Posts for tag: Flat Feet
What Is Pediatric Flatfoot?
Flatfoot is common in both children and adults. When this deformity occurs in children, it is referred to as “pediatric flatfoot.” Although there are various forms of flatfoot, they all share one characteristic – partial or total collapse of the arch.Pediatric flatfoot can be classified as symptomatic or asymptomatic. Symptomatic flatfeet exhibit symptoms such as pain and limitation of activity, while asymptomatic flatfeet show no symptoms. These classifications can assist your foot and ankle surgeon in determining an appropriate treatment plan. Flat feet can affect athletic performance as well.
Flatfoot can be apparent at birth or it may not show up until years later. Most children with flatfoot have no symptoms, but some have one or more of the following symptoms:
-Pain, tenderness, or cramping in the foot, leg, and knee
-Outward tilting of the heel
-Awkwardness or changes in walking
-Difficulty with shoes
-Reduced energy when participating in physical activities
-Voluntary withdrawal from physical activities
-some parents describe lazy children
-asking to be carried more often
In diagnosing flatfoot, the foot and ankle surgeon examines the foot and observes how it looks when the child stands and sits. The surgeon also observes how the child walks and evaluates the range of motion of the foot. Because flatfoot is sometimes related to problems in the leg, the surgeon may also examine the knee and hip.
X-rays are often taken to determine the severity of the deformity. Sometimes additional imaging and other tests are ordered
If a child has no symptoms, treatment is often not required. Instead, the condition will be observed and re-evaluated periodically by the foot and ankle surgeon. The Podiatrist may recommend some at home or proffesional physical therapy exercises for prevention foot condtions.
Custom orthotic devices may be considered for some cases of asymptomatic flatfoot.
When the child has symptoms, treatment is required. The foot and ankle surgeon may select one or more of the following non-surgical approaches:
-Activity modifications. The child needs to temporarily decrease activities that bring pain as well as avoid prolonged walking or standing.
-Orthotic devices. The foot and ankle surgeon can provide custom orthotic devices that fit inside the shoe to support the structure of the foot and improve function.
-Physical therapy. Stretching exercises, supervised by the foot and ankle surgeon or a physical therapist, provide relief in some cases of flatfoot.
-Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to help reduce pain and inflammation, topical pain relievers may also be recommended.
-Shoe modifications. The foot and ankle surgeon will advise you on footwear characteristics that are important for the child with flatfoot.
When Is Surgery Needed?
In some cases, surgery is necessary to relieve the symptoms and improve foot function. The surgical procedure or combination of procedures selected for your child will depend on his or her type of flatfoot and degree of deformity.
If you think your child may have flat feet contact our office for a consultation: 972-542-2155
While there are many people with flat feet, often times they won’t even know it; however, there are others with flat feet that regularly experience pain, soreness, and other problems. While flat feet is rarely considered a serious issue, if you are dealing with problems as a result of your flat feet it’s important that you turn to a podiatrist who can offer up ways to prevent problems.
How to tell if you have flat feet
If the arches of your feet touch the floor when you stand then you have flat feet. The arches of our feet don’t actually develop until around the age of six; however, sometimes flat feet develop due to injury or repeated stress on the feet.
Symptoms of flat feet
The most common symptom of flat feet is foot pain that originates in the heels and arches. You may find that the pain gets worse when standing or moving for long periods of time. Those who are physically active may experience pain more regularly. Sometime swelling on the inside of the foot or ankle may also occur.
Potential complications of flat feet
Since flat feet can be responsible for misalignments, this can lead to ankle and knee problems. If you are noticing foot, ankle, knee, hip, or lower back pain then you will want to schedule an appointment with a podiatrist to find out what’s going on.
Treating flat feet
If you aren’t experiencing pain or other issues then you won’t require any treatment for your flat feet. While we can’t fix flat feet our podiatrist can provide you with simple solutions to reduce pain and discomfort associated with faulty biomechanics within the feet. Common ways to prevent flat foot-related pain include:
- Using arch supports in your shoes, which can take pressure off the arches and provide cushioning and support when standing or moving.
- Performing certain stretching exercises prescribed by a podiatrist. There are specific exercises designed to stretch the Achilles tendon to alleviate and prevent foot pain.
- Wearing the appropriate footwear that provides further arch support. Shoes that are old and worn, as well as certain styles such as sandals or flip-flops won’t provide your feet with the proper support they need.
- Undergoing physical therapy if you are dealing with foot pain due to overuse injuries, which is common among athletes. Physical therapy can help strengthen certain ligaments, tendons and muscles of the feet and ankles to prevent excessive wear and tear, as well as pain and soreness in the arches and heels.
If you are dealing with pain due to flat feet and can’t seem to get your discomfort under control then you will want to talk with a podiatrist who can recommend certain exercises, proper footwear, and custom orthotics to improve the health of your feet. Talk to a podiatrist today.
Flat feet can be a painful and serious foot problem. Flat feet is when a person's entire sole touches the floor when standing. This can be problematic for many individuals, which is why your McKinney and Prosper, TX, podiatrists, Dr. Eric Silvers, Dr. Christopher Witt and Dr. Dustin Lloyd are here to help!
Flat Feet Symptoms
Flat feet are usually painful when someone is playing sports or doing any sort of walking activity. According to the American Orthopaedic Foot & Ankle Society, older individuals may develop flat feet with time, especially mild flat feet. However, even mild flat feet are dangerous, as they can collapse into severe flat feet.
Causes and Diagnoses of Flat Feet
Symptoms of flat feet manifest during late childhood. If a toddler or young child experiences foot pain, you may need to visit your McKinney and Prosper podiatrists.
