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Footcare Really Matters<br />

Pain in a child’s foot or ankle is never normal. There is no such thing as<br />

“growing pains.” A podiatrist should evaluate any pain that lasts more<br />

than a few days, or that is severe enough to limit the child’s walking.<br />

Lets start off with footwear;<br />

follow these helpful tips when<br />

buying shoes for your young<br />

ones:<br />

Five signs, which may indicate your child,<br />

has a foot problem:<br />

1. Your child cannot keep up with his/her Peers<br />

If children lag behind in sports or backyard play, it may be because their<br />

feet or legs are tired. Fatigue is common when children have flat feet.<br />

The muscles in the feet and legs tire easily because the feet are not<br />

functioning as well as they should.<br />

HEALTHCARE: PODOLOGY<br />

1. Shoes should fit (sounds obvious but it is<br />

not)<br />

Your child’s feet can grow up to two sizes in six<br />

months, so you need to account for growth when<br />

buying shoes. That does not mean you should buy<br />

shoes that are too big—oversized shoes cause the<br />

foot to slide forward, putting excessive pressure on<br />

the toes. A good fit is about a finger's width from<br />

the end of the shoe to the tip of the big toe.<br />

2. Shoes wear out<br />

Shoes lose their shock absorption over time, so<br />

inspect shoes for proper cushioning and arch<br />

support. Replace any shoes with wear and tear<br />

around the edges of the sole. When buying shoes,<br />

check to see that the toe box flexes easily and the<br />

shoe does not bend in the middle of the sole.<br />

3. Children with flat feet<br />

Children with flat feet need shoes with a wide toe<br />

box, maximum arch support and shock absorption.<br />

2. Children Voluntarily Withdraw from Activities they usually<br />

enjoy<br />

If they are reluctant to participate, it may be due to heel pain — a problem<br />

often seen in children between the ages of 8 and 14. Repetitive stress<br />

from sports may cause muscle strain and inflammation of the growth<br />

plate, a weak area at the back of a child’s heel.<br />

3. They Don’t Want to Show You Their Feet<br />

Children may feel pain or notice a change in the appearance of their feet<br />

or nails but don’t tell their parents because they fear a trip to the doctor’s<br />

office. I encourage parents to make a habit of inspecting their child’s feet<br />

starting at a young age. Look for any changes such as calluses, growths,<br />

skin discoloration, or redness and swelling around the toenails.<br />

4. Your Child Often Trips and Falls<br />

Repeated clumsiness may be a sign of in-toeing, balance problems or<br />

neuromuscular conditions.<br />

5. The Child Complains of Pain<br />

Pain is not normal. Injuries may seem minor, but if pain or swelling last<br />

more than a few days, have your child’s foot examined. <strong>ST</strong><br />

Courtesy: Clinton Schembri Francalanza<br />

By Clinton Schembri Francalanza<br />

57

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