The doctors at the Michigan Foot and Ankle Center are experts at addressing foot deformities in children, ranging from infants to teenagers. Below is some general information regarding children’s feet.
A child’s feet grow rapidly during their first year, reaching almost half their adult foot size. This is why foot specialists consider the first year to be the most important in the development of the feet.
Here are some suggestions to help you assure that this development proceeds normally:
- Look carefully at your baby’s feet. If you notice something that does not look normal to you, seek professional care immediately.
- Provide an opportunity for exercising the feet.
- Lying uncovered enables the baby to kick and perform other related motions which prepare the feet for weightbearing.
- Change the baby’s position several times a day. Lying too long in one spot, especially on the stomach, can put excessive strain on the feet and legs.
Starting to Walk
It is unwise to force a child to walk. When physically and emotionally ready, the child will walk. Comparisons with other children are misleading, since the age for independent walking ranges from 10 to 18 months.
When the child first begins to walk, shoes are not necessary indoors. Allowing the youngster to go barefoot or to wear just socks helps the foot to grow normally and to develop its musculature and strength, as well as the grasping action of toes. Of course, when walking outside or on rough surfaces, babies’ feet should be protected in lightweight, flexible footwear made of natural materials.
As a child’s feet continue to develop, it may be necessary to change shoe and sock size every few months to allow room for the feet to grow. Although foot problems result mainly from injury, deformity, illness, or hereditary factors, improper footwear can aggravate preexisting conditions. Shoes or other footwear should never be handed down. The feet of young children are often unstable because of muscle problems which make walking difficult or uncomfortable.
Millions of American children participate in team and individual sports, many of them outside the school system, where advice on conditioning and equipment is not always available. Parents should be concerned about children’s involvement in sports that require a substantial amount of running and turning, or involve contact. Protective taping of the ankles is often necessary to prevent sprains or fractures. Parents should consider discussing these matters with their family podiatrist if they have children participating in active sports. Sports-related foot and ankle injuries are on the rise as more children actively participate in sports.
Advice for Parents
Problems noticed at birth will not disappear by themselves. You should not wait until the child begins walking to take care of a problem you’ve noticed earlier. Remember that lack of complaint by a youngster is not a reliable sign. The bones of growing feet are so flexible that they can be twisted and distorted without the child being aware of it.
Walking patterns should be carefully observed. Does the child toe in or out, have knock knees, or other gait (walking) abnormalities? These problems can be corrected if they are detected early. Going barefoot is a healthy activity for children under the right conditions. However, walking barefoot on dirty pavements exposes children’s feet to the dangers of infection through accidental cuts and to severe contusions, sprains or fractures. Another potential problem is plantar warts, a condition caused by a virus which invades the sole of the foot through cuts and breaks in the skin. They require protracted treatment and can keep children from school and other activities.
Be careful about applying home remedies to children’s feet, as many can cause irritation and damage to the feet.