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.
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:
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.
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:
In some cases, surgery is necessary to relieve the symptoms and improve foot function. The surgical procedure or combination of procedures selected for your child will depend on his or her type of flatfoot and degree of deformity.