Do Kids with Flat Feet Really Need Orthopedic Shoes?

Q: Do Kids with Flat Feet Really Need Orthopedic Shoes?

Hello： According to what you said, wearing corrective shoes is better for your child. <br>If ignored, it will be more difficult to recover later, leading to issues such as inability to stand or walk for long periods, and poor running ability, among others.

Do you need corrective shoes?

Hello, my 6-year-old son has been diagnosed by a rehabilitation physician at the hospital with severe flatfoot, heel valgus, ligament laxity, and a complete absence of an arch.
The doctor recommended that he wear corrective shoes for treatment.
He has difficulty standing or walking for long periods and often complains of foot fatigue.
His shoes are all tilted inward.
I would like to know if he really needs to wear corrective shoes long-term? Will it improve as he grows older? If we ignore this issue, will it have negative effects on his feet? Thank you for your response!

Haizi de ma, 30~39 year old female. Ask Date: 2004/04/16

Dr. Guan Zaoxiang reply Rehabilitation

Hello: According to what you said, wearing corrective shoes is better for your child.
If ignored, it will be more difficult to recover later, leading to issues such as inability to stand or walk for long periods, and poor running ability, among others.

Reply Date: 2004/04/16

More Info

When it comes to children with flat feet, the question of whether they truly need orthopedic shoes is a common concern among parents. Flat feet, or pes planus, is a condition where the arch of the foot is either absent or significantly lower than normal. This can lead to various issues, including discomfort, pain, and difficulty with activities that require prolonged standing or walking.
In your case, your six-year-old son has been diagnosed with severe flat feet, characterized by excessive pronation (inward rolling of the foot) and ligament laxity, which can indeed lead to symptoms such as foot fatigue and discomfort during physical activities. The recommendation for orthopedic shoes or insoles is often made to provide additional support and to help align the foot properly during walking and standing.

Do Kids with Flat Feet Really Need Orthopedic Shoes?
1. Severity of the Condition: The necessity for orthopedic shoes largely depends on the severity of the flat foot condition. In mild cases, many children do not require any special footwear and can benefit from regular shoes that fit well. However, in cases like your son's, where there is significant pronation and discomfort, orthopedic shoes may be beneficial.

2. Support and Alignment: Orthopedic shoes are designed to provide better arch support and to help align the foot properly. This can alleviate pain and discomfort, especially during activities that require standing or walking for extended periods. They may also help prevent further complications, such as knee or hip pain, which can arise from improper foot mechanics.

3. Long-term Outcomes: Many children with flat feet experience improvement as they grow. The arches of the feet often develop naturally as the child matures, typically by the age of 12. However, if the flat feet are causing significant issues, early intervention with orthopedic shoes can help manage symptoms and potentially improve foot function over time.

4. Potential Consequences of Ignoring the Condition: If left unaddressed, severe flat feet can lead to chronic pain and discomfort, not just in the feet but also in the knees, hips, and lower back due to altered gait mechanics. This can affect a child's ability to participate in physical activities, which is crucial for their overall development and health.

Recommendations for Parents
- Consult with Specialists: It is essential to work closely with a pediatric orthopedic specialist or a physical therapist who can provide a comprehensive assessment of your child's foot structure and function. They can recommend the most appropriate footwear and any necessary exercises to strengthen the foot and leg muscles.

- Regular Monitoring: Keep an eye on your child's symptoms and any changes in their foot structure as they grow. Regular follow-ups with a healthcare provider can help track their progress and adjust treatment as needed.

- Encourage Activity: While supportive footwear is important, encouraging your child to engage in physical activities is equally crucial. Activities that promote foot strength and flexibility, such as barefoot walking on safe surfaces, can be beneficial.

- Footwear Choices: When selecting shoes, look for those with good arch support, a firm heel counter, and a cushioned sole. Avoid shoes that are overly flexible or lack support, as these can exacerbate flat foot symptoms.

In conclusion, while not all children with flat feet require orthopedic shoes, in cases of severe flat feet with associated symptoms, they can be an important part of treatment. Early intervention can help manage discomfort and prevent future complications, allowing your child to lead an active and healthy lifestyle. Always consult with healthcare professionals to determine the best course of action for your child's specific needs.

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