How to deal with foot problems in children?

An understandable cliché that kids are not just little adults. The maturing youngster has growing bones and other body systems which means that the nature of orthopaedic conditions that children get usually are exclusive to children and aren't like the ones you would certainly expect in a smaller adult. Since the child is growing, there are particular concerns linked to that. The developing tissues have a propensity to be affected if they are subjected to injuries. The feet are a a part of the body which is not only growing in the child, it is also susceptible to potential injury as well as trauma along with pressure through the footwear, so there is lot that might go wrong in the foot.

One of several issues in treating foot conditions in kids (and lots of other issues in kids seen by health care professionals) is establishing exactly what is abnormal and what's a part of normal growth. Inside podiatry, an illustration of this dilemma is that of flat foot. A low arch foot is a part of the normal growth and development of the child so it can be difficult to determine if the flat foot is a thing not really to worry about and wait for normal growth that occurs or if it truly is most likely a problem and needs to be dealt with. There are plenty of differing as well as strongly held views about this regarding whether it ought to be treated or not. To help complicate this even further is that the majority of grown ups having a flatter foot do not have any concerns, that contributes a lot more for the debate if this needs to be treated or otherwise.

Also fundamental in this particular population can be the monitoring of the development of gait and the achievement of neurological key events. Parents are obviously worried in case there are any kind of delays in attaining specific milestones when they're due and frequently seek the help of health professionals when they see any delay. There's a great deal of clinical tests and findings which clinicians use to assess the developmental level of children and just how properly that development is advancing. Any kind of delay could well be nothing but a healthy variance in normal and be nothing to worry about. However, it also could be the first manifestation of a potentially significant condition which should be watched thoroughly or have treatment started as soon as possible. It may often be a fine line between something being abnormal or being only a normal variance in growth. The knowledge of a team of experienced health professionals is often needed to reach agreement around the ideal way foreward on this challenge.

A podiatrist with knowledge of paediatric foot issues is Dr Cylie Williams PhD. Cylie has been a guest on a few instances of the podiatry related live stream, PodChatLive, which is streamed out live on Facebook along with the recorded version being uploaded to YouTube after the live as well as the audio edition is on all the standard podcast sources. In those episodes the above concerns were discussed in detail, particularly the need to get the diagnosis correct and also to adhere to the information centered guidelines to manage the feet and lower limb disorders.

How Do Podiatrists use Plantar Pressures?

Plantar pressure measurement is a technique that is being more and more utilised in clinical evaluations. It can be useful to examine for things like how much force there is underneath the feet, which may be crucial to figure out in those with diabetes who are in danger of a foot ulcer. Plantar pressures will also be useful to help determine how people walk and the pressure shifts throughout the gait cycle. This may be useful information that will help podiatrists prescribe and design foot supports. This really is such an fundamental issue that an episode of the livestream, PodChatLive was about it. PodChatlive is a Facebook live which has two hosts and a different invitee on every show where they discuss themes of relevance to podiatry and also related topics. Additionally it is uploaded to YouTube and as an audio podcast.

In that show, they spoke plantar pressures and pressure mapping together with Dr Bruce Williams DPM from Indiana, USA. Bruce is a Fellow and previous President of the American Academy of Podiatric Sports Medicine and owner of Breakthrough Podiatry in NorthWest Indiana and has substantial experience on plantar pressure measurements, pressure mapping in addition to their understanding and clinical use. He makes use of both the in-shoe method and pressure mat devices within his center and has been doing this for nearly 20 years now. He is well published on this issue in peer reviewed scholastic journals, so is well placed to talk about this topic. In the episode of PodChatLive they reviewed what the centre of pressure can be and just how it can be used clinically to understand what is going on. Additionally they discussed how pressure info influences his clinical decision making, particularly foot orthotic prescribing. They talked about the advantages and disadvantages of in-shoe as opposed to the mat technologies and try to provide some guidance to those who might be thinking about incorporating this type of service to their practice.

What do podiatrists do with professional sports teams?

The most favorite sports in Australia is Australian Rules Football (AFL). To people outside Australia it is regarded as a bit odd because they have observed no game similar to it, but are in awe of just what remarkable athletes that those who take part in the sport with the professional elite level are. This is a fully professional men's league of Australian rules football and has been enjoyed for over a hundred years. It started off in the state of Victoria, however other states have teams in what is now regarded as a nationwide competition. The 18 professional clubs that play in the AFL spend heavily in the sports sciences and sports medicine to get the best from the athletes in every club. The sports medicine team with each club has a podiatrist engaged to help look after the foot injuries and shoes requirements of the players. The role of Podiatrists in the Australian Football League in Australia is considered a model of how podiatry practitioners really should be linked to professional sports teams all over the world.

For one of the shows of the podiatry relevant livestream, PodChatLive the hosts talked with five of the podiatry practitioners related to Australian Rules Football clubs to take a look at the world leading template for Podiatry within a professional sports competition and also the growing role of the newly formed, AFL Podiatry Association. The Podiatry practitioners which were on this livestream were Ben Holland from the North Melbourne Kangaroos, Emma Poynton from the Western Bulldogs, Nicki Quigley with the Hawthorn Hawks, Todd Brown from the Geelong Cats and Tom May from the Adelaide Crows. They talked about the requirements of AFL and just how this has effects on the athletes and just what the common injuries managed. There was a good chat regarding the footwear worn as well as the challenges that can bring. There was additionally a conversation of the preseason screening process process that is typically implemented in the 44-man teams. The live was broadcast live on Facebook, however is also available these days on YouTube.

