Thursday, April 18, 2019

Are You Concerned About Your Child's Feet?

You are not alone. It is not uncommon for parents to be concerned about their child's feet!

Ever wonder if foot orthotics would help your child? Does your child have poor balance or coordination, awkward gait, or tend to trip and fall? Do they habitually walk on their toes or walk with their feet turned in (“intoeing”)? Does your child fatigues easily and often want to be carried? Do they have any pain related to walking, or has frequent or severe growing?

If the answer is YES to any of these questions, it's possible that littleSTEPS® foot orthotics will lessen symptoms by providing a straighter, more normal aliment when they walk, run or play.



Consider Genetics! Many adults recognize that they have feet genetically similar to their parents, but many not realize that they might have passed on these same foot traits to their children! Help your children avoid acquiring your foot problems by having their feet screened by a qualified clinician who can help you determine if treatment should be considered.

Foot Facts:

  • It is normal for a child's foot to appear flat up until about the age of 2 due to a thick layer of baby fat that fills the arch area. As long as the child is otherwise healthy, and the foot is flexible and free of pain, then no treatment is necessary.
  • A child's arch becomes more apparent around the age of 3 when the fat pad begins to disappear. At this age it is normal to observe a good arch when the child is sitting or lying down. Upon standing however, the arch may look very low. In most cases, this may be completely normal.
  • It is uncommon for children to complain of foot pain. Be aware that “Growing Pains” are not always normal and may be a sign that your child may have an unstable foot. Any child complaining of pain should be seen by their doctor to rule out a potentially serious condition and to determine if they are a candidate for foot orthotics.


What Can Be Done?
There are many things that can be done to manage your Child's condition. Your healthcare provider can help diagnose the condition and recommend appropriate treatment. Intervention may include balance and coordination exercises, in addition to littleSTEPS® foot orthotics for kids.

Need help finding a provider that carries littleSTEPS®? Try our FIND A PRACTITIONER Tool or EMAIL us for a recommendation!


For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS



Friday, March 8, 2019

10 Reasons why orthotics aren’t just about feet!

10 Reasons why orthotics aren’t just about feet


1. Everything starts at the ground – just like a house

2. Proper alignment prevents future issues, less pressure on ankles

3. Less fatigue throughout the day helps you stand longer

4. Proper Biomechanics makes for more efficient movement

5. Better weight distribution

6. Orthotics can help you run longer

7. Shoes will not wear out as quickly

8. Orthotics take pressure off your joints and help your feet properly carry your weight

9. Prevent injuries – orthotics can help those with existing injuries move easier

10. Can prevent calluses and corns that come from abnormal weight distribution


For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Thursday, February 28, 2019

Do You Know that littleSTEPS are the MOST CORRECTIVE Children's Prefab on the Market?


Children with flat feet and other foot problems often have difficulty walking, running, or playing sports due to pain and/or impaired coordination. littleSTEPS® products are specifically designed for kids to deliver a prescription based correction, the closest you will find to custom!
littleSTEPS® are composed of a unique blend of thermoplastic materials specifically chosen for kids to provide optimal strength and support to resist twist and torsion, yet soft enough for optimum comfort -with a non-skid soft edge feel.

littleSTEPS® foot orthotics:

 Support Flat Feet and Improve Posture
 Control Heel Pain/Sever's Disease
 Help Reduce Growing Pains
 Are Effective for Toe Walking
 Improve Low Muscle Tone and Strength

READ MORE AT:
http://www.nolaro24.com/patient/lspatient.html


For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Friday, February 15, 2019

Why Do Your Child’s Toes Point Inward When They Walk?


