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Our next Complimentary Paediatric Clinic will be held on Wednesday the 28th of July 2021

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Complimentary Paediatric Clinic 

Every month at Total Care Podiatry we run a complimentary morning clinic to support the little feet that run around our community. We run short appointments designed to be a screening check of any areas of concern you may have for your child’s feet. 

Commonly we check for: 

  • ‘Tired legs’
  • Being clumsy
  • Walking ‘pigeon-toed’
  • Curly toes
  • ‘Flat feet’

Following a short appointment, we can provide some advice for next steps forward. These may include a more in depth follow up appointment, footwear recommendations or activity changes.

Bookings are essential – please phone our friendly staff on 5223 1531 to secure your free paediatric appoint today

CHILDHOOD OBESITY LINKED TO FOOT PAIN

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Childhood Obesity linked to Foot Pain

Did you know? Our body weight, if not evenly distributed through our skeleton by the help of normal alignment, can result in changes in the way the foot reacts to the forces acting on the foot from the ground up. The higher the BMI (Body Mass Index) of an individual, the more difficult the role of the foot to evenly distribute pressure, hence some areas of the foot and lower limb can be exposed to greater amounts of pressure and thus be prone to injury or tissue stress.

In the growing foot, the above scenario exacerbates. Growth in children’s feet involves fragility of the tissues as they develop. For example, the heel bone of a 14 year old child who is of a BMI within a normal range is still developing and already potentially under stress. When we look at a child of the same age who is obese, this heel bone under a greater amount of body weight will be unable to cope with the normal stresses of growth and development and be more likely to injure, sometimes even a heel stress fracture can occur. 

If a child with obesity is exposed to a foot problem or pain, this will render them less active which can impair physical fitness that is even more important in a child suffering from problems with their weight in their development. 

Mythbusting- are flat feet the problem?

High validity evidence from recent research has found no significant relationship between a flatter foot type and foot pain  in obese children however they did find a high prevalence between children with obesity and having a “flat foot”. From this we can infer that in overweight or obese children although foot problems or pain may not be due to a flat foot, the presence of a flat foot may suggest other biomechanical faults that could be the root cause of the presenting pain. 

This is because we know the foot pronates most often to compensate for other asymmetries or faults in the body which are sometimes in the upper chain. 

So, what effect does Obesity in a child have specifically on the feet?

However, research has found that obesity in children does specifically impact on the foot’s arch by creating disproportionate loading and increased loading particularly affecting the medial longitudinal arch and midfoot. This can mean that regardless of the arch being flatter or not in an overweight child, regardless, the arch will be strained more.  Plantar Fascial heel & arch pain is a common foot condition for children although less common than in adults. 

One contributing factor to excessive strain on the plantar fascia can be a flatter foot type as the arch band of the plantar fascia stretches more in movement. 

Think your child has a foot problem? See our friendly Podiatrists for our monthly free Paediatric foot check and screening held on a Wednesday each month. Contact our helpful Reception team for details, you can also get a referral from your Paediatric nurse. PH: 52231531

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.
Link to research: doi: 10.1371/journal.pone.0149924
Link to research: doi: 10.1111/cob.12091

FIVE SIGNS YOUR CHILD MAY HAVE A FOOT PROBLEM

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Five Signs your Child may have a Foot Problem

 

In-toeing or tripping

Usually, sometimes thought of as the internal rotation of the foot but formally known as Metatarsus Adductus, Metatarsus Adductus is usually picked from birth at the very latest into the first year of growth but if left undetected may be a cause of in-toeing along with other things like an Internal Genicular (Knee) Position, Internal Tibial Torsion or Femoral torsion from the hip. It is best to get these things checked from the age of birth to the age of 6 to ensure nothing that needs to be treated is left untreated. 

 

Limping, pain, or withdrawing from or lagging behind in activities

If your child complains of foot or lower leg pain that lasts longer than an initial trip or fall or a few days, you should get your child assessed. 

 

Growing pains

For some children, growing pains may be more abnormal and associated with a Hypermobility joint syndrome which is best understood early to prevent excessive strain, pain or injury as well as some abnormal foot structures that can be associated with more profound growing pains. 

