New Questions:
1. What is “flat foot”? Published at:2012-08-25
Flat foot means that the foot arch is depressed when standing, without the normal curvature. People with flat foot are most inborn or hereditary, seldom are due to radical weight increase. Sufferer will become tired and have foot pains easily when walking. For severe cases, it is possible to have knee or waist pain.
2. Does every child have flat foot? Published at:2012-08-25
Actually not every child has flat foot. The foot condition varies at different ages: before 4 years old, the fat layer of foot bottom is relatively thick. Their shape of foot cannot be confirmed and it is called “pseudo flat foot”. From 4-13 years old, the layer of fat at foot bottom should be gradually reduced and forms the foot arch. Some of them may have flat foot at this stage. By using insoles with suitable arch support and doing exercises, it helps to prevent deterioration and alleviate foot problems.
3. How do I know if I have flat foot? Published at:2012-08-25
You can perform self-examination at home. It is very simple. First, wet your feet and then stamp on dry newspaper. Immediately you will see a water print. With this print, you can basically determine whether you have flat foot or not (If there is no dry space in footprint medial region, that would be flat foot). If in doubt, you may go to Dr. Kong Healthy Shoe Shop to receive Check & Fit foot examination service or consult doctor for opinions.
4. What should we do if our children have flat foot? Published at:2012-08-25
If the foot shape is confirmed, parents can help children to select shoes with the following features to reduce the problem of pain and fatigue.
- Hard heel counter (better if there is mid-cut design) -> it can stabilize heel bone and control the degree of rear foot valgus.
- Insoles with different levels of arch support -> Use different insoles according to different foot condition to reduce foot problems.
- Shoes with different width of forefoot -> Choose appropriate shoe style according to different shapes of foot so that the shoes can follow the foot shape closely and increase comfort.
5. It is often heard that children have flat foot. Then what about high arch? What are the problems with it? Published at:2012-08-25
People with high arch means foot arch higher than normal when standing. People with high arch foot most are inborn or hereditary, some of them are due to their shoe wear (wearing shoes too small). If high arch appears, children’s forefeet and heel bottom receive more stress. It can lead to pain and callus at forefoot and heel. Besides, children’s center of gravity raised because of the foot shape and they can easily sprain their ankles.
6. How should we deal with high arch? Published at:2012-08-25
We recommend children to receive Check & Fit service to choose suitable insole for increasing foot bottom contact. It can fill up the foot arch and redistribute pressure evenly. At the same time, we recommend children to wear shoes with wider bottom, hard heel counter and mid-cut design shoes to reduce the possibility of sprain.
7. Is it necessary to wear health shoes for normal foot? Published at:2012-08-25
Even normal foot, it is still necessary to wear health shoes. The purpose is to provide a healthy environment during the foot development stage.
8. Why do children’s heels become slanted? Published at:2012-08-25
The foot joints of children before 4 years old are relatively soft. Therefore, a slanted heel is normal. As they grow older(4-6 years old), their foot will gradually develop. Normally, the heel will return to upright slowly. Otherwise, that would be rear foot valgus. Rear foot valgus is mainly inborn or hereditary. Rear foot valgus increases pressure at medial foot region and worsen flat foot problem.
9. What to do if there are slanted heels? Published at:2012-08-25
During development stage, children’s feet will change. Therefore, it is recommended to choose shoes with hard heel counter to stabilize children’s heel bones and control the degree of rear foot valgus. By using suitable insoles, heels can return to straight condition when walking and prevent foot problems.
10. If rear foot valgus is more severe, what should be noted when choosing shoes? Published at:2012-08-25
Besides wearing shoes with hard heel counter and using insoles of appropriate level, one can also wear shoes with mid-cut design to further protect foot joints and enhance stability.
11. Why children walk with in-toeing?How to handle it? Published at:2012-08-25
In-toeing is mainly caused by inward curvature with hip joint. The reasons are mainly related to sitting posture (W-sitting, kneel sitting) and sleep posture (prone sleeping). It is normal for children before 4 years old to have in-toeing. It will slowly improve as they get older. If children still have in-toe walking after 6 years old, it can be treated with proper sitting posture and exercises: sitting cross-legged, swimming with breaststrokes, cycling and sidelong walking. Health shoes cannot directly remediate in-toeing but it helps to relieve children’s foot pain or fatigue.
