Physical Therapy
Physical therapy at Shriners Children's helps children build confidence and strength, focusing on what is important to them and what they love to do in their daily lives.
Pes Planus / Pes Planovalgus
Bringing Relief to Your Child's Flat Feet
Pes planus or pes planovalgus, also known as flat foot, are both used to describe the same common condition that affects more than 30 percent of the population. However, it causes symptoms in only 1 in 10.
Flat foot is a good description to help you identify the condition in your child: The feet are flatter on the bottom, and the entire sole of the foot touches the floor when a child is standing. Babies are born like this, and for most children, arches in the feet develop with time.
For some, however, the feet remain flat. Most children who have flat foot have it in both feet and inherited the condition from a parent. However, some develop arches and then the feet flatten over time due to issues such as diabetes, obesity or injury.
'Mom, My Feet Hurt!'
If your child has flat foot, they might come to you with foot pain, particularly in the heel or arch area. That pain might increase when your child is more active. You also might notice ankle swelling.
Your pediatrician may be the one who makes the initial diagnosis, and if your child doesn't experience pain or other symptoms, no further testing or treatment is needed. However, children who have symptoms should be examined by accomplished specialists. That's where your experienced Shriners Children's physicians come in.
Shriners Children's Approach
When your child comes to see us, a trained pediatric orthopedic specialist will perform a complete medical history and physical exam. Your physician will ask your child to describe the pain – dull, sharp, sudden, burning – and whether any activities ease or worsen it.
Our team will analyze how your child walks, stands and runs. If needed, we will use the most advanced technology in our Motion Analysis Center to take a scientific look and get a clear understanding of any issues.
Depending on the severity of your child's case, your physician might order tests and bring in other members of our team to help diagnose and treat the problem. That may include:
- X-ray specialists
- Pediatric Orthotics and Prosthetics Services technicians
- Physical therapists
Surgery is rarely needed for flat foot, but if your child has a related problem, such as a limb length discrepancy, torn tendon or extra bone, it could be necessary. Your physician at Shriners Children's is also a skilled surgeon and will work hard to help your child return to an active lifestyle as soon as is safely possible.
After-Care
The vast majority of children with flat feet go on to live normal, healthy lives. Some children may experience foot pain from time to time, but using arch supports, wearing supportive shoes, stretching and resting when needed typically will solve the problem.
Specific treatments and services may vary by location. Please contact a specific location for more information.
I can run. I played sports. I can live the life I want to live. I am forever grateful for Shriners Children’s.
Locations That Offer Pes Planus / Pes Planovalgus Treatment
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Shriners Children's provides specialty health care to children around the world. We offer a comprehensive range of treatments, services and support to improve the quality of our patients’ lives and help them reach their full potential.
Help to Even Things Out
In some situations, treatment for your child's flat feet may involve a special device called an orthotic to help improve their quality of life. A visit to one of our master Pediatric Orthotist and Prosthetic Services specialists is about more than measurements and mechanics. It is about sharing hopes and dreams with a trained professional who understands the needs of children, providing information that allows the technicians to return to the lab and design the perfect fit. Every day, these craftspeople help put our patients in the best position to reach for their dreams. Come learn more.
Innovative Treatments
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Bracing
Shriners Children's multidisciplinary team includes orthotists who create braces to meet the individual need of each child – whether to treat a complex condition or common injury.
Conditions Children Tend to Grow Out Of
Next Steps
Request an Appointment
Families and caregivers seeking treatment should start by contacting us for an appointment.
Log in to the Patient Portal
Parents and guardians of existing patients can email, request records, schedule appointments and more.
Refer a Patient
Physicians and healthcare providers can request appointments, start transfers or contact us with questions.