Children’s Feet

Pediatric Flatfoot

What is pediatric flatfoot?

Flatfoot is common in both children and adults. There are several types of flatfoot. What they all have in common is partial or total collapse of the arch.
  • Asymptomatic flatfoot- This means there are no symptoms but the child does have a flat foot.
  • Symptomatic flatfoot- Described as being flexible or rigid.  Flexible means that the foot is flat when standing but the arch returns when not standing. Rigid means the arch is always stiff and flat, whether standing on the foot or not. The most common types of flatfoot categorized as rigid are tarsal coalition and congenital vertical talus.


Symptoms of flatfoot include:
  • Pain, tenderness, or cramping in the foot, leg, and knee.
  • Outward tilting of the heel.
  • Awkwardness or changes in walking.
  • Difficulty with shoes.
  • Reduced energy when participating in physical activities.
  • Voluntary withdrawal from physical activities.


  • Orthotic devices. Custom orthotics devices that fit in shoes to support the structure of the foot and improve function.
  • Shoe modification. A good supportive shoe is important for children. The shoe should bend at the tip but not at the arch.
  • Medications. NSAIDS such as ibuprofen can help with reducing inflammation.
  • Activity modification. Temporarily decreasing activity that brings pain and avoiding prolonged standing and walking.

Pediatric Heel Pain

What is Pediatric Heel Pain?

Heel pain is a symptom, not a disease. In children, heel pain is often a warning sign. Heel pain is common in children because they have growing feet. Heel pain is caused by too much stress on the growth plates.


Pediatric heel pain is normal associated with the following symptoms:
  • Pain in the bottom or back of the heel.
  • Limping.
  • Walking on toes.
  • Difficulty participating in usual activities or sports.


  • Reduce activity. Reduce or stop any activity that causes pain.
  • Orthotic devices. Custom orthotic devices made for your shoes can help support the shoe properly.
  • Immobilization. Some children will need to avoid weight-bearing on the painful foot for a while.  The child may need to be placed in a cast to promote healing while keeping the foot totally.

If you are concerned about your Children's Foot Problems, please call us at 704-504-1004 or Click Here to request an appointment.

Get in touch.

InStride - Queen City Foot and Ankle Specialists

11030 South Tryon Street
Suite 308
Charlotte, NC 28273