12. Why some children’s heel do not touch ground when walking? Published at:2012-08-25
Majority of them are caused by bad habits. As they grow older, these situations will gradually reduce. It can also be improved by wearing shoes with mid-cut design and doing different exercises such as walking on heels at home to develop the sense of heel touching ground. It can also reduce the chance of shortening heel’s tendon.
13. My child often falls. What should I do? Published at:2012-08-25
X-shaped legs maybe one of the reasons that children often fall. During walking, their knees knock each other and children then easily fall. In general situation, the knee joints will gradually become normal after 4 years old. But it is still necessary to avoid improper sitting posture such as W-sitting. Besides, walking on toe tips also causes children’s center of gravity shifting forwards and it is one of the reasons why children fall.
14. My child’s feet grow especially fast. How large should I buy shoes for him? Published at:2012-08-25
When buying shoes, just reserve the room for one finger (i.e. 8-10mm) is enough. Avoid buying shoes that are too large because too much space within the shoes will increase friction between foot and shoe inside which may easily lead to callus formation. Besides, since the space within the shoes is too much, children will claw their toes to hold the shoes inside. In long terms, it will easily cause claw toes.
15. Why do big toes slant? Published at:2012-08-25
This foot condition is called Hallux Valgus. The causes are mainly inborn or hereditary, other reasons including wearing high heel shoes/pointed shoes or flat foot. It is recommended to avoid wearing high heel shoes or pointed shoes. Using Hallux Valgus Splint or toe separator can help to control the degree of deterioration. If you have bunion pain, one can use bunion protector between the bunion and the shoe to reduce friction. Besides, the hallux extension belt can be used to relieve the soft tissue around toe joints and reduce stretching. If the situation is severe, please consult your doctor.
16. How do we know if the size of the shoes is appropriate for children? Published at:2012-08-25
To find out whether the size of shoes is appropriate, you can try to take out the insole and let children stand on it. With heel closely follow the insole’s end, if there is room for one finger between the forefoot and the insole, that means it is suitable. If there is no room or that the toes are longer than the insole, that means the children’s foot has grown longer and it is necessary to buy suitable shoes. Sometimes, the insole of some shoes cannot be pulled out. It is recommended to use newspaper or other kinds of paper to insert into the shoes. Try to flatten the paper inside the shoes so that the paper adheres to the inside of the shoes. Later, take it out and compare it with the children’s feet.
17. Why do the shoe heels damage so fast no matter what shoes children wear? Published at:2012-08-25
Since it is normal for people to walk with slight out-toeing, therefore the outer sides of their heels will touch ground first and so the outer heel position of their shoes will wear more quickly. This is normal. However, when out-toeing becomes obvious, it will speed up the degree of wear at the heel position. Besides step posture, the material of shoe bottom will affect the speed of wear. If the shoe bottom is made of PU, it is relatively soft and durable and the speed of wear will reduce. It is recommended that if the shoe bottom wears too much, shoes could be replaced with a new one.
18. What will happen if we wear shoes without socks? Published at:2012-08-25
The two major functions of socks are reduction of friction between shoe and foot and the absorption of sweat. For wearing closed-toe shoes without socks, both feet’s friction increases during walking and it will easily cause callus or blisters. On the other hand, wearing no socks reduce sweat absorption and will easily breed bacteria.
19. Are there any problems with taking off shoes without untying shoelaces or releasing magic straps? Published at:2012-08-25
When putting on shoes, we should first untie shoelaces or release magic straps and move foot backwards close to the hard heel counter position. Then tie up the shoelaces or fasten the magic straps or else the foot will move and rub against the inside of shoes when walking. When taking off shoes, we should first untie shoelaces or release magic straps and avoid stepping on the shoe heel to take off shoes because it will easily deform the heel counter and reduce the protection effect.
20. Are there custom-made shoes service at Dr. Kong? Published at:2012-08-25
Dr. Kong does not offer custom-made shoes service. But through basic foot examination and according to customer’s needs we could provide suitable shoes and insoles. Besides, the Foot-Health Orthotic Centre(http://www.foothealthhk.com) under Dr. Kong provides custom-made insole service for those who need further footcare.
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