Expert answers by Alex Pool, Orthotist
Published: 22nd September 2026
Many parents have questions about their child’s foot development, particularly when they notice flat feet, frequent tripping, or difficulties with walking. While some changes in foot posture are a normal part of growth, there are situations where additional support or assessment may be beneficial.
In this Ask an Orthotist article, I will answer some of the most common questions parents ask about children’s feet, orthotics, and walking difficulties. From understanding when flat feet are normal to knowing when orthotic support may be appropriate, I will explain what parents should look for as their child grows and develops.
Are Flat Feet Normal in Children?
Yes. Flat feet are very common in infants and young children and are usually a normal part of development.
Most children are born with little or no visible arch because of soft tissues and baby fat on the soles of their feet. As children grow, their muscles, ligaments, and bones develop, and the arches often form naturally.
“In many cases, flat feet do not cause any pain or problems and do not require treatment.”
However, there are some situations where further assessment may be worthwhile. Parents may wish to seek advice from an orthotist or healthcare professional if their child experiences:
- Foot pain
- Fatigue
- Difficulty walking
- Frequent tripping
- Feet that appear significantly different from one another
Early evaluation can help identify whether any intervention is needed to support healthy foot development.
When Does a Child Need Orthotics?
Children with neurological, developmental, or musculoskeletal conditions may also benefit from orthotic support.
Orthotics are designed to improve alignment, provide stability, and enhance comfort during walking and physical activities. A thorough assessment helps determine whether orthotics are appropriate and which type of device is best suited to the child’s individual needs.
The goal is always to support function, mobility, and participation in everyday activities while allowing natural growth and development.
Can Orthotics Help Children With Walking Problems?
Yes. Orthotics can often help children who experience walking difficulties.
Depending on the underlying cause, orthotic devices can:
- Improve foot and leg alignment
- Provide stability
- Reduce fatigue
- Support more efficient movement
Orthotics explain that children with a range of conditions may benefit from orthotic intervention, including:
- Flat feet
- Toe walking
- Cerebral palsy
- Developmental delays
- Muscle weakness
- Neurological conditions
- Musculoskeletal conditions
Orthotics can also help reduce discomfort and improve confidence during walking, running, and play.
Every child is unique, which is why a comprehensive assessment is an important part of understanding the factors affecting mobility and determining the most appropriate treatment plan.
Orthotics are frequently used alongside physiotherapy and other therapies to achieve the best possible outcomes for the child.
Every Child Develops Differently
Children’s feet and walking patterns change significantly as they grow. While many concerns resolve naturally as part of normal development, some children may benefit from additional support to improve comfort, stability, and mobility.
If you are concerned about your child’s foot development, walking pattern, or balance, an assessment with an orthotist can help determine whether any intervention is required and what options may be most appropriate for their individual needs.
