Flat Feet
What are Flat Feet?
Flat feet (or pes planus) occur when the arch of the foot is lower than normal—or not visible at all when your child is standing. It’s very common in young children, and in most cases, it’s part of normal development.
What Causes Flat Feet?
Most children are born with flat feet, and the arch gradually develops as they grow, usually by age 6 or 7. In some cases, flat feet may persist due to loose ligaments (flexible flat feet), tight heel cords, or neuromuscular or structural conditions, although the latter is rare.
What to Look For (Physical Examination)
When examining your child, look for feet that appear flat when standing but form an arch when sitting or tiptoeing (flexible flat feet). Additionally, feet that roll inward (pronation), tired or achy feet after walking or playing, or uneven shoe wear may also be signs of flat feet. In most cases, children with flat feet are not in pain, but if pain or stiffness is present, a more detailed evaluation may be necessary.
How are Flat Feet Treated?
Most flat feet do not need treatment and resolve on their own. However, if your child is experiencing pain or difficulty walking, options may include supportive shoes, stretching exercises for tight muscles, or physical therapy in some cases. Surgery is rarely needed and is only considered for severe, painful cases with underlying structural issues.
Possible Complications
Complications are rare. However, untreated structural flat feet (rigid flatfoot) may cause discomfort or problems in adolescence or adulthood if not addressed appropriately.
Tests and Investigations
Diagnosis is usually made through a simple physical exam. In cases where there’s pain, stiffness, or asymmetry, X-rays may be done to rule out rare structural issues like tarsal coalition.
What to Expect
(Outcomes)
Most children with flat feet go on to live active, healthy lives without any intervention. Flexible flat feet are considered a normal variation in foot development and rarely lead to long-term problems.
Do you have a Question?
If you have an question please feel free to contact us