Many gait problems that we see in adults are congenital and these can be avoided if treated early at a young age.
Flat feet is a common term known for pes planus, reduced arches or collapsed arches. Children with flat feet has a higher fall rate which leads to other injuries.
It is important to take note that flat feet can be caused by several conditions and not all flat feet are fully reversible.
We will differentiate between rigid and flexible flat feet of a child which then determines the treatment modality. Parents should be aware that your child should not be wearing orthotics at a very young age unless necessary.
In-toe walking /
The in-toeing gait is fairly common among our Malaysian population.
It may be caused by internal hip rotation, internal tibial rotation, or internal foot rotation, depending on the severity. Children with in-toe walking tend to trip on themselves during walking or running. They also have a very significant action where 'W' sitting position is commonly seen.
If treated early, in-toe walking can be reduced. Shoewear, gait plate and stretching exercises are key treatment modalities.
Toe walking can sometimes be indicative of neurological problems, but it is fairly common among kids that just learnt to walk.
Most kids are able to outgrow it, but if you notice that your child has been walking on his toes persistently for 3 months or more, it is important to seek for medical advice.