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Best Foot Forward
Healthy Feet Matter to Children
By Kelly Burgess
Tarsal Coalition
As the term "coalition" implies, this is when two or more bones in the foot are joined. The condition presents as a flatfoot, but usually just on one side and the foot is rigid rather than flexible. This is most commonly seen from age 8 through the teen years. It's a more serious situation than the traditional flatfoot, and can alter the way a child walks and can lead to stiffening of the foot, difficulties in gait and early arthritis. In-Toeing
When I was a kid this was referred to as being "pigeon toed," and my baby brother (now 35!) was in braces from age 3 to 5 to "cure" his pigeon toes. Nowadays, says Thomas, they don't do much bracing, as in-toeing generally resolves itself between ages 7 and 14. Besides, he notes, some of the best athletes in the world are a little pigeon toed, so maybe it's a good thing. Hyperhidrosis
More commonly known as smelly feet, this is not a hygiene issue, according to King. It's merely that some people's feet sweat more than others, and that perspiration causes them to stink. Controls include changing socks more frequently and using an antiperspirant on the feet. If that doesn't do it, there's a stronger medication that a podiatrist can prescribe. It's important to treat this condition, because it can lead to other problems from the constant moisture, including the next two. Warts
Warts are very common in adolescence, especially in those with hyperhidrosis. King estimates that 90 percent of kids with warts also have hyperhidrosis. Warts can be difficult to get rid of because they are caused by a virus. They can be painful if they are on a weight-bearing surface. They can also get too near a nerve and cause pain. My daughter had to have foot surgery to have a stubborn one removed that was causing her extreme pain. Normally, the warts are "burned" off with a topical acid that can be purchased over the counter. If warts persist, see a professional.