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Children’s Foot Development: Developmental Milestones and Concerns

As children’s foot development takes its first steps, it’s common to encounter a few bumps along the way. From in-toeing to Sever’s disease, these growing pains are part of the journey as little ones explore the world with developing feet. Let’s take a look at what foot conditions might correspond with your child’s age.

Ages 1-3: In-Toeing and Toe-Walking

Troublesome toes occurring during the “terrible twos” can be concerning. But these quirky walking patterns are totally normal developmental milestones for children’s foot development. No cause for alarm or invasive treatment! 

In-toeing, also known as pigeon-toeing, is when a child’s feet turn inward instead of pointing straight ahead while walking. Toe walking is when a child walks on the balls of their feet with their heels off the ground.

Up to Ages 3-4: Flat Feet

Children around this age will have pen planus, also known as fallen arches or flat feet. This is when the entire sole of their foot contacts the ground while standing and walking. Traditional children’s foot development is at play here, as arches in children’s feet develop around age 6. No treatment is generally needed for flat feet before this point, unless your child’s flat feet persist as they age, in which case you may want to consider custom orthotics, stability shoes and other treatments for flat feet

Older aged child with blister on the bottom of the foot

5+ Years Old: Blisters 

As kids get older, gain a sense of independence and participate in more physical extracurricular activities and outdoor play, they may start to develop skin conditions on their feet. Enter: blisters. These are a pretty common condition that’s usually harmless, but can painful and bothersome for kids when they walk. Blisters form as a result of excessive friction between shoes and the foot’s skin. 

Read here to learn the best ways of preventing foot problems like blisters and how to choose the right shoes for children! 

Puberty and Growth Spurts: Sever’s Disease

Did you know that the concept “growing pains” in children is not what most people think it is? While kids may experience pain as they grow, the pain itself is not caused by growing. 

But what can cause pain for kids going through puberty is something called Sever’s Disease, which is like a kid’s-only version of injuries like plantar fasciitis, Achille’s tendonitis and heel spurs. 

Sever’s disease kicks in when a growing heel gets overworked, causing inflammation. It leads to sharp heel pain, especially when kids are on the move, like during sports and playtime! Kids between 9 and 14 are the most vulnerable. 

Solid foot care for kids can help offset Sever’s disease. Try the RICE method: rest, ice, compression and elevation. You should also buy your child supportive footwear to ease the strain on the heel. Avoiding high-impact activities can also help speed up recovery.

Enjoy Top Toronto Pediatric Foot Health Today!

Need a chiropodist or podiatrist for your children? Our Toronto chiropodists can tackle the most common foot conditions in kids — simply bring them in for an assessment and we’ll take it from there! Call us at (416) 769-3338 or book an appointment here!

Banner image by pressfoto from FreePik! Second body image by FreePik!

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Carolina Charles

Patient Relation Coordinator (She/Her)

If you’ve been to the clinic before, chances are you had the pleasure of meeting Carolina! Carolina’s daily goal is going above and beyond to make sure patients are always completely satisfied. Having worked in the podiatry industry for 22 years, Carolina brings a wealth of knowledge pertaining to client service, insurance policies, and procedures.​ She steers the ship to make sure everything runs smoothly on the daily. Carolina is known for spicing up every outfit with her signature costume jewellery.