Your child may have been referred to Rachel for an assessment by your Consultant, GP or other medical professional or you can self-refer because you have concerns and want your child to be seen by a highly experienced podiatrist.
Should you want to discuss any of your children’s needs before their appointment do call the Centre on 020 8348 5553 and leave a message for Rachel who will call you back within the next 24 hours. Please see below for more detailed information of children’s foot types and conditions.
Some common children’s foot types and conditions:
- High arches in children
- Flat feet in children
- In-toeing, out-toeing, toe walking, curly toes
- Hypermobility in children
- Sever’s disease
- Osgood-Schlatter disease
- Patellofemoral pain syndrome
Some of the above foot types and conditions are normal in children and do not need any medical intervention and some ailments are straightforward to treat. However, if you have concerns that there are signs of a problem with your child’s feet or gait, a comprehensive biomechanical assessment can give an early diagnosis along with a treatment plan. The treatment of children’s lower limb conditions is called podopaediatrics.
Children’s foot problems can have several causes which can include:
- neurological or muscular problems
- inherited conditions
- congenital disorders, present from birth
- some problems can be idiopathic, from an unknown cause
Your child may be assessed for overpronation, where the foot rolls inward during gait which is associated with low or flat arch (pes planus), or underpronation, where the foot rolls outward during gait which is associated with high arches (pes cavus). If your child over-pronates or under pronates during gait they may develop an abnormal gait pattern which could progress into foot, ankle, knee, hip or back pains. See the High arches in children’s page and Flat feet in children’s page for more details.
Treatment can also include self help advice, footwear advice, stretching and strengthening exercises, postural advice and an orthotic insole can be prescribed. A bespoke orthotic insole can help support, cushion and stabilise the foot and may help alleviate some conditions. The orthotics provided are a custom-made insole that exactly fit the individual characteristics of your child’s foot.
A biomechanical assessment for children is a quick and painless procedure. Your child may feel a stretch on assessment and if appropriate a cast may be taken of your child’s foot during that assessment from which the bespoke orthotic insole is made. Any medical procedure, even a painless one, can make a child or adult feel anxious. Rachel is a gentle, caring and patient practitioner, has children of her own and has seen many children for biomechanical assessments and other treatments.
If your child is coming to see Rachel for a biomechanical assessment dress them in loose comfortable clothing and bring their old shoes if possible as well as any old orthotics they may have. These old shoes are useful to see how your child wears their shoes and how their shoes have worn. A full medical history of your child will be taken during the appointment which lasts 45 minutes to 1 hour. Do bring any toys, books, drinks or snacks that your child may enjoy.
Contact the Centre for an appointment on 020 8348 5553
Rachel Miller sees many children for a variety of conditions at her clinic in the Highgate Health Centre in Highgate Village, N6, London. Clinics are held every weekend either on a Saturday or Sunday and every Tuesday and Wednesday. Please contact the Centre for an appointment on 020 8348 5553. For the Centre’s address, map and directions see the Contact page.