Pediatrics and Podiatric Medicine

Featuring Louis J. DeCaro, DPM

In the June 2019 issue of Podiatry Management, our own Louis J. DeCaro, DPM participated in the PM ROUNDTABLE discussing the latest trends in Pediatrics and Podiatric Medicine.

According to Marc Haspel, DPM, “The practice of pediatrics within the specialty of podiatric medicine could be one of the best-kept secrets of the profession. Simply by offering a wide range of services to the youngest in the population, a podiatric practice could benefit in untold ways. Once a podiatric physician gains the confidence of those seeking care for their children, the rest of the family will very often trust its care with that same doctor. Savvy practitioners also recognize that the opposite is true. Often presenting pedal structural complaints of adults can also be identified in their children, giving podiatric physicians an opportunity to treat many more patients. The result could be an exponential growth in the podiatric practice.”

Read the entire article HERE
Check out other articles by Dr. DeCaro on our Archives Page


What’s New at NOLARO24?

Nolaro24 & IQMed Biomechanics & Equinus Master Class April 2020
Join us for this convenient 2-day course on both the science and practice management of surgery, plantar fasciitis, biomechanics, orthotics, and equinus of all ages! Join speakers Louis DeCaro, DPM, Patrick DeHeer, DPM, and Roberta Nole, MA, PT, C.Ped for NEW CONTENT and lectures.

Interested in a PRIVATE MASTER CLASS or 1 or 2 Day Class? We can do that! Roberta just visited Dr. Neville’s office in Texas in December for a private course for his doctors. If you are interested in Private education or training for your office EMAIL US.


FREE DOWNLOAD – Waiting Room Poster! Put out some Valentine’s Day candy with this FREE poster and get patients to ask you about our products!



ALL NEW Webinar Series 2020
Join us for 3 NEW Biomechanical Webinars:
Treating Pediatric Flatfoot: Age Specific Protocols
March 12, 2020 7 PM
Assessing Functional Foot Types in Four Easy Steps
April 9, 2020 7 PM
Mastering Gait Analysis and Orthotic Solutions
June 11, 2020 7 PM

Product Spotlight
littleSTEPS Fit Kits

Have your patients TRY littleSTEPS before they BUY littleSTEPS with a Fit Kit
• Full Fit Kit – 11 pairs (one of each size), $275
• Early Intervention Fit Kit – 6 small sizes (LS00-LS4)
• Kids Fit Kit – 6 large sizes (LS4-LS9)
• Gait Plate Fit Kits pricing available upon request
Substantially Reduce returns/exchanges

If you would like to find out more, EMAIL US!


Ever thought about bringing in QUADRASTEPS for your hospital staff or company, but didn’t know where to begin? We have been having great success with several Occupational Health & Safety programs like the one we are running with Abbott. We are partnering with them to run screening clinics at various locations around the country and offering orthotics to their employees to help with relief of daily pain and fatigue in the workplace.
This is also a great program for hospital staff.

Blogs & Articles

Attaining Successful Orthotic Outcomes Through Functional Foot Typing
By Louis J. DeCaro, DPM and Roberta Nole, MA, PT, C.Ped
Are you fluent in Foot Typing yet? Read this article from Current Pedorthics and learn how you can improve your orthotic prescriptions/recommendations with Foot Typing!

Want to Grow your Pediatric Practice? Remind your parents that it’s time to check for orthotic outgrowth. Download the sample flyer HERE

Praises for the Master Class:

“This course is a must for every Pedorthist. It gives you the tools to easily evaluate, educate, and provide care to your patients. The Quadrastep System is the perfect way to dispense corrective orthotics on the spot. They are also easy to modify and customize. I have been using this foot typing method and Quadrastep system for six years. The success I have had with this system is remarkable. Patients love learning about their Foot Type and the orthotics provide exceptional comfort and function. Don’t miss this opportunity!!” – Ellie Penner, C.Ped

“Whether you’ve heard Louis and/or Roberta speak or not, this is one of the best and practical programs regarding biomechanics and orthotics you’ll hear anywhere, any time. Easy to understand, easy to translate to your patients, easy to implement in your practice. Guaranteed you won’t/can’t sleep through the lectures. They’re entertaining and informative, not dry biomechanics, they’re paced well, and Louis might call you out if he catches you sleeping or checking your smartphone. If you have the time, don’t miss it! If you don’t have the time, make the time–you won’t regret it!” – Brandon Macy, DPM

“Great conference. Worth your time. Reignited my passion for biomechanics. Hit the ground running right after the conference!” – Nick Pagano, DPM

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Why Do Children Walk On Their Toes?

ReBlogged from Dr. Brandon Macy, Clark Podiatry Center

Link to original blog

“Get up on your toes” is a figure of speech urging you to prepare to start something energetically. But when your child appears to be walking on tiptoe most of the time, you sense that something isn’t quite right.

Many parents fear something dire is going on, whether it might be tightness of the Achilles tendons in need of intensive physical therapy, surgery or some neurological issue which sounds even worse. Fortunately, although those situations do sometimes happen, more commonly the answer is far simpler and easier to deal with.

Feet which overpronate (flatten) too much are unstable—there is a lack of ‘leverage’ during walking and running—which is a very inefficient way of getting around. To combat this, raising up on the toes puts the foot in a more stable position. Also, depending on the balance between the forefoot and the rearfoot and the tightness of the Achilles tendon, the heel may lift off the ground prematurely during the gait cycle.

In these cases, muscles, tendons and ligaments have to work extra hard resulting in early fatigue, achiness and pain, affecting their gait and their athletic activities. Over many years, this can lead to foot deformities and arthritic damage to the feet, knees, hips and back.

Most of the time, if your child can stand with both heels on the ground, there is no major tightening of the Achilles tendon. Fortunately, providing proper support and balancing of the feet with a good set of orthotics such as our LittleSteps pediatric orthotics or our adult versions for those over the age of 10 can help deal with the majority of these situations. Using good orthotics on a daily basis can change things rather quickly, decreasing the toe walking and allowing your child to participate fully in their sports activities with less fatigue and pain—not to mention preventing larger problems into adulthood.

For more information visit our website at

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