The 9 most common abnormalities in children's feet

Children who step in, children who walk with their feet out, children who have a very pronounced arch of the foot ... There are different injuries, anomalies and health problems that occur in the feet of babies and children.

The feet are the support zone of the body. They fulfill an important locomotive mission. They can give rise to many different doubts on the part of families. In We proceed to comment on some of the most frequent.

1- Flat feet: a foot is considered flat when the height of the longitudinal arch of the sole is less than usual. Most flat feet are flexible (correct if the child stands on tiptoe), and do not require treatment. Only stiff flat feet (due to bone malformations) require surgical treatment. Corrective templates are only used if there are calluses or significant pain.

2- Valgus feet: many children with flat feet also have valgus feet. They are characterized by an outward deflection of the heel, and by a "drop effect" on the inside of the foot, which seems to touch the ground. In pediatric age it does not require treatment, except if it causes pain.

3- cavus feet: it is the opposite of flat feet. It is defined as an increase in the plantar longitudinal arch. It is quite frequent. They can be primary (cause unknown), or due to neurological diseases. In children they do not usually produce symptoms, which are manifested in adulthood in the form of pain in the support areas (metatarsal and heel), claw toes, inflammation of the Achilles tendon, back pain, etc. It is advisable to wear comfortable and wide shoes. The most serious cases require surgery.

4- Foot in diabetic children: children with poorly controlled diabetes can manifest neurological disorders that make them perceive pain and temperature worse. This fact makes them more vulnerable to more serious abrasions and burns. In addition, it must be borne in mind that their skin scar worse, and that they are more prone to developing all kinds of infections. Therefore, they have to take extreme care of their feet. Infections must be treated with antibiotics.

5- Foot with nail: the nail, or whitlow, is an infection of the fold of the nail. Most of the cases are due to bacteria that we carry as flora on the skin. Taking advantage of any wound or friction, these bacteria penetrate inside the fold and cause a local infection. It presents with pain, redness and suppuration. Treatment consists of the application of hot water baths and topical treatment (antiseptics, antibiotics). If it persists, or if it becomes complicated, it will be treated with oral antibiotics and / or surgical drainage.

6- Foot with heel pain: heel pain, or Sever's disease, causes pain in the heel bone, just in the area where the Achilles tendon is inserted. This picture is typical of children who practice “multi-jump” type sports and / or running (basketball, soccer). For its treatment, a good warm-up program prior to exercise, post-exercise stretching, anti-inflammatories and silicone heel pads is required. The latter have a cushioning effect that attenuates the impact generated by the weight of the body on the heels.

7- Athlete's foot: is the common name of a fungal infection that affects the area of ​​the sole of the foot, fingers, and interdigital areas. It tends to settle on a previous eczema, in children with abundant local sweat. It has intense itching and a bad smell. Its treatment involves the administration of antifungals, local, or orally.

8- Podorosis: podorosis consists of the appearance of a bad smell in the feet. Sometimes it is related to fungal infections in the interdigital folds. These infections appear more frequently if children wear closed shoes or sneakers that are difficult to breathe. We recommend wearing breathable footwear, and ventilating the footwear when not in use. In addition, we recommend cleaning your feet with common sense, and drying them well before proceeding to cover them.

9- Plantar warts: the population knows them as "papillomas". They are initially small lesions, which gradually expand over time. Their appearance is rough, and they may show dark spots on the surface. They do not always cause pain, although they are often annoying. There is no uniformity of treatment. Salicylic acid ointments, cryotherapy, acid burn, or surgery may be used.

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