 

Your child is lagging in developmental milestones or has awkward gait

Although these may be not associated directly with foot problems, children require a stable foundation from the feet to allow basic motor skills as early as birth to first steps. If your child has some abnormality in their foot structure or alignment as discussed above, some of these motor skill milestones may be delayed; if not due to other red flags such as potential neuromuscular conditions. It is great to see your Paediatric nurse or Podiatrist if you have concerns.  

 

Tip toe walking

It is normal in the first few years of growth for a child to walk on their tip toes as they become accustomed to the confidence of walking. However, beyond the age of 3 if this continues it can suggest the potential for tightness and pain through the calf muscles if not treated, issues with growth phases, or also the potential for a developmental or intellectual condition diagnosis.  

Think your child has a foot problem? See our friendly Podiatrists for our monthly free Paediatric foot check and screening held on a Wednesday each month. Contact our helpful Reception team for details, you can also get a referral from your Paediatric nurse. PH: 52231531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

CHILDREN’S INJURED FEET

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Children’s Injured Feet

Problems causing injury to paediatric feet are often correlated with the maturity level of bone development and can be categorized based on the age of your child. 

The following may predispose a child to a gradually developed injury: 

  • Congenital anomalies
  • Variation in development
  • Bone maturation
  • Lower leg alignment 

… but otherwise, given the nature of children with high physical activity levels, acute injury to the foot can occur. 

What does pain/injury look like, sometimes if subtle in a child?

It is important to be aware of the difference in pain presentation between older and younger children. 

Toddlers and young children: a child may limp, tire easily or refuse to walk or weightbear due to pain or injury. 

Older children and adolescents: their ability to compensate or isolate the pain may be better so injuries may go along unnoticed for a longer period. 

Acute vs Developmental Injury

Acute injuries are more likely in children (the younger they are) to result in stress reactions or fractures to the bone and often at the growth plate, rather than ligamentous strain or injury due to the fact children are undergoing stages of bone maturation as they develop into early adolescence and have relatively stronger ligaments than adults. 

Growth Phases

If your child is noticeably fatiguing or lagging behind other children, it is important to get an understanding of what may be the cause, and a Podiatric initial assessment can be a great starting point, to rule out any biomechanical insufficiences or growth abnormalities that for any reason haven’t been picked up on.  

When children go through growth phases, muscles can become fatigued easily as they can tug at the ends of the bone as the bone lengthens and grows; resulting in discomfort and fatigue not unlike the traditionally known “growing pains”. 

Common Paediatric specific injuries to the foot include: 

Sever’s Disease (Apophysitis of insertion of Achilles tendon into Calcaneus/heel bone)– Age: 7-14

-Commonly known as children’s heel pain-pain at the back of the heel towards the bottom, associated with children experiencing growth phases. 

Osgood Schlatter’s (Apophysitis of insertion of Patellar Ligament into Tibial tuberosity)

Age: Ages 10-14

-Painful lump growth just below the kneecap, associated with children experiencing growth phases but more common in children playing sports involving running and jumping. 

Juvenile Idiopathic Arthritis (JIA) 

Age: Anywhere from 6 months to 16 years of age

-Joint pain, stiffness and inflammation or region warmth most commonly affecting the Ankle Joint as well as other joints in the body. 

Osteochrondritis Dissecans (OCD)

Age: Children & Adolescents 

-Often affecting the ankle after an ankle sprain or injury where a reduction in blood supply to the bone region affected causes a small fracture. The fragment of bone may remain attached or become detached. 

Sesamoiditis or Sesamoid Pathology

-Pain under the ball of the big toe joint which can be due to inflammation of the two sesamoid bones (small pebble sized bones situated under the metatarsal head that allow the gliding effect of the tendon of the muscle that flexes the big toe downward). 

-A common sporting injury in young athletes who push off the ball of the foot such as in jumping sports, ballet or karate. 

A reminder, Total Care Podiatry has a monthly free Paediatric Screening clinic where your Podiatrist will run through a free assessment to check on developmental norms in your child. We ask that to book into this clinic, a small donation be made to Kids Plus foundation upon attending. Kids Plus offers programs that include early treatment and specific intervention strategies to improve children’s abilities across a range of developmental areas. 

