Dr Michael Perlstein, D.A.B.P.O. Podiatrist ,Talks about Baby Shoes and Orthopedics
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Male Speaker: Parents have beautiful baby, it's starting to walk, do you have to buy shoes because the kid is watching? Dr. Michael Perlstein: This is a very controversial topic. Orthopedics may feel something differently than a physical therapist or a podiatrist. Generally speaking I like to have kids have some sort of protection in their feet. It doesn't have to be expensive. It could be something as cheap as $10-15 from one of the change, but I like to have something on the foot. Male Speaker: So as a protective thing. Dr. Michael Perlstein: As a protective thing. Male Speaker: Okay, and truthfully the kid is walking around the house and the house is clean, there is nothing on the floor, you really don't have to have shoes on them, is that --? Dr. Michael Perlstein: Well it's generally believed at this point that children can't go barefoot up until a certain age. Male Speaker: Does the arch form barefooted or with a footwear? Dr. Michael Perlstein: Well, again that can be controversial, but if you look at some of the people like from Africa they are always walking around without shoes, and since they are born and they are walking in the jungles. Most of them seem to do okay except if they step on a lion's tooth or something like that. Male Speaker: We wouldn't hear about them. Dr. Michael Perlstein: We wouldn't hear about them. Male Speaker: But we are taught as pediatrician we want the kid to develop the arch and we want footwears for use and protection, but it should be soft and flexible in the beginning, is that true? Dr. Michael Perlstein: I think you need to really look at the child's foot type, you need to -- Male Speaker: We are talking about a normal child without a flat feet, no problems everyday situation. Dr. Michael Perlstein: They can probably walk around without their shoes. Again that will happen to like something that will hold the foot even something as simple as a crack type of shoe will help them support the arch and maintain the arch, especially if they are a little heavier than normal, I think the weight will deform the foot, and perhaps make some of the soft tissue adapt to this particular deformity. And so I think it's a bad idea if the child has a problem foot, but under normal circumstances it should not be a problem. Male Speaker: And the footwear, it should have a sole that they don't slip on the floor. Dr. Michael Perlstein: That's correct. Male Speaker: So the good safety issue in that particular point. Dr. Michael Perlstein: That's correct, and again like some sort of closer or something to hold it firm.