Flat Feet in Children
The appearance of flat feet is normal and common in infants, partly due to "baby fat" which masks the developing arch and partly because the arch has not yet fully developed. The human arch develops in infancy and early childhood as part of normal muscle, tendon, ligament and bone growth. Training of the feet, especially by foot gymnastics and going barefoot on varying terrain, can facilitate the formation of arches during childhood, with a developed arch occurring for most by the age of four to six years. Flat arches in children usually become proper arches and high arches while the child progresses through adolescence and into adulthood. A survey of 297 school children at Allahabad, Uttar Pradesh, India revealed that 40.32% of children under 5, 22.15% of children between 5 and 10, and, 15.48% of children older than 10 suffered bilateral flat foot.
Because young children are unlikely to suspect or identify flat feet on their own, it is a good idea for parents or other adult caregivers to check on this themselves. Besides visual inspection, parents should notice whether a child begins to walk oddly or clumsily, for example on the outer edges of the feet, or to limp, during long walks, and to ask the child whether he or she feels foot pain or fatigue during such walks. Children who complain about calf muscle pains or any other pains around the foot area, may be developing or have flat feet. Pain or discomfort may also develop in the knee joints. A recent randomized controlled trial found no evidence for the efficacy of treatment of flat feet in children either for expensive prescribed orthoses (shoe inserts) or less expensive over-the-counter orthoses.
Read more about this topic: Flat Feet
Famous quotes containing the words flat, feet and/or children:
“The allurement that women hold out to men is precisely the allurement that Cape Hatteras holds out to sailors: they are enormously dangerous and hence enormously fascinating. To the average man, doomed to some banal drudgery all his life long, they offer the only grand hazard that he ever encounters. Take them away, and his existence would be as flat and secure as that of a moo-cow.”
—H.L. (Henry Lewis)
“For nature, heartless, witless nature,
Will neither care nor know
What stranger’s feet may find the meadow
And trespass there and go,
Nor ask amid the dews of morning
If they are mine or no.”
—A.E. (Alfred Edward)
“I would hope that parents and grown children could be friends. When a friend confides in you that she’s going to do something that you think is most inappropriate, foolhardy or even dangerous, wouldn’t you as a friend say so—in a calm, supportive way? Yet I have to be so careful what I say to my children. I have to walk on eggs to be sure I’m not hurting their feelings or interfering with their lives.”
—Anonymous Parent of Adult Children. Ourselves and Our Children, by Boston Women’s Health Book Collective, ch. 5 (1978)