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When is flat feet normal and when does it require consulting a physical therapist? Free to Move Center Jeddah
Flat feet are very common in childhood. In some cases, they are normal and disappear with growth, but in other cases, they require follow-up and intervention. Here, we explain the differences, the warning signs, and how to examine your child at home.
What is flat foot?
Flat feet mean the arch of the foot is not visible and the entire sole of the foot touches the ground. In most children, the arch develops gradually until the age of 5–6 years.
When is it normal?
Under 5 years: Usually very normal and does not require intervention.
After 5 years: It is preferable to consult Physical Therapist Or a pediatric orthopedist to be sure.
When to worry?
- Frequent pain or fatigue in the foot or leg.
- Unsteady gait or frequent falls.
- An arch that is not visible even when standing on tiptoes.
- Flat feet persist after 6 years with symptoms.
Reasons
- Genetic factors.
- Weak ligaments and increased flexibility.
- Nerve or muscle problems.
- Inappropriate shoes for a long time.
Walker hazards
Walkers can cause poor posture, foot and leg deformities, and increase the risk of toe walking.
Home test
- Have the child stand barefoot on a level floor.
- Have him stand on tiptoes. If the arch appears, it's normal. If it doesn't, it needs an evaluation.
- Monitor your gait: Does he fall or complain of frequent pain?
When should we visit a specialist?
⚕️ If pain, frequent falls, unsteady gait, or flat feet persist after the age of 5-6, you can book a consultation via Contact Form.
Treatment
- Supportive shoes.
- Physical therapy exercises (heel/toe walking, picking things up with fingers).
- Orthosis for painful or unstable conditions.
- Botox 4-6 years in cases of severe muscle tension.
- Surgery after 8 years in hard and severe cases.
Frequently Asked Questions
Does every child with flat feet need treatment?
No, most children are completely normal. We only intervene if the pain or flat feet persist.
Do orthopedic shoes fix the problem?
They help reduce pain and improve gait, but they do not create a new arch on their own.
advice
Under 5 years: Mostly normal.
After 5 years: It is preferable to consult for reassurance.
⚠️ Over 6 years old with pain/difficulty → needs evaluation by a physical therapist or pediatric orthopedist.
Treatment begins with exercises and supportive shoes, and may progress to injections or surgery depending on age and condition.
Would you like an evaluation for your child and a clear treatment plan?
The Free to Move team in Jeddah offers a comprehensive motor and sensory assessment and a practical plan that fits your family's routine.
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Book a consultation now
the reviewer
- Turner C, Gardiner MD, Midgley A, Stefanis A. A guide to the management of pediatric pes planus. Aust J Gen Pract. 2020.
- Mosca VS. Flexible flatfoot in children and adolescents. J Child Orthop. 2010.
- Carr JB 2nd, Yang S, Lather LA. Pediatric pes planus: A state-of-the-art review. Pediatrics. 2016.
