Category: Paediatrics

Childhood obesity and foot pain

Posted on March 8, 2023 by - C, Paediatrics

Childhood obesity can lead to foot pain and other foot-related problems. Excess weight puts extra pressure on the feet and can cause conditions such as flat feet, plantar fasciitis, and Sever’s disease. Flat feet occur when the arches of the feet collapse, which can cause pain and discomfort. Plantar fasciitis is an inflammation of the plantar fascia, the thick band of tissue that connects the heel bone to the toes, and it causes pain in the heel and arch of the foot. Sever’s disease is a condition that causes heel pain in children and adolescents, and it is caused by inflammation of the growth plate in the heel bone.

Additionally, children who are overweight may be less physically active, which can lead to weaker foot muscles and poor balance. This can increase the risk of falls and other foot injuries.

If a child is experiencing foot pain, it is important to see a doctor to determine the cause and appropriate treatment. Addressing obesity and making lifestyle changes, such as increasing physical activity and eating a healthy diet, can also help alleviate foot pain and prevent future problems.

Calcaneal apophysitis (Sever’s disease)

Posted on March 8, 2023 by - C, Hindfoot, Paediatrics, S

Calcaneal apophysitis, also known as Sever’s disease, is a common cause of heel pain in children and adolescents. It is an overuse injury that occurs when there is inflammation of the growth plate in the heel bone, where the Achilles tendon attaches. It typically affects children between the ages of 8 and 15, particularly those who are involved in sports that involve running and jumping.

Symptoms of calcaneal apophysitis include:

  1. Pain in the heel, particularly with activity
  2. Swelling and tenderness in the heel
  3. Difficulty walking or running
  4. Stiffness in the heel upon waking up in the morning

Treatment for calcaneal apophysitis typically involves rest, ice, compression, and elevation (RICE). Anti-inflammatory medications, such as ibuprofen, may also be used to reduce pain and inflammation. In some cases, a heel cup or other supportive device may be recommended to help cushion the heel and reduce stress on the growth plate.

It is important for children and adolescents with calcaneal apophysitis to avoid activities that aggravate the condition until the symptoms have completely resolved. In most cases, symptoms will resolve within a few weeks to a few months with proper treatment and rest. However, if left untreated, calcaneal apophysitis can lead to chronic heel pain and other complications.

Blister prevention

Posted on March 8, 2023 by - B, Dermatology & nail pathology, Paediatrics

Foot blisters can be a common problem, especially if you participate in activities such as running, hiking, or walking for long periods. Here are some tips to help prevent foot blisters:

  1. Wear comfortable shoes: Make sure your shoes fit well and are comfortable. Avoid wearing shoes that are too tight or too loose, as this can cause rubbing and blisters.
  2. Use moisture-wicking socks: Wear socks made of moisture-wicking materials that can help keep your feet dry and prevent blisters.
  3. Apply lubricants or powders: Use lubricants or powders on your feet to help reduce friction and prevent blisters.
  4. Use padding: Apply padding to areas that are prone to blisters, such as the heel or ball of the foot. This can help reduce friction and prevent blisters.
  5. Take breaks: If you’re participating in an activity that involves a lot of walking or running, take frequent breaks to rest your feet.
  6. Build up slowly: If you’re starting a new activity, such as running or hiking, build up slowly over time to allow your feet to adjust to the activity and prevent blisters.
  7. Consider using orthotics: If you have foot problems or conditions, such as flat feet or plantar fasciitis, consider using orthotics or insoles to provide additional support and cushioning.

Remember, prevention is key when it comes to foot blisters. If you do develop a blister, it’s important to keep it clean and dry to prevent infection. In some cases, a healthcare professional may need to drain the blister and provide additional treatment.

