• This is one of the most common complaint
• Many parents are worried that their child is flat footed
• In new born, the arches have not yet developed fully and the foot may appear to be flat. But even at this stage it is advisable to have it examined by and expert.
• When the child starts walking at the age of one year, the muscles may not be strong enough to support the body weight and the foot may appear flat.
• If by the age of three years, the foot still appears flat it needs to be examined in detail.
• Majority of cases require simple foot wear modification in the form of Boots with extended heel and insoles which support the arch.

More information for doctors

The causes of flat feet in children may be :

Pseudo Flat Foot

• In newborn due to pad of fat in the sole of the foot

Congenital

• Due to vertical talus
• Accessory navicular bone
• Tarsal coalition

Developmental

• Weak muscles
• Excessive body weight

Paralytic

• Post polio
• Cerebral palsy
• Muscular disorders

Ligamentous

• Weak ligaments as in rickets
• Congenital ligamentous laxity

Treatment will depend on the cause. Surgery may be needed early in congenital vertical talus and paralytic varieties to prevent future complications.