It isn’t terribly unusual to think that adults are the only ones who develop bunions. After all, there is a perception that this condition is closely linked to stilettos and pumps – shoes for grown-ups. It’s important to understand that children can develop them, too. When your child needs care for a pediatric bunion, Dallas Podiatry Works is here to help!
The first step in discussing pediatric bunions is to become familiar with the condition. A bunion develops when the great toe (the hallux) drifts outwards in the direction of the little toe. A misalignment occurs at the metatarsophalangeal (MTP) joint, the joint where the toe meets the foot. The phalanges (toe bones) lean outwards and the metatarsal, the bone running lengthwise the foot, leans inward towards the other foot.
The bunion is the enlargement of the joint that protrudes along the inner edge of the foot. In adults, there can actually be an increase in size of the bone. In the case of pediatric bunions, this is purely structural. The pain occurs by irritation of surrounding bone and nerve. This affects a person’s ability to walk and comfortably wear shoes.
In adults, the pain is often exacerbated by wearing fashionable or high-heeled shoes (obviously not the case with pediatric patients). Yet all patients frequently have pain, indicating that shoes alone are not the culprits. Interestingly, female children are more likely to have bunions than males
As with adult cases of bunions, the treatment objectives are twofold – address structural problems and manage symptoms. Managing the symptoms can often be achieved with the use of padding, changing activities, and avoiding shoes that are too narrow. With regard to structural treatments, toe spacers, toe splints, orthotics, and supportive shoe gear may be part of the plan. Orthotic devices can be particularly beneficial at bridging the gap between the two objectives.
Performing surgery for cases of pediatric bunions is generally reserved as a measure to be used only when other treatments are unsuccessful and the child is in pain. Part of the concern with operating on children at early ages is the fact that their bones are still growing, and accidental damage to a growth plate could disrupt a bone’s ability to grow.
That said, there are instances where surgical procedures offer your child the best opportunity to find pain relief and correct the condition. Typically, we would not want to operate on a girl who is younger than 13-15 or a boy who is 15-17, since this is about when they reach skeletal maturity.
The good news about pediatric bunion surgery is that, when it is necessary, the procedure is often quite successful in realigning the bone and correcting the bone structure.
If your child is suffering from pain or has restricted movement on account of a bunion, Dallas Podiatry Works will provide any treatment necessary to correct the condition. Dr. Joel W. Brook is Dallas’ premier bunion specialist, so you will find peace in knowing that your child is in good hands at our practice. Schedule your appointment today at either our Dallas office by calling 972.853.7100 or our Plano office by calling (972) 943-3323. You can also call us at 972.853.7100 or use our online form to contact us.
The doctor has great “bedside manners” when talking to patients. Great staff and comfortable atmosphere.
The staff at Dallas Podiatry Works could not have been more courteous, helpful, and professional in doing their job. They made me feel comfortable when I was there, which is certainly appreciated. They answered all the questions that I had and just made each visit the most pleasurable that it could be. I would highly recommend them to anyone needing this type of foot care.
I would highly recommend Dr. Brook to anyone with foot problems–especially problems that stump other podiatrists. He really is very caring and very knowledgeable.
Dr. Joel Brook and the staff were nice and helpful. Though I was a new patient, I got right in as soon as they were open in my preferred location. They diagnosed the problem and provided medicines along with a perfect gel bandage so I could keep exercising while my toes healed. My toes already hurt less and look a little better each day. If I have future issues, I will be a repeat customer. Here’s hoping I don’t, but at least I know my feet are in good hands.
I visited this office for an ingrown toe nail a few years ago. After seeing another doctor, who made it worse, he referred me to Dallas Podiatry Works. The doctor there was able to fix my problem. I’m not great with reviews, all I can tell you is that this doctor and staff will have you up and running or doing whatever it is you do in no time. You will be in great hands. You’d be a fool not to use this doctor. Now its time to visit him again for the other toe.
Been having bad ankle pains for 6 months was referred here and it was a great visit ladies in the front desk medical assistants and the Doctor were all very friendly and make you feel very comfortable.