By Brandon Macy, DPM, Clark, NJ
Many parents notice that their child’s toes point in when they walk—also known as an “intoe gait”.  At times it is also referred to as being “pigeon toed”. It can look awkward and sometimes a child can not only look clumsy, they may indeed trip and fall more than is usual.
There are several reasons toes point inward and sometimes more than one can be at play.  The key to treating is to identify the source of the problem.  
Most commonly there are biomechanical issues at the root of the problem. Disproportionate hip rotation where they turn inward more than outward is often the problem.  As similar situation can also happen at the level of the knee. There can also be torsional problems of the leg or thigh bones.
Within the foot, if the front part of the foot is tilted towards the outside as compared to the back part of the foot, the forefoot will rotate or flop inwards as the ball of the foot lands in the gait cycle.  Alternatively, due to congenital issues the front part of the foot can turn inward as compared to the back part of the foot. Known as metatarsus adductus, this is treated by serial casting in the very young and may become a surgical problem if older.
How is the intoeing best treated? By utilizing an orthotic—often one of our LittleSteps children’s orthotics which help balance the foot properly.  Very often we’ll use a specialized orthotic called a gait plate for a while and this helps encourage the foot and leg to turn outward and function more normally.
Asymmetrical hip rotation is made worse when a child in the “W” position with their feet outside their hips.  They should be encouraged to sit cross-legged and to participate in activities such as skating or horseback riding to increase external hip rotation. We may also recommend certain exercises and possibly refer for physical therapy to help strengthen and balance the muscles, tendons and ligaments.
The takeaway point is this: don’t let well meaning people tell you to let your child “grow out of” intoe issues!
For more information or an appointment, visit Dr. Macy's website at www.clarkpodiatry.com. 
"At Clark Podiatry Center and the New Jersey Children’s Foot Heath Institute, we want to keep you and your child walking!"
For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Thursday, February 7, 2019

Spring Sports Injuries


It's almost springtime, and with that our kids are just ending basketball season and getting ready for baseball season. While we love having our kids participate in organized sports, they are more susceptible to injuries than you might think.

Basketball Injuries to the Foot and Ankle


Basketball players put a lot of stress on their feet which can lead to injuries to the foot and/or ankle from jumping, running, quick starts and stops, and contact with other players. Some common problems that can arise from playing basketball are:

  • Ankle sprains that can damage the ankle ligaments, and can be associated with peroneal tendon injuries, fractures, and chronic ankle instability. 
  • Overuse and can lead to heel pain (plantar fasciitis), Achilles tendonitis, sesamoiditis, stress fractures, posterior tibial tendonitis (or PTTD) and calcaneal apophysitis in children and adolescents. 
  • Fracture of the fifth metatarsal base, which can be due to the constant, running and jumping, as well as foot structure.

Baseball Injuries to the Foot and Ankle


Every year, approximately three million children play baseball in the USA. Many of these kids play from elementary school throughout their middle and high school years. Common problems that can arise are:
  • Ankle sprains that may occur while running, fielding balls, stepping on or sliding into bases. Sprains should be evaluated by a qualified clinician to determine the extent of injury. Untreated they can lead to chronic ankle instability and recurrent sprains.
  • Overuse by focusing on only one sport can cause Achilles tendinopathy or heel pain such as plantar fasciitis, or calcaneal apophysitis in children and adolescents. 
  • Stress fracture
  • Catchers are prone to plantar fasciitis from squatting constantly
  • Peroneal tendonitis
  • Anterior Ankle impingement (especially in catchers)
  • Bruising can occur from impact with the ball or contact with other players
  • Cleats can cause aggravation of neuromas, sesamoids, bunions and hammertoes. It is important to make sure that cleats are fitted properly by someone trained to do so.
  • A common injury seen in pitchers and catchers is ingrown toenails. If ignored, they can lead to a nail infection and cellulitis.

 Some Common Signs of Foot Problems:


  • Your child has poor balance or coordination, awkward gait, or tends to trip and fall.
  • Your child habitually walks on their toes or walks with their feet turned in (“intoeing”) for no known medical reason.
  • Your child fatigues easily and often wants to be carried.
  • And Yes, If you child has any pain related to walking, or has frequent or severe growing pains.

