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What you need to know about physiotherapy and podiatry.
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Flat Feet, Intoeing Gait, Podiatry, Tiptoeing Gait 
October 14 2021
Watching your child stand and walk independently will always be one of the most memorable milestones of parenthood! As they continue to practice walking, it is important not to overlook certain foot conditions or developmental issues that may consequently affect their growth. When in doubt, do consult a paediatrician or podiatrist for a professional assessment.
When should your child see a podiatrist?
It is never too early to see a podiatrist as the earlier we identify issues and intervene when required, the better the outcome. Our podiatrist is specialised in managing paediatric foot conditions. Even if there is no intervention required for certain cases, we will be able to track the subsequent development in your child’s feet.
It is highly recommended to bring your child to a podiatrist if your child exhibit any of the following signs:
Here are some insights on the conditions your child may have:
Also known as ‘pigeon toed gait’, the feet curve inwards instead of pointing straight ahead when walking or running. If your child displays any in-toeing, he or she will usually outgrow the condition naturally at 2-3 years old. In-toeing may be a result of other conditions such as tibial torsion, femoral torsion and metatarsus adductus. More severely, these may cause your child to trip and stumble frequently.
Flat feet, also known as “fallen arches” or “pes planus”, occur in approximately 20– 30% of the population. This is a common problem that may lead to other issues later on in life if left untreated.
In the beginning, all infants’ feet appear flat as the arch has yet to be formed due to low muscle tone and weak ligaments. There is also a fat deposit which can hide the natural curve of the arch area. This fat pad usually disappears when the child is about 2 years old. You need not worry about your child’s flat feet until they are 3 years and older, as almost all children appear to have flat feet until this age.
Toe walking occurs when your child walks without making ground contact with their heels. Often observed when a child starts to walk, toe walking can be a part of a developmental phase. Children who walk on their toes can develop overly tight muscles at the back of their lower legs, posing an injury risk when any physical exertion is involved.
Children should outgrow it by the age of three. If your child continues to toe walk after three, it is best to consult a podiatrist. Like in-toeing, a series of assessments would need to be conducted to ascertain if a child’s condition is different from the norm.
What to expect from a visit to the podiatrist?
The podiatrist will conduct a thorough evaluation of your child’s legs and feet to identify any biomechanical abnormalities.
Dynamic and static assessments will include:
From the findings, the podiatrist will be able to construct a treatment plan for your child. Treatment may include the application of foot orthoses, footwear changes, sports taping or exercises. If required, we can refer on for other specialist care such as physiotherapy or gait training.
It is important to take care of your child’s feet as they will have to last them a lifetime. Have your child assessed by our friendly podiatrists if there are any concerns. We will be able to provide non-invasive treatment to facilitate your child’s development. Nothing makes us happier than seeing happy, healthy and active children running around our practice!
Phone: 9126 8257
Fax: 6281 1209
Email: contact@physioandsole.com
Whatsapp a Podiatrist: 91754929
Whatsapp a Physiotherapist: 98997967
