Flatfoot, or pes planus, is a common condition in children where the arch of the foot is either absent or has not yet fully developed. While many children with flatfoot experience no symptoms and may not require treatment, understanding the condition can help parents make informed decisions about their child’s foot health.
At Cella Foot & Ankle Specialty, we specialize in diagnosing and treating pediatric flatfoot, ensuring children grow up with healthy, strong feet. Here’s everything you need to know about flatfoot in children.
What is Flatfoot?
Flatfoot occurs when the arch of the foot is flattened, causing the entire sole to touch the ground when standing. In children, flatfoot is often considered a normal developmental phase, as many are born with flexible flatfoot that typically resolves by age 6 as the foot matures.
However, in some cases, the condition may persist or cause discomfort, requiring medical evaluation and intervention.
Types of Flatfoot
- Flexible Flatfoot
- The arch appears when the child is sitting or on tiptoe but flattens when standing.
- Often painless and does not limit activity.
- Rigid Flatfoot
- The arch is always absent, even when not bearing weight.
- More likely to cause pain or mobility issues and may indicate an underlying structural problem.
Causes of Flatfoot in Children
- Genetics: Family history of flatfoot can increase the likelihood of a child developing the condition.
- Ligament Laxity: Loose or overly flexible ligaments in the foot.
- Underlying Conditions: Conditions like tarsal coalition (fusion of foot bones) or neuromuscular disorders may contribute to rigid flatfoot.
- Obesity: Excess weight can place additional stress on developing feet, exacerbating flatfoot.
Symptoms of Flatfoot
While many children with flatfoot are asymptomatic, some may experience:
- Pain or discomfort in the feet, ankles, or lower legs.
- Fatigue or difficulty walking or running.
- Difficulty finding properly fitting shoes.
- Visible changes in gait, such as inward rolling of the ankle (overpronation).
Diagnosis and When to Seek Help
If your child experiences foot pain, limited mobility, or you notice an unusual gait, it’s time to consult a podiatrist. At Cella Foot & Ankle Specialty, we use comprehensive diagnostic techniques, including physical exams and imaging tests like X-rays, to assess the condition accurately.
Treatment Options for Pediatric Flatfoot
- Observation
- If the flatfoot is flexible and asymptomatic, no treatment may be necessary. Regular monitoring ensures the condition does not worsen.
- Orthotic Devices
- Custom orthotics or insoles provide arch support and alleviate discomfort during physical activities.
- Stretching Exercises
- Exercises to strengthen the foot muscles and improve flexibility can be beneficial, especially for tight Achilles tendons.
- Supportive Footwear
- Shoes with proper arch support and cushioning can reduce pain and improve gait.
- Physical Therapy
- Tailored therapy sessions may address pain, improve mobility, and correct overpronation.
- Surgical Intervention
- In severe cases, especially for rigid flatfoot or when associated with structural abnormalities, surgery may be recommended to correct the condition.
Comprehensive Q&A Section
Q: Is flatfoot in children normal?
A: Yes, flexible flatfoot is normal in young children and usually resolves as they grow. Persistent flatfoot beyond age 6 or symptomatic cases should be evaluated by a podiatrist.
Q: Can flatfoot cause long-term problems?
A: Left untreated, symptomatic flatfoot can lead to issues such as chronic pain, difficulty walking, and an increased risk of injuries.
Q: How can I tell if my child’s flatfoot needs treatment?
A: Watch for signs like pain, limited mobility, difficulty participating in physical activities, or noticeable changes in gait.
Q: Will my child need surgery for flatfoot?
A: Surgery is typically a last resort and is only considered for severe cases or rigid flatfoot that does not respond to conservative treatments.
Q: Are orthotics safe for children?
A: Yes, custom orthotics are safe and can significantly improve comfort and foot alignment in children with symptomatic flatfoot.
Q: Can flatfoot be prevented?
A: While flatfoot itself may not always be preventable, maintaining a healthy weight, using proper footwear, and encouraging physical activity can support overall foot health.
Why Choose Cella Foot & Ankle Specialty?
At Cella Foot & Ankle Specialty, we understand the unique needs of growing children and are committed to providing compassionate, personalized care. Our state-of-the-art facility and expert team ensure your child receives the best possible treatment for flatfoot and other foot conditions.
Contact Us
19-21 Fair Lawn Avenue, Suite 2A
Fair Lawn, NJ 07410
Phone: (201) 773-6557
If you’re concerned about your child’s flatfoot or have questions about their foot health, schedule an appointment with us today. Together, we can help your child step confidently into a healthier future!