There are several causes for flat feet. They may be congenital or acquired due to tissue breaking down. Tendons, ligaments, and worn out joints may also contribute to the problem, as well as tarsal coalition, which is a separation of the foot bones.
In order to get a proper diagnosis, podiatrists use several tools and tests to assess feet—a physical examination, x-rays, and an MRI examination may be needed.
There are several treatment options, some invasive and others less invasive. Here are a few:
- In-shoe orthotics
- Physical therapy
- Braces, if simple measures fail to provide relief
- Painful flat feet that don't respond to non-operative measures may require surgery
- Custom-molded arches in orthotics, usually made to relieve pain and provide support
- Shoe inserts to walk comfortably
If you have any questions or concerns about flat feet, you should contact your McKinney and Prosper, TX, podiatrists, Dr. Eric Silvers, Dr. Christopher Witt and Dr. Dustin Lloyd at (972) 542-2155. They have the expertise to help figure out and treat your foot issue.
What are Shin Splints?
Shin splints is a phrase used to describe multiple issues causing pain in the front part of the lower leg primarily when exercising. All the conditions it describes are similar however not identical in treatment. The conditions can include: stress fracture of the tibia, exercise-induced compartment syndrome, muscle, ligament, or tendon injury and periostitis. Most commonly this condition is seen in runners.
What are the causes of Shin Splints?
Many times the causes of shin splints can be a biomechanical issue. This means that the way your body is moving is placing extra stress on the lower leg causing the pain. Overpronation is one of the most common causes of shin splints. This is when the foot rolls inward causing the arch to flatten when we are walking or running. This rolling movement of the foot causes rotation through the shin bone increasing the stresses and tension on the bone and muscles that attach to it. Tight calf muscles or equinus also may cause these movement patterns creating extra stresses on the shin bone and the muscles that attach to it. Other biomechanical issues that may cause shin splints include, weak hip muscles. This is especially seen in female runners. Stress fractures of the shin bone can occur with repetitive stress on the bone especially if running on hard surfaces such as concrete. Exercise-induced compartment syndrome occurs when the muscles increase in size during exercise due to the increase in blood flow to them. Each group of muscles is wrapped in a saran wrap like layer of tissue and if they increase too much in size they can actually cause loss of blood flow to the area causing pain and sometimes numbness.
Do shin splints need to be seen by a doctor?
The shin is very susceptible to injury especially in active individuals. Shin splints may start out more as a nuisance however, if the cause of your pain is not properly addressed it can become progressive and very painful. Many times if the biomechanical problems are not addressed the condition will require you to stop participation in your activities in order to improve.
How do you treat shin splints?
Many times shin splint require only conservative treatments. It is important for a biomechanical exam to be performed by your Podiatrist to evaluate your gait and leg mechanics. Orthotic therapy, if indicated, allows custom devices to be placed in the shoes to help prevent overpronation and thus prevent the inward rolling of the foot which may be causing the shin splints. Temporary taping of the foot or ankle in the early stages can improve symptoms. Icing the area after activity also can improve inflammation. Prescription anti-inflammatory medications can improve the pain. Rest and elevation of the leg. Changing shoe gear to more appropriate shoes for your specific activity and foot type. Changing activity and cross training can prevent the pounding stresses on the shin.
The doctors at Advanced Foot and Ankle Center are well trained and experienced in treating shin splints and evaluating the possible biomechanical problems that can cause shin splints. Please call today for an appointment.
Eric M. Silvers, DPM
Dustin M. Lloyd, DPM
Christopher S. WItt, DPM
Christopher S. WItt, DPM
The arch structure of our feet determines how we walk, which means our arches need to be both sturdy and flexible in order to adjust to different walking surfaces. For most people, their feet have a curve or an arch at the bottom that provides flexibility and shock absorption. But for the five percent of adults in the U.S. with flat feet, also known as fallen arches, the arches of their feet are either partially or completely collapsed.
One common type of flatfoot is adult-acquired flatfoot. It is caused by overstretching the tendon that supports the arch. Flexible flatfoot is also common and occurs when the foot is flat when standing, but returns to a normal arch in non-weight-bearing positions.
Factors that increase your risk of flat feet include:
- Excess weight
- Injury to your foot or ankle
- Rheumatoid Arthritis
When to See Your Podiatrist
Most adults with a fallen arch experience little to no pain. For these patients, treatment is rarely necessary. Painful flatfoot, however, may be the sign of a congenital abnormality or an injury to the muscles and tendons of the foot. Pain can be severe, making it difficult to walk, wear shoes and perform simple everyday tasks. More than achy feet, flatfoot can also lead to other, more serious problems and pain for your ankles, knees, back and hips.
Common symptoms associated with flat feet Include:
- Swelling along the inside of the ankle
- Feet that tire easily or ache after standing for an extended period of time
- A lack of mobility in your foot and difficulty standing on your toes
- Sore, swollen feet; especially in the heel or arch of your foot
Steps Away from Flat Foot Pain Relief
If you are experiencing pain caused by flat feet, visit our practice for an evaluation. We can identify the cause of your pain and recommend the best treatments for your type of arch.
Talk with your podiatrist about the following treatment options:
- Shoe inserts/ Orthotics
- Shoe modifications
- Rest and ice
- Stretching exercises
- Non-steroidal anti-inflammatory medications
Whether you were born with flat feet or you acquired fallen arches over time, if your flat feet are causing you pain or interfering with your day to day activities, visit our practice. We can work with you to determine the best treatment options to eliminate the pain, improve your mobility and get you back to the activities you love.