My child had always had issues wearing shoes. Impossible to fit. I was in kids footlocker and he pointed out supination. Her feet are curved inward. Can this be reversible at this age? What are txs? She is turning 5 this month. I'm calling a pediatrician tomorrow.
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Curved 5-year old feet supination?
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The condition you are describing sounds like it may be a condition known as metatarsus adductus. If this is the case serial casting may be of value. Depending on the rate of development of your childs' bone structure surgery may be necessary to straighten the foot. Many children go through life with this condition and adapt to it. Shoes best suited for this condition is generally, wide width not medium and rounded toe box not pointed. This shoe type will best accommodate for your childs' foot shape.
To give a definitive diagnosis without an proper thorough exam is a challenge and can be misleading. Typically chronic foot deformities such as this are more readily corrected with conservative treatments at a younger age. Such treatments might include use of special adjustable braces or splints as well as casts. There may still be some ability to achieve some limited correction at age 5, depending on the exact nature of the problem. I would agree with my colleagues that more success is seen in conditions such as metatarsus adductus where the bones just behind the toes are angulated toward the midline of the body. To find out the most optimal treatment options for your child's foot problem, I would recommend you go to a board-certified podiatrist. Surgical treatments are usually done only if conservative treatments fail and typically not this young.
At 5, many of the bones may be too well-formed to do a lot without surgical intervention. Had they diagnosed her when she was younger, the bones are mostly cartilaginous and serial casting may have worked. You can still try this method. The condition sounds like a severe 'Pes Cavus.' That means a very high arched foot. But she may have a severe metatarsus adductus, where the forefoot turns inward. You should get her evaluated by a Podiatrist who is well trained in surgery, or a foot and ankle orthpod. BUT an orthopod is an orthopod-they ALWAYS think of surgery first.
Indeed I agree with most the comments above. Most likely the best treatment will be shoe changes , streching, and possibly orthotics . But the exact problem needs to be evaluated by a podiatrist. It's unlikely the foot can be " corrected" at this age without surgery. However, surgery would be an unlikely recommendation . Unless the child is having severe problems and doesn't respond to any conservative treatment options.
Hi,
I hope your Pediatrician refers your child out to a biomechanical and structural correction Chiropractor. Although a typical referal to a podiatrist, phyziatrist, or orthopedist is most likely where she/he will send you. For the overall health of your child now and in the years to come, I highly recommend you investigate a chiropractor well versed in handling lower kinetic chain (hip, leg, knee, ankle foot = all are effected by the structure and function of the foot). Most of our foot patients aren't aware of the 3 arches in the foot (please read the following article on foot arches of the human body http://www.footlevelers.com/about/the-comparison)
ANY Doctor who doesn't support the 3 arches in your daughters foot is not a Doctor you want to trust the health of your daughter with. (Sorry for being so forward, but I have a 7 year old and am speaking to you partially as a Father)
Here is a patient with the PROPER orthotics http://orangeparkchiropractor.com/testimonials/hip--knee--ankle--foot.html
I would be happy to refer you to a Doctor of hiropractic in your area who has knowledge and experience with feet.
http://orangeparkchiropractor.com/
https://www.youtube.com/user/discoverhealth
I hope your Pediatrician refers your child out to a biomechanical and structural correction Chiropractor. Although a typical referal to a podiatrist, phyziatrist, or orthopedist is most likely where she/he will send you. For the overall health of your child now and in the years to come, I highly recommend you investigate a chiropractor well versed in handling lower kinetic chain (hip, leg, knee, ankle foot = all are effected by the structure and function of the foot). Most of our foot patients aren't aware of the 3 arches in the foot (please read the following article on foot arches of the human body http://www.footlevelers.com/about/the-comparison)
ANY Doctor who doesn't support the 3 arches in your daughters foot is not a Doctor you want to trust the health of your daughter with. (Sorry for being so forward, but I have a 7 year old and am speaking to you partially as a Father)
Here is a patient with the PROPER orthotics http://orangeparkchiropractor.com/testimonials/hip--knee--ankle--foot.html
I would be happy to refer you to a Doctor of hiropractic in your area who has knowledge and experience with feet.
http://orangeparkchiropractor.com/
https://www.youtube.com/user/discoverhealth
There are a lot of changes that occur to the lower extremity between the ages of 2 and 5. It may be that she is suffering from metatarsal adductus or a similar condition, but to truly be sure it would be best to be evaluated by a podiatrist as soon as possible. They will help determine whether it is potentially reversible or if therapy such as casting, orthotics or custom shoes are required.
From your description it sounds like your child has a condition known as metatarsus adductus. This is when the metatarsal bones tilt toward the midline of the body instead of being aligned in a straight fashion. It is true that this can cause the foot to work in a supinated position but it is not technically supination. Depending on the degree of the metatarsus adductus your child could adapt to this and go through life without too many problems depending on the activity level and type of activity. In young years the problem could be corrected with a series of casts to realign the bones but at this age I doubt that casting would be helpful. Once again, depending on the severity of the condition some shoe types can help balance better than other and surgical correction is available if the condition warrants.
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