Problem Feet in Children

So-called variations of normal, as well as true foot deformities, are very obvious in childhood. They cause considerable parental anxiety, particularly if the child shows any delay in motor development or there is a family history of conditions such as flat feet or hallux valgus. The obvious foot abnormality is often blamed for delay in motor development, whereas in fact even those children with untreated severe abnormalities such as severe talipes equinovarus (club foot) or congenital vertical talus will walk remarkably well despite their foot deformity if their motor development is normal. If, however, they have an underlying neuromuscular problem or other abnormality causing motor delay, then correcting their foot deformity will not of itself correct the motor delay. Misunderstandings about the relation between apparent foot deformity and walking ability are common and require careful, sympathetic handling by the physician or surgeon advising parents and carers. A paediatric physiotherapist skilled in addressing the patient's overall motor abilities can be very helpful.