Occasionally a small shoe insert may help - it will not alter the shape of the foot but may reduce shoe wear. The great majority of children under the age of five with a flat foot develop an arch in time without the use of insoles. Studies involving large numbers of children have shown that treatment with special shoes, insoles or splints does not alter the shape of the foot and does not give them an arch. Older children with painful or stiff flat feet and children who had initially normal arches and develop flat feet later require particular attention.
The doctor examining the child will check for these and plan ongoing care. Very rarely, there can be an underlying problem. Most children with a persistent flat foot participate in physical activities, including competitive sports, and experience no pain or other symptoms. The other 5 percent continue to have flat feet, but only a small number will ever have a problem. This is part of normal development of their feet and over 95 percent of children grow out of their flat feet and develop a normal arch. We now know that the majority of children between 1-5 years of age have flat feet. Many people have a long-standing belief that flat feet are abnormal and require treatment with special shoes, insoles or even splints or braces. What is the cause of flat feet in children? The foot is called flat when it does not have this arch. The sole of the foot has an arch on the inner side (instep) that extends from the heel to the base of the big toe.
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