The Paediatric foot
The human foot was once described by Leonardo da Vinci as “…a masterpiece of engineering and a work of art”.
Most podiatrists will agree wholeheartedly with that description that the 26 bones and 35 joints, all held together by 106 ligaments make it one of the most complex structures in the human body. For that reason the medical world agrees that foot health in children is paramount.
Many of the foot problems that children present with can continue into their adult life, so by creating a healthy foundation in a child’s foot, we set in place the foundations for proper adult foot function.
Children usually start to walk anywhere from 8 to 18 months and a soft, flexible and often flat foot is what greets us when toddlers first get mobile. This can be very normal but concerns about just how much is “normal” can often concern parents and specialised opinions in these cases should be sought.
What’s normal?
As children grow, having healthy and happy feet is critical to allow involvement in all forms of physical activity. Unfortunately, many things can develop during childhood that may affect the enjoyment of sport and even challenge our activities of daily living. Whilst this is not the norm, parents should be aware that any number of foot and leg pathologies should be investigated at the earliest convenience. Some of these conditions include;
- delayed walking
- anatomical abnormalities – excessively flat feet, curly toes, juvenile bunions
- gait/walking abnormalities – in or out-toeing, clumsy or awkward, excessive falls
- foot and leg aching
- growth related pain
- pain during sport or intense physical activity
- ingrown toenails
- warts/papillomas
- sweating disorders/tinea
What needs to be done?
The podiatrists at Essendon Foot Clinic are experienced in the assessment and treatment of these types of children’s conditions. Many treatment plans, such as those for growing and developmental growth plate pain, are not intended to ‘cure’ the condition, but reduce symptoms and maintain function and participation in activity.
Often it is the reassurance that parents need that the treatments they are implementing are correct and that their child still fits within the parameters of “normality”.
In some cases, it is advice on footwear, rehabilitation and training or therapies such as stretching or physiotherapy that is needed. In less common cases the use of orthoses may aid development by managing symptoms, reducing loads on injured structures or helping provide feedback for a stable gait.
If you are asking yourself the question…”is it normal for my child to walk, stand or run like that?” or “is that foot or toe position normal?” it may be time to have you child checked by a podiatrist at Essendon Foot Clinic.
Call our clinic to make an appointment on 9379 9224 or book online.