When Should Children See a Podiatrist?
Children’s feet are constantly changing as they grow. While many issues are part of normal development and will resolve with time, others may need early intervention to avoid future problems.
Some signs that may warrant a podiatry assessment include:
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A noticeable change in how your child walks or runs
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Complaints of foot, ankle or leg pain — especially during or after activity
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Frequent tripping or clumsiness
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Reluctance to participate in physical activities
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Uneven shoe wear (e.g. worn-down edges or toes)
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Postural changes like inward knees
No concern is too small. Even if the issue turns out to be part of typical development, a quick check can offer reassurance and, if needed, prompt guidance on the next steps.
Common Children’s Foot Conditions
Children’s foot and lower limb problems vary based on age, activity levels, and genetics. Some of the most commonly treated conditions include:
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Flat feet (pes planus)
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Bowlegs (genu varum)
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Knock knees (genu valgum)
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Growing pains
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Intoeing and out-toeing gait
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Sever’s disease (heel pain related to growth)
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Osgood-Schlatter’s disease (knee pain during growth spurts)
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Sports injuries
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Plantar warts
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Ingrown toenails
Early treatment can often prevent long-term complications or discomfort. Simple strategies like footwear advice, exercises, orthotic insoles, or activity modification may be all that’s needed.
What Happens During a Paediatric Podiatry Appointment?
A children’s podiatry consultation typically includes:
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A friendly chat to understand the child’s symptoms, activities, and medical history
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Observation of posture, walking and running patterns (gait analysis)
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Footwear assessment
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Simple physical tests to assess flexibility, strength, and balance
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Discussion with parents about findings and appropriate management options
Supporting Healthy Development
Most children’s foot concerns respond well to early, conservative treatment. If more support is needed, options like orthotics, exercise programs, or simple in-clinic treatments may be recommended.
Parents are encouraged to check in periodically as their child’s feet and needs change with age, especially during growth spurts or sport seasons.
Do Children Need Orthotics?
Orthotic use in children is approached conservatively. Our podiatrist considers all other interventions first — including footwear changes and strengthening exercises — before recommending orthotics for younger patients. When necessary, children may be prescribed lightweight or prefabricated orthotics tailored to their activity and growth.
When should children be prescribed foot orthotics?
Orthotics are only prescribed when clinically necessary. For children under the age of 3 or 4, they’re rarely needed unless symptoms are severe or there’s an underlying medical condition. Prescription is based on developmental stage, symptoms, and clinical findings. Prescribing too early can interfere with natural gait development, while delaying treatment may increase the risk of long-term issues like Sever’s disease or chronic pain.
How are children assessed for orthotics?
Children undergo a comprehensive lower limb examination, including a biomechanical assessment and gait analysis. The assessment identifies poor foot mechanics, gait abnormalities, or muscle imbalances that may be contributing to discomfort or dysfunction.
What conditions can orthotics help manage in children?
Children’s orthotics can support treatment for:
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Flat feet or collapsing arches
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In-toeing or out-toeing
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Knock knees or bowlegs
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Sever’s disease
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Osgood-Schlatter’s disease
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General “growing pains”
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Tired or aching legs
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Postural imbalances
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Heel, ankle or knee pain
How long will my child need orthotics?
Duration varies. Some children only need orthotics temporarily to assist during rapid growth phases, while others may require longer-term support due to structural or genetic conditions. Reviews every 3–6 months help monitor gait changes, growth, and whether adjustments or replacements are needed.
Are there different types of orthotics for children?
Yes. Options include:
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Prefabricated orthotics
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Mouldable prefabricated devices
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Non-cast orthotics
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Gait plates
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Fully custom-made orthotics
Selection is based on the child’s specific needs, goals, and the expected duration of use. Cost-effective options are often suitable, especially while feet are still growing.
What makes children’s orthotics different from adult orthotics?
Children’s feet and walking patterns are still developing. Orthotics for children are designed to complement these developmental milestones rather than restrict them. Devices are typically softer, more flexible, and tailored to support natural movement while correcting biomechanical faults.
Still Unsure?
If you’re wondering whether your child’s feet need professional input, don’t wait. It’s always better to ask early than to leave things unchecked.
Book Your Child's Foot Assessment
Give your child the best foundation for healthy movement. Early assessment can help identify issues before they become long-term problems.
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Have Questions About Podiatry?
We’re here to make it simple. Whether you’re dealing with ongoing foot pain or just unsure if podiatry is right for you, we’re happy to guide you — no pressure, just clear answers.