Made From The Molds Of Your Feet
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Anyone familiar with Down syndrome and its early symptoms knows that one of the first signs a doctor can tell a child may have Down syndrome is often spotted in the first trimester of gestation.
Through ultrasound, a technician will look at the hands for something called a “Palmer crease,” also known as a “simian crease,” and look at the feet for a deep plantar crease and a broad space between the first and second toes. Sometimes webbing between the 2nd and 3rd toes is also noted this early.
With that said, as people with Down syndrome grow older, many foot conditions can become prominent, including but not limited to flatfoot, bunions, and secondary problems due to Joint Hypermobility. All of these conditions can be extremely painful, and treating the symptoms early is best.
What is Down Syndrome?
Down syndrome is a common genetic disorder that occurs when extra genetic material is found in chromosome 21, resulting in an additional or partial chromosome. Some physical characteristics generally indicative of Down syndrome are upturned almond-shaped eyes, eyes with white specks in them, a short wide neck, a flattened face with a “button nose,” small ears, and straight, connected lines in the hands and feet.
It is a little-known fact that people with Down syndrome physically age faster than the average person, meaning they will deal with some painful conditions much sooner than others.
Some people with Down syndrome experience arthritis in their childhood, and several children have problems with their back and their feet. Fortunately, there are treatment options available to help soothe, correct, and even prevent some of these foot pain issues.
How Can Custom Orthotics Help the Feet of People with Down Syndrome?
Custom orthotics are known to correct gait, improve posture, and add arch support to relieve the pressure felt on our feet. Conditions resulting from Down syndrome are no exception, and can usually be helped with the use of custom orthotics.
There is evidence to show that the early use of orthotics on children with Down syndrome can prevent foot conditions from developing later in life. Although custom orthotics are used to treat many foot problems that come along with Down syndrome, it is not a cure-all, and seeking a physician is always suggested.
Some of the most common foot conditions people with Down syndrome develop include:
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Hallux Varus
Hallux varus is characterized by the big toe leaning away from the other toes, causing a gap between the toes, and is one of the first markers of Down syndrome. The wide gap between the big toe and the second toe is not always indicative of Down syndrome, however, and can be caused by several other conditions, or can be developed. When the situation is developed, it is also referred to as a “Sandal Gap.”
Hallux varus can be very painful throughout the foot, and some patients require corrective surgery, however, one common non-invasive treatment for those with milder hallux varus to consider is custom orthotics.
Webbed Feet
Syndactyly of the feet, also known as “webbed feet” are not typically painful, but having webbed feet can make finding well-fitting shoes difficult. Wearing shoes that do not fit correctly can lead to many other issues, including other foot conditions, and back issues.
Unfortunately, people with down syndrome often walk around in ill-fitting shoes due to the unique shape of their feet, which can have painful repercussions. Companies like Bilt Labs, who manufacture custom orthotics, are looking to change that reality and make it easier for everyone to walk comfortably, no matter the foot conditions accounted for in making of their orthotics.
Flatfoot
Most babies are born with something called flexible flatfoot and as the child begins to walk around, typically the flatfoot will correct itself and the child will develop an arch in their foot. There are some exceptions, however, such as with children with Down syndrome; they will often suffer from flat feet long after what is usually expected in children.
There is hope yet, as there have been many informative studies done on flatfooted individuals with Down syndrome. One 2020 study on the effects of biomechanical interventions on a person with Down syndrome with flatfoot demonstrated how custom shoe insoles could significantly improve gait in these individuals.
The study concluded that while further investigation is necessary to establish that custom insoles always help those with Down Syndrome and flatfoot, the subject of the study did find some relief with the added arch support and had improved gait.
Due to the extra stress put on the foot when one has flat feet, some people with flatfoot will also develop a condition called plantar fasciitis. This occurs when the ligament that runs along the bottom of the foot becomes inflamed. This condition is usually felt more in the morning time than in the evening, and the pain is described as stabbing or shooting.
