It’s often difficult to tell if a child’s foot complaint is just a “growing pain” or a sign of something more serious. Children don’t always have the vocabulary to describe mechanical pain. Instead of saying their feet hurt, they might simply ask to be carried or lose interest in sports they once loved.
Dr. David E. Biss of Concord Podiatry, with offices in Concord and Plymouth, NH, has extensive experience in diagnosing and treating pediatric foot problems. Here are the issues he advises parents to seek a medical evaluation for.
These concerns don’t always mean something is seriously wrong, but they do deserve a professional evaluation.
Many young children have flexible flat feet, and most don’t need treatment if they’re pain-free. A rigid flatfoot is different. If your child’s foot stays flat even when standing on tiptoes, or if flat feet cause pain, stiffness, or trouble with activity, it’s time for an evaluation.
Toe walking is common among toddlers as they learn to walk. If it continues beyond the toddler years, occurs mostly on one side, or is accompanied by tight calves, pain, or balance problems, a podiatric evaluation can help determine whether stretching, physical therapy, bracing, or another treatment may be appropriate.
Bunions in children and teens often have a structural or inherited component, so changing shoes may ease pressure but may not correct the underlying alignment. A podiatrist can evaluate the joint, recommend better footwear, and discuss whether padding, orthotics, monitoring, or other treatment makes sense.
An ingrown toenail can quickly become infected in active children. If you notice redness, swelling, drainage, warmth, or worsening pain, schedule a visit. Prompt treatment can ease discomfort and help prevent the infection from spreading.
A limp, one-sided pain, or one foot that turns in or out much more than the other may point to a gait or structural issue that deserves evaluation.
You can use your child’s old shoes as a diagnostic tool. Flip them over and look at the soles. Uneven shoe wear can be a clue. If one heel wears down much faster than the other, or your child’s shoes consistently tilt to one side, bring the shoes to the appointment. They can help Dr. Biss evaluate your child’s gait.
While many gait issues, such as “pigeon toes,” resolve naturally, you shouldn't ignore persistent pain or rigid deformities. We recommend the “1-2-3 Test” for new shoes by ensuring:
We’re committed to keeping your family moving. Whether it’s through custom orthotics or simple lifestyle adjustments, our goal is to provide nonsurgical solutions that support your child’s natural development. We’ll make sure you understand every step of the recovery process.
Don’t wait for your child to “grow out” of persistent pain. If you’ve noticed any of these red flags, we’re here to help. Schedule an appointment with Dr. Biss at our Concord or Plymouth office today to ensure your child’s feet are on the right track.
