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Posts for tag: Pediatric foot pain

Keep Kids’ Feet Healthy with the Right Back-to-School Shoes

The start of a new school year brings about two certainties: new clothes and new shoes. Unlike in years past, today’s shelves are stocked with a variety of shoe types that run the gamut in style and fit. As such, parents have much more to consider when shopping for back-to-school shoes. To make things easier at the shoe store, follow these tips to help minimize foot problems caused by poorly fitting or worn out shoes.

Shoes Should Fit   

Your child’s feet can grow up to two sizes in six months, so you need to account for growth when buying shoes. That does not mean you should buy shoes that are too big—oversized shoes cause the foot to slide forward, putting excessive pressure on the toes that may cause long-term problems. A good fit is about a finger’s width from the end of the shoe to the tip of the big toe. Tight shoes can cause blisters, corns and calluses on your child’s toes, blisters on the back of the heels or ingrown nails, which can become infected. Signs of infection from ingrown nails include pain, redness or fluid draining from the area. If you notice any of these symptoms, call us to schedule an appointment so we can perform a simple and safe procedure to remove the nail.

Shoes Wear Out                                                                                          

Shoes lose their shock absorption over time, so inspect new and old shoes for proper cushioning and arch support. Worn-out shoes elevate the risk for heel pain, Achilles tendonitis and even ankle sprains and stress fractures. Replace any shoes with wear and tear around the edges of the sole. When buying shoes, make sure that the toe box flexes easily and the shoe does not bend in the middle of the sole.

Children with Flat Feet                     

Children with flat feet need shoes with a wide toe box, maximum arch support and shock absorption. The best shoes to buy are oxford, lace-up shoes that have enough depth for an orthotic insert, if necessary. Try to find shoes in which the foot bed can be taken out. This will allow supportive over the counter inserts or a custom foot orthotic to fit in the shoe to add more support to the arches.

Our practice supports local shoe stores in town so that you children can be fitted correctly for the right shoe for school. We like to refer patient's to Phillips shoe store, The Foot Store, Kassis Brother's, Fleet feet, Dicks Sporting Goods, and Belk's shoe department.



Back to School Foot Pain

After wearing flip-flops all summer, students head back to school with painful feet

As August approaches before you know it the ringing of school bells the moans and groans of students over tests, homework, relationships, and increasingly, their aching feet.

Around the Lowcountry flip-flops and sandals are the summer footwear of choice for many students. But while these sandals are inexpensive and stylish, they don't cushion or support the foot, leading to problems. After wearing flip-flops all summer, some students will head back to school this fall with foot pain and even injuries. The American College of Foot and Ankle Surgeons (ACFAS) reminds parents and students that foot pain isn't normal and can be reduced or eliminated.

People often don't realize that even into your mid-teens, there's new bone growing in your heel. Flip-flops don't cushion the heel, so repetitive stress from walking can inflame that heel bone growth area and cause pain and tenderness. Calcaneal Apophysitis or Severs Disease is a common foot condition that we see in children. This condition is an inflammaiton of the growth plate of the heel. We have noticed an increasing trend in this form of heel pain especially in young athletes playing year round sports.

Heel pain and arch pain rank among the most common complaints among students who wear flip-flops. Other flip-flop feet problems students can take back to school include inflammation of the Achilles tendon, painful pinched nerves, sprained ankles, broken or sprained toes, cuts and scrapes, plantar warts, Athlete's foot, and callus build-up on the heels and toes.

Foot and ankle surgeons can usually reduce or eliminate students' foot pain with simple treatment methods including stretching exercises, ice massage, anti-inflammatory medications, and custom or over-the-counter shoe inserts.

Back to school season will always be painful for some students, but it doesn't need to involve foot pain. For more information on foot and ankle health conditions please refer to our website at


By drsaffer
September 07, 2010
Category: Pediatric

Check Children's Feet Before School Starts -
Back to school season is underway, and we would like to offer some advice to parents regarding their children's feet.
Take five minutes to inspect your children's feet for problems that could sideline your son or daughter from sports or other activities.Parents should look for the following warning signs:
1) Do your child shoes show uneven wear patterns on the sole of the shoe?
2) Does your child walk irregularly? Is one leg longer than the other or do their feet turn in or out excessively?
3) If your child is in pre-school do they walk on their toes?
4) Does your child often trip or stumble?
5) Does your child complain of tired legs, night pains and cramping?
Following this checklist can uncover common problems like ingrown toenails to more serious problems like flat feet. If your child's shoe is worn on the big toe side of their foot, it could be a sign of poor arch support or flat feet.
Parents can spot several potential foot problems by observing how their kids walk. If you find out one of your child's legs is longer than the other, heel lifts may be required to restore proper balance. Early intervention can prevent scoliosis, a curvature of spine, later in life.
Younger children can often walk on their toes because of tightness in their Achilles tendon. This can happen when toddlers spend too much time in walkers. A foot and ankle surgeon can recommend stretching exercises that can be fun for small children and help prevent lower back pain as they get older.
For older children beginning college, heel pain and shin splints can plague freshmen not used to walking long distances across campus to attend classes. We typically see students every fall complaining about pain from walking so much everyday. For most students, daily stretching and proper walking shoes can solve the problem. If there are foot deformities like hammertoes, surgery may be advised to make walking more comfortable.
If your chldren are complaining about tired legs, heel pain or leg or foot cramps at night, consider that a warning sign and see a doctor. Leg and foot pain can indicate flat feet or other disorders that are easier to treat the earlier they're diagnosed.
Children with flat feet are at risk for arthritis later in life if the problem is left untreated.

For more information on various foot conditions in children please visit our website at