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Pediatric Orthopedics
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Pronated Foot
- An absence of the arch that runs from the toes to the heel of the foot.
- Children can have flat
feet at birth or can get it later in life from bone or ligament
injury. This can be a familial trait. This means that if your child has flat feet, it
may have been passed down from someone else in your family.
- Flatfootedness can be caused by loose ligaments or weak muscles in
the foot. This type is usually flexible and asymptomatic.
When a flatfoot is caused by a
bony deformity (stiff flat foot), it often times will cause pain
and may require surgery.
- In children with a stiff flat foot deformity, it is
important to determine the cause. In those cases, X-rays and other
tests can often help make the diagnosis. The treatment of this type
of flatfoot is more complex and may require surgery.
- Flat feet are very common in children.
- If your child has flat
feet, you may notice him walking with his ankles turned in. Your
child may also complain about feeling especially tired after activities in which he or
she did a lot of standing or walking.
- The goal of the
treatment of flexible flat feet is to make sure the child can stand
and walk efficiently. The physicians will probably suggest that your
child wear shoes with a good arch support built in. We have
found that "Nike" and "Reebok" brand shoes have
a good arch support. Sometimes high top shoes can help control the
ankle turning as well. Occasionally, special arch supports are
needed to decrease the symptoms.
- It is important to realize that wearing a tennis shoe
with a good arch will not make an arch develop on your child's foot.
He or she will still have a flat foot when walking bare footed.
There is no surgical or non-surgical technique
available to dependably develop an arch in a flatfoot.
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