5 warning signs of foot problems in children

Foot pain in children is not something to be taken lightly or ignore. Sometimes it is hard for children to tell their parents when they are having foot troubles. Perhaps the child was born with a foot abnormality so their gait, though abnormal, seems normal to them. Or, a child may feel embarrassed about how their feet appear so they don’t want to bring it up. So, it is very important for parents to keep an eye on children's feet to keep them just as healthy as the rest of their body. Remember these feet have lots of miles ahead of them!!

Here are five things to look out for that might indicate your child is having foot pain or problems.

1. If your child is having trouble keeping up with other children~ If your child frequently lags behind other children in sports or other physical activities this could be due to flat feet causing the leg muscles to tire more easily. The muscles and feet become tired easier because the feet are not functioning as efficiently as they could be.

2. If your child suddenly stops wanting to participate in activities they enjoy~ If your child is suddenly not participating in their favorite activities this could be due to heel pain that is common in children ages 8-14. Heel pain can be caused by repetitive stress that occurs while playing sports. Too much strain can lead to pain and inflammation in the growth plate at the back of your child’s heel.

3. If your child is reluctant to show you their feet~ If a child notices a change in their feet they might be embarrassed or nervous that the change could lead to a trip to the doctors office. Start making it a habit early to check your children's feet for discoloration of the skin or nails, growths, calluses, redness, swelling or ingrown nails. Seek podiatric help for any of these signs of a problem.

4. If your child trips or falls often~ Although children are often clumsy while they are getting used to their body, repeated clumsiness can be a sign of in-toeing, balance problems or neuromuscular conditions.

5. If your child tells you they have foot pain~ Sometimes we get lucky and our children will tell us that their feet hurt. If this happens be thankful and take them to see a podiatrist right away. It is never normal for children to have foot pain and since they are growing all the time foot pain should not go overlooked. If injuries cause pain or swelling for more than a few days see a podiatrist asap.

Even if no symptoms are present and your children don’t complain of foot pain it is a good idea to get a yearly check up to make sure that the feet are growing properly.

Heel Pain In Children

Sever’s disease is the most common cause of heel pain in the growing athlete. It is due to overuse and repetitive microtrauma of growth plates of the heel bone (called the calcaneus). Another name for Sever's disease is calcaneal apophysitis. Mostly seen in children ages 10-13, it is seen in children ranging in age from 7 through 15. During this time, the growth center of the heel bone is still open and children are often active in sports. Adults do not get Sever’s disease because their growth plates have closed. Unfortunately, adults still get heel pain but plantar fasciitis is usually the cause. Sever’s disease occurs more commonly in children who are tight in their Achilles tendon. You will see them walk on the balls of their feet and the heel hardly touches the floor when they walk.

Symptoms

• Pain and tenderness in the heel

• Difficulty participating in sports

• Limping

• Relief at rest

• Pain when running or jogging

Treatment

Elevating the heel may relieve some of the pain. Children who are active in sports and get heel pain should stretch their hamstrings and calf muscles 2-3 times daily. R.I.C.E may also help and no this is not the rice that we eat. R stands for rest, I is for ice, C is for compression and E is for elevation. Avoiding hard surfaces when running is highly recommended. If your child is having severe pain, an orthotic device may be needed. Surgery is generally not needed for Sever’s disease. Sever’s disease also may go away on its own once the bone is done healing. If your child constantly complains of heel pain after playing sports and you don’t know what to do see us today at SHENANDOAH PODIATRY.

COMMON FOOT INJURIES IN ATHLETIC KIDS

Millions of kids are involved in several sports, which is a good thing overall. But because many sports are hard on the feet--- and a child's bones, ligaments, and tendons aren't fully developed, stress-related foot injuries are common. Heel growth plate inflammation, a risk until age 13 to 16, can occur due to muscle strain and repetitive stress. Achilles tendonitis occurs most often after age 14 and results from stressful running and pounding. Tendo-Achilles bursitis is an inflammation of the fluid-filled sac between the Achilles tendon and heel bone. Plantar fasciitis is heel pain triggered by inflammation along the tissue spanning the sole of the foot. Stress fractures and hairline bone fractures caused by overuse.

Young or old, athletically inclined or not, no one can afford to play games with foot injuries, fractures, diseases, or disorders. Podiatric problems demand the attention of a professional. Don't let foot concerns keep you on the sidelines. Consult with us instead at SHENANDOAH PODIATRY . We offer treatment of specific problems as well as preventive care to keep you on your feet. Please call us for an appointment. Same day appointments are often accommodated.

Dedicated To Your Healthy Feet,

Dr. Jennifer Feeny

P.S. Do not allow your child to continue playing a sport if he or she is in pain. Find out the cause of it to prevent chronic problems.