Your Child's Feet Most foot problems in young children are variations of normal development and will correct themselves over time. If there is pain or stiffness, or if improvement is slow, physiotherapists can provide expert advice and treatment. COMMON FOOT PROBLEMS Feet that turn in Caused by a problem with the foot, the lower leg, the hip, or sometimes all three. The foot may have a banana-shaped inward curve and the lower leg may have a slight twist between the knee and ankle. Feet that turn out Usually caused by the baby's position in the womb. Out-toeing may become obvious when a toddler begins to stand and walk. As long as there are no hip problems, it will correct itself over time. Flat Feet Very common in babies and young children, because the arch of their foot is not fully developed. The hollow in the arch is filled with a fat pad which disappears by four or five years of age. If your child's flat feet are stiff and painful, see a physiotherapist. Bowleg Often present until the toddler is about two years old. Treatment is not needed unless the bowing is severe or one-sided. Out-toeing may become obvious when a toddler begins to stand and walk. Knock-knees Common in children between three and six years of age, knock-knees usually disappear by the age of seven. They may also be seen in children who have flat feet or who are overweight. PREVENTING FOOT PROBLEMS Exercising your baby's feet Give them opportunities to exercise their feet by kicking. This prepares feet and legs for walking. Buying children's shoes A child is ready to wear shoes once they have been walking independently for several weeks. The shoe should be the same shape as the foot with a straight inner border, sufficient toe room and a well-fitting instep and heel. A rounded toe is best. Going barefoot Spending time barefoot helps normal muscle development and should be encouraged. Spending time barefoot helps normal muscle development. Physiotherapists can provide expert advice and treatment. How Physiotherapists Can Help If you're concerned about your child's feet, see a physiotherapist for: assessment of foot or leg problems advice on management of foot problems effective treatment when necessary © By courtesy of the Australian Physiotherapy Association