Are Flat Feet Normal in Kids? What Parents Need to Know

Flat feet are a common concern among parents. It’s not unusual to notice your child’s arches looking flat or their feet turning inward when they stand or walk. But how do you know if it’s just a phase or something more serious?

At Restore Foot & Ankle Specialists, we evaluate and treat pediatric flatfoot conditions with expert care. Here’s what you need to know about flat feet in children, when it’s cause for concern, and how a podiatrist can help.

What Are Flat Feet in Children?

Flat feet, or pediatric pes planus, occur when the arch of the foot is partially or completely collapsed, causing the entire sole to touch the ground. Children are often born with flat feet due to the softness of their developing muscles, tendons, and ligaments. As they grow, most children begin developing an arch between the ages of 2 and 6.

There are two types of flat feet in children:

• Flexible flat feet – The arch is visible when the child is sitting or standing on tiptoe, but disappears when standing flat. This is the most common and typically harmless type.

• Rigid flat feet – The arch is never present and the foot remains stiff or inflexible. This may be associated with underlying structural or neurological conditions and may require treatment.

Is It Normal for Kids to Have Flat Feet?

Yes—flat feet are normal in infants and toddlers. In most cases, the arches develop naturally as children grow and strengthen their foot and leg muscles. For many children, flat feet don’t cause any problems and don’t need treatment.

However, some children never develop arches, or their flat feet lead to discomfort and functional issues. This is when you should consult a pediatric podiatrist.

When Should Parents Worry About Flat Feet?

Here are some signs that your child’s flat feet might require medical attention:

1. Foot or Leg Pain

If your child complains of pain in their feet, ankles, knees, or lower legs—especially after physical activity—it could be caused by poor foot mechanics or strain from a collapsed arch.

2. Fatigue or Avoiding Activity

Flat feet may affect how efficiently a child moves, causing them to tire quickly, lag behind peers, or avoid sports altogether.

3. Impaired Balance or Coordination

Some children with flat feet may have trouble maintaining balance or appear clumsy. This can impact sports performance or everyday activities.

4. Abnormal Gait or Posture

Watch for signs like walking on the inside edges of the feet, feet turning outward, or uneven wear on shoes. These may indicate excessive pronation or structural misalignment.

5. Stiffness or Limited Motion

If your child’s foot doesn’t flex well or appears rigid when moving, this may be a sign of tarsal coalition or other bone-related issues that won’t improve without intervention.

6. Family History of Flat Feet

Flat feet often run in families. If you or a close relative have struggled with flatfoot-related issues, your child may be at higher risk for developing similar problems.

What Happens During a Pediatric Flat Foot Evaluation?

At Restore Foot & Ankle Specialists, we take a thorough and compassionate approach to assessing children’s foot conditions. A typical pediatric flatfoot evaluation includes:

• Physical examination of the foot’s shape, flexibility, and strength

• Gait analysis to observe walking and weight distribution

• Imaging studies like X-rays (if needed) to assess bone structure

• Review of symptoms, family history, and activity levels

Our goal is to determine whether your child’s flat feet are typical for their age—or if there’s an underlying condition that needs treatment.

How Are Flat Feet Treated in Children?

Most cases of flexible flat feet do not require intervention. However, when flat feet cause discomfort or limit function, conservative treatment is usually effective. Options include:

• Custom orthotics or arch supports – Provide alignment and stability

• Supportive shoes – Help reduce strain during movement

• Stretching and strengthening exercises – Especially for tight Achilles tendons or weak foot muscles

• Physical therapy – Improves gait and balance

• Activity modification – Adjusting participation in sports or high-impact activities during treatment

In rare cases of rigid or symptomatic flat feet that don’t respond to conservative care, pediatric flatfoot surgery may be considered.

When to See a Pediatric Podiatrist

If you’re uncertain whether your child’s flat feet are a problem, trust your instincts—and your child’s complaints. Schedule a visit with a podiatrist if your child is:

• Experiencing foot or leg pain

• Avoiding physical activity

• Showing signs of poor balance or walking difficulties

• Wearing out shoes unevenly

• Older than age 6 with no visible arches

Early diagnosis and treatment can make a big difference in your child’s long-term foot health and mobility.

Expert Pediatric Foot Care at Restore Foot & Ankle Specialists

At Restore Foot & Ankle Specialists, we understand that growing feet need careful attention. Our board-certified podiatrists provide compassionate, child-friendly care tailored to your family’s needs. Whether it’s flat feet, heel pain, or developmental concerns, we’ll help your child stay active and pain-free.

Don’t wait for discomfort to turn into a bigger issue. Schedule a pediatric foot evaluation today. Contact our Plano office today with Dr. Sirisha Pokala or Dr. Gireesh Reddy by calling (469) 573-3427 or by booking an appointment online.