Many parents wonder whether their child’s flat feet are something to be concerned about. In most cases, flat feet in young children are perfectly normal. However, if arches have not developed by the age of five or six, it may be beneficial to consult a pediatric foot specialist to rule out any underlying concerns.

Why Does My Child Have Flat Feet?

Flat feet are common, with about 30 percent of adults having little to no arch. While flat feet can sometimes lead to ankle, knee, or back pain, they do not always require medical treatment beyond proper footwear or orthotic inserts. Most children inherit flat feet from a parent or grandparent, but in some cases, the condition may indicate another issue.

According to the American Academy of Orthopaedic Surgeons (AAOS), pediatric flatfoot can be flexible (harmless) or rigid (requiring medical intervention). A specialist can help determine the type and whether treatment is necessary.

When Flat Feet Can Cause Problems

If your child still has flat feet beyond the expected age range, consider mentioning it to their pediatrician or a pediatric foot specialist. A specialist can evaluate the foot and leg structure to determine whether the condition is benign or linked to a more serious issue.

You should schedule a consultation if your child experiences:

• Calf pain
• Leg fatigue after activity
• Unusual walking patterns (gait abnormalities)
• Uneven shoe wear
• Foot, ankle, or knee pain
• Avoidance of physical activity

A foot specialist can identify whether your child’s flat feet are associated with conditions such as Sever’s disease, hyper-pronation, Achilles tendonitis, or other biomechanical issues. The Mayo Clinic explains that while most cases do not require treatment, children experiencing pain or mobility issues should see a specialist.

Treatment for Flat Feet in Children

While flat feet were once considered a disqualifying condition for the U.S. military, they no longer pose a major concern in most cases. People with flat feet can participate in sports, wear high heels, and engage in normal activities without issue. However, if a child’s flat feet cause discomfort, taking a proactive approach can help protect their feet, ankles, and joints from long-term strain.

Recommended Treatment Options

• Arch Supports: Custom orthotics can provide the appropriate arch support needed for better foot alignment and function. A podiatrist can create orthotics tailored to your child’s feet for the best fit and support. The American Podiatric Medical Association (APMA) recommends proper arch support to prevent joint strain in children with flat feet.
• Supportive Shoes: Children with flat feet should avoid flip-flops and unsupportive footwear. Walking barefoot too often may also contribute to discomfort.
• Stretching Exercises: Achilles tendon stretches can help relieve heel or ankle pain.
• Physical Therapy: If a child is highly active or involved in competitive sports, physical therapy may be necessary to prevent injuries linked to overuse.
• Surgical Intervention: There is no specific surgery to correct flat feet. However, if a child has a related foot or leg issue, such as a torn tendon or fused bones, surgery may be recommended to address the underlying problem.

A pediatric foot specialist can assess your child’s condition and develop a treatment plan to ensure pain-free movement and proper foot support.

Schedule an Appointment with a Pediatric Foot Specialist

If your child experiences pain or discomfort due to flat feet, early evaluation by a specialist can provide peace of mind and help prevent future complications.

Contact your nearest Northwest Extremity Specialists office today to schedule an appointment and learn more about how we can help your child stay active and comfortable.