Do the Manual Therapies help foot problems?

Manual treatment or manipulation and mobilisation is often used to deal with plenty of musculoskeletal problems in various areas of the body by several types of health professions. Podiatrists quite often use the techniques to treat the feet. There is not a great deal of this in the undergraduate education to become a podiatrist so the majority of the have to study it by undertaking post-graduate courses. The live chat show, PodChatLive has concentrated quite a few episodes of there weekly livestreams to the topic of manual therapy to even more educate Podiatrists on this issue and just how the methods could possibly benefit their patients. The topic is contentious and they've had on a number of guests that are equally pro- and anti- the effective use of manual therapies by health professionals. The more debate there is the healthier the end result should be for the individual.


In the first episode that PodChatLive did on manual therapy, the two hosts had on Ted Jedynack and Ian Linane to discuss the topic. They brought up what the variances between mobilisations and manipulations were and what the potential components and effect of joint manipulations. The actual discussion centred about the issues of will a manipulation reposition the actual bone or joints compared to it just being some sort of neurophysiological response. There were furthermore a very important conversation on the meaning with the vocabulary made use of in front of the client in the context of mobilisations and just how which might impact final results.

Ted Jedynak is a podiatrist who has specialised entirely in  Manual Therapies for the lower since 1996. He retired from clinical practice in 2012. He has been a advisor and instructor of Podiatrists around the world in Manual Therapies since 1996, and on account of popular demand, is now working on delivering online education in the manual therapies. Ian Linane is also a podiatrist of over 20 years experience doing work in both his own clinic and in multidisciplinary clinics. He operates numerous manual therapy classes focussing on the provision of top quality, varied, hands-on rehabilitation training programs for podiatry practitioners.

The Use of X-rays by Podiatrists

PodChatLive is a recurring Facebook livestream for the ongoing professional learning and progression of Podiatrists and other health professionals which might be interested in the themes they go over. After the Facebook and then it is afterwards published to YouTube and so a bigger audience have access to the episodes. Each show has a different person or number of experts to discuss a different issue each time. Requests are generally answered to live by the hosts and experts whilst in the livestream on Facebook. There's even an audio recording of each show found on Spofity and iTunes and the other common podcast providers. They have gained a huge following that is increasing. PodChatLive is regarded as one of many ways that podiatry practitioners can get ongoing continuing learning points.

Among the previous shows had been with the Consultant Podiatric Surgeon Ryan McCallum who joined up with the two hosts to talk all things X-Ray. They talked about how do you begin requesting them from the legal viewpoint and when is asking for an X-Ray appropriate? Additionally they considered just what views ought to be typically ordered and the reason specific views needs to be obtained. Ryan McCallum gained his undergraduate qualification in Podiatry from the University of Ulster and after that worked inside the National Health Service and private practice in Northern Ireland. Ryan then commenced his post graduate training in Edinburgh and Glasgow ahead of transferring to London where he commenced his surgery education at West Middleex University Hospital. Ryan also holds a Consultant Podiatric Surgeon position at Homerton University Hospital and splits his National Health Service duties in between the 2 hospitals. Ryan is involved in the teaching and training of junior colleagues and has lectured extensively through the United Kingdom and Ireland at national conferences and local meetings as well as postgrad and undergraduate university programs. He is an elected member of the board of the Directorate of Podiatric Surgery and is also the current co-chair of the Directorates annual conference.

Should flat feet in children be treated?

Flat feet in youngsters is common and most of the time it's not necessarily an issue, which means this leads to a great deal of argument concerning if this is a normal deviation of no consequence or perhaps is the start of a condition which needs to be cared for. There have been numerous debates on this on the internet and at conferences, however with no serious comprehensive agreement. One can find firmly held beliefs on both sides of the controversy. An edition of the podiatry live show, PodChatLive was devoted to going over this theme. PodChatLive is a monthly live with 2 hosts which talk about a different topic each month with a different guest or number of experts that's send out live on Facebook and then the recorded edition is added to YouTube along with the audio edition is made accessible as a podcast. They've got a fairly substantial following within podiatry and people serious about the themes that they explore.

In the latest edition of PodChatLive on paediatric flat feet the hosts spoke with researcher, teacher and private podiatrist Helen Banwell in regards to the disagreement and problems regarding the symptomatic Vs asymptomatic flatfoot in kids and also reviewed her thoughts when you ought to treat versus when not to. They discussed the need for questioning with regards to family history with regard to making that conclusion. They also spoke of conservative compared to surgical treatment and the way to deal with concerned and anxious moms and dads when counseling to treat or not manage. Additionally they layed out the foot orthotic useage routines for the younger patient with flat foot.Helen Banwell is a lecturer in podiatry as well as an Academic Integrity Officer at the School of Health Sciences, as well as Associate Director for the international Centre of Allied Health Evidence (iCAHE) with the University of Adelaide in Australia. Helen is a founding member of Making Strides which is a web based collaborative for all those employed in foot and lower leg development analysis. She has been a teacher with podiatry at the University since 1999, instructing paediatric theory and practical in addition to introducing 2nd year podiatry students to teaching clinics.