Brachymetatarsia is a foot condition where one of the long bones of the toe is shorter than the rest, and the toe overlaps another toe. It can happen with more than one toe (called brachymetapody), and usually appears between the ages of four and thirteen. It usually happens on both feet, and usually is the result of the metatarsal growth plate closing prematurely, through trauma or genetics.
Children are often quite bothered by the appearance of shortened toes and brachymetatarsia can be depressing for them. Physically, brachymetatarsia is a problem as well. It usually occurs in the fourth toe, and it interferes with normal walking: with a normal foot, weight is placed first on the small fifth toe, then proceeds to the next longest and so on until the big toe. With the fourth toe not taking the weight, pressure is on the fifth and third toe, which results in pain and the eventual misalignment of the fourth toe, causing it to overlap.
It is important to see a podiatrist who can recommend the best treatment. depending on the severity (shortness) of the metatarsal problem, either an implant or a device that is placed to help regrowth of the bone to a proper length. If the bone is too short, sometimes the third and fifth toes are slightly shortened to normalize the arc of the foot.
Foot padding and orthotic devices may also be used.
Video: The Benefits of a Podiatric Exam for Your Child
Children need foot pain relief too! Watch for limping, a decrease in activities, rubbing the feet, etc. An early visit to a podiatrist can go a long way to prevent a chronic or lifelong problem with your child’s feet, and possibly entire legs or even spinal problems. This video tells more:
What You Need to Know About Children’s Shoe Needs Shoes are worn for comfort , to enhance appearance and for protection . Shoes are not corrective and the foot does not need support for normal activities.
The foot requires mobility to function normally. It has been demonstrated that populations that are predominantly bare foot have better feet than those that wear shoes!
Children’s feet grow and develop rapidly . So choosing an appropriate child’s shoe is a very important task. While at home bare feet are fine. When choosing shoes for infants and young children, the ultimate aim is to help the child walk with as natural a gait as possible . The best shoes for children are those that are shaped like the bare foot. They should be flexible, flat and non-constricting and made of material that breathes. A good quality laced shoe with a leather top is very appropriate. The sole should be semi-flexible, flat and not very thick.
Shoes do not have to be expensive. Shoe modifications are sometimes appropriate for a specific problem. A lift may be prescribed by a podiatrist if the limb is short and shoe insert may be helpful for the stiff and deformed foot or to distribute the weight load more evenly over the sole.
Infants may be born with foot deformities like clubfoot , vertical talus , flexible flatfoot and toedeformities . A podiatrist can not only help to correct these deformities, but also give suggestions on the best shoes to choose for the infant.
Age-Specific Needs for ShoesPodiatrists are well qualified to examine, analyze and prescribe appropriate shoes for people of all ages including infants. Infants and babies who are crawlers do not need shoes . All they need are socks and booties. This is because at that age they would have hardly started walking. Moreover the feet of the infants are growing rapidly – the fastest compared to any other time of life.
Wearing shoes, especially if inappropriate, may interfere with this growth and development. If chosen, the shoes should not be too tight and there should not be any restriction on the top and at the ball of the foot. Shoes should match the shape of the feet.
Each foot should be measured separately as the two feet might differ in length. The infants feet should be examined and measured every 2 months and appropriate shoes should be prescribed with the help of a podiatrist. In toddlers and young children, the feet should be examined and measured every 4-6 months .
The shoes that should be AVOIDED are:
*NO Those with elevated heels. The child’s weight would not be distributed evenly.
*NO Rubber boots. Rubber soles cause the child to stop suddenly and unnaturally, forcing the toes to the front of the shoe. *NO Larger shoes as they can cause tripping.
* Athletic shoes to be avoided till 3 years of age since they can cause toe compression.
The shoes should be bought later in the day as the foot size increases with standing as well as time of the day. If there is difference in length between the two feet, take the larger size. There should be a thumb space between the toes and the tip of the shoes. The child should walk with the shoes for 5 minutes. The shoes are then removed and the feet checked for redness. If redness is present, then the shoes are too small and a larger shoe should be tried.
The following are the shoe recommendations for children based on age as suggested by podiatrists:
* First few months ( crib age ) – A loose fitting soft bootie
* 1-2 years ( toddlers ) – A shoe with a flat stable sole
* 2-3 years (running age ) – A firmer yet flexible booties or shoes
* 3-4 years – a firmer shoe , possibly an athletic type of shoe
