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Foot Notes

Check List For Little Feet
October 30 , 2007 - Morning Call Article

After a summer of bare feet and sandals, choose your children's shoes with care.

Do the bottom of your child's shoes show uneven wear? A shoe worn on the big toe side could signal poor arch support or flat feet. Children with flat feet are at risk for arthritis later in life if the problem is left untreated.

Does your child walk irregularly? Is one leg longer than the other or do feet turn in or out excessively? A heel lift may restore proper balance and help prevent scoliosis.

Does your preschooler walk on her toes? Stretching exercises can correct tightness in the Achilles tendon area that will help prevent lower back pain.

Does your child often trip or stumble or complain of tired legs, night pains and cramping? There's no such thing as ''growing pains,'' so when kids complain they might have flat feet or another disorder that should be evaluated.

Adam J. Teichman, DPM, A.A.C.F.A.S., is a podiatric foot and ankle surgeon with East Penn Foot and Ankle Associates in Allentown