Podiatrist Dr. Ali Sadrieh explains treatment options for children with intoed feet.
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A Modern Treatment for Intoed Feet Dr. Travis Stork: Mothers want the best for their children but what if you were told to wait out your child’s condition in a hope that one day the condition will fix itself. Beverly is a worried mom who wanted to know her options. Beverly: I’m Beverly, I’m Madison’s mother. She started walking relatively early at around eight and nine months but we did noticed that she had very bow legs. So we went to The Doctors to ask them about it and they said it was normal and that we just had to just sit and let that her hips naturally rotate -- Dr. Ali Sadrieh: So tell me. Tell me a little bit about her history. Beverly: She was very bow legged when she started walking and then as her legs straightened, I’ve noticed that her feet had begun to turn in. Dr. Ali Sadrieh: And this is the most important thing that you could do for your child is early intervention. The sooner we start the more conservative the care, the easier to resolve this problem. So let’s do a quick physical examination, take a look at her legs and her feet, watch her walk and look at the X-rays and decide which route where he could take the treatment. One, two, three go. And now come back down here. You did great, alright. And when you see the foot and you look at the metatarsals you see that they’re put inwards. What it tells us is that she’s developing with that pigeon-toed or in-toed gait. So we need to do something to impress the straightening of these bones. I really feel at this point we would benefit from pursuing a conservative option. I think a custom made orthotic for her shoe is very important to keep her leg straight, so her metaductus can resolve and that her ankles or knees and her hips will continue to develop straight as she grows. Beverly: Thank you. Dr. Ali Sadrieh: You’re very welcome. It’s good to see you. Beverly: Thank you so much that -- Madison: Thank you doctor. Dr. Travis Stork: We have Beverly with us as well as Podiatrist, Dr. Ali Sadrieh. We’re going to need Madison in just a bit. But first Beverly your biggest concern is obviously long-term. Beverly: Yes. Worrying that this was somehow you know hinder her in the future with the walking -- sorry about a little tear to my eye. Just her walking and she’s very -- she moves a lot. She’s very mobile. So I feel like she’ll probably fall into sports or something very active and I felt that her feet and her situation might hinder that. Dr. Jim Sears: You know problems like this were actually pretty common, probably about half of babies are born with at least a little bit of pigeon toeing or in-toeing but it’s usually flexible and those kids are going to outgrow it but what Madison had was a little more rigid deformity of her foot. It’s called metatarsus adductus and it happens in about one in a thousand kids, mostly in females. Dr. Travis Stork: And who’s at risk for this Dr. Sadrieh? Dr. Ali Sadrieh: Well you know you find this mostly genetics so it’s an inherited deformity. The inter-uteru forces meaning the kids position in the uterus can also affect this and the developmental changes, so the activities they have as children can also affect this to make it worst as Dr. Sears put they’re born with it and we can make it worst or better based on what we do. Dr. Travis Stork: And Beverly obviously saw some warning signs, what are the other warning signs parents should be looking out for. Dr. Ali Sadrieh: Well, in the beginning stages of walking if you see obviously in- toeing or stumbling over their toes, not wanting to walk, having a difficulty putting on their shoes because the in-toeing is so aggressive, these are things you want to look for and not overlooked. Dr. Travis Stork: So since it’s not that common, what treatments are there for this condition? Dr. Ali Sadrieh: Well the treatments have changed. In the traditional way, we use to have these braces -- complex thing or these braces that we put bars on the feet o