Flat Feet in Children and What Parents Should Know

Flat feet in children, often referred to as pediatric flatfoot, is a condition in which the arch of the foot does not fully develop. This causes the entire sole to come into contact with the ground. This is common in infants and younger children, as the arch typically forms gradually as muscles strengthen and bones mature. In many cases, flat feet resolve naturally with growth. However, when the condition persists or begins to cause symptoms, it may affect posture, balance, and overall movement patterns. A clear understanding of flat feet can help parents determine when observation is appropriate and when professional evaluation is needed. The symptoms of flat feet in children can range from mild to more noticeable concerns. Some children remain symptom free, while others may report aching in the feet, heel discomfort, or fatigue after activity. Parents may observe that the ankles roll inward, a pattern known as overpronation, or that shoes wear unevenly over time. Children may also avoid physical activities that involve running or prolonged standing due to discomfort. These signs can indicate that the structure of the foot is influencing stability and alignment.

There are several causes and risk factors associated with pediatric flatfoot. Genetics is one of the most common influences, as children may inherit flexible foot structures or low arches from family members. Additional contributors include ligament laxity, muscle weakness, or differences in bone development. Excess body weight can increase stress on the feet and contribute to arch flattening. In some cases, flat feet may be linked to underlying neurological or developmental conditions that affect coordination and muscle control.

While flat feet are often a normal part of early development, ongoing symptoms should not be overlooked. Early recognition and evaluation can support proper alignment and help prevent long-term strain on the feet and lower extremities. If your child is experiencing discomfort or difficulty with movement, it is suggested you consult a podiatrist for an accurate diagnosis and guidance on appropriate care and management.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact our office located in Lafayette, CO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Flatfoot

Connect With Us

Advanced Podiatric Procedures & Services in the Boulder County, CO: Lafayette (Boulder, Louisville, Superior, Erie, Gunbarrel, Broomfield, Longmont) and Weld County, CO: Firestone, Frederick, Wattenburg, as well as Adams County, CO: Brighton, Northglenn areas