Preventing Foot and Ankle Injuries in Kids

The growth plates in children’s bones are not mature until their later teen years, and these immature bones, as well as the surrounding tendons and ligaments, are more susceptible to both traumatic and stress injuries. 

Proper footwear, including shoes specifically designed and constructed for one specific sport, is also an important part of preventing sports injuries in kids.
Foot orthotics can be a part of your injury prevention scenario, and if you see any signs of difficulty or pain when your child is playing sports, they should be evaluated by a certified clinician immediately.

It’s important to choose the correct foot orthotic for your child. Consider littleSTEPS® foot orthotics for kids up to teens, and QUADRASTEP® foot orthotics for older teens. They are the closet to prescription foot orthotics that you can get in a prefab and they are more affordable than custom orthotics!


To FIND A PRACTITIONER in your area click HERE

For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS


Friday, February 1, 2019

Stride into Spring with Stride Pedorthic Center!


It’s 2019 and most of you have made resolutions to focus on your health and fitness. We can HELP! As you get off the couch and get out your athletic shoes, you should be thinking about orthotics for optimal comfort and performance.

STRIDE® Pedorthic Center is located in Middlebury, CT and offers a total experience, from a visit with one of our certified Pedorthists to finding the right shoe and orthotics to go into that shoe.

Using STRIDE'S® patented evaluation methods, our clinicians identify your foot type and explain the pain and injuries to which you are most susceptible.

They will give you a complete biomechanical evaluation and a thorough gait analysis to measure how you walk and how your body moves through the phases of gait, to form a complete picture of how you walk and move. Then they will help you find the right foot orthotic for your unique way of moving.

STRIDE® Pedorthic Center also has a great assortment of shoes, sandals, and accessories for every need and foot type, as well as diabetic shoes and orthotics.



STRIDE® Pedorthic Center is your destination for injury prevention, pain relief, body wellness, intelligent footwear fitting and orthotic correction.

For more information or to make an appointment, call 203-758-8307.

Visit them at:
STRIDE® Pedorthic Center
80 Turnpike Drive, Unit 1
Middlebury, CT 06762
tonyb@stridepc.com

For more information EMAIL US

Twitter: @LSteps @QuadraSTEPS




Friday, January 25, 2019

How Often Do You Need to Upgrade Your Child's Shoes?

How Often Do I Need to Upgrade My Child’s Shoes?

By Guest Author Timothy P. Barry, DPM  Family Foot & Ankle Care of Jasper

Shoe shopping for a young child can be a tricky affair, whether you’re a new parent or already raising your third or fourth!
Often, there’s a delicate balance that needs to be achieved. Err too far on one side, and your little one might not get the protection or support they need. Err on the other, though, and tiny toes get pinched in shoes that are too tight, or arches get restrained by shoes that can’t bend or flex.
Feeling lost? Don’t worry! Dr. Timothy Barry is here to help provide some clear, guiding advice on when and what to buy. With these tips, you can help keep your little one’s feet pain free and growing stronger every day!

Buying Baby’s First Pair

So, we’ll start at the beginning. When is it time to get junior his or her first pair of shoes?
Resist the urge to buy right away. For about the first year or so of life, your little one probably won’t need any shoes at all. Infants can wear very loose-fitting booties to protect them from the cold, but otherwise should go barefoot.
Heavy duty shoes
A child really doesn’t need shoes until they begin walking. And even once they do start walking, the shoes should mainly be restricted to outdoor activities.
Why?
The main reason is that soft bones and muscles are still hardening, tightening, and taking shape. When a child walks barefoot, they are exercising those muscles and learning to use them for balance and stability. Wearing shoes all the time can delay or impede this natural development. There’s also some evidence that the tactile feedback a toddler gets from feeling their bare feet on the ground helps them to keep their head up, maintain balance, and build confidence.
For indoor walking and play, you can get them socks with grippy rubber bottoms to protect their toes and keep them from slipping and sliding over smooth floors. For the outdoors, makes sure there is some flex in their shoes, as extremely rigid soles can restrict natural foot motion and play.