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Bunions
Another foot problem many people with Down syndrome could suffer from is bunions. Bunions, otherwise known as hallux valgus, have the opposite effect than that of hallux varus. The big toe will instead lean toward the other toes, resulting in a “bump” at the base of your big toe. There are many causes of bunions including:
- Shoes being too tight or wearing heels too often.
- Shoes generally not fit correctly.
- Inflammatory conditions, such as rheumatoid arthritis.
- Conditions that cause Joint Hypermobility syndrome.
Custom orthotics can be designed to realign the toes, and manufacturers will add an indention for added space. This makes the foot fit better in the shoe and maximizes comfort during everyday activities.
Joint Hypermobility
When the protein collagen is weak, sometimes due to an autoimmune disorder, it causes Joint Hypermobility. The resulting stretchy, loose skin and ligaments allow the joints to be easily manipulated and are often called “double-jointed.”
Joint Hypermobility is also a common characteristic of Ehler’s Danlos Syndrome and often leads to the development of arthritis. It is one of the leading causes of chronic pain, yet it usually goes undiagnosed and untreated.
The condition can also cause several secondary issues, such as metatarsalgia, and each presents a new set of problems. Although one might think there could be some benefits of increased flexibility, it does put individuals at a higher risk for injury, such as joints being easily dislocated or spraining.
Bilt Labs Custom Orthotics
Down syndrome can cause a variety of foot-related challenges, including low muscle tone, ligament laxity, and decreased proprioception (awareness of body position). These factors can contribute to conditions like flat feet, excessive foot rolling (overpronation), and hammertoes. Fortunately, Bilt Labs custom orthotics can offer targeted support to address these specific concerns and improve overall foot health for individuals with Down syndrome.
Here's how Bilt Labs custom orthotics can make a difference:
Improved Stability and Balance: The unique design of Bilt Labs orthotics, crafted from 3D impressions of your feet, provides customized arch support and realignment. This enhanced stability can significantly improve balance and coordination, reducing the risk of falls and promoting a more confident gait.
Targeted Pressure Relief: Individuals with Down syndrome often experience uneven pressure distribution across their feet. Bilt Labs orthotics address this by strategically distributing weight and alleviating pressure points. This can help reduce pain and discomfort caused by conditions like plantar fasciitis and hammertoes.
Promoting Proper Foot Development: Early intervention is crucial for managing foot-related challenges associated with Down syndrome. Bilt Labs orthotics can play a vital role in this process. By gently guiding foot development and promoting proper alignment, they can help prevent future complications and ensure long-term foot health.
Enhanced Comfort and Activity Level: Foot pain and discomfort can significantly limit mobility and participation in activities. Bilt Labs orthotics, with their focus on customized support and pressure relief, can significantly improve comfort levels. This allows individuals with Down syndrome to participate in activities they enjoy with greater ease and confidence.
Remember, Bilt Labs custom orthotics are a complement to overall foot care for individuals with Down syndrome. Consulting a podiatrist for a comprehensive evaluation and discussing the potential benefits of orthotics is always recommended.
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Conclusion
While orthotics aren't a one-size-fits-all solution for Down syndrome, they can be a valuable tool for many individuals. A podiatrist can assess specific foot concerns and determine if custom orthotics from Bilt Labs, with their focus on personalized support and pressure relief, can be a beneficial addition to a comprehensive foot care plan. By improving comfort, stability, and overall foot health, orthotics can empower individuals with Down syndrome to move with greater confidence and participate fully in life's activities. Take our free quiz today to find out which orthotic type is best for your feet.
Disclaimer: The information provided in this article is intended for general informational purposes only and should not be construed as medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare professional before making any decisions about your health. If you have any questions about your health or are experiencing any medical problems, please contact your doctor or other healthcare provider immediately. Do not delay seeking medical attention based on the information provided in this article.