Foot Pain In the Obese Child
The rate of childhood obesity has tripled in the last 3 decades. In 2010 the obesity rate for children was 16.9 %. Childhood obesity can result in a more flattened foot structure leading to instability of the foot. As a result I am seeing more children with foot and ankle pain. The problem is that these children should exercise but can’t because there feet hurt.
Common Conditions Associated with the Obese Child:
- Plantar fasciitis – flattening of the arch and increased weight results in excessive tension on the band that runs from the heel to the tips of the toes.
- Calcaneal apophysitis – (severe disease) inflammation of the growth plate due to excessive stress.
- Stress fractures due to excessive stress placed on the foot.
- Ingrown toenails are typically due to excessive pressure on nail plate due to poor fit of the shoes.
Prevention and Treatment:
- Proper shoe gear is critical. I prefer a cross trainer style sneaker for support. Have them measured. The child may need a wider width to insure proper fit.
- OTC innersoles to provide additional support
- Orthotics
- Physical therapy
- Low impact exercise program – walking or swimming
- Modify diet and eating
How Do You Know If Your Child Is Having a Foot Problem?
- Don’t want to show you their feet
- Ingrown toenails
- Stop activities that they love to do.
- Can’t keep up with their friends.
- Don’t want to go to gym class.
- Complain feet hurt or are tired.