Large Feet in Adolescents: Concerns and Solutions - Pediatrics

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Oversized feet?


My daughter is thirteen years old, approximately 160 cm tall and weighs around 40 kg.
She is very distressed about her feet because they are larger than those of her peers.
She mentioned that they are still growing (her shoe size is 41, and she is worried that she won't be able to fit into her shoes soon).
Sometimes, she even presses her big toes inward and has asked if she can bind her feet to stop them from growing.
Additionally, she is concerned about being too tall (Oh my! She's only 160 cm!).

I have a few questions:
1.
At her age, is her height and weight proportionate to her foot size? (As far as I know, her classmates wear shoe sizes around 35-38.)
2.
Is this related to her dance training? (She has been studying ballet, folk dance, and tap dance for eight years.)
3.
Which specialist should we consult? Are there any specialized doctors in Kaohsiung? Thank you very much!

eva, 30~39 year old female. Ask Date: 2003/12/29

Dr. Zhang Peixin reply Pediatrics


Hello! 1.
Foot size may vary depending on individual constitution.
2.
The internal pressure of the big toe should be evaluated based on the presence of symptoms and complications before determining treatment.
3.
Dr.
Huang Ya-Huang, a renowned rehabilitation specialist at Kaohsiung Municipal Min-Sheng Hospital, can be consulted nearby.
Sincerely, Dr.
Chang Pei-Hsin, Director of Pediatrics at Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/12/29

More Info


It's understandable for your daughter to feel self-conscious about her feet, especially during adolescence when physical changes can be a source of anxiety. Let's address your concerns one by one.

1. Foot Size and Growth: At 13 years old, your daughter is likely experiencing a growth spurt, which is common during puberty. The average shoe size for girls her age typically ranges from 35 to 38, but it's not unusual for some to have larger feet. A shoe size of 41 is on the larger side, but it’s important to remember that everyone grows at their own pace. Genetics plays a significant role in determining foot size, and if her parents or relatives have larger feet, it may simply be a hereditary trait. As she continues to grow, her foot size may stabilize, but it’s also possible that she will need larger shoes for a while longer.
2. Impact of Dance: Engaging in dance, especially styles like ballet, can influence foot development. Dancers often develop strong, flexible feet due to the demands of their training. However, this does not typically lead to larger foot sizes. Instead, it may enhance the strength and shape of her feet. If she is concerned about her foot size affecting her dancing, it might be helpful to discuss this with her dance instructor, who can provide reassurance and guidance.

3. Medical Consultation: If your daughter is experiencing discomfort or pain in her feet, or if her concerns about her foot size are causing significant distress, it may be beneficial to consult a healthcare professional. A podiatrist, who specializes in foot and ankle health, would be the most appropriate specialist to address her concerns. They can assess her foot structure, provide advice on proper footwear, and determine if there are any underlying issues that need to be addressed.
In terms of finding a specialist in Kaohsiung, you can start by checking local hospitals or clinics that have a podiatry department. It may also be helpful to ask for recommendations from your family doctor or pediatrician, who can refer you to a trusted podiatrist.

Additional Considerations: It's crucial to support your daughter emotionally during this time. Encourage her to embrace her unique traits and remind her that everyone develops differently. If her feelings about her foot size are leading to negative self-image or anxiety, consider discussing these feelings with a counselor or therapist who specializes in adolescent issues. They can provide coping strategies and help her build confidence.

Lastly, remind her that many people, including celebrities and athletes, have larger feet, and that it does not define her worth or abilities. Encourage her to focus on her strengths and talents, whether in dance or other areas, rather than solely on her physical appearance.
In conclusion, while your daughter's concerns about her foot size are valid, they are also common during adolescence. With the right support and guidance, she can navigate this phase of her life with confidence and self-acceptance.

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