Orthotics for Children?

Recently a lot of my adult patients have been asking me when is the appropriate age to have their child's feet evaluated. Most parents wont even think about taking their child to a Podiatrist unless the child complains about their feet. Commonly it will take a parent watching their child walk to realize that something might not be correct and even then they are sometimes told by their pediatrician that it is something the child will grow out of.

Most specialists will agree that as soon as your child begins to have unassisted stance (able to walk without you holding them up) there feet should be evaluated. At 8-13 months a child will begin to weight bear. During this time the immature and misaligned osseous (bones) infant framework begins to be susceptible to the deforming forces of gravity. I believe that early intervention in the developmentally challenged foot leads to bony remodeling which can lead to a more normal alignment of the foot structure.

So how do you know if your Child's feet need Evaluation?

If you notice that your child is unbalanced, seems to be walking with a limp or a rotation in their feet. Toe walking and wearing out shoes on one side only, are also signs that require evaluation.

What to Expect with the Evaluation?

First a bio mechanical exam will be performed. A gait analysis will follow with recommendations for appropriate shoe gear as well as orthotics if crucial for ambulation. Most children are able to use an over the counter support until they are 5 or 6. Once a child is able to walk down stairs one step at a time without holding on to the handrail they have developed a propulsive phase and need more custom devices.

Most children that are placed into custom devices will require lifelong treatment. It is the parents responsibility to allow for adequate control while the child is growing. So remember if you think that your child may walk differently then the other kids have their feet checked. You could be preventing future deformities.