Flat Feet in Children – Causes, Symptoms & Treatment in Mumbai
Flat feet (also called pes planus) is one of the most common concerns among parents in Mumbai. Many children appear to have little or no arch while standing, which often leads parents to worry about walking problems, posture issues, or long-term foot deformities. The good news is that most cases are normal—but some require timely evaluation by a Pediatric Orthopedic Surgeon in Mumbai to prevent future complications.
In this guide, Dr. Rajesh Panchal, a leading Pediatric Orthopedic Surgeon in Kandivali, Borivali, Malad & Goregaon, explains everything you need to know about flat feet in children: causes, symptoms, diagnosis, treatment, and when to seek help.
What Are Flat Feet in Children?
Flat feet occur when the arch of the foot does not develop properly and the entire sole touches the ground when standing. This is very common in infants and toddlers because arches naturally develop between the ages of 3–7 years.
There are two main types:
- Flexible Flat Feet – The arch appears when the child is sitting or standing on toes. This is the most common and usually harmless.
- Rigid Flat Feet – The arch is absent even when not bearing weight. This type needs medical evaluation.
Causes of Flat Feet in Children
- Normal development – Most children are born with flat feet.
- Flexible ligaments – The ligaments and muscles are naturally loose in growing children.
- Family history – Flat feet can run in families.
- Obesity – Excess weight increases pressure on developing arches.
- Tight Achilles tendon
- Foot injuries or fractures
- Neuromuscular conditions (rare)
If flat feet persist beyond age 7 or cause pain, it may indicate an underlying condition such as:
- Tarsal coalition
- Vertical talus
- Cerebral palsy
- Muscular dystrophy
Symptoms of Flat Feet in Children
Most children do not have symptoms. However, watch for:
- Foot pain during walking or running
- Heel or arch pain
- Easily tired legs
- Abnormal walking pattern (in-toeing or out-toeing)
- Knee or lower back pain
- Shoes wearing out unevenly
If your child shows these symptoms, consult a Pediatric Orthopedic Specialist in Mumbai.
How Flat Feet Are Diagnosed
At Orthokid Clinic, Dr. Rajesh Panchal performs:
- Physical examination
- Gait analysis (walking pattern study)
- Flexibility tests
- Heel-rise test
- X-ray if needed (for rigid flat feet or associated deformities)
This helps determine whether the flat foot is flexible, normal, or needs treatment.
Treatment of Flat Feet in Children
1. No Treatment Needed for Most Children
If there is no pain, no abnormal walking pattern, and the child is under 7 years old, treatment is usually not necessary.
2. Footwear Advice
Proper footwear helps improve comfort and walking:
- Firm heel counter
- Flexible sole
- Avoid very soft shoes or slippers
3. Arch Supports / Insoles
Custom orthotic insoles may be recommended when:
- The child has pain
- There is ankle rolling (overpronation)
- Walking pattern is affected
Insoles do not “create” arches but provide excellent pain relief and alignment.
4. Physiotherapy
Exercises recommended by a pediatric physiotherapist help strengthen foot muscles:
- Heel raises
- Towel scrunches
- Tiptoe walking
- Ankle stretches
5. Treatment for Rigid Flat Feet
Rigid flat feet usually require treatment because they cause pain and difficulty walking. Depending on the cause, treatment may include:
- Physiotherapy
- Customized orthotics
- Correction of tight Achilles tendon
- In rare cases – surgery
When to See a Pediatric Orthopedic Surgeon?
Immediate evaluation is needed if:
- Flat feet continue beyond age 7
- The child has pain or fatigue
- Walking pattern is abnormal (in-toeing/out-toeing)
- Feet appear stiff or rigid
- There is swelling or tenderness
- Shoes wear out unevenly
Early diagnosis helps prevent long-term foot and knee issues.
Flat Feet in Children – Treatment in Mumbai
Dr. Rajesh Panchal provides complete evaluation and treatment for flat feet at Orthokid Clinic and visits hospitals across Kandivali, Borivali, Malad, Goregaon. With a child-friendly approach, accurate diagnosis, and personalized treatment, most children recover comfortably without surgery.
Book a Consultation
Dr. Rajesh Panchal
Pediatric Orthopedic Surgeon – Mumbai
📍 Locations: Kandivali • Borivali • Malad • Goregaon
🌐 Website: orthokid.co.in
FAQs
1. Are flat feet normal in children?
Yes, most children below age 7 have flexible flat feet which are completely normal.
2. Can flat feet cause long-term problems?
Most cases do not. Treatment is only needed if there is pain or walking issues.
3. Do insoles cure flat feet?
No. Insoles help improve alignment and reduce pain but do not permanently build arches.
4. When should I worry about flat feet?
When there is pain, stiffness, or abnormal walking. In such cases, visit a pediatric orthopedic specialist.
5. Can exercises help flat feet in kids?
Yes. Strengthening and stretching exercises improve muscle control and comfort.
