Foot Injuries in Kids: What to look for

With the kickoff of another school year, kids hurry back to school in their shiny new clothes and shoes.  Excited to be social again after a long summer with the family, kids are quickly hit with the reality of homework and listening and studying and exams.  The bounce in their step sometimes turns into dragging feet.  Sometimes there are other reasons behind those dragging feet.

Overuse Injuries in kids

Kids are somewhat prone to overuse injuries due to the active growth plates in the many bones of the feet, ankles, and legs.  With 26 bones per foot, there are many possibilities for trouble.  The most common problem spots are the heel bone, sesamoids (under the big toe joint), lower legs/shins, and navicular (inside arch).

kids-overuse-injuries

 Heel pain in children:  The growth plate in the heel is susceptible due to the tight Achilles tendon attachment on the back-side and the plantar fascia on the bottom.  In addition to the impact of heel strike, there’s almost a tug-of-war that can happen with running, sprinting, jumping, tumbling, and marching type activities.  Kids with flat feet and a tight Achilles tendon are more prone to developing this “Sever’s disease”, an inflammation of the growth plate in the heel.  Anyone playing multiple sports concurrently, or working out 5-7 days per week are also at risk.  Kids between 9-12 are hit most often with Sever’s.

 Sesamoid fractures:  There are 2 small bones under the big toe joint.  Kids with a high arch foot are more susceptible to this injury.  An acute jarring injury or hyperextension injury can also cause fracture to this sesamoid bone.

 Shin SplintsPain in the lower legs can be growing pains if it’s felt to be in the bone.  But more often than not, it’s shin splints.  This is pain along the tendons/muscle as they attach to the leg bones.  It’s more common with tight muscle groups and feet that pronate (flatten) or supinate (high arch) more than normal.

 Navicular Injuries: Residing at the inside arch, just down from the ankle is the navicular.  This bone can often come with an extra round bone fragment on the inside of the arch that can be a problem for many kids, especially those with a tendency to a flatter arch.

How to treat overuse injuries in kids

Listen to kids who complain, and jump on the issue.  Prompt care leads to a quicker and more successful treatment.  So get them checked out early:  pediatrician, urgent care, or go straight to the foot and ankle specialists.

Rest.  This is tough for multi-sport athletes, but if caught earlier, a brief rest can get them out of trouble.

Anti-inflammatory medications can help reduce inflammation and relieve pain.  Icing the injury and homeopathic medications, such as Traumeel, can also be of help.

Stretching and physical therapy can be prescribed to decrease pain and increase flexibility.

Orthotics can help correct poor foot position and alignment. A boot or cast can keep the foot in a supported position while it heals.

Kids and Ingrown Toenails

ingrown-toenailSome kids just get them, no matter how the nails are cut.  In general, cutting toenails straight across or gently curving them to match the shape of the toe is appropriate.  It’s important to avoid tight shoes that can compress against the toes.  Kids who are growing rapidly may have well fitting shoes in September but are too tight come Thanksgiving.

If you see one developing, it’s best to soak in warm water and Epsom salts.  Apply some antiseptic, alcohol or Hydrogen Peroxide, and a topical antibiotic.  If it persists, an antibiotic can often help when it becomes red with pus.  We are well equipped to do an efficient ingrown toenail procedure in the office when appropriate.  A cold spray can help numb the skin prior to a numbing shot to facilitate a quick procedure to fix an ingrown toenail.  A permanent procedure is often offered as the best long-term lifetime fix.

Plantar Warts

kids-plantar-wartPlantar warts are a common problem for kids, a virus that sets up in the bottom of thefoot.  Some kids seem more susceptible.  They are commonly picked up in warm, moist areas such as community swimming pools, hot tubs, etc.  Once you get them, they are contagious and can spread to other parts or to other people.  It’s important not to pick at them.  Initial treatments can be over the counter things such as Compound W, Wart-off, and such.  If this fails, we offer a few different treatments that can usually quickly eliminate these tough viruses.  Freezing, application of blistering agents, topical creams, injection of blistering agents, and surgical excision are all options considered, arriving at the best approach after discussing with the child and parents.

This has been a quick rundown of some of the common issues that zaps the bounce in our kids step and causes them to drag their feet around.  We love to help kids, and welcome you at the University Foot & Ankle Institute where we are well equipped to evaluate and offer treatments to promote a quick and full recovery.  Go Kids!

If you would like more information about pediatric foot and ankle conditions, please call us at (877) 989-9110 or visit us at www.footankleinstitute.com.

.

Dr. Justin Franson

Dr. Justin Franson

After studying accounting and then leaning toward a physical therapy at Brigham Young University, Dr. Franson decided to pursue podiatry as his career. He then attended the School College of Podiatric Medicine in Chicago.

Upon graduation in 2001, Franson accepted a three-year residency program at the Greater Los Angeles VA and UCLA County Hospital.

Dr. Franson specializes in several areas including total ankle replacement and sports medicine.
Dr. Justin Franson

Leave a Reply

Your email address will not be published.

five − 3 =

  • Yelp
    Right after my first visit with Dr, Briskin was over I knew I found the right doctor. My problem was approached with caution, care and expertise treatment. The treatment was important, but the doctor's mannerism is al...
    Kirk W.
  • ZocDoc
    Great appointment. Great communication. Explained my particular situation very well, blending medical terms and everyday terms. Staff was very friendly and answered all my questions.
    Anonymous
  • Yelp
    I was referred by a friend and was very impressed.  The staff is kind and courteous.  Dr. Baravarian was excellent.  Reconstructive surgery, and on both feet with 12 weeks of recovery. The orthodics have been a grea...
    Melissa H.
  • When I came to you I thought my long distance hiking days might be over. But with your care and skill I have had a miraculous healing in my foot. For the many things you've done. Last Saturday I hiked in the mountains...
    Taylor
  • I want you to know how much I appreciate all of your efforts to help me and how much I truly respect you as a person and a doctor. Your kindness has brightened my world on many days that would have otherwise been gloomy.
    Andrew
  • CustomerSure
    Your institute is one of the best!
    Hana A.
  • CustomerSure
    Excellent service. Dr. Bob is fantastic!
    Dana M.
  • CustomerSure
    Dr Bob and the staff in Sherman Oaks are amazing! They are kind, thorough and caring!
    Anita D.
  • CustomerSure
    Great staff who put up with my questions and bad jokes. Hope I will not have to return, but if I do have foot problems again, I will go back to these folks.
    Eric F.
  • CustomerSure
    So far everything is going well. I really like Dr. Baravarian and his staff, they did a wonderful job. They are very compassionate and professional at the same time. My family and I are very happy and thankful we fou...
    Jeanette D.
Same day appointments now available!
or call 24/7:
  • University Foot & Ankle, a Preferred Provider to:
  • UCLA Health System - UCLA Medical Group
  • MPTF - Member Industry Health Network
  • Cirque du Soleil
  • ATP - Association of Tennis Professionals
  • And consulting physicians for:
  • C&S - Cedars-Sinai
  • Saint John's Health Center