Autism related foot & ankle disorders

Posted on March 8, 2023 by - A, Paediatrics

Individuals with autism spectrum disorder (ASD) may experience foot problems, just like the general population. Some foot problems that have been reported in individuals with ASD include:

  1. Toe walking: Some individuals with ASD may walk on their toes, which can lead to tightness in the calf muscles and contribute to foot and ankle pain.
  2. Sensory issues: Some individuals with ASD may have sensory processing difficulties, which can result in an aversion to certain textures or types of footwear.
  3. Poor motor skills: Individuals with ASD may have challenges with motor skills, which can affect their ability to tie shoelaces or perform other tasks related to foot hygiene and self-care.
  4. Overuse injuries: Individuals with ASD may engage in repetitive movements or behaviors, which can contribute to overuse injuries such as stress fractures or plantar fasciitis.
  5. Coordination difficulties: Some individuals with ASD may have coordination difficulties, which can lead to a greater risk of falls and injuries.

It is important for individuals with ASD to have regular foot exams and to receive prompt treatment for any foot problems that may arise. Foot care providers can work with individuals with ASD and their families to develop individualised treatment plans that take into account their unique needs and challenges.

Back to school shoe shopping tips

Posted on March 8, 2023 by - B, Paediatrics

Some general tips on back to school shoe shopping for students include:

  1. Measure the feet: Children’s feet can grow rapidly, so it’s important to measure their feet before buying new shoes. Measure both feet, as they may not be the same size, and make sure there is enough space for the toes to move around.
  2. Look for comfortable shoes: Shoes that are comfortable and fit well can prevent foot problems and discomfort. Look for shoes that have a good arch support, a cushioned sole, and a sturdy heel.
  3. Choose the right style: Different activities require different types of shoes. For example, running shoes are ideal for physical education class or playing sports, while dress shoes are more appropriate for formal events or ceremonies. Make sure the shoes are suitable for the intended activity.
  4. Check the durability: Children can be tough on shoes, so it’s important to look for durable materials and quality construction. Check for reinforced stitching, sturdy soles, and high-quality materials.
  5. Allow for growth: Children’s feet can grow quickly, so it’s important to choose shoes that have some room to grow. Shoes that are too tight can cause discomfort and foot problems.
  6. Let the child try them on: It’s important for the child to try on the shoes to ensure a good fit and comfort. Have them walk around in the shoes and make sure there is no slipping, pinching or rubbing.
  7. Stick to a budget: Back to school shoe shopping can be expensive, so it’s important to set a budget and stick to it. Look for sales, discounts, and clearance items to save money.

Remember that finding the right shoes can help prevent foot problems and discomfort, so take the time to choose the best shoes for your child’s needs.

Adult consequences of paediatric foot disorders

Posted on March 7, 2023 by - A, Musculoskeletal, Paediatrics

Paediatric foot disorders can have long-term consequences that persist into adulthood if left untreated or if not managed appropriately. Here are some of the potential adult consequences of paediatric foot disorders:

  1. Persistent foot pain: Foot disorders such as flat feet, high arches, or misaligned toes can cause pain and discomfort that can persist into adulthood.
  2. Arthritis: Certain foot conditions, such as juvenile idiopathic arthritis, can lead to the development of arthritis in adulthood.
  3. Limited mobility: If a foot disorder is left untreated or not managed appropriately, it can result in limited mobility and difficulty with activities of daily living.
  4. Balance and gait problems: Foot disorders can affect balance and gait, which can increase the risk of falls and injuries in adulthood.
  5. Increased risk of foot and ankle injuries: Foot disorders can weaken the foot and ankle and increase the risk of injuries such as sprains, strains, and fractures.
  6. Skin and nail problems: Certain foot disorders, such as ingrown toenails or plantar warts, can persist into adulthood and cause chronic skin and nail problems.
  7. Poor self-esteem: Foot disorders can be aesthetically unappealing and may cause self-consciousness and poor self-esteem in adulthood.

It is important to address paediatric foot disorders early and to ensure that they are appropriately managed to reduce the risk of long-term consequences in adulthood. Treatment options may include orthotics, physical therapy, surgery, or a combination of these approaches. Regular follow-up with a podiatrist or foot specialist can also help to identify and address any ongoing issues.