![]() ![]() Too much of this strain can lead to stretching of the plantar fascia and pain in the arches. If by contrast you have high arches (instep), the ankle can roll outwards, again causing undue strain on the arches. This places inordinate pressure on the plantar fascia and arches. With flat feet (or overpronation) the arches appear to be almost flattened, causing unevenness by forcing the feet roll inwards in order to maintain balance and support the body's weight. The most prominent biomechanical difficulties are flat feet and high arches. This can arise due to faulty biomechanics in your feet, which alone can also provoke foot arch pains. Plantar fasciitis, another sports injury detailed on this website, is regularly the cause of foot arch pain or strain. If the pain is caused by the plantar fascia, it is likely to be considerably more severe in the mornings due to the muscles being unused. ![]() This can be accompanied by inflammation and tenderness. The primary symptom is pain or aching in the arch area. The pain can also highlight underlying issues to do with the structure of your arches. If your child is suffering from foot pain, don’t dismiss it! Come see one of the physicians at Healthy Feet Podiatry so we can get your child back to playing with his or her friends.Pain or strain in your foot arches is a common sports injury and often linked to inflammation of the plantar fascia, the shock absorption ligament along the bottom of each foot. Immobilizing the affected side for 6-8 weeks is typically required in a removable boot or short leg cast, followed by custom orthotics to take extra stress off the navicular. Have no fear though, Kohler’s Disease will not likely cause permanent gait or developmental problems for your child if treated. In the image below, you can see the difference in the size of a healthy navicular bone (blue) versus one with Köhler’s Disease (red). This temporary compromise in blood supply to the bone leads to pain and a delay in development of the bone. Köhler’s Disease occurs when the blood supply to the navicular bone (the bone along the inside of the arch) is temporarily compromised. This condition is uncommon however, it shouldn’t be overlooked, especially in a child between ages 6-9. One more rare condition that must be considered with a child having arch pain is Köhler’s Disease. With the addition of a custom orthotic in your child’s shoe, you should notice a significant improvement in your child’s pain. From my experience, I’ve had parents tell me many times their child cries at night because of the pain. Other than icing, rest and anti-inflammatories the most tried and true treatment is custom molded orthotics. The combination of children being active and commonly having a low arch (flat feet) causes an abnormal pull of both the plantar fascia and Achilles tendon insertion site on the bone therefore, the pulling causes irritation on the growth plate. Because of the location of the growth plate in the heel in conjunction with the insertion point of the Achilles tendon, inflammation of the growth plate is very common (also known as Calcaneal Apophysitis or Sever’s Disease). ![]() Two common areas for children to have pain are their arches and heels. It is assumed that foot pain is normal in kids and is usually written off as “growing pains ” however, foot pain is not normal and should not be dismissed. A very common problem we see in children is general foot pain. At Healthy Feet Podiatry we pride ourselves on treating patients of all ages. ![]()
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