themselves. Cover baby's feet loosely. Tight covers restrict movement and can retard normal development. Provide an opportunity for exercising the feet. Lying uncovered enables the baby to kick and perform other related motions which prepare the feet for weightbearing. Change the baby's position several times a day. Lying too long in one spot, especially on the stomach, can put excessive strain on the feet and legs.

Starting to Walk 
It is unwise to force a child to walk. When physically and emotionally ready, the child will walk. Comparisons with other children are misleading, since the age for independent walking ranges from 10 to 18 months. 
When the child first begins to walk, shoes are not necessary indoors. Allowing the youngster to go barefoot or to wear just socks helps the foot to grow normally and to develop its musculature and strength, as well as the grasping action of toes. Of course, when walking outside or on rough surfaces, babies' feet should be protected in lightweight, flexible footwear made of natural materials.

Growing Up 
As a child's feet continue to develop, it may be necessary to change shoe and sock size every few months to allow room for the feet to grow. Although foot problems result mainly from injury, deformity, illness, or hereditary factors, improper footwear can aggravate preexisting conditions. Shoes or other footwear should never be handed down. 
The feet of young children are often unstable because of muscle problems which make walking difficult or uncomfortable. A thorough examination by a foot specialist may detect an underlying defect or condition which may require immediate treatment or consultation with another specialist. 
The American Podiatric Medical Association has long known of the high incidence of foot defects among the young and recommends foot health examinations for school children on a regular basis.

Sports Activities 
Millions of American children participate in team and individual sports, many of them outside the school system, where advice on conditioning and equipment is not always available. Parents should be concerned about children's involvement in sports that require a substantial amount of running and turning, or involve contact. Protective taping of the ankles is often necessary to prevent sprains or fractures. Parents should consider discussing these matters with their family podiatrist if they have children participating in active sports. Sports-related foot and ankle injuries are on the rise as more children participate actively in sports.

Children's Feet Tips 
Problems noticed at birth will not disappear by themselves. You should not wait until the child begins walking to take care of a problem you've noticed earlier.

Remember that lack of complaint by a youngster is not a reliable sign. The bones of growing feet are so flexible that they can be twisted and distorted without the child being aware of it. Walking is the best of all foot exercises, according to podiatrists. They also recommend that walking patterns be carefully observed. Does the child toe in or out, have knock knees, or other gait abnormalities? These problems can be corrected if they are detected early. Going barefoot is a healthy activity for children under the right conditions. However, walking barefoot on dirty pavements exposes children's feet to the dangers of infection through accidental cuts and to severe contusions, sprains, or fractures. Another potential problem is plantar warts, a condition caused by a virus which invades the sole of the foot through cuts and breaks in the skin. They require protracted treatment and can keep children from school and other activities. Be careful about applying home remedies to children's feet. Preparations strong enough to kill certain types of fungus can harm the skin. The Foot Specialists who are employed at Dr. Hardy's Toronto Foot Clinic, Academy Foot and Orthotic Clinics are all female and have that 'special touch' when it comes to dealing with children.   My Toronto Foot Clinic see a lot of families and all of the 4 Chiropodists whom I employ are highly educated and skilled and full equipped to deal with all types of foot problems.  They are Primary Health Care Providers which means that no Medical referral is necessary.   If you or a loved requires honest, competent advice or quality foot care and custom orthotics, please contact us at 416-465-8737 today!