Your Podiatrist

                                                                 Talks About


Children’s Feet


Your children’s feet

          You worry about your children’s teeth, eyes, and other parts of the body. You teach washing, brushing, and grooming, but what do you do about your child’s feet --- those still-developing feet which have to carry the entire weight of the body through a lifetime?

           Many adult foot ailments, like other bodily ills, have their origins in childhood. Periodic professional attention and regular foot care can minimize these problems in later life.

           Neglecting foot care invites problems in other parts of the body, such as the legs and back. There can also be undesirable personality effects. The youngster with troublesome feet walks awkwardly and usually has poor general posture. As a result, the growing child may become shy, introverted, and avoid athletics and social functions.

           Consultation between the podiatrist, pediatrician, and other medical specialists helps to resolve these related problems.


Your Baby’s Feet

           The human foot --- one of the most complicated parts of the body --- has 26 bones, and is laced with ligaments, muscles, blood vessels, and nerves. Because the feet of young children are soft and pliable, abnormal pressure can easily cause deformities.

           A child’s feet grow rapidly during the first year, reaching almost half their adult size. This is why foot specialists consider the first year to be the most important in the development of the feet.

             Here are some suggestions to help you assure that this development proceeds normally:

            •     Cover baby’s feet loosely. Tight covers restrict movement and can retard normal development.

            •     Provide an opportunity for exercising the feet.  Lying uncovered enables the baby to kick and perform                           other related motions which prepare the feet for weight bearing.

            •     Change the baby’s position several times a day. Lying too long in one spot, especially on the stomach, can                      put excessive strain on the feet and legs.


Starting to Walk

            It is unwise to force a child to walk. When physically and emotionally ready, the child will walk. Comparisons with other children are misleading, since the age for independent walking ranges from 10 to18 months.

         When the child first begins to walk, shoes are not necessary. Allowing the youngster to go barefoot or to wear just socks helps the foot to grow normally and to develop its muscular and strength, as well as the grasping action of toes.


Growing Up

            As a child’s feet continue to develop, it may be necessary to change shoe and sock size every month or two to allow room for the feet to grow. Although foot problems result mainly from injury, deformity, illness, or hereditary factors, improper footwear can aggravate preexisting conditions.  Shoe or other footwear should never be handed down.

            The feet of young children are often unstable because of muscle problems which make walking difficult or uncomfortable. A through examination by a podiatrist may detect an underlying defect or condition which may require immediate treatment or consultation with another specialist.

           The American Podiatric Medical Association has long known of the high incidence of foot defects among the young, and recommends foot health examinations for school children in the District of Colombia reported that more than 30 percent of them had foot disorders which require further observation or professional treatment.


Sports Activities

            Millions of America children participate in team and individual sports, many of them outside the school system, where advice on conditioning and equipment is not always available. Parents should be concerned about children’s involvement in sports that require a substantial amount of running and turning, or involve contact. Protective taping of the ankles is often necessary to prevent sprains or fractures. Parents should consider discussing these matters with their family podiatrist if they have children participating in active sports.


Advice for Parents

           •        Remember that lack of complaint by a youngster is not a reliable sign. The bones of growing feet are so                         flexible that they can be twisted and distorted without the child being aware of it.

           •        Walking is the best of all foot exercises, according to podiatrists. They also recommend that walking                                patterns be carefully observed. Does the child toe in or toe out, have knock knees, or other gait                                      abnormalities? These problems can be corrected if they are detected early.

           •        Going barefoot is a healthy activity for children under the right conditions. However, walking barefoot on                     dirty pavements exposes children's feet to the dangers on infection through accidental cuts and severe                             contusions, sprains or fractures. Another potential problem is plantar wart, a condition caused by a virus                       which invades the sole of the foot through cuts and breaks in the skin. It requires protracted treatment and                     can keep children from school and other activities.

           •        Be careful about applying home remedies to children’s feet. Preparations strong enough to kill certain                             types of fungus can harm the skin.

           •        Whenever you have questions about your child’s foot health, contact a podiatrist in your community.