Information From The American Podiatric Medical
You worry about your children's teeth,
eyes, and other parts of the body. You teach washing, brushing, and
grooming, but what do you do about your child's feet--those still-developing
feet which have to carry the entire weight of the body through a lifetime?
Many adult foot ailments, like other bodily ills, have their origins
in childhood and are present at birth. Periodic professional attention
and regular foot care can minimize these problems in later life.
Neglecting foot health invites problems in other parts of the body,
such as the legs and back. There can also be undesirable personality
effects. The youngster with troublesome feet walks awkwardly and usually
has poor general posture. As a result, the growing child may become
shy, introverted, and avoid athletics and social functions. Consultation
between the podiatrist, pediatrician, and other medical specialists
helps to resolve these related problems.
Your Baby's Feet
The human foot -- one of the most complicated
parts of the body --has 26 bones, and is laced with ligaments, muscles,
blood vessels, and nerves. Because the feet of young children are soft
and pliable, abnormal pressure can easily cause deformities.
A child's feet grow rapidly during the first year, reaching almost half
their adult foot size. This is why foot specialists consider the first
year to be the most important in the development of the feet.
Here are some suggestions to help you assure that this development proceeds
• Look carefully at your baby's feet. If you notice something
that does not look normal to you, seek professional care immediately.
Deformities will not be outgrown by themselves.
• Cover baby's feet loosely. Tight covers restrict movement and
can retard normal development.
• Provide an opportunity for exercising the feet. Lying uncovered
enables the baby to kick and perform other related motions which prepare
the feet for weightbearing.
• Change the baby's position several times a day. Lying too long
in one spot, especially on the stomach, can put excessive strain on
the feet and legs.
Starting to Walk
It is unwise to force a child to walk.
When physically and emotionally ready, the child will walk. Comparisons
with other children are misleading, since the age for independent walking
ranges from 10 to 18 months.
When the child first begins to walk, shoes are not necessary indoors.
Allowing the youngster to go barefoot or to wear just socks helps the
foot to grow normally and to develop its musculature and strength, as
well as the grasping action of toes. Of course, when walking outside
or on rough surfaces, babies' feet should be protected in lightweight,
flexible footwear made of natural materials.
As a child's feet continue to develop,
it may be necessary to change shoe and sock size every few months to
allow room for the feet to grow. Although foot problems result mainly
from injury, deformity, illness, or hereditary factors, improper footwear
can aggravate preexisting conditions. Shoes or other footwear should
never be handed down.
The feet of young children are often unstable because of muscle problems
which make walking difficult or uncomfortable. A thorough examination
by a podiatrist may detect an underlying defect or condition which may
require immediate treatment or consultation with another specialist.
The American Podiatric Medical Association has long known of the high
incidence of foot defects among the young, and recommends foot health
examinations for school children on a regular basis.
Millions of American children participate
in team and individual sports, many of them outside the school system,
where advice on conditioning and equipment is not always available.
Parents should be concerned about children's involvement in sports that
require a substantial amount of running and turning, or involve contact.
Protective taping of the ankles is often necessary to prevent sprains
or fractures. Parents should consider discussing these matters with
their family podiatrist if they have children participating in active
sports. Sports-related foot and ankle injuries are on the rise as more
children actively participate in sports.
Children's Foot Tips From The
• Problems noticed at birth will
not disappear by themselves. You should not wait until the child begins
walking to take care of a problem you've noticed earlier.
• Remember that lack of complaint by a youngster is not a reliable
sign. The bones of growing feet are so flexible that they can be twisted
and distorted without the child being aware of it.
• Walking is the best of all foot exercises, according to podiatrists.
They also recommend that walking patterns be carefully observed. Does
the child toe in or out, have knock knees, or other gait abnormalities?
These problems can be corrected if they are detected early.
• Going barefoot is a healthy activity for children under the
right conditions. However, walking barefoot on dirty pavements exposes
children's feet to the dangers of infection through accidental cuts
and to severe contusions, sprains or fractures. Another potential problem
is plantar warts, a condition caused by a virus which invades the sole
of the foot through cuts and breaks in the skin. They require protracted
treatment and can keep children from school and other activities.
• Be careful about applying home remedies to children's feet.
• Preparations strong enough to kill certain types of fungus can
harm the skin.
• Whenever you have questions about your child's foot health,
contact a podiatrist in your community.
Your podiatric physician/surgeon has been trained specifically and extensively
in the diagnosis and treatment of all manners of foot conditions. This
training encompasses all of the intricately related systems and structures
of the foot and lower leg including neurological, circulatory, skin,
and the musculoskeletal system, which includes bones, joints, ligaments,
tendons, muscles, and nerves.