Flat Feet – the Basics

Simple tests for flat feet include:

1. Great Toe Extension Test – moving the great toe upwards and seeing if the arch at the inner part of the foot forms. If so, don’t worry! This means that in function, the arch does develop and biomechanically the foot is sound.
    
2. The Toe Off – In older children, you could ask them to tip toe while viewing from the back. Forming of a curve in the inner part of the foot with the heel turning inwards denotes good function.
    
3. If these tests seems complicated (or the way I explain then causes headaches, consider the simple wet tissue test – this helps determine whether the foot is flat in the first place). Get the child to step on a blotting paper or tissue after stepping into water first. The pattern formed indicates whether the foot is flat (overpronating).

When do you worry? Please consider an early consultation if the child complains of pain over the inner and outer part of his feet – flexible flat feet are usually pain free. This is especially so if the foot seems rigid and less flexible. As always, when in doubt, please visit your friendly Orthopod!!