Medical City Dallas

Baylor, Scott & White Plano


Pediatric Foot and Ankle Disorders

Metatarsus Adductus

Common Foot Disorders in ChildrenIf your child has a foot that turns inward, he or she may have metatarsus adductus. This is a foot deformity that affects only the front half of the foot. This congenital condition is fairly common.

If the foot is quite flexible and there are no difficulties straightening it or moving in different directions, it may not require any treatment – just close observation as your child grows.  If the child develops problems with their gait, stumbles when they walk or have pain, treatment may be indicated.

A podiatrist can teach you stretching exercises that can be done at home. These may help the foot adjust to a normal position. In some cases the child may have to wear a splint or special shoes for most of the day that hold the foot in the correct position. Very rarely, a cast is made for the child’s foot and leg. This option is best used in children 8 months and younger. Surgery is rarely the needed course of action and if it is deemed necessary, it will be delayed until the child is 4-6 years of age.

Research has found that patients with metatarsus adductus can have significant foot issues later in life, including severe bunion deformities and pain from high or low arches, depending on their level of flexibility.

Pediatric Flatfoot

Pediatric flatfoot is characterized by the partial or total collapse of the arch in the feet. Typically, arches do not develop in children until the age of 3 or 4. Some children experience no negative symptoms while others experience pain and a limitation of activity. The existence and severity of your child’s symptoms will help to identify a treatment plan.

For children with no painful symptoms, treatment includes merely an observation of their growth or custom orthotics, depending on severity of the condition. Negative symptoms of pediatric flatfoot include pain, tenderness, cramping, fatigue, awkwardness in walking, difficulty with shoes, and reduced energy in physical activities.

An accurate diagnosis by a podiatrist is the first step in helping your child with pediatric flatfoot. Drs. Joel Brook and David Northcutt will examine your child’s foot while standing, walking and sitting and take X-rays to determine the severity of the problem. Once diagnosed, they will recommend treatment. Our primary goal is to keep your child healthy and active. Treatment can include custom orthotics, physical therapy, shoe modifications, and temporary use of anti-inflammatory medications are all options that will reduce pain and get your child back to enjoying the activities they love.

Pediatric Heel Pain

“Why does my child have heel pain?”

It’s a common question, and there are numerous causes for pediatric heel pain. The most common cause is Sever’s disease. It most often affects 8-14 year olds who are involved sports that involve a good deal of running and jumping. The cause of Sever’s disease is an inflammatory condition affecting the growth plate in the back of the heel where the Achilles tendon inserts. This condition is typically accompanied tightness of the Achilles tendon and characterized by swelling and tenderness of the heels.

There are no long-term effects of this disease – only temporary pain while your child is involved in physical activities. Primary treatment is icing and rest, the use of heel lifts to keep strain off of the Achilles, possible use of orthotics, and immobilization if needed. A foot specialist can demonstrate different kinds of exercises that can be implemented at home as well as prescribe heel pads or arch supports in your child’s footwear.

Other causes of heel pain in children include Achilles tendonitis, plantar fasciitis, and fractures. Achilles tendonitis is the result of an overuse injury due to frequent and repeated pounding on hard surfaces. Fractures also occur with repetitive stress on the feet, resulting in different varieties of fractures.

Treatment of Pediatric Disorders

If your child is experiencing pain or if you’re concerned about the appearance or flexibility of your child’s foot, you should never wait to contact a podiatrist. Addressing the issue now could prevent a more lengthy treatment process down the road. Don’t hesitate to make an appointment with Dallas Podiatry Works today. Our podiatrists, Drs. Brook and Northcutt, will be able to properly assess any concerns you may have about your child’s feet.

"I did 3 EPAT treatments and it gave me tremendous relief from my plantar fasciitis. I highly recommend this for anyone who is dealing with PF. Also, the physical therapist Dr. Brook sent me too is fantastic. I am definitely on the mend and so glad I did EPAT."- All H. 5 star
"Dr Northcutt is a fantastic physician. My first surgery with him (although painful), went very well. A couple of issues (with his staff) needed to be corrected, I appreciated his calm and professional demeanor and he corrected those issues promptly. He sets the bar high (the mark of a great physician), and that is the key reason why I'm coming back to him to correct my other foot. I would highly recommend him."- She B. 5 star
"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 care."- Joseph B. 5 star
"My experience was a good one from pre-op to post -op. I saw the doctor right before my surgery.He explained the process to me and my husband. The recovery nurse was great. It was neither crowded or chaotic as some day surgery centers. My foot is doing well as I follow instructions. I look forward to my one week progress visit!"- Patricia T.5 star
"I had dealt with a painful foot problem for five months and had seen three different Doctors before seeing an article in D Magazine about Dr. Joel Brook. Dr. Brook took one look at my foot, explained the causes for my pain and set me up on a successful treatment plan. He is very knowledgeable, thorough and exhibits a caring attitude. I highly recommend him."- Ginger W. 5 star
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Join the 50,000 happy feet that have found relief at Dallas Podiatry Works! Our Dallas podiatrist and Plano podiatrist provides 5-star-rated foot care and ankle care. Our advanced foot care includes children's foot care, sports-related foot injuries, bunion treatment, bunion removal surgery, toenail fungus treatment, ingrown toenail treatment, hammertoe treatment, claw toe treatment, neuroma treatment, heel pain relief, limb salvage, wound care, arthritis treatment, safe pedicure, medicures, corn removals, callus removals, wart removals and more.
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