Flat feet—also called pes planus—is a common condition in children, especially in toddlers and preschoolers. Many parents notice that their child’s feet appear “flat” when standing, often with the entire sole touching the ground. While this is usually normal in young kids, it can sometimes lead to discomfort or other problems.
In this blog, we’ll explain what flat feet mean in children, when it’s a cause for concern, and what treatment options are available.
What Are Flat Feet?
Flat feet occur when the arches of the feet are lower than normal or absent altogether. Arches help distribute weight and provide balance and shock absorption during movement.
In infants and toddlers, flat feet are common because the arch hasn’t fully developed yet, and the feet are still flexible. As children grow, the arch usually forms naturally by around 6 years of age.
When Is Flat Feet Normal?
Flat feet are considered normal in:
- Infants and toddlers, due to the natural fat pad on the sole
- Young children up to age 6, as the arch gradually develops
- Children who have no pain, discomfort, or walking difficulties
If your child fits these criteria, flat feet typically do not require treatment and will improve with growth.
When to Worry About Flat Feet
Consult a pediatric orthopedic specialist if your child:
- Complains of foot, ankle, or leg pain
- Has difficulty walking, running, or standing for long periods
- Exhibits uneven wear on shoes or limps
- Shows signs of stiffness, swelling, or deformity in the foot or ankle
- Has a family history of foot problems or other orthopedic conditions
- Experiences fatigue or muscle cramps in the legs after activity
Types of Flat Feet
- Flexible Flat Feet: The arch appears when the child stands on tiptoes or sits, but disappears when standing normally. This is the most common type and usually harmless.
- Rigid Flat Feet: The arch is always flat and the foot is stiff. This type may indicate underlying conditions like tarsal coalition or arthritis and requires prompt evaluation.
Diagnosis
At Child OrthoCare, diagnosis involves:
- A thorough physical examination
- Gait analysis to observe how your child walks
- Imaging tests (X-rays, sometimes CT or MRI) if structural abnormalities are suspected
Treatment Options
Most flat feet in children do not need treatment, but if your child experiences symptoms, treatment may include:
- Orthotic inserts to support the arch and improve foot mechanics
- Supportive footwear designed for growing feet
- Physical therapy exercises to strengthen foot and leg muscles
- Activity modification to reduce strain
- Surgical intervention in rare cases where conservative measures fail
Why Choose Child OrthoCare?
At Child OrthoCare, we provide expert evaluation and individualized care for children with flat feet and other foot problems. Led by Dr. Nargesh Agrawal, our team focuses on early diagnosis and tailored treatment plans to ensure healthy foot development and prevent complications.
Visit Us:
Child OrthoCare Clinic
Call Us: +91-9873191340
Give Your Child the Gift of Healthy Feet
If you’re concerned about your child’s flat feet, don’t wait.
Schedule an appointment with Child OrthoCare today and let us help your child step confidently into the future.

