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Pediatric Flatfoot - Mapplewood Podiatry
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Pediatric Flatfoot

Definition
Pediatric flatfoot occurs when there is a partial or total collapse of the arch of the foot.

Most children have some degree of flat feet at birth and most who present to a podiatrist do not need treatment.  However, some conditions progress and do require intervention.  There is also a difference between a “flexible” and a “rigid” flatfoot.  A flexible flatfoot is noted when the arch seems to collapse while the child is standing and the arch is visible when not standing.  The diagnosis of a rigid flatfoot is made when the arch is not present whether the child is standing or not.

Symptoms
Children often present with the following symptoms:

Pain when walking, running or after running

Outward position of the heel while standing

Pain in shoes

Diagnosis
Your podiatrist will examine the child while standing and take x-rays to determine the severity of the condition.
 

Treatment
An asymptomatic or minimally symptomatic foot may not require treatment.  Sometimes a custom orthotic may provide enough support to decrease symptoms and prevent the development of potential problems.

Surgical treatment is rarely indicated for a true flexible flatfoot.  There are a variety of techniques to treat the painful pediatric flatfoot, depending on the foot type and degree of deformity.