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Most common orthopedic problems in children's feet

Most common orthopedic problems in children's feet


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When a child has a foot problem to be corrected using orthopedic techniques, images of the cinema such as "Forrest Gump", Frankenstein-type footwear, etc. come to mind. But fortunately it is not like that anymore, every day orthopedics evolves to promote normality in its patients and that they can lead a full life while they recover.

In my career as a child orthopedist, I can highlight a series of the most common problems with children's feet.

1. Flat feet: Most babies are born with flat feet and develop the arches of the feet as they grow. But in some children, the arch is never fully developed. The first thing parents often notice is that their child has what they describe as "weak ankles" (which seem to twist inward due to the shape of the feet). Parents of children with flat feet are concerned that their children are clumsier than other children, but doctors say that flat feet should not be a cause for concern and should not interfere with sports. Sometimes, orthopedists recommend inserting insoles with special arch supports in the footwear in order to reduce pain, if it exists.

2. cavus feet: is the opposite of flat feet. There is an excessively high bridge. There are often more cases in the family. Most are mild cases that do not cause a special problem, except for the difficulty of finding comfortable shoes. But in severe cases they can progressively deform the foot, alter gait and cause pain. In these cases a specific orthopedic shoe is the most appropriate and in very severe cases, surgery.

3. Feet inward (with Metatarsal Varus): it may be due to various circumstances. A very frequent and noticeable circumstance at birth and very young children is the “metatarsal varus”. Due to space problems in the uterus, the front part of the foot tilts and moves inwards, the sole acquiring a “kidney” appearance. With proper stretching exercises, it is corrected without difficulty.

4. Club feet: They are very similar to the varus metatarsal feet but these are rigid, they are not corrected by hand and with stretching. They cannot be bent upward and they will not straighten. These little ones need a corrective cast orthotic treatment and tailored orthotics, which progresses with their growth along with the footwear that they will wear in childhood.

5. Feet "out": usually indicates the existence of a flat-flexible foot. As we have said before, it is usually a family trait and except in severe and painful cases, no action will be necessary.

6. Talos feet "up": Due to positions within the uterus, many newborns are born with the feet up, pointing the toes towards the leg with the heel low. If the foot is corrected by hand and can be extended without forcing the foot, these cases are usually corrected with stretching and within a few months. Only the stiff talus feet that cannot be reduced, will need a more specific treatment or surgery in the most severe cases.

7. Walking on tiptoe: When the little ones do not reach an object they want, encouraged by their great curiosity, they usually stand on tiptoe. But if these toes persist in all the steps, in a normalized gait, it must be observed. It should not be given after 3 years, if so, the pediatrician should assess it to rule out other problems and if necessary, put an orthopedic treatment.

In conclusion, we must be very aware of the evolution of the feet of our little ones, since, like a tree, they are the roots of our body and the base of it.

You can read more articles similar to Most common orthopedic problems in children's feet, in the category of Orthopedics and on-site traumatology.


Video: Flat Feet in Children What Parents Need to Know. Seattle Podiatrist Dr. Larry Huppin (July 2022).


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