Pediatric Foot Problems: What’s Normal and What’s Not

If you’re a parent, you’ve probably watched your kid walk a little funny and thought, “Is that normal… or should I be worried?”

Totally valid question. Kids' feet grow and change fast, and it’s not always easy to know what’s just part of growing up — and what might need a closer look.

So let’s break it down and take the mystery out of it.

What’s Normal in Growing Feet

Little feet go through all sorts of stages. Here are a few things that usually aren’t a big deal (even if they look a little odd):

1. Flat Feet (in toddlers and young kids)

Lots of kids have flat feet when they’re little — their arches are still forming. In most cases, this improves on its own as they grow.

2. In-Toeing or Out-Toeing

This means their feet point in (like a “pigeon-toed” walk) or out when they walk. It’s pretty common, especially in toddlers, and usually straightens out by age 8.

3. Walking on Toes

Some kids go through a phase of tip-toe walking. If it’s not constant and they can put their heels down when asked, it’s usually nothing to worry about.

What’s Not Normal and Needs a Check-Up

If you notice any of the following, it’s a good idea to get it checked by a podiatrist:

🚩 Pain

Kids should not have regular foot or ankle pain. If your child is limping, avoiding activity, or complaining of soreness — even “growing pains” — let’s take a look.

🚩 Trouble Keeping Up

If your child seems to tire easily, trips a lot, or avoids play because of foot discomfort, there might be something more going on.

🚩 Uneven Wear on Shoes

Take a peek at the soles of their shoes. If one side wears down much faster, it could mean they’re walking unevenly.

🚩 Constant Toe Walking

If toe walking continues past age 2 or 3, or they can’t put their heels down, it could be linked to muscle or nerve issues.

🚩 Bunions, Curled Toes, or Skin Changes

Yes, even kids can get bunions or other toe deformities. Anything that looks “off” or is causing discomfort shouldn’t be ignored.

What Can a Podiatrist Do?

At Foot & Ankle Associates of Southern NH, we’re parents too. We get how important it is to help your kid feel comfortable and confident on their feet.

When we see kids, we:

• Watch how they walk

• Check their foot structure and range of motion

• Look for anything unusual

• Recommend easy fixes (like shoe changes, stretching, or orthotics)

Most of the time, the solution is simple — and catching things early makes a huge difference down the road.

The bottom line? If you’re unsure about something your child’s doing with their feet — it’s always okay to ask. That’s what we’re here for.