Paediatric podiatry involves the assessment, diagnosis, treatment and management of many different types of conditions that can specifically affect kids from infants right through the growing years into adulthood.
There are many foot problems that affect the growing child’s feet, your podiatrist is the lower limb specialist who can help you identify the foot problem and offer interventions, provide parent education and health advice. When required we will refer onto a Podiatric Surgeon, your GP and other specialists to ensure your child receives the best of care every time.
Proudly servicing the Central Coast, Newcastle, Lake Macquarie and Hunter regions, NSW.
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Here are some examples of problems that children may have
Ingrown toe nail
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This is the most common nail presentation we see that is manly seen in younger males, however it can occur at any age. The nail becomes known as involuted in shape (the nail turns inwards) and causes pain and can easily become infected.
Nail surgery with a local anaesthetic injection can easily resolve this problem. Patient advice is given to the parent and child and includes information such as correct nail cutting techniques and how to avoid reoccurrence.
Plantar warts
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Are a frequently occurring dermatological presentation in children. These are benign and affect the surface of the feet. They can spread into a cluster, often have callus (thick skin) and often have black spots in the middle.
Warts can often be mistaken for corns, we are the experts in correctly identifying what is a plantar wart and how to treat it effectively.
Juvenile bunion
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There is a very strong genetic link to the formation of bunions, irrespective of age. Footwear may aggravate the condition but footwear does not cause the bunion to develop in the first place.
Surgery should not be carried out before the foot is fully skeletally mature. Until the growing foot is fully formed a foot splint can help to control the position of the big toe.
Polydactyly
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This is characterised by the presence of an extra digit and can be seen on hands or feet. Depending on the severity of this abnormality, amputation at an early stage is often required to ensure optimum foot function and making shoe fitting a non-issue as the child develops through to adulthood.
Club foot
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This condition is detected in a newborn infant and on presentation the feet are turned inwards. A casting technique called the Ponseti technique of foot casting is utilised along with foot manipulation to correct the developmental defect to allow for the child to be able to mobilise as the infant grows.
Failure to correct this deformity early on, often results in very poor mobility outcomes for the child. A foot brace is also required during the treatment process to achieve a positive outcome.
Kohler’s disease
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This condition affects the inner area of the midfoot causing pain and tenderness at a bone in the foot called the navicular. X-ray imaging shows changes of increased density and collapse of the navicular bone.
With conservative treatments such as temporary supportive padding and strapping or supportive foot orthoses, symptoms will disappear and x-ray imaging will become normal in one to two years.
Stress fracture of a metatarsal
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This condition occurs from an increase in physical activity and is characterised by an overuse and repetitive stress on a metatarsal bone in the forefoot. Each foot has 5 metatarsal bones. Local pain, tenderness and swelling will be seen.
Participating in high impact sports such as running, basketball or soccer can cause stress fractures in the forefoot. Surgery is rarely required, with most cases the fracture will heal with rest and a change in activity.
Osgood-Schlatter’s disease
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This condition affects the child’s knee area. It is a common cause of knee pain in growing adolescents. It is characterised by inflammation of the area just below the knee where the tendon from the kneecap attaches to the shin bone.
Physical activity puts additional stress on bones and muscles so adolescents who participate in frequent sporting activities are at a higher risk of developing this condition.
Toe walking
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This patient when walking shows no heel contact on the ground and can be caused from a developmental condition or from an unknown cause. Toe walking is considered normal in children under 2 to 3 years of age. Most children develop a consistent heel to toe pattern by the age of 2 years.
In toeing gait
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With in toeing gait, when a child walks or runs, their feet turns inwards instead of pointing forwards. This condition is often first noticed when the child starts to walk. In most cases by age of 8 years the condition usually corrects itself without the use of casts, braces or surgery.
If the child presents with pain, swelling or limps when walks then a surgical option is often requested.
Sever’s disease
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This condition affects the child’s heel and commonly occurs between ages 10 to 14. An active child playing sports is at a higher risk of developing Sever’s disease as it is caused by repetitive stress to the heel and is an inflammation of the growth plate of the heel. The heel becomes tender as it strikes the ground and even on tiptoes is painful due to the pull of the insertion of the Achilles tendon.
Repetitive stress from running, jumping, and other high-impact activities can cause pain and inflammation in this growth area of the heel. Additional stress from the pulling of the Achilles tendon at its attachment point can sometimes further irritate the area. Sever’s disease is often seen in very active children and who are going through puberty.
Treatment involves advice to rest from sporting activity, footwear advice, stretching and strengthening exercises which can lead to a return to activity.
Diabetes
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Children with diabetes do not require any specialist podiatry care different from that given to other children as long as their diabetes is being well controlled (regular blood sugar checks monitored and medications being taken as per GP instructions).
Children with diabetes need to avoid fungal nail infections and we are the experts in foot care and are able to manage and treat nail infections. Children with diabetes are still at a high risk of diabetes complications such as nerve damage to their feet, reduced blood flow to their feet and foot deformity which can result in infection, ulceration and gangrene.
It is very important for children with diabetes to see a podiatrist to have their foot health assessed in order for early detection and to manage any risks from potential pressure lesions that may occur later in life. We also provide appropriate health education to the child and the parent to help ensure diabetes is well managed as the child grows into adulthood.
Our Partners
Eclipse Podiatry mobile podiatry service operates in a wide service area including all suburbs in the Newcastle, Lake Macquarie, Central Coast and Hunter regions, NSW.
Some of the suburbs we service include Newcastle, Charlestown, Lambton, Wallsend, Maryland, Gosford, Woy Woy, Terrigal, Erina, The Entrance, Ourimbah, Cessnock, Maitland, Glendale, Morisset, Toronto, Warner’s Bay, Belmont, Swansea and all the suburbs in between.