Idiopathic toe walking
Toe walking is a common condition in children that can result in, or from, primarily tight calf muscles, or dysfunction in the windlass mechanism, usually resultant from a flat foot. It is quite often habitual, and progresses to a pathological gait as the calf tightens and walking heel toe can be painful or uncomfortable. The aetiology of toe walking is not strictly determined, and gait coaching, physical therapies, orthotics and footwear are advised as early as possible to prevent on-going problems later in life. Toe walking should be addressed as soon as possible.
Pediatric flat foot
Children will generally pronate more than adults, this is to allow for growth. Pronation is normal and is required for shock absorption, and correct foot function, however, over pronation may become symptomatic later in life. If you have concern about your childs flat foot, please do not hestate to see one of our podiatrist for professional assessment and treatment advice. A simple eyeball test you can do is called the Foot Posture Index (FPI) *insert link to FPI*
This test looks at medial arch congruence, “too many toes sign” rear foot eversion, and navicular buldging. If you think your child displays any of these signs, book in for an assessment with one of our experts.
Osteochondritis is a grown condition commonly occurring between the ages of 7-15. This is where activity and muscle contraction causing separation along the growth plate. Common conditions are Severes Aphophysitis (calcaneal Osteochondritis) in the heel, Osgood-Schlatter, osteochondritis of the tibial tuberosity, and Islan’s osteochondritis of the fifth metatarsal tuberosity.
Osteochondritis need to be assessed and treated. Symptoms are commonly pain in the area with onset after around ten minutes of physical activity, and pain reducing markedly after activity has stopped. Usually Osteochondritis is associated with flat feet, and tight calf muscles.
Verrucae Pedis (warts)
Warts on the feet are very common in children due to communal play areas, and often being barefoot. A verrucae is a human papilloma virus (HPV) that is transmissible through blood, and skin contact when the skin is broken. They are often mistaken as corns, but can be differentiated by pain when squeezed, and changes to skin print lines around the lesion. Verrucae are very vascular and can be quite painful. If you suspect you child of having a verrucae, consult one of our podiatrists for treatment options today. There are a multitude of treatment options that our podiatrist will consider based on the size and location of the verrucae.
A very common condition, referred to as ”pigeon toe”, usually develops due to foetal position in utero, where the hips are internally rotated. A special orthotic called a “gait plate” is commonly used to retrain this gait pattern, along with exercises and stretching to encourage a regular gait pattern. In toeing in toddlers can resolve, but should be monitored, please consult one of our podiatrist if you are concerned your child is in-toeing.