Why Do Some Babies Have Flat Feet?

As a podiatrist, I often get questions from concerned parents about their baby’s flat feet. It's a common issue that can cause worry, but understanding its nature and knowing when to seek help can ease many concerns. In this blog post, we'll explore what flat feet are, why they occur in babies, and what parents should do about them.

What are Flat Feet?

Flat feet, or pes planus, refer to the condition where the arch of the foot is either very low or completely absent, causing the entire sole to make contact with the ground. In infants and young children, flat feet are quite common and usually not a cause for concern.

Why Do Babies Have Flat Feet?

Several factors contribute to flat feet in babies:

1. Developmental Stage: Babies are typically born with flat feet because their arches haven't developed yet. The arch generally forms as they grow, often by the age of 3 to 5 years.
2. Fat Pads: Infants have a layer of fat in their feet that hides the developing arch, making their feet appear flat, this is especially prominent up until 3 years of age.
3. Ligament Laxity: Babies have more flexible ligaments and joints, which can cause their feet to flatten out when they stand or walk.

Symptoms and Signs

While flat feet in babies are often normal, it’s important to monitor for any signs that might indicate a problem:

• Pain or Discomfort: If your child seems to be in pain, especially around the feet, ankles, or lower legs.
• Walking Issues: Difficulty in walking, frequent tripping, or an awkward gait.
• Swelling: Noticeable swelling around the inner part of the ankle.

When to Seek Medical Advice

Flat feet in babies usually do not require treatment unless they are causing pain or affecting the child’s ability to walk and run. However, you should consult a podiatrist if:

• Your child complains of persistent pain in their feet or legs.
• There is noticeable stiffness or lack of mobility in the foot.
• The flat feet persist beyond early childhood without showing signs of developing an arch.

Treatment and Management

For most babies and toddlers, flat feet are a normal part of development and do not require any intervention. However, if treatment is needed, options may include:

1. Supportive Footwear: Ensure your child wears well-fitted shoes that provide adequate support. Avoid overly rigid shoes; flexible soles are better for foot development.
2. Observation: Regular monitoring by a podiatrist to track the development of the arch and ensure that the flat feet are not causing other issues.
3. Physical Therapy: Exercises designed to strengthen the foot muscles and improve flexibility can be beneficial.
4. Orthotic Inserts: Custom orthotic inserts may be recommended to support the arch and improve foot alignment if the flat feet cause discomfort.

Encouraging Healthy Foot Development

Parents can help encourage healthy foot development in their babies through several practices:

• Barefoot Time: Allowing your baby to go barefoot (when safe) or wearing footwear that mimics a natural barefoot walking pattern, such as the Attipas range,  to help strengthen their foot muscles and promotes natural arch development.
• Foot Exercises: Simple exercises, like picking up objects with their toes or tip-toeing, can help strengthen the arches.

Conclusion

Flat feet in babies are typically a normal phase of development and not usually a cause for concern. Understanding the condition, knowing what to look for, and when to seek professional advice can help ensure your child’s feet develop healthily. If you ever have concerns about your child’s foot development, don’t hesitate to reach out to a podiatrist for guidance and reassurance.

For more information and advice on foot health for babies, feel free to reach out to our clinic or visit our website.

By Monique Milne Podiatrist at Well Heeled Podiatry

Suite 1/ 362 Hampton St, Hampton, VIC 3188

Phone: (03) 9603 0334

contact@wellheeledpodiatry.com