Flat Feet in Children: Normal or Cause for Concern?

When you look at your child’s feet, you might notice that their arches aren’t as defined as yours. In fact, many children have flat feet, and if you’re wondering whether this is a problem, you’re not alone. So, is it something to worry about, or is it just a normal part of growing up? 

The experienced team at Washington Foot & Ankle Sports Medicine in Kirkland, Washington, specializes in providing expert advice to keep your children’s feet healthy and well-maintained.

Let’s explore what flat feet really mean for your child’s development and when you should consider getting medical advice.

What are flat feet?

Flat feet, or “fallen arches,” occur when the arch of the foot is lower than normal or completely absent. It is especially noticeable when your child stands, as the entire sole of their foot may touch the ground. 

Most kids are born with flat feet, and their arches typically don’t develop fully until they are between the ages of 2 and 6. If your child is younger and has flat feet, this is generally a normal stage in their growth.

When are flat feet a concern?

For most children, flat feet do not cause any issues and will resolve on their own as they grow. However, there are times when flat feet can lead to discomfort or indicate an underlying issue. If your child is experiencing pain in their feet, ankles, or legs, or if they seem to have trouble keeping up with physical activities, please consult with our team. 

Other signs to watch for include frequent tripping or falling, changes in their walking or running patterns, and noticeable swelling or redness on their feet. If your child is complaining of tiredness after walking or standing for extended periods, this is also something to keep an eye on.

What causes flat feet in children?

While flat feet are often just a normal part of childhood, they can sometimes be caused by other factors. Genetics plays a significant role. If one or both parents have flat feet, there is a higher likelihood that their child will also develop flat feet. 

Tight calf muscles can also prevent the arch from fully forming, which can contribute to flat feet. Foot or ankle injuries may affect the way the foot develops, especially if they happen at a young age. Additionally, conditions like cerebral palsy or muscular dystrophy can interfere with muscle control and lead to flat feet.

How are flat feet diagnosed?

If you’re concerned about your child’s feet, the best course of action is to consult our team. We will perform a physical exam and assess whether your child’s flat feet are causing any pain or difficulty. 

We may also ask about any complaints your child has, such as discomfort or trouble walking. In some cases, we may recommend imaging tests, such as X-rays or MRIs, to better understand the foot’s structure, especially if the child is older or if there are signs of other underlying issues.

Treatment options for flat feet

Most children with flat feet won’t require any medical intervention, especially if they’re not experiencing pain or difficulty walking. However, if your child’s flat feet are causing discomfort or affecting their ability to run or play, several treatment options are available. 

Orthotic insoles can help provide additional support to the arch and reduce pain. Stretching and strengthening exercises can also improve foot function, easing tension in the muscles. Wearing shoes with proper arch support is another important step in managing flat feet. In some cases, physical therapy can be beneficial for enhancing strength and coordination.

In rare instances, surgery may be necessary if flat feet are causing significant pain or mobility issues. However, surgery is generally considered a last resort and is only recommended in extreme cases.

When should you seek medical advice?

For most children, flat feet are a temporary and harmless part of growing up. However, if your child is experiencing pain, difficulty with physical activities, or if you notice any changes in their walking or posture, contact our office or schedule an online consultation to learn how we can help.