Flat Feet in Children

Do your child’s feet appear flat when they are standing or walking? If so, then there is a good chance they have flat feet.

This condition is very common in children, especially in the early years when the arch is still developing. However, while many outgrow the issue as they get older, some continue to have low or no arches. This may cause discomfort, balance problems, issues with posture, or even pain during movement.

At Gold Coast Foot Centres, our experienced children’s podiatrists understand the importance of healthy foot development during childhood. That’s why we offer a thorough diagnosis, practical management options, and customised orthotic solutions to help support your child’s growing feet.

It doesn’t matter what the cause of their issues is. Our goal is to help them stay active, confident, and pain-free as they grow and develop.

What Exactly is Flat Feet in Children?

Flat feet occur when the arches on the inside of the feet are either very low or completely flattened. Also known as fallen arches, this condition often occurs because the bones, joints, and ligaments in the feet are still developing. 

Many children under the age of six naturally have low arches, and their feet may appear flat when standing. This is referred to as flexible flatfoot. It is considered a normal stage in the development of the foot arch.

The arches usually form as your child grows. But in some cases, the foot remains flat into adolescence and adulthood. However, when the arches do not form properly or when the foot rolls inward excessively, it can affect foot posture, gait, and even lead to leg or knee pain in children. This is a condition known as pronation.

Why Do Children Develop Flat Feet?

Several factors contribute to flat feet in children. Most of them relate to growth and biomechanics. Some of the main ones include the following:

• Genetics: Flat feet can be hereditary. Therefore, if one or both parents have flat feet, their children are more likely to inherit this condition as well.

• Ligament laxity: Some children have naturally flexible ligaments that cause the arch of their foot to collapse when standing.

• Muscle imbalance: If a child has weakness in the muscles that support the arch, it can lead to a flattened foot posture.

• Obesity: Excess body weight puts additional pressure on developing feet. This can worsen low arches in kids.

• Neuromuscular conditions: Certain medical conditions, such as cerebral palsy or muscular dystrophy, can affect a child’s foot development.

• Improper footwear: Wearing shoes that lack arch support or structure can contribute to poor foot biomechanics in children.
  

Flexible flatfoot is usually harmless. However, a rigid flatfoot (a condition where the arch doesn’t form even when the child is standing on tiptoes) can be a sign of a structural problem. Typically, they require professional attention.

What Are The Signs & Symptoms of Flat Feet?

In many cases, flat feet in children aren’t too painful. However, when symptoms do appear, they may manifest as:

• Foot pain, especially around the heel or arch area.

• Leg, knee, or lower back pain.

• Shoes being worn unevenly.

• Difficulty standing for long periods.

• Fatigue or clumsiness during walking and running.

• Poor balance or coordination.
  

If you find that your child avoids physical activity, complains of sore feet, or shows signs of walking difficulties, it may be time to see a children’s podiatrist for an assessment.

At Gold Coast Foot Centres, we find that the earlier flat feet are treated, the greater the likelihood of preventing long-term discomfort. That is why we encourage parents to make an appointment for their child at the first sign of discomfort.

What to Expect at Your Podiatrist Visit?

Our goals are two-fold. Firstly, we aim to provide a clear diagnosis of your child’s condition. Then we want to develop a tailored approach to help their feet develop in a healthy and supported manner.

During your child’s assessment, our expert podiatrists will first conduct a gentle and detailed examination. Their primary goal will be to understand your child’s foot structure, gait, and movement patterns.

Typically, your appointment may include:

• Visual assessment: Observing the way your child walks and stands.

• Gait analysis: Using advanced foot posture assessment tools to check their alignment and weight distribution.

• Flexibility testing: Determining whether the flat feet are flexible or rigid.

• Evaluating their footwear: Reviewing your child’s shoes to ascertain if they support and fit them properly.
  

Our team may also recommend imaging or referral should they suspect a structural or neuromuscular cause.

What Are The Different Treatment Options for Flat Feet in Children?

The good news is that not all children with flat feet will require treatment. However, when symptoms develop or posture problems arise, it is essential to have them managed by a qualified and experienced professional.

At Gold Coast Foot Centres, our approach is based on providing the best levels of comfort, alignment, and long-term mobility. Typically, treatment options we recommend include:

1. Custom Foot Orthotics

Custom orthotics for children are designed to support their arches, improve their stability, and reduce any strain they may feel in their feet and legs. These are especially useful for children experiencing heel and arch pain, fatigue, or gait abnormalities.

Unlike generic insoles, our orthotics are individually prescribed and tailored to each patient's specific needs. This only happens after a detailed biomechanical analysis, which is why we can ensure your child receives the perfect fit and optimal level of support.

2. Supportive Footwear

Wearing good shoes can make a significant difference for children with flat feet. We recommend putting on supportive footwear that features firm heel counters, structured soles, and cushioned insoles. We also advise against wearing shoes that are too flexible or unsupportive. This includes thongs or flat sneakers.

If you are unsure, our podiatrists can recommend brands and styles that provide the right foot alignment and comfort for your child’s growing feet.

3. Strengthening Exercises

By doing gentle foot strengthening exercises, your child can significantly improve their arch support and coordination. These may include walking on their tiptoes, picking up objects with the toes, or rolling the foot over a small ball.

Such exercises are a simple and effective way to improve their muscle balance. It also helps to improve and promote the formation of their natural arch.

4. Regular Monitoring

As children grow, their foot shape and biomechanics change. That is why we recommend they have routine check-ups to ensure their orthotics or footwear continue to provide the necessary levels of support.

Our paediatric podiatry team provide ongoing care and adjustments as your child develops. This helps them to stay comfortable and active.

Why Choose Gold Coast Foot Centres for Children’s Flat Feet Care

At Gold Coast Foot Centres, our team of experienced podiatrists specialises in paediatric podiatry. Therefore, they understand, and have deep expertise, about the condition of growing feet.

We use advanced diagnostic tools and a gentle approach to assess and treat flat feet in children of all ages. This includes everything from gait analysis and orthotic therapy to education on footwear and exercises. Subsequently, the care plans we develop are all tailored to the needs of each child.

Many families across the Gold Coast trust us for our professional advice. Inclusive and welcoming, our team, and practice, focus primarily on what is in the best interest of your child. We’re here to ensure their feet stay healthy, strong, and supported over the long term.

Next Steps: What to Do If You Think Your Child Has Flat Feet

If you’ve noticed that your child has flat feet or complains of discomfort while walking or playing, it is essential to seek a professional assessment as soon as possible.

At Gold Coast Foot Centres, we take a caring, evidence-based approach to assessing and managing flat feet in children. We’ll guide you through every stage, from diagnosis to treatment, and provide you with practical strategies for everyday support.

Book a paediatric podiatry assessment today at our conveniently located Gold Coast clinics. Let our podiatrists help your child walk, run, and grow with confidence.

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