1. Flat Feet (Pes Planus)

What It Is:

Flat feet are a condition where the arches of the feet do not develop properly. This can cause the entire foot to touch the ground when standing.

Symptoms:

• Aching or pain in the feet, especially after activity
• Difficulty with walking or running
• Shoes wearing out unevenly

Treatment:

Most children will naturally develop arches as they grow. However, in cases where flat feet cause pain or mobility issues, treatments may include:

• Orthotics: Special insoles to support the arch
• Physical Therapy: Exercises to strengthen the muscles in the feet and legs
• Surgery: Rarely recommended, only in severe cases

2. Heel Pain (Sever’s Disease)

What It Is:

Sever’s Disease is an inflammation of the growth plate in the heel. It often occurs in active children during puberty when bones grow faster than muscles and tendons.

Symptoms:

• Pain in the back or bottom of the heel
• Swelling and redness at the heel
• Discomfort when walking or running

Treatment:

Treatment focuses on reducing inflammation and discomfort, including:

• Rest: Limiting physical activities that exacerbate the pain
• Ice Therapy: Applying ice packs to reduce swelling
• Heel Cups or Cushions: To provide extra support during healing

3. Toe Walking

What It Is:

Toe walking refers to a pattern where children walk on the balls of their feet or toes without putting their heels down.

Symptoms:

• Persistent walking on toes beyond the toddler years
• Difficulty with heel-to-toe walking

Treatment:

While some children outgrow this habit, persistent toe walking may require:

• Physical Therapy: Stretching and strengthening exercises to improve gait
• Orthotics or Braces: To help encourage proper foot placement
• Surgery: In rare cases, to lengthen the Achilles tendon if it’s exceptionally tight

4. Ingrown Toenails

What It Is:

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin, often causing pain and, sometimes, infection.

Symptoms:

• Redness, swelling, and pain around the toenail
• Pus or other signs of infection

Treatment:

Early intervention can prevent more serious issues. Treatments include:

• Soaking Feet: In warm water and using antiseptic solutions
• Proper Nail Cutting: Ensuring nails are cut straight across and not too short
• Medical Intervention: In severe cases, a healthcare provider may need to remove part of the nail

5. Plantar Warts

What It Is:

Plantar warts are caused by a viral infection in the outer layer of the skin and often develop on the soles of the feet.

Symptoms:

• Small, grainy growths on the soles of the feet
• Pain when pressure is applied, such as standing or walking

Treatment:

• Over-the-Counter Remedies: Salicylic acid treatments are often effective
• Cryotherapy: Freezing off the wart using liquid nitrogen
• Prescription Medications: For more persistent cases

Preventative Measures

To help prevent foot issues, encourage your children to:

• Wear properly fitting shoes that provide adequate support
• Maintain good hygiene, including regular washing and nail trimming
• Stretch before physical activities to avoid strains and sprains

Early Intervention for Common Childhood Foot Problems

Keeping an eye on your child’s feet and addressing issues early can help prevent more severe problems in the future. If you notice any of these common pediatric foot issues, it’s crucial to consult a healthcare professional like Dr. Chetan Oswal, a renowned Foot and Ankle Surgeon in Pune, who can recommend the appropriate treatments to ensure your child’s feet remain healthy and strong.

The post Common Pediatric Foot Issues and How to Treat Them? appeared first on Pune Foot Ankle.

What Causes Paediatric Flatfoot?

The most common reason children develop flatfoot is because they were born with a muscle imbalance that allows their feet to roll inward too far. When pronation occurs at a young age, it often damages the foot’s bones, joints, cartilage, and tendons.

Signs of Paediatric Flatfoot:

Some of the signs and symptoms of paediatric flatfoot include:-

• Poor balance and splaying of the feet
• Foot pain
• Tiredness or fatigue in the feet and legs when walking
• Difficulty walking on tiptoes
• Pain in the knee or hip
• Change in the way the child walks
• An abnormal arch when the child is sitting

Treatment of Paediatric Flatfoot:

1. Medication:-

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce pain and inflammation.

2. Stretching exercises:-

Stretching the Achilles tendon and plantar fascia may help relieve pain and improve Paediatric flatfoot deformity. Physical therapy is recommended for this.

3. Modify activity levels

If your child’s flatfoot is painful, they may need to avoid sports and other physical activities that may make the pain worse.

Immobilization – In more severe cases of paediatric flatfoot, a short leg cast or boot may be used to immobilize the foot, allow healing, and reduce pain.

We hope this article on paediatric flat foot has been helpful for you. We are aware that there are a lot of questions regarding the best management of paediatric flatfoot still unanswered. If you have any queries about paediatric flatfoot or this article, contact Dr Chetan Oswal at Orthowin Clinic, Pune.

Dr. Chetan Oswal is an Orthopedic surgeon with exclusive expertise in the foot and ankle area. He has had his advanced surgical fellowship from the United kingdom. Complicated foot and ankle surgery are his forte. Dr.  Chetan Oswal with his specialized training in foot and ankle reconstruction offers minimally invasive keyhole surgery for foot and ankle problems which enables patients to recover quickly & resume work/duties/sports at the earliest.

The post A Systematic Approach to Paediatric Flatfoot: What to Do and When to Do It appeared first on Pune Foot Ankle.