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

Some information from today’s blog obtained from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2323000/

Complimentary Paediatric Clinic ~ Wednesday the 23rd of June 2021

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Complimentary Paediatric Clinic 

Every month at Total Care Podiatry we run a complimentary morning clinic to support the little feet that run around our community. We run short appointments designed to be a screening check of any areas of concern you may have for your child’s feet. 

Commonly we check for: 

  • ‘Tired legs’
  • Being clumsy
  • Walking ‘pigeon-toed’
  • Curly toes
  • ‘Flat feet’

Following a short appointment, we can provide some advice for next steps forward. These may include a more in depth follow up appointment, footwear recommendations or activity changes.

Bookings are essential – please phone our friendly staff on 5223 1531 to secure your free paediatric appoint today

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

COMPLIMENTARY PAEDIATRIC CLINIC – Wednesday the 28th of April 2021

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Complimentary Paediatric Clinic 

Every month at Total Care Podiatry we run a complimentary morning clinic to support the little feet that run around our community. We run short appointments designed to be a screening check of any areas of concern you may have for your child’s feet.

Commonly we check for: 

  • ‘Tired legs’
  • Being clumsy
  • Walking ‘pigeon-toed’
  • Curly toes
  • ‘Flat feet’

Following a short appointment, we can provide some advice for next steps forward. These may include a more in depth follow up appointment, footwear recommendations or activity changes.

Bookings are essential – please phone our friendly staff on 5223 1531 to secure your free paediatric appoint today

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

INTRODUCING OUR NEWEST TEAM MEMBER ~ PODIATRIST CLEMENTINE SCHEFFERS

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Clementine Scheffers

Clementine is a graduate of La Trobe University with a Bachelor of Applied Science and Masters of Podiatric Practice.
She is passionate about acute and chronic injury rehabilitation and sports injury management, given her love and passion for sport growing up, as well as managing a chronic injury herself. Clementine has a wealth of knowledge in all things running shoes and will be your go to for shoe advice!
In her spare time, Clementine enjoys listening to her favourite artists and keeping up with the latest music releases, walking her Wheaten Terrier Riley, staying active and spending time with her cousins in Torquay.

COMPLIMENTARY PAEDIATRIC CLINIC – Friday January 29th 2021

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Complimentary Paediatric Clinic 

Every month at Total Care Podiatry we run a complimentary morning clinic to support the little feet that run around our community. We run short appointments designed to be a screening check of any areas of concern you may have for your child’s feet. 

Commonly we check for: 

  • ‘Tired legs’
  • Being clumsy
  • Walking ‘pigeon-toed’
  • Curly toes
  • ‘Flat feet’

Following a short appointment, we can provide some advice for next steps forward. These may include a more in depth follow up appointment, footwear recommendations or activity changes.

Bookings are essential – please phone our friendly staff on 5223 1531 to secure your free paediatric appoint today

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

KNOCK KNEES – When to book an appointment to see your podiatrist?

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Knock knees

Also known as genu valgus, is when the knees ‘face each other’.

This position commonly occurs between the ages of 3 to 4 and will slowly reduce or ‘straighten up’ with age. 

When to book an appointment

  • Asymmetry
  • Any pain
  • Outside of age for stage
  • Excessive knock knees
  • Level of activity is affected 
  • The child is ‘clumsy’ or unbalanced

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

COMPLIMENTARY PAEDIATRIC CLINIC

/in , /by

Complimentary Paediatric Clinic 

Every month at Total Care Podiatry we run a complimentary morning clinic to support the little feet that run around our community. We run short appointments designed to be a screening check of any areas of concern you may have for your child’s feet. 

Commonly we check for: 

  • ‘Tired legs’
  • Being clumsy
  • Walking ‘pigeon-toed’
  • Curly toes
  • ‘Flat feet’

Following a short appointment, we can provide some advice for next steps forward. These may include a more in depth follow up appointment, footwear recommendations or activity changes.

Bookings are essential – please phone our friendly staff on 5223 1531 to secure your free paediatric appoint today

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.