Wednesday, September 15, 2010

Kid's Soccer Shoes Guide- It's a Good Thing!!

As soccer season kicks ahead, soccer moms and dads watch their kids soccer shoes disintegrate in front of their very eyes with in a short few months. All too soon, it seems we all have to run out to buy new soccer cleats and more than half of us aren’t quite sure what we are doing when it comes to buying them! Help is here!

Most of your run-of –the mills athletic stores carry 4 major brands: Brava, Adidas, Puma and Nike. Lets talk about them individually.

Brava: This is the cheapest line but, to some degree, you get what you pay for! The material will fatigue and breakdown quicker than the other brands. Not recommended for the teenager who has been playing for a while. The leather is not as soft but still very comfortable for the right foot type. This is the only brand my son wears right now and he loves them! A Brava soccer shoe is great for a younger child with a wider foot type. This shoe will not take you more than one season, but then again, no shoe will with a growth spurt! Fortunately, this is a most affordable shoe! This brand tends to run wider and is pretty true to size. Even still, go a half size larger so you get about a thumbs width at the end.

Adidas: This brand also tends to run wider and true to size. If your child has a narrow foot but you like the Adidas softer feel, stick with the F5. The price is right for this shoe (on the lower end!). The F5 has a softer leather and is light weight and narrower than its counter parts. Keep in mind with the Adidas brand that their shoe also tapers more at the toe and has much less wiggle room. If your child complains that it “feels tight” even though the size is spot on, it is probably on account of the tapering in the toe box. Try a different brand in this case.

Nike makes a soccer shoe that is on the narrow side. It also runs a little smaller in length. I recommend going a full size bigger in this shoe.

A big trend is to see the laces running off-center. Again, this is a good option for your more experienced players. By having the laces off-center, there is more intimate contact of the top of the foot with the ball. The most popular side-laced soccer shoe is the Nike T90 (Total 90). It is also light weight and soft.

More helpful tips:

Standard with the Brava, Nike, and Puma to get a half size larger than your child’s foot size so you get about a thumb width at the end of the shoe. Remember as we run, we push our feet towards the end of the shoe. If the shoe is less than a thumb width, your child will be more prone to getting an ingrown nail or nail trauma from the pressure.

Always bring your child with you when you buy shoes. Shop and size your child’s foot at the end of the day. You will get a more accurate fit. Our feet tend to swell more towards the end of the day.

Not all soccer cleats are the same. There are indoor soccer shoes which have a shorter cleats or even a gum rubber sole in lieu of cleats for better traction on indoor turf. Nile, Adidas and Puma all make indoor options

If the size and width are right, have your child run up and down the aisle a few times and get their opinion. Remember, it is not only ours or the sales person's opinion that counts!

Wednesday, April 28, 2010

Orthotics for Children?

Recently a lot of my adult patients have been asking me when is the appropriate age to have their child's feet evaluated. Most parents wont even think about taking their child to a Podiatrist unless the child complains about their feet. Commonly it will take a parent watching their child walk to realize that something might not be correct and even then they are sometimes told by their pediatrician that it is something the child will grow out of.

Most specialists will agree that as soon as your child begins to have unassisted stance (able to walk without you holding them up) there feet should be evaluated. At 8-13 months a child will begin to weight bear. During this time the immature and misaligned osseous (bones) infant framework begins to be susceptible to the deforming forces of gravity. I believe that early intervention in the developmentally challenged foot leads to bony remodeling which can lead to a more normal alignment of the foot structure.

So how do you know if your Child's feet need Evaluation?

If you notice that your child is unbalanced, seems to be walking with a limp or a rotation in their feet. Toe walking and wearing out shoes on one side only, are also signs that require evaluation.

What to Expect with the Evaluation?

First a bio mechanical exam will be performed. A gait analysis will follow with recommendations for appropriate shoe gear as well as orthotics if crucial for ambulation. Most children are able to use an over the counter support until they are 5 or 6. Once a child is able to walk down stairs one step at a time without holding on to the handrail they have developed a propulsive phase and need more custom devices.

Most children that are placed into custom devices will require lifelong treatment. It is the parents responsibility to allow for adequate control while the child is growing. So remember if you think that your child may walk differently then the other kids have their feet checked. You could be preventing future deformities.

Sunday, April 25, 2010

How Do I Protect My Child's Feet This Summer?

Summertime is around the bend! I can see it now. Flip flops, bare feet, pool parties, gyms, water parks and such! There are all kinds of wonderful pathogens waiting to invade. The most common for children include warts, athlete’s foot, insect bites and foreign bodies (stepping on something). How do we keep our environment clean enough to keep this stuff away? Simply put, you can’t! How then do we protect our children's feet without keeping them away from the things they love to do? Now this is entirely possible!

Let’s talk warts. Warts are a virus. They are about as preventable as a cold! We still do all we can to avoid a cold by washing our hands and not sneezing on our children. What can we do to prevent warts? Well, number one on my list is to protect your children’s feet as much as you can by having them wear water shoes when they are at water parks (the wart virus thrives around public pools) and flip flops around gym locker rooms and showers. During the summer months, I routinely check the bottoms of my children’s feet to make sure nothing is “popping up”. Warts are very manageable when they are small.

Althete's foot is created by fungus in a moist environment. Conveniently so, the way you protect your children’s feet from getting athletes’ foot is essentially with the same protective foot wear around pools, locker rooms, gym showers and the like. Make sure your children dry well in between their toes after bathing before putting their socks on. Using an anti-fungal powder and changing their socks (if their feet sweat a lot during the day) keeps moisture under control as well. It also helps to spray their foot wear with an anti-fungal spray.

As far as insect bites and foreign bodies go, it really depends on how much freedom you want to give your children’s feet! There are parents who walk around the yard barefoot and those who wouldn’t dare.

Bare feet come with risks any way you look at it. Yes, there is an increased risk for athlete’s foot keeping protective shoe gear on, but athlete’s foot is a lot easier to get rid of than the other options!

Always make sure you are prepared with the essentials for healthy foot care before summer. Doing so will allow you and your children to enjoy the summer knowing their feet can too!