Flat Feet in Toddlers: When to Seek Treatment - Rehabilitation

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Flatfoot


Hello, I would like to ask about my 1.4-year-old child.
He has just started walking independently but is not very stable yet.
I suspect he may have inherited his father's flat feet, and it seems that the heels of both of his feet are slightly turned outward.
Should we consider physical therapy or corrective shoes?

Zhu Mami, 20~29 year old female. Ask Date: 2004/07/29

Dr. Guan Zaoxiang reply Rehabilitation


Hello: Whether rehabilitation is needed depends on the severity of flatfoot or the degree of in-toeing or out-toeing.
Please take your child to a nearby rehabilitation specialist for consultation.
Thank you.

Reply Date: 2004/07/29

More Info


Flat feet, or pes planus, is a common condition in toddlers and young children. It is characterized by the absence of the normal arch in the foot, leading to the entire foot making contact with the ground. In many cases, flat feet are a normal part of development, especially in toddlers who are still learning to walk. The arches of the feet typically develop as children grow and become more active.

In your case, since your child is only 1.4 years old and has just begun to walk, it is not uncommon for toddlers to exhibit flat feet. Many children will have flexible flat feet, which means that the arch may appear when the child is on their toes or when the foot is lifted off the ground. This flexibility is often a normal part of development and usually does not require treatment.

However, there are a few signs that may indicate a need for further evaluation or treatment:
1. Pain or Discomfort: If your child experiences pain in their feet, legs, or knees, this could be a sign that their flat feet are causing issues. Persistent pain should be evaluated by a healthcare professional.

2. Difficulty Walking: If your child has trouble walking, runs awkwardly, or frequently trips or falls, it may be worth consulting a pediatrician or a specialist.

3. Foot Positioning: You mentioned that your child's feet appear to be turning outward. This could be a normal variation, but if it is pronounced or accompanied by other symptoms, it may warrant further investigation.

4. Family History: Since you mentioned a family history of flat feet, it is worth noting that genetics can play a role in the development of this condition. However, many children with a family history of flat feet do not experience any issues.

In terms of treatment, most children with flat feet do not require any intervention. However, if your child is diagnosed with a more rigid form of flatfoot or if there are associated symptoms, a healthcare provider may recommend:
- Orthotic Devices: Custom or over-the-counter arch supports can help provide additional support and improve foot alignment.


- Footwear: Supportive shoes that fit well can make a significant difference. Avoid shoes that are too flexible or lack support.

- Physical Therapy: In some cases, a physical therapist may recommend exercises to strengthen the muscles in the feet and legs.

- Monitoring: Regular check-ups with a pediatrician or orthopedic specialist can help track your child's development and ensure that any issues are addressed promptly.

If you are concerned about your child's flat feet, it is advisable to consult with a pediatrician or a pediatric orthopedic specialist. They can perform a thorough evaluation, assess your child's walking pattern, and determine if any treatment is necessary. Early intervention can be beneficial if there are underlying issues, but in many cases, flat feet in toddlers resolve on their own as they grow and develop.
In summary, while flat feet are common in toddlers and often do not require treatment, it is essential to monitor your child's development and seek professional advice if you notice any concerning symptoms.

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