When your child needs foot care

During a foot exam, the healthcare provider will watch your toddler walk. If a gait problem exists, the healthcare provider works to find its cause:

• Only 1 to 2 out of every 10 children continue to have flat feet in adulthood.

• In most cases, flat feet do not need treatment unless your child has pain or trouble moving.

• To help with severe flat feet, your child may sometimes need special shoes or custom-made shoe inserts (orthotics).

• Intoeing is when your child walks or runs with the toes pointed inward instead of straight. This may be called being "pigeon-toed." Intoeing normally corrects on its own without care.

• If your child's feet turn in or out a lot, they may need corrective shoes, splints, or night braces. But this is rare. Wearing these devices can help reposition the foot as it grows.

Your child's active feet

The foot's bone structure is pretty well formed by the time your child reaches age 7 or 8. But if the part where bone growth starts (growth plate) is injured, the damaged plate may cause the bone to grow oddly or stop growing altogether. But with a healthcare provider's care, the risk for future bone problems can be reduced.

An x-ray can show damage to a bone growth plate.

When to call the healthcare provider

If an injury is mild, your child likely will not remember it for very long. But if your child keeps complaining of pain, see your child's healthcare provider. Also call the healthcare provider anytime an injury causes:

• Serious swelling

• Localized tenderness

• Limping

• Redness

• Warmth

• Ongoing night pains 

Treating an injury

If a bone or growth plate is damaged, your child may need to use crutches to take weight off the injury as it heals. In the case of fracture, your child may need to wear a cast, boot, splint, or brace to hold the bone in place during healing.