Pain along the inside of the foot or around the back of the foot can be indicative of a problematic flat foot. Children with over-pronated feet may wear out shoes quicker due to the weight distribution in the shoe. Bear in mind the diseases are usually diagnosed well beforehand, and not just picked up because the foot is flat. Some children with disorders affecting the nerves and muscles such as spina bifida, cerebral palsy or muscular dystrophy can have flat feet. To tell if the foot is stiff you can simply stand on tip-toes and if the arch forms on the instep then it is probably not stiff. This stiffness is called Tarsal Coalition. In others, an abnormal fusing of bones in the back of the foot can cause the foot to be flat but also quite stiff under the ankle. Some children have “over-pronated” feet and their ligaments can be generally lax. Usually no cause is found, it may run in families and it is just the way the foot is shaped. What can potentially lead to flat feet in children? Children who develop pain in their foot or wear out shoes rapidly can potentially be referred for treatment. There is absolutely no reason to advise treatment for a child with a flat foot if they have no symptoms. These children can participate in and play any sporting activity at any level. The majority of children under 5 have got slightly flattened arches but by the time they are 9 or 10 the feet have changed shape slightly and an arch forms on the instep.Ī small minority of children have a persistently flat foot BUT THIS CAN BE ENTIRELY NORMAL FOR THEM. When this arch is reduced and the whole sole of the foot is on the ground then it is referred to as a flat foot. Flat Feet (Pes Planus) in Children What are flat feet?Ī foot has a natural arch elevating the middle of the foot off the ground along the inside extending from the heel (calcaneum) to the balls of the feet (metatarsals).
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