Do children need to wear corrective shoes?
My child (currently two years and seven months old) walks with an inward foot position and has unstable ankles.
Additionally, the father has flat feet (which I understand has a high chance of being hereditary).
Should my child wear corrective shoes? At what age do children's arches typically develop clearly? Thank you for your guidance.
kiwi, 30~39 year old female. Ask Date: 2004/02/16
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is common for children to have in-toeing, and it usually does not require correction.
Additionally, commercially available corrective shoes may not have a genuine corrective effect.
Therefore, I recommend finding a trusted orthopedic physician nearby for a thorough examination, rather than making a decision on your own.
Furthermore, most cases of flat feet are flexible flatfoot, and the arch typically develops around the age of twelve, with about seventy percent not requiring correction.
Wishing you a pleasant day.
Reply Date: 2004/02/16
More Info
When it comes to the question of whether your child should wear corrective shoes for flat feet, it's essential to understand the nature of flat feet, the development of the foot arch, and the implications of wearing corrective footwear.
Flat feet, or pes planus, is a condition where the arch of the foot is lower than normal or absent. It can be a common occurrence in children, and many children are born with flexible flat feet that may resolve as they grow. In fact, studies suggest that about 70% of children with flat feet do not require any treatment as their arches develop naturally by the age of 12.
Regarding your child's specific situation, where you mentioned that your child walks with an inward toeing (often referred to as "pigeon-toed") and has a tendency for the ankles to roll, it is crucial to assess whether these issues are structural or functional. In many cases, children may exhibit these walking patterns as part of their normal development, especially if they are still quite young.
The hereditary aspect you mentioned, with the father having flat feet, does indeed suggest a genetic predisposition. However, it's important to note that not all children with a family history of flat feet will develop the condition themselves.
As for the question of whether corrective shoes are necessary, the consensus among many pediatricians and orthopedic specialists is that most children do not need corrective shoes. In fact, many commercially available corrective shoes do not provide significant benefits. Instead, it is often recommended to allow children to develop their foot strength and arch naturally. Encouraging barefoot play on safe surfaces can help strengthen the muscles in the feet and promote proper foot development.
If your child is experiencing discomfort, such as pain or fatigue in the feet, or if there are significant concerns about their walking pattern, it would be wise to consult with a pediatric orthopedic specialist. They can perform a thorough evaluation to determine if there are any underlying issues that need to be addressed.
In terms of arch development, most children will begin to develop a more defined arch between the ages of 3 and 6, with full development typically occurring by the time they reach their teenage years. If your child is still quite young, it may be beneficial to monitor their foot development without rushing into corrective measures.
In summary, while it is understandable to be concerned about your child's foot health, especially with a family history of flat feet, it is often best to take a wait-and-see approach. Encourage natural movement, provide supportive but not overly restrictive footwear, and consult with a specialist if any significant issues arise. This approach allows for the natural development of the foot while ensuring that any potential problems are addressed appropriately.
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