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YOUNG FEET, OLD FEET

Each stage of your life is associated with its own set of foot problems. The following are typical associations between age and problems of the feet. However, most problems can appear at any age. Be sure to see your healthcare professional as soon as the problem appears.

Newborns/infants/toddlers

  • Congenital malformations of the foot (flatfoot, talipes, etc).
  • Walking/gait problems.

Congenital problems

Today, most congenital problems of the feet can be corrected. At birth, your newborn's feet should be examined. If problems are noted, a podiatric physician or orthopaedic surgeon may be recommended. Your child's pediatrician should also evaluate your child's feet, looking for gait and other problems, throughout childhood.

Youth

  • Exercise-related problems (from lack of warm-ups, improper technique, and movements).
  • Breaks, sprains.
  • Infections, splinters, lacerations (usually from walking barefoot).

Youth and sports

The American Academy of Orthopaedic Surgeons (AAOS) has expressed concern about the needs of young athletes. A young person's coordination, strength, and stamina is different from adults.

Bone-tendon-muscle units, growth areas within bones and ligaments, are more susceptible to injury. Feet and legs are vulnerable to soft tissue injuries and stress fractures. Repeat injuries are also a problem. The AAOS has called upon coaches, in particular, to be alert to early signs of physical problems, such as pains or limps.

Athletic activity is generally a very good thing. "However," warns the AAPA, "peer pressure and the economic and social forces exerted on school coaches to win may lead to decisions that are not truly in the best interests of a child's health, growth, and development."

Adults

  • Exercise-related problems (often from lack of warm-ups/stretching).
  • Problems associated with other disorders (diabetes, arthritis, circulatory problems).
  • Problems associated with ill-fitting shoes (corns, calluses, bunions, hammertoes).
  • Natural wear and tear problems (particularly if you're over 50 years old).

The 75,000 mile campaign for people over age 50

According to Dr. Terence B. Albright, president of the American Podiatric Medical Association (APMA), most Americans have logged 75,000 miles or more on their feet by the time they reach the age of 50. Active people may reach that mileage sooner, depending on their occupation and lifestyle.

At 75,000 miles, the chances of the following increase dramatically:

  • Toenail infections and other problems.
  • Loss of natural foot padding/related stress fractures.
  • Toe and joint deformities.
  • Heel pain.
  • Diabetes problems (can appear at any age).

After 75,000 miles, natural wear and tear on the foot and ankle can develop into debilitating conditions if left untreated. In a battle against unnecessary disability and loss of mobility, the APMA and others urge active Americans or Americans over age 50 to have their feet checked.

Sources:
American Academy of Podiatric Sports Medicine 1-800-438-3355
American Podiatric Medical Association Foot Health Topics for Consumers
1-800-FOOTCARE (1-800-366-8227)
"APMA Launches Battle Against Unnecessary Disability," American Podiatric Medical Association
"Children and Sports," American Podiatric Medical Association and the American Academy of Podiatric Sports Medicine

Want to learn more about conditions of the feet? Then check out this article in the Foot Problems Forum:
Glossary of Terms
Foot Health
Anatomy of Your Feet
Typical Foot Problems
Foot Problems as Symptoms and Warning Signs
Foot Care Providers
Preventing Foot Problems

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