Paediatric podiatry is differs from general podiatry in a number of ways. Firstly, the developing foot provides unique challenges that are not encountered by its adult counterpart due to the nature of its growth and development. Not only is the foot subject to the many changes encountered by its development and growth, but the foot is required to adapt and compensate for these changes. This often requires the whole body to adapt resulting in postural and biomechanical changes. The foot, legs and pelvis are most often affected as these structures are so closely linked to walking and normal functioning.
Why Should My Child See a Podiatrist?
Many misconceptions exist regarding the treatment of foot problems in children. Unfortunately, most foot problems, unless obvious or particularly troublesome are ignored. This means that what once was an easily manageable case can become a lifelong problem requiring extensive treatment. It is interesting to note that the majority of the elderly population require a podiatrist with many needing surgery of the foot, knee or hip. Early identification and treatment of actual and potential foot problems could reduce the number of older people requiring podiatric treatment or surgery in the future.
What Problems Should I Look Out For in My Child?
It is important to note that many of the problems listed below are part of the developmental process and no treatment may be implemented. Your podiatrist may reassure you and suggest regular check-ups. In some cases, the problems may not resolve by themselves and may require intervention. It is important to remember that early consultation can often prevent the worsening and deterioration of some conditions.
Things to look out for:
- Ingrown toenails
- Growing pains in shins and feet
- Flat feet
- Arch pain
- Feet that ‘roll’ inwards
- ‘In-toeing’ or ‘out-toeing’
- ‘Bouncing’ gait
- Unusual structure of feet
- Un-even wear on shoes
- Painful or tired feet
- Excessive falling or tripping
- Balancing problems
- Bumps or lumps on feet or legs
- Heel pain
When Should My Child See a Podiatrist?
It is interesting to note that some research has shown that the usual age of children presenting with foot problems ranges from neonate to preschool. However, it is not unusual for foot problems to be identified at a much later stage during primary school, as it is here that children begin to participate in organised sport and problems are more easily identified by teachers, parents and coaches. Studies have shown that the human gait pattern is ‘finalised’ around six years of age. If you notice any of the above mentioned signs of ‘problematic’ gait in your child, you would do well to take your child to a podiatrist for a consultation. They will be able to provide an accurate diagnosis and treatment plan if necessary.
