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Posts for category: Pediatric Foot conditions

By Foot and Ankle Center of Fort Lee, LLC
December 20, 2017
Tags: in-toeing  

One of the most common problems to affect children as they are growing up is a condition called in-toeing, where the toes point inwards when walking. This is also referred to as being “pigeon-toed”. While this abnormal walking style may be of concern to parents, in most instances the child will outgrow the condition by age 8 without the need for any special intervention. Another condition called out-toeing, where the toes point away from each other, is much less common. Both of these abnormalities can be caused by genetics, and also by the position the baby takes in the womb before birth.

The three types of in-toeing are:

  • Twisted shin (tibial torsion)—This twisting of the shin bone actually begins in the womb, and often by the time children reach school age, the tibia will correct itself and appear more normal. If the twisting remains after age 8-10, surgery may be necessary.
  • Curved foot (metatarsus adductus)—This is a bend that occurs in the middle of the foot. The foot is often flexible with this condition, but if rigidity becomes prevalent in 6-9 month olds, it may be necessary to wear special shoes or a cast for correction.
  • Twisted thigh bone (femoral anteversion)—In this version, the thigh bone turns inward causing both the knees and the feet to point inwards. This will usually correct itself, but if by age 10 there are still problems with walking, surgery may be necessary to straighten out the femur.

While both in-toeing and out-toeing will often correct by age 10 or earlier, having your child’s feet checked by your foot doctor can help alleviate your concerns.

For more expert advice on pediatric foot treatment, consult with our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!

 

 

 

By Foot and Ankle Center of Fort Lee, LLC
September 07, 2017
Tags: Club foot  

Clubfoot is a congenital condition that consists of an abnormal inward turning of the ankle so that the soles of one or both feet are facing inward, potentially causing future problems with ambulation if not corrected.

 

Clubfoot is a very common congenital deformity affecting about 1 in 1,000 newborns. Fortunately, with early and efficacious treatment, clubfoot can be completely corrected and children will suffer no ill effects and can participate in all normal activities.

 

Clubfoot is usually categorized as isolated—meaning there are no other mitigating conditions or health factors—and non-isolated—which means that other factors such as neuromuscular problems are also involved.

 

Treatments for Clubfoot

 

This condition is often fixable with a conservative treatment called the Ponseti method which consists of a combination of stretching, manual manipulation and casting to gradually improve the clubfoot over a period of several months. When the casting phase is done, a relatively minor surgical incision is made to cut the tightened heel cord. Braces will be needed during the end stages of the healing process and for an additional period of time that varies with each patient to ensure that the clubfoot doesn’t return. 

 

If you notice that your baby’s feet look deformed, it is important to contact your podiatrist for a consultation. In most cases, the flexibility of a baby’s bones and other tissues make the Ponseti method very effective. However, in the event that these conservative treatments of manipulation, stretching and casting are not effective enough, a surgical procedure may be necessary to move the bones, ligaments, tendons and tissues into the correct position.

 

For more expert advice on clubfoot, please consult our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!

 

 



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