Noticing your child has flat feet? You’re not alone. Flat feet in kids—also known as pediatric flat foot—are a common condition, especially in toddlers and young children. In many cases, it’s a normal part of development. But if your child is experiencing pain, poor balance, or difficulty walking, it may be time to see a podiatrist or foot specialist.
At Ankle & Foot Centers of America in Carrollton, our experienced team provides expert care for children with flat feet. From recommending the best shoes for flat feet kids to offering personalized pediatric flat foot treatment, we’re here to support healthy foot development at every stage.
Let’s take a closer look at how to treat and manage flat feet in kids—with the help of Carrollton’s trusted pediatric foot specialists.
Table of Contents
What Are Flat Feet in Kids?
Flat feet happen when the arches on the inside of the feet don’t develop or appear flat when standing. In young children, this is usually normal. Most kids are born with flat feet because their arches are not fully formed yet. For many, the arches appear as they grow older.
There are two main types of pediatric flat foot:
-
Flexible flat feet, where the arch is visible when the child is sitting or on tiptoes
-
Rigid flat feet, where the arch is always missing, even when not bearing weight
Flexible flat feet are more common and usually painless. On the other hand, rigid flat feet may cause discomfort and should be evaluated by a podiatrist.
While many toddlers have flat feet, the condition usually improves by age 5. If your child still has flat feet after that—or complains of pain—it’s a good idea to schedule an exam with a foot specialist.
What Causes Flat Feet in Kids?
Flat feet in kids can have several causes. In many cases, it’s simply part of normal growth and development. Most children are born with flat feet, and their arches gradually form as the muscles and tendons strengthen over time.
However, some kids continue to have flat feet due to:
-
Genetics – Flat feet often run in families. If you or a close relative has flat arches, your child may too.
-
Loose ligaments or joint hypermobility – Flexible joints can make it harder for arches to hold their shape.
-
Tight heel cords or weak muscles – Muscle imbalances may affect foot posture and alignment.
-
Neuromuscular conditions – In rare cases, flat feet may result from a condition that affects the nerves or muscles.
Even if flat feet are inherited, that doesn’t mean they’ll cause problems. But if your child shows signs of pain, fatigue, or poor balance, a pediatric foot specialist can help.
Symptoms to Watch For
Not all cases of flat feet cause discomfort. However, some children may start to show signs that the condition is affecting their daily activities. Knowing what to look for can help you decide when it’s time to see a podiatrist.
Here are common symptoms of flat feet in kids:
-
Foot or ankle pain, especially after walking or playing
-
Fatigue or leg tiredness during physical activity
-
Poor balance or clumsiness
-
Worn-out shoes, especially on the inner side of the soles
-
Avoiding sports or play due to discomfort
-
Walking with an awkward gait
Young children may not always complain of foot pain directly. Instead, they might ask to be picked up more often, slow down during walks, or avoid running and jumping. These are signs that their flat feet may need attention.
Pediatric Flat Foot Treatment Options
Treatment for pediatric flat foot depends on your child’s age, symptoms, and the type of flat feet they have. In many cases, no treatment is necessary—especially if the child has flexible flat feet without pain or walking problems.
However, when symptoms are present, a podiatrist may recommend several effective options to relieve discomfort and support healthy development:
Monitoring and Reassurance
If your child isn’t in pain and their flat feet are flexible, your podiatrist may suggest simply watching for changes as they grow. Many children outgrow flat feet without any intervention.
Supportive Footwear and Insoles
As covered earlier, shoes for flat feet kids and insoles for flat feet kids can provide essential support and reduce strain. A podiatrist may recommend custom orthotics if store-bought inserts don’t help enough.
Flat Feet Exercises for Kids
Simple stretches and strengthening exercises can improve foot alignment, especially in kids with tight muscles or weak arches. These may be done at home or through physical therapy.
Physical Therapy
If needed, a pediatric physical therapist can guide your child through exercises that enhance coordination, flexibility, and balance.
Surgical Treatment (Rare)
Surgery is rarely needed. However, in severe cases of rigid flat feet or when pain does not improve with conservative care, surgery may be considered to correct structural problems.
Early evaluation allows for conservative treatment options and better long-term outcomes. A Carrollton podiatrist will personalize a treatment plan that fits your child’s unique needs and lifestyle.
When to See a Pediatric Foot Specialist
Many children outgrow flat feet as they develop. However, there are times when it’s important to see a pediatric foot specialist for a full evaluation. Knowing when to take action can prevent your child from experiencing ongoing pain or problems with walking.
You should schedule a visit with a podiatrist if your child:
-
Complains of frequent foot, ankle, or leg pain
-
Has trouble walking, running, or keeping up with peers
-
Avoids physical activity due to discomfort
-
Walks with poor posture or an abnormal gait
-
Has flat feet that don’t improve by age 5
-
Wears out shoes unevenly or walks on the inside of the foot
The earlier flat foot issues are identified, the easier they are to treat with conservative options like orthotics, exercises, and supportive footwear.
Get Your Child Back on Their Feet—Pain-Free!
Flat feet might seem like a minor issue, but for some kids, they can lead to big problems—from aching feet to poor posture and low confidence during play. The good news? Help is just around the corner.
At Ankle & Foot Centers of America in Carrollton, our experienced podiatrists specialize in treating flat feet in kids with care that’s tailored to their growing bodies. Whether your child needs better shoes for flat feet, custom insoles, or a full treatment plan—we’re here to help every step of the way.
Don’t wait for your child to “grow out of it” if they’re in pain or struggling. Early care makes a lasting difference.
