closed shoes inserts

By Samuel Farkas
on November 07, 2019

correct flat foot for small children

Finally we were able to design an insert that could be placed in any closed shoes for children.  it consists of a tri-dimensional correctable insert. It is made of durable plastic that is covered with a soft, hypo-allergenic material as an interface material for maximum comfort. It is designed to resist pronatory forces sand collapsing arch during gait cycle- normal walking

We have four different sizes and it firs from 2 year old to none year old as each insert has four different levels of adjustment. Our main mission is to prevent lifelong ailments that requires simple modalities without  expensive  treatments or surgeries.

My grandson states he is faster and taller since he wears the inserts

Orthopedic Shoes for Special Olympic Athletes

By Samuel Farkas
on February 19, 2019

Special Olympic Athletes feet

Shoes for Special Olympic athletes were finally designed by a doctor  and are on the market. Check out  the www.StepAlign.com.

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Wide children shoes with orthotic inserts

By Daniela Farkas
on June 19, 2018

Wide children shoes with orthotic inserts

ShepAlign orhtopedic shoes have two designs in different colors specifically for children with Down Syndrome or Autism or any child with this shape of foot.  This is because of the unusual shaped foot- normal heel and very wide top.

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Club feet children

By Daniela Farkas
on June 15, 2018

Club feet children

Treating club foot without surgery. Always learning to treat the most valuable asset we have- our own children.

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Orthopedic shoes for Down Syndrome and Autism Children

By Samuel Farkas
on June 15, 2018

special athletes sandals

It is time that someone finally considered the needs of special children. The team of feet doctors  saw the need for modified shoes for  special kids. The modification consists on shoes that have normal heel and wide forefront- wide in the toe box or toes. Therefore, we tried to incorporate  very attractive designs for girls and boys starting from two and a half years to ten years. The designs that are specific to special children are Avery and Danny but the other designs would also fit due to adjustable straps.

In my colleagues and my personal experience, all the children that we  ever treat with  Down Syndrome have flexible flat feet and this wide feet in the toe area. Those shoes have incorporated corrective inserts in each shoe in such a way that no one can remove  them while using the sandals. Those are shoes that received the approval form the American Podiatric Medical association, are FDA registered and received the approval of PDAC ( CMS Center). We have to realize that all the children are our children, precious gift of inestimable value . By using corrective shoes, we prevent compensations in the first toe (bunions), heel pain, knee pain and damage to the lower and upper back. The shoes  also improve  posture in the immature foot structure. For more info, please visit www.stepalign.com

To Treat or Not to Treat Flexible Flat Foot

By Daniela Farkas
on April 10, 2018

To Treat or Not to Treat Flexible Flat Foot

The earlier a child is treated for flexible flat feet, the better the outcome. A lack of bio mechanical understanding by many  medical disciplines neglected this condition previously. Be pro-active with our child's health and realize that correction is a poor substitution for prevention

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tip-toe walking

By Daniela Farkas
on August 21, 2017

tip-toe walking

Tip-toe walking might signify a problem and should be addressed. Most are very easily corrected with shoes or stretching. When a child occasionally walk tip-toe is not alarming but when this behavior  is more constant, is should be investigated. 

Sometime, the child walks that way occasionally for fun- as on an edge of the road.   Many doctors are trained to look for this conditions and many are not. Look for a sports medicine doctor as you do not want to miss a condition that might be easily treatable.

 The most common reason is an uncompensated flat foot. In this case, corrective shoes or corrective inserts can fix this issue.  Shoes from Stepalign are medically approved to correct this issue You can find them at www.StepAlign.com or on Amazon.

 Another common reason for toe-walking is a short Achilles’ tendon. Sometime corrective shoes also help such as Stepalign shoes. Achilles’ tendon stretching or a simple night splint brace, or physical therapy also helps. Seldom surgical tendon release is needed.

Other causes of tip-toe walking are caused by neurological problems (such as Cerebral Palsy, Frederic’s ataxia or other deficits). In this case is very important to have the child treated and treated by a neurologist.

In-toe walking ( pigeopn toe) in children

By Daniela Farkas
on August 09, 2017

In-toe walking ( pigeopn toe) in children

Many parents bring their children in the office complaining that children walk in-toe (pigeon toe). Why is this happening and how to fix this condition?

