In brief: Flat feet in young children are usually part of normal development; assessment is needed if there is pain, stiffness or if only one foot is affected.
The Short Answer
In most children the arch of the foot develops on its own between the ages of three and six. Painless and flexible flat feet usually require no treatment and are simply monitored.
When Is Assessment Needed?
- Pain in the foot or complaints of tiring quickly
- A stiff foot (no arch forms when standing on tiptoe)
- Flatness in only one foot
- Marked deterioration in walking or frequent falls
- Very asymmetrical wear of shoes
Does Every Child Need Insoles?
No. In painless, flexible flat feet there is no strong evidence that insoles permanently change the arch. Insoles are recommended in selected situations, mainly to reduce pain and fatigue.
What Families Can Do
- Allow barefoot walking on safe surfaces
- Choose well-fitting shoes with a flexible sole
- Encourage physical activity
- Note any complaints and share them at the appointment
Frequently Asked Questions
Will flat feet cause problems later in life?
Flexible, painless flat feet continue without causing problems in most people. Assessment is needed when pain and loss of function develop.
Do I need to buy special shoes?
Special orthopaedic shoes are not routinely required. A well-fitting shoe with a flexible sole that does not squeeze the toes is sufficient.
At what age should I have an assessment?
If there is pain, stiffness or one-sided flatness, assessment is advisable at any age; otherwise, monitoring at routine child health checks is enough.
Related Pages
This article provides general health information and does not replace an in-person medical examination. Diagnosis and treatment require a physician’s clinical assessment. Outcomes may vary from person to person.