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What Is Pediatric Flatfoot?
Flatfoot is common in both children and adults. When this deformity occurs in children, it is referred to as pediatric flatfoot. Although there are various forms of flatfoot, they all share one characteristic—partial or total collapse of the arch.
Pediatric flatfoot can be classified as symptomatic or asymptomatic. Symptomatic flatfeet exhibit symptoms, such as pain and limitation of activity, while asymptomatic flatfeet show no symptoms. These classifications can assist your foot and ankle surgeon in determining an appropriate treatment plan.
Symptoms
Flatfoot can be apparent at birth or it may not show up until years later. Most children with flatfoot have no symptoms, but some have one or more of the following symptoms:
- Pain, tenderness or cramping in the foot, leg and knee
- Outward tilting of the heel
- Awkwardness or changes in walking
- Difficulty with shoes
- Reduced energy when participating in physical activities
- Voluntary withdrawal from physical activities
Diagnosis
In diagnosing flatfoot, the foot and ankle surgeon examines the foot and observes how it looks when the child stands and sits. The surgeon observes how the child walks and also evaluates range of motion of the foot. Because flatfoot is sometimes related to problems in the leg, the surgeon may also examine the knee and hip.
X-rays are often taken to determine the deformity’s severity. Sometimes additional imaging and other tests are ordered.
Conservative Treatment
If a child has no symptoms, treatment is often not required. Instead, the condition will be observed and reevaluated periodically by the foot and ankle surgeon.
Custom orthotic devices may be considered for some cases of asymptomatic flatfoot.
When the child has symptoms, treatment is required. The foot and ankle surgeon may select one or more of the following nonsurgical approaches:
- Activity modifications. The child needs to temporarily decrease activities that bring pain as well as avoid prolonged walking or standing.
- Orthotic devices. The foot and ankle surgeon can provide custom orthotic devices that fit inside the shoe to support the structure of the foot and improve function.
- Physical therapy. Stretching exercises, supervised by the foot and ankle surgeon or a physical therapist, provide relief in some cases of flatfoot.
- Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to help reduce pain and inflammation.
- Shoe modifications. The foot and ankle surgeon will advise you on footwear characteristics that are important for the child with flatfoot.
Surgery
Pediatric Flatfoot in Orange County
The above condition is not the only ones that can be experienced in children’s feet, of course. They can always fall victim to everyday, any-age problems such as plantar warts, ingrown toenails, and trauma, too. Whenever your baby, child, or teen needs expert foot and ankle care, the doctors at Artisan Foot and Ankle Specialists are here to provide it. Our goal is to guide growing feet to a happy future, whether it requires immediate treatment or long-term supervision.
Come see us at our beautiful office in Newport Beach or request an appointment online. Our podiatrists are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.
