Can Flat Feet in Toddlers Be Treated with Rehabilitation? - Rehabilitation

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Flatfoot


Hello, doctor! My child is 1 year and 8 months old, and I suspect he has flat feet.
Is it appropriate to take him to physical therapy at this age? Thank you.

Chuanping, 30~39 year old female. Ask Date: 2008/04/27

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: 1.
Flatfoot that develops within six months of starting to walk can be considered "functional" flatfoot, as weight-bearing and bone development may still be immature.
2.
However, after six months, it is advisable to have an evaluation and treatment by a rehabilitation specialist, including whether custom arch supports are necessary.
3.
Major hospitals have foot pressure testing, which is more precise.
Lastly, I wish you peace and happiness!

Reply Date: 2008/04/27

More Info


Flat feet, or pes planus, is a common condition in toddlers and young children, characterized by a lack of an arch in the foot. In many cases, flat feet are a normal part of development, as children’s arches may not fully form until they are older. However, if you have concerns about your child's flat feet, especially if they seem to be causing discomfort or affecting their ability to walk or run, it is a good idea to consult a pediatrician or a pediatric orthopedic specialist.

Rehabilitation for flat feet in toddlers can be beneficial, but it is essential to approach it with the right understanding. Here are some key points regarding the treatment and rehabilitation of flat feet in young children:
1. Observation and Monitoring: In many cases, flat feet in toddlers do not require any treatment. Pediatricians often recommend monitoring the condition as the child grows. Many children will naturally develop arches as they age, typically by the age of 6 or 7.

2. Physical Therapy: If flat feet are causing pain or functional issues, a physical therapist can design a rehabilitation program tailored to your child's needs. This may include exercises to strengthen the muscles of the foot and ankle, improve balance, and enhance overall foot mechanics. Activities may involve toe curls, heel raises, and balance exercises that encourage the development of foot strength and stability.

3. Footwear: Proper footwear is crucial for children with flat feet. Supportive shoes that provide good arch support and cushioning can help alleviate discomfort. Avoiding flat shoes or flip-flops is advisable, as they do not provide the necessary support.

4. Orthotics: In some cases, custom orthotic devices may be recommended. These are specially designed shoe inserts that provide additional arch support and can help improve foot alignment. Orthotics can be particularly useful if your child experiences pain or has difficulty with activities due to their flat feet.

5. Activity Modification: Encouraging your child to engage in activities that promote foot strength and flexibility can be beneficial. Activities like swimming, cycling, and playing on soft surfaces can help develop the muscles in the feet without putting excessive strain on them.

6. Consultation with Specialists: If your child’s flat feet are associated with other symptoms, such as pain, difficulty walking, or if there is a family history of foot problems, it may be wise to consult a pediatric orthopedic specialist. They can provide a thorough evaluation and recommend appropriate interventions.

7. Long-term Outlook: The prognosis for children with flat feet is generally good. Many children outgrow the condition without any intervention. However, if flat feet persist into later childhood or adulthood and cause significant issues, further treatment options may be explored.

In summary, while rehabilitation can be beneficial for toddlers with flat feet, it is essential to assess the individual situation. If your child is not experiencing pain or functional limitations, monitoring may be all that is needed. However, if there are concerns, consulting with a healthcare professional can provide guidance on the best course of action, including rehabilitation strategies that can support your child's foot development.

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