Sizing Up Your Options

Kids’ feet sure do grow fast!
How fast? During the toddler years (roughly age 1-3), a typical foot will grow about three quarters of an inch per year. From ages 3-10, the pace barely slows, at roughly half an inch per year. That translates to a new pair of shoes every 3-6 months for the youngest children, and every 4-12 months thereafter.
But, of course, your kid’s mileage may vary! Growth spurts can happen at unpredictable times, so you may notice the rate slow down, then speed up again!
Parents may be tempted to save a few dollars and buy shoes a size or two too big, and let their children “grow into” them. While we can sympathize with your plight, we strongly discourage this.
Shoes that are too tight, obviously, can restrict a child’s natural development and cause pain. But the same is true of shoes that are too big. Unfortunately, that may mean you need to replace shoes faster than you’d ideally like to—even well before the shoe wears out from use.
Just know that the occasional pain of purchasing new shoes is a much better alternative than the pain of your child developing costly foot problems!

Shoe Shopping Advice for Parents and Kids

How do you know what shoes will be best for your young one? Here are some key things to remember:
Skip the used shoes and hand-me-downs. This is another common money-saving technique parents might be tempted to employ, but it’s a very bad idea. For one, used shoes can harbor unwanted germs, fungi, and bacteria and spread problems like athlete’s foot. And two, used shoes have already “molded” to fit the unique foot shape of their original owner, and can be uncomfortable on anyone else’s feet.
Look for a stiff heel … Children’s shoes need a good, stiff heel for support and protection. If you place your fingers on both sides of the heel counter and squeeze, it shouldn’t collapse like a cheap tent in a rainstorm.
…But also a flexible sole. The bottom of the shoe needs to be able to flex and bend with your child’s feet. Shoes that are too rigid can delay foot development and make it more difficult for your child to run, balance, and play.
Shop with your child. Even if your child isn’t verbal yet, bring them along so that they can have their feet measured properly and you can test the fit in person. Older children, of course, can tell you directly whether a shoe feels comfortable or uncomfortable to wear. If possible, try to shop in the evening, since feet tend to swell slightly after a long day. (You want the shoes to still fit when feet are at their largest.)
Don’t rely on shoes “breaking in.” If a shoe is the right size and shape for your child, it should be comfortable and easy to wear right from the very start. Conversely, if the shoe is painful, it will probably continue to cause problems.
Buy activity-appropriate footwear. Your child’s “everyday” shoe can typically be a comfortable sneaker or casual shoe with good cushioning and support. However, just like with adults, kids who play certain sports and activities regularly should be fitted with a sport-specific shoe. That means, for example, running shoes for runners and basketball shoes for basketball players. All-purpose athletic sneakers are fine for gym class or general play, but probably not if your child is performing a specific sport several times per week.

Working Hard for Children’s Foot Health

At Family Foot & Ankle Care of Jasper, pediatric foot care is a core part of our practice, and a specialty of Dr. Timothy Barry. When a child experiences pain, it is a sign that further examination and care is needed. Foot problems that arise in childhood often need to be treated as soon as possible to prevent more serious complications as they grow older.
littleSTEPS
We provide a comprehensive range of pediatric treatments for children of all ages, with a special focus on conservative methods such as rest, physical therapy, and orthotic inserts. We also perform surgical procedures when necessary—and usually in-office—with the utmost care for your young one.
To set up an appointment with Dr. Barry for you and your child, give them a call today at (812) 481-7200.

More of Dr. Barry's blogs can be viewed here.

Timothy Barry is a doctor of podiatric medicine and the head podiatrist and owner of Family Foot & Ankle Care of Jasper. Tim received his doctorate of podiatric medicine from Des Moines University in 2004 and completed his surgical residency at St. Mary’s Medical center in Evansville Indiana in 2007. Dr. Barry is certified in foot surgery by the American Board of Foot and Ankle Surgery and has been a practicing podiatrist for 8 years.



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