Flat Foot In Children
Flat feet in children and its treatment is considered by many health professionals to be controversial. A lower arch in the toddler or beginning walker always appears flat. This is a normal part of physiological development of the arch of the foot. There is also more fat in the arch at this stage giving the impression that the arch is actually flatter than it really is. By the time the normal heel-toe gait pattern of adults develop around the age of six years, the arch should become more normal looking. Consideration is always given by parents and grandparents to consulting a health professional when it does not appear normal.
Most young children with flat feet do tend to grow out of them naturally, but some do not and at a later age they may become symptomatic. As the child is still developing and growing, this is why the debates between health professionals occur as to if it needs treating. If the foot is symptomatic, then of course is should be treated. However, if it is what is known as an asymptomatic paediatric flat foot, then the decision to treat is an ethical one. For example, should they be fitted with foot supports or foot orthotics and pay money for these if they are going to grow out of the problem. There is lots of discussion, argument and debate with no clear evidence either way.
Those that need to be treated are those who are at risk of developing problems in the future. If both parents have flat feet, then there is a good chance that the child is less likely to grow out of it. Perhaps those who are severe are less likely to grow out of it. Those who show no sign of improvement if followed for a year or more should probably be treated. Pediatric flatfoot is a controversial subject.
