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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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

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.

why I developed bunions

By Daniela Farkas
on July 14, 2017

why I developed bunions

Many people want to know if bunions are hereditary.  Well, yes and no. The reason you developed or will develop bunions and hammertoes is because the forces that act on your feet will cause bunions given enough time. 

 As shown on the picture, a person that has flexible flat feet- meaning they seem to have an arch when no weight is on but the arch disappears when the person is walking- the forces affect the feet.

 On the toes, the forces are medially and backwards, on the ankle are laterally and downwards and on the lower leg are laterally and upwards. Those forces will cause the muscle to work way over time to stabilize the foot. In time, the bones will start to remodel in the direction of pulling, creating bunions, hammer toes, shin splints in the legs and so on.

About the questions of hereditary,  your parent had the same shape of the foot; it means that he or she had the same forces acting on their feet- meaning they had flexible flat feet also.  They did not treat the condition either but the effects of it- if they would have treated the condition, they would had never developed the bunion.

 If they ever had the bunion surgery, the bunion might have come back. This is because the same forces that acted initially to damage the foot, will act to damage the corrected foot also. In this case, the person had treated the effects of forces acting on the foot and not the cause.

 A much better approach would be to permanently correct the flexible flat foot. This is achievable on a short period of time, when the bones are immature- between the ages of two to ten. At that time, all a person needs to do is to wear correctable shoes- such as StepAlign sandals. Those shoes have correctable inserts built in the sole of the shoe and are medically approved to correct flexible flat feet.

However, if a person had missed the golden opportunity to correct flexible flat feet- meaning two to ten years of age- than he or she needs to wear correctable inserts for life.  When shoes that have no correction in them are worn, the forces will act on the feet and the bones will suffer the blunt. When the inserts are worn, the foot is forced into the proper alignment and those forces do not act this way.

 For more informations, please go to www.Stepalign .com