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.

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

Alignment benefits

By Daniela Farkas
on July 19, 2017

Alignment benefits

 One of the most neglected areas in medicine is alignment.  This is really sad as the alignment is responsible for a  lot of pain and multitude of conditions in the human body. 

 Many factors influence alignment and some of those factors are: structural deformities, habit, trauma, infections, tumors, etc. From all of those factors, usually the structural deformity is hard or impossible to correct.

 If a house has a good foundation, chances are that many other issues can be corrected or prevented. However, if the foundation of the house is compromise, the house is usually doomed. This analogy can be compared to human body. If the foundation- or the alignment of the feet- is perfect, the whole body has a good chance of maintaining alignment for life.

The problem we are face with is that the alignment in the feet is achieved in childhood by the time we are about 10 years old. Before 10, we are in a period when the bones that dictate alignment are moldable due to the fact that the bones had not ossified yet. However, the closer we get to the ossification stage, the less chances we have to influence structure for life. Once the bones ossify, the correction period is over and treatment is required for life.

StepAlign shoes are the only medical approved pediatric shoes to correct flexible flat feet and  align the feet into perfect posture. Once the bones ossified in the corrected position, the alignment is maintained for life.

Cavus foot

By Daniela Farkas
on June 21, 2017

Cavus foot

Cavus foot is a condition characterized by increase arch in the feet. It affects about five percent of population and is usually due to a neurological condition such as Cerebral Palsy, Post polio, Friedrich"s ataxia, CNS tumors or other neurological deficits. Sometime, the cavus foot is idiopathic- meaning we do not know what the cause of the deformity is.  

 In mild cases, a corrective insert might offer relief of pain and symptoms. This is because the corrective orthotics offers support for the bones, tendons and ligaments. However, the patient usually has to wear inserts for life as this condition usually never resolves on its own.  

For moderate and severe cases of cavus foot, the recommended treatment is surgery, because this condition  has as a root cause a neurological deficit.  This is because the earlier the surgery is performed, the fewer the damage to the foot and ankle structures will be. Surgery consist in fusing the subtalar joint and or additional joints in the feet to correct the deformity. Many times, patients that have this condition are neuropathic- meaning the perception of pain is altered and a doctor is needed to evaluate for neuropathy. 

Pediatric flat feet

By Daniela Farkas
on May 02, 2017

Pediatric flat feet

Flat feet is a  very common condition  where the medial arch in the foot seem to disapear when a child is standing on the feet, regardless if he /she seem to have an arch when sitting. Flat feet could de devided into flexible or rigid flat feet. 

Flexible flat feet seem to have some degree of arch when sitting but no arch when standing  (weight bearing). It is caused by miriad of factors such as: genetic, walking on unnatural flat surface during crucial stages of development,  ill fitted shoes, or shoes that do not support a developing arch. Flexible flat feet could be simptomatic or not during childhood years but is a progressive disease, manifesting symptoms sometime earlier in life but for sure later in life. Some of the pediatric  simptoms are voluntary widrowing from sports activity, complaining about foot pain, shin splints, asking to be carried, not choosing to play outside.

How to Identify Flexible Flat Feet in Your Child

By Daniela Farkas
on April 19, 2017

How to Identify Flexible Flat Feet in Your Child

Most of the time, small children are not able to articulate the symptoms of flat feet. This is the reason many times is not addressed by the pediatrician or the parent. However, there are multiple clues that should prompt parent to seek help for flexible flat feet. Nothing replaces a parent watchful eye when it comes to clues such as: pain in the foot, ankle or tenderness in the muscles. Many times, parents used to refer to this condition as growing pain. There are no growing pain. Those are symptoms of an underlying condition and should be investigated. The "growing pain" does not exist. Look to see if child has difficulty with shoes, or has changes in the way he/ she walks. This could be  signs of the child trying to compensate for Flexible flat feet. Many times child will seem to walk awkward, have multiple falls, wants to be carried, withdraw from physical activities as a way to avoid pain. This  withdrawal contribuites to other issues such as childhood obesity,  pediatric cardiovascular disease, childhood diabetes type 2, withdrawal from school activities...

Symptoms in untreated flexible flatfoot

By Daniela Farkas
on March 02, 2017

Symptoms in untreated flexible flatfoot

     Symptoms that may occur in persons with flexible flatfoot include:

  • Pain in the heel, arch, ankle or along the outside of the foot
  • Rolled-in ankle (overpronation)
  • Pain along the shin bone (shin splint)
  • General aching or fatigue in the foot or leg
  • ligaments and tendons in the foot derangement
  • Low back, hip or knee pain
  • Bunion and hammertoe formation
  • metatarsalgia, heel spur, blisters

 

flat foot- types

By Daniela Farkas
on February 24, 2017

flat foot- types

 Flatfoot

What Is Flatfoot?  Flatfoot entails partial or total collapse (loss) of the arch

Flatfoot is  a disorder, with multiple symptoms and varying degrees of deformity and disability. There are few types of flatfoot that  have one characteristic in common: partial or total collapse (loss) of the arch in the foot. Other sign of flatfoot are  toes deviation from the central line. The heel tilts toward the outside and the ankle appears to turn in. This is very easily noted on a worn pair of shoes where the shoe wears more on the lateral side of the heel. A tight Achilles tendon, which causes the heel to lift off the ground earlier when walking is often associated with flatfoot deformity  and may make the problem worse. Hammertoe  and  bunions  may develop as a result of a flatfoot. In time, other joints will compensate to correct for the deformity, resulting in gradual wear and tear of the ankle join, knee, hip and lower back. The more collapse the arch in the foot is, the more damage could be expected in the skeletal structure. A parent should observe his child way of walking -and the pattern of wear of shoes- and bring the child to a specialist such as a podiatrist by the time the child is 2 or 3 years old. Treated early, while the bones in the feet are not ossified, greatly increases the positive outcome. For more information, please go to www.stepalign.com

The huge deal- preventing a bunion and preventing pain in the feet and knees

By Daniela Farkas
on November 23, 2016

The huge deal- preventing a bunion and preventing pain in the feet and knees

What would be the best  deal you can get in Black Friday?

How about preventing joint damage and preventing back pain? How about preventing a bunion that hurts with every pair of shoes you wear? How about heel pain? Or Knee pain?

Well, the StepAlign shoes are here to do just that- align the posture, correct flexible flat feet and correct the way a child walks by preventing in-toeing, out-toeing. So Black Friday will come with quite a deal...