 Their are three  main causes that children are  walking in- toe. The most common cause is due to metatarsus adductus. This is a condition where the foot looks like a c shape . It is usually due to a position of the fetus in utero.  Since the child feet are  soft, the parent should manipulate the foot in the correct position with every diaper change. After about 2 years old,  as the child starts to walk inward, the parent should buy shoes with correctable inserts from StepAlign- the only company that has the  pediatric shoes with medical approved insert to correct in-toeing. As the child foot grows, the position is maintained  with the correct inserts until the bones in the feet start to ossify. Than, at about ten years of age the correction is usually attained for life and child can wear any good shoes he/ she likes.

 Another reason child might walk inwards is tibial torsion.  This condition happens a lot less than metatarsus adductus and usually it resolves on its own as the bones  mature.  The third less common reason is femoral anteversion. This condition also usually resolves on its own as the child  grows. Extremely rare, a child will be brought to surgery after he is about 10 years old for surgical correction of tibial torsion or femoral anteversion. 

 

My child has heel pain

By Daniela Farkas
on August 01, 2017

My child has heel pain

One of the most common reasons for heel pain in children is Siever's disease, or calcaneal apophysitis. It  is characterized by severe pain in the heel in one or sometime both heels. It only happens while the physis are opened, usually between five to ten years of age. The child is usually active in sports, but denies trauma. Many times the condition is so painful that the child cannot walk normally and does not place the affected heel in the floor. Upon inspection, the heel might feel a little warm but no other abnormalities noted. However, when x-ray are taken, it shows the back of the heel with rugged or cracked margins and open physis. 

The treatment for this condition is usually rest, compression, elevation and ice. Also a pair of inserts are order to stabilize the heel in the correct position and prevent motion at the affected area. While a pair of inserts is about $400, a pair of sandals from Stepalign do have the inserts built into the sole of the shoe and cost about $109- for inserts and the shoe. There is a coupon on line for $10.00 also. It is easy to order, you need the child  shoe size. For more information please check www.Stepalign.com

Is over-prontion bad for your child?

By Daniela Farkas
on July 25, 2017

Is over-prontion bad for your child?

When a baby starts to walk, the parents are usually very excited and many awkward positions of the feet are ignored or seen as cute.  However, by two years old, when a child overpronates it should concern the parent. Many of my patients do take their children to pediatricians, only to be re-assure that nothing is wrong with their child . 

The truth is that  the bones in the baby's feet are not fully formed. At that age, the bones are somewhat flexible and because of it, there is usually no pain. However, by the time the child is about ten years old, the bones in the feet that determines alignment are ossified in a rigid position for life. The symptoms can appear before ossification but usually they do appear after the ossification is complete. First, the child will complain of pain in the feet and or shinsplints in the lower legs.  Some children withdraw from physical activity further predisposing them to weight problems, bullies and labels as " lazy". Eventually the skeletal system will compensate for the lack of alignment. Other joints in the body will compensate at the expense of those joints. Usually the compensation starts in the feet and move upward. Bunions and hammertoe start to form because of the over-pronation. Later in life, as the bones continue to ossify throughout the skeletal system, other areas in the body start to be affected. First, heal spurs will develop and cause  pain. By the time the person reaches thirty-five years of age, knee pain starts to emerge usually in the medial side of the knee as a direct result of "wear and tear", and over-pronation. Later, the lateral side of the hip is affected and then the lower and upper parts of the back. 

 For instance, suppose a car has bad alignment,the tires will wear off unevenly and eventually other parts of the car will be damaged. It is true that we can replace the rotor, the tires, and do an alignment on the car car. If the outcome it's not satisfactory it's simple;  get rid of the car and buy a new one. A person can also do "repairs"  in the body such as knee replacement and back fusion. The suffering and pain of "bad alignment" or over-pronation will be for many years.  That is the reason we highly recommend correcting alignment on all the children  with StepAlign shoes, the only pediatric shoe that has the medical approval from the APMA to correct flexible flat foot and aid in alignment of the body. For more information, please go to www.stepalign.com