Children with flat feet and in-toeing gait, may need assessment by a physiotherapist who can make recommendations regarding management. Heat moulding medical orthotics are an alternative for custom made orthotics, and can be fitted by a physiotherapist. For some children, the combination of exercises and orthotics helps to minimise orthopaedic problems.
Signs for parents to look out for are:
- shoes wearing out quickly or unevenly
- flat feet that are not correcting, or worsening after the age of 8 (but problems can occur earlier)
- movement problems in one or both legs that might be apparent when running or walking
- pain in the heels, legs or back; tiredness when walking
- persistent walking on the toes
If you notice these signs, see a physiotherapist.
Exercises can help to strengthen or stretch and stabilise the legs, which complements the function of the orthotics. Early assessment is considered as best practice.
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