Daniel L. Reminga, D.P.M., F.A.C.F.A.S.
Foot Doctor Houghton, MI
801 Memorial Rd.
Houghton, MI 49931 US




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Posts for: April, 2014

By Daniel Reminga
April 14, 2014
Category: Uncategorized
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Dr. Reminga Cares for Kids


They are busy from the moment they open their eyes in the morning until the time they fall asleep at night. How does all that time on their feet add up over a lifetime? What do you think?

The answer to this thought provoking question will be at the end of this blog. We couldn’t end the suspense yet…that wouldn’t be any fun!
Needless to say, our feet take a beating throughout our lives. Dr. Daniel Reminga, from Northern Foot Care Center in Houghton tells us, “The key to having healthy feet for a lifetime is to take care of your feet and start early.” Parents can help prevent future foot problems along life’s journey by having their children evaluated by an experienced, board certified foot specialist, like Dr. Daniel Reminga. Dr. Reminga treats children and is a member of the American College of Foot and Ankle Pediatrics. The ACFAP is the American Podiatric Medical Associations only recognized group of experts in the subspecialty of Podopediatrics.

  1. Walking Patterns- Observe how your child is walking. Dr. Reminga says, “A child’s walking pattern can signal concern. Watch how your child is walking. Look for abnormal signals such as, in-toeing, flat feet, and toe walking for example.” These are early signs that the child needs to be evaluated by a board certified foot and ankle specialist like Dr. Reminga. Here are a few patterns to be aware of…
  2. In-toeing-This is where the feet and toes point inward.
  3. Flat Feet-This is where the arch of the foot collapse.
  4. Toe-walking- This is where the child walks on the tip of the toes.
  5. Club foot- This is where the foot is positioned at a sharp angle to the ankle.
2. No Painful Signs- A child’s feet are very flexible and pliable. As a result, a foot problem can result without the child complaining of pain or discomfort. Dr. Reminga says, “The bones of a child’s feet are extremely flexible. Their feet can bear the brunt of twisted and distorted movements because they bounce back so efficiently in adolescence. This however is the danger. The lack of complaining about pain in the feet can be deceptive.” It is very important that a child’s feet are evaluated by an expert like Dr. Reminga. This will help to circumvent any foot problems that can cause problems as the child gets older. 
3. Painful Signs- A child’s foot grows rapidly. As the foot grows, this can result in real pain for the child. Dr. Reminga says, “If you have heard…’Oh, it’s just growing pains, the child will grow out of it’, this is a misconception. A child’s foot pain should not be ignored. It is important to determine what type of pain it is first and foremost. Does the child complain of recurring foot pain and soreness or is the pain a traumatic type of pain from an injury? Is there swelling and redness associated with the foot pain? Ask the child when they first noticed the pain.” If the pain is a result of trauma, the child needs to see a foot specialist like Dr. Reminga right away. Dr. Reminga continues, “The injury could be a micro-trauma injury from running on uneven or hard surfaces resulting in plantar fasciitis (heel pain), stress fractures, and even osteoarthritis if the child continues to traumatize the foot. Also, the sport a child is involved in, and their activity level in that sport, can uncover foot problems that are underlying.” Dr. Reminga treats young athletes of all ages. It’s important to pay attention when a child complains of discomfort after playing his or her sport.

If the child complains of soreness or aching sensations in the feet and legs, it could be “growing pains”, as mentioned earlier. Growing pains should not be ignored. The discomfort is a muscular type pain in the calf, the front of the thigh, and knee region, as well as an achy feeling in the feet. This discomfort can cause a child to wake up in the middle of the night. One reason for “growing pains” can be due to flat feet. The feet roll in due to the affect of fallen arches. Dr. Reminga says, “The systemic effects of flat feet are many. A misalignment occurs in the body due to flat feet. This misalignment can alter the foot function and the leg function all the way up the back and neck.”There are numerous causes of “growing pains” in children. At an early age, a child’s feet need to be evaluated by a foot specialist like Dr. Reminga who is a member of the American College of Foot and Ankle Pediatrics.
4. Shoe Selection- Children’s feet grow rapidly. Shoes can become ill-fitting and cause discomfort quickly as the child is growing. The proper footwear is a crucial component is assuring a child’s healthy foot development. Dr. Reminga says, “Ask yourself these questions when choosing a shoe for your child. How does the shoe fit? Be aware of the length, width, and depth of the shoe. Check the toe box for starters. Does the toe box have enough room? The toes need plenty of room for flexibility and toe growth. Shoes that fit improperly can cause problems such as…ingrown toenails, calluses, hammertoes, and even bunions. Because children’s feet grow in stages, or ‘spurts’, shoes should be replaced every 3-4 months. An interesting fact is that toddlers grow rapidly, about one-half foot size in a two month period when they are under 16 months of age. As they grow older, the growth spurts slow slightly. For example, ages 16-24 months the average is one-half a foot size every 3 months, 24-36 months the average is one-half a foot size every four months. For children over the age of 3, the increase is one-half foot size every four to six months.” Dr. Reminga warns,” If the shoes don’t fit comfortably to start, they are not the correct shoes for your child. Shoes do not have a ‘breaking in’ period. They should fit comfortably right from the beginning.”Lastly, don’t forget the socks! The correct sock can help prevent foot injuries and abrasions. The socks act as a protective layer between the skin and the inside of the shoe. A child’s socks should be made of an appropriate material such as, a natural/synthetic blend. When active, the sock can act as an absorbent barrier that “wicks” away moisture from the skin. In doing so, blisters and abrasions can be avoided. If your child has excess sweating (hyperhydrosis) or foot odor (bromhydrosis), the proper sock selection becomes very important, again, a “wicking” effect helps minimize these conditions as well. Another thing to look for is socks that they don’t have large seams. The seams can begin to rub resulting in discomfort and irritation.
A child’s feet have to last them a lifetime. It is important for your child to be evaluated by a board certified foot and ankle specialist like Dr. Daniel Reminga at Northern Foot Care Center. Dr. Reminga can examine and evaluate your child to help avoid future foot problems from occurring.

To make an appointment for your child,

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Rest assured, your child will be in good hands.

Dr. Reminga

Cares for Kids!

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