Pediatric Conditions and Injuries
Children's Services include:
In-Toe & Out-Toe conditions
Children may be born with rotational deformities of their legs, either above the knee, or below the knee. Typically if the knee caps rotates inwards and the feet point inwards as well, then the deformity lies in the hip area, either with a rotated internal hip socket, or the long leg bone (the femur) is rotated inward. When the kneecap is straight but the feet are pointing inward, then the deformity lies within the tibia (lower leg) bone. The same principle can occur to cause an out toe problem. The in-toe condition is more common and can be treated, so proper evaluation is necessary to determine where the problem is occurring., Some of these conditions can be treated with rotational bars prior to the baby ambulating, or later on with proper shoes, orthotic insoles and possible physical therapy.
This is one of the most common conditions we see in pediatric patients. Usually occurring in very active or athletic children, it is rarely the typical “plantar fasciitis” that adults get, rather an inflammation of the growth plate in the back of the heel bone. It is smart to treat early and confirm with x-rays, as there may be a problem with the foot alignment and/or other bone issues .
Sports Injuries & Evaluation
With the explosion of kids sports leagues and athletic programs, kids are playing sports at an accelerated pace and amount of time, than years earlier. Kids are not little adults, so there can be real concerns when kids have an injury. Most kids will not complain especially when very young, so if a child complains of pain, it is most likely very real. Proper evaluation of the lower extremity and possibly x-ray evaluation can help to determine the exact problem.
Sports Conditioning Programs
The accelerated pace of sports programs requires that children be agile, flexible and strong. It is not suggested for young children to do typical strength training like adults. However it is necessary and strongly urged for the kids to use simple age appropriate strength exercises to increase balance, and flexibility and sport specific strength. This is very important to prevent the possibility of injury. It is estimated that young athletic girls have a 8-10 times higher incidence of ACL injury in the knee. The sports medicine community believes that these knee injuries can prevented by good solid strengthening, good postural control, proper jump mechanics, and evaluation of foot mechanics and shoe gear.
Our office screens all kids for scoliosis, as a general routine part of our pediatric exam. Although not normal it is rather common, and should be watched and treated conservatively if possible with strengthening, proper shoes, lifts and/or orthotic devices to improve the motor patterns for the muscles and nerves that travel up the leg and up into the back. If severe, x-rays can be obtained and referrals given as needed.
This is a fairly common problem for children as well as adults. Sometimes the nails are either too wide naturally for the toe , or just curled too much in on the sides. Either of these patterns can cause irritation along the nail grove, and if clipped too short or traumatized, the nail can become infected, red, swollen, draining and painful. A special simple procedure is the best option to alleviate the problem, immediately and will relieve the pain without the use of any antibiotics.