Skin and Nails
Children come to the clinic for a variety of reasons. The most common include ingrowing toe-nails, veruccas and problems related to flat feet
Biomechanics and the Developing Foot
Children’s bones occasionally grow in ways that affect the way they move including flat feet, in-toeing gait, and knock-knees. Frequently they grow out of these problems. But whilst the child is going through this period of development or if the problem persists, it can cause pain during all activities especially in sporty kids. It may also put the child off exercising. As with adults, the most holistic approach is preferred here, including getting the right footwear and modifications (usually temporary) to any sport or exercise they do.
Children sometimes engage well with exercises, sometimes it is necessary to help them with by fitting orthoses.
Examples of common developmental problems in the foot and leg include include flat feet, Sever’s Disease and Osgood Schlatters.
Confidence in Children and Consent
It can take a little time to establish confidence in a child, and we like to avoid causing the child to become fearful of this and future treatment. It particularly so with verucca appointments in which the most effective of our treatments have some degree of pain. On a first verucca appointment, at the child’s request we may we stop a freeze treatment before it is finished, and instead apply creams to the skin. Though less effective, it will cause the child less anxiety. We may also take off less callus than we want to. Commonly, at subsequent appointments, the child has more confidence and will allow more treatment.
The age at which children can consent to treatment and attend unaccompanied is 16 years of age.