Start Good Foot Health At Birth At birth, foot problems may not be obvious until your child begins to walk. Counting the toes is important but also take a look at the shape of the baby’s feet; notice if there is something different. Some problems resolve on their own, others need treatment and early intervention. So let’s talk about a few common findings. Every parent wants to see five perfect toes on each foot, but there are times when a sixth toe will show up. This is called polydactyly. The main problem with an extra digit is fitting shoes properly and in later years the child may feel self- conscious. This extra digit can be removed with a minor surgical procedure as an outpatient. Flatfeet are common and usually inherited. Arches generally become apparent when the child reaches their second or third birthday. This problem may not cause pain now but could affect gait resulting in back or knee pain in
Stuart W. Honick, D.P.M., P.T. Podiatric Medicine & Surgery Diplomate American Board of Podiatric Surgery Board Certified In Foot Surgery
4 Arthritis 4 Athlete’s Foot 4 Bunions 4 Diabetic Foot Care 4 Foot & Ankle Injuries 4 Foot Surgeries 4 Fungal Nails
4 Hammertoes 4 Heel Pain 4 MLS Robotic
392 N. White Horse Pike Suite # 2 Hammonton, NJ
4 Nail Problems 4 Neuromas 4 Orthotics 4 Warts
5401 Harding Highway Suite # 5 Mays Landing, NJ
the future or a common deformity such as bunions. Many sneakers have arches incorporated into the product, but if not, an arch can easily be added and, in time an orthotic can be made to supply the arch your child did not develop. In-toeing also known as “pigeon toed” may be cute in a toddler but no one wants to see their teenagers tripping over their own feet because their in-toeing was not addressed early on. Most in-toeing resolves on its own over time. It’s the children who do not grow out of it who need treatment. A foot and leg evaluation by a Podiatrist can help find the cause and appropriate intervention can be started. Treatment may require changes in sitting positions, i.e. do not tuck legs back and out to the sides in a “W” formation, children should sit with legs in criss-cross. Maybe the child has tight tendons where simple stretching exercises with a night splint will help. If the problem arises from a torsion or “twist” in the leg or femur and bracing has not helped, then a surgical evaluation would be encouraged. Out-toeing is the opposite of in-toeing and usually does not correct on its own. The child’s foot will point noticeably out to the side rather than forward as it should. Night splints and orthotics are indicated. A more obvious deformity at birth, and one that was diagnosed with ultrasound in utero, is clubfoot also known as Talipes equinovarus. One or both feet can be involved and this can occur in approximately 1 in every 1,000 births in the U.S. The foot appears to be in a C-shape and tends to point in and down. If the foot and ankle are flexible, casting followed by night splints can manage the problem. Custom made orthotics will follow as well. If the deformity is fixed or rigid, then surgery by a Podiatric Foot and Ankle specialist would be indicated. Flexible or not, this deformity will cause pain and handicap in the future if not diagnosed and managed early.
For more information or to schedule an appointment call 609-625-5400.
Dr. Stuart W. Honick
The County Woman Magazine www.TheCountyWoman.com
Published on Sep 14, 2017
The County Woman ™ is part of a nationally syndicated publication and has been around for over 31 years. There are over 371 other counties t...