children runningWith your kids just starting back to school, it's important to be aware of potential foot problems they may have so they get off to the right start. Kids can't learn or play with other kids when they're in pain. And for kids who play soccer or other sports, foot pain is a non-starter.

Foot problems are not always obvious. Pain is not the only indicator that something might be wrong. Your kids may shy away from playing with their friends or avoid showing you their feet. A child that frequently trips and falls can also have a foot issue.

Other things you may see in a child under five are toe-walking, in-toeing and out-toeing, and flat feet. In a child age six or older you may hear them complain of knee, shin, or ankle pain or you may observe poor posture or knocked knees.

Painful Foot Conditions In Kids

When your kids have foot pain, it's time to bring them in to your Seattle podiatrist. Here are the most common children's foot problems that cause pain.

Ingrown Toenails

Kids can develop ingrown toenails any time of year but they are more prone to develop them in the fall. Why?

With school starting kids are back in closed-toed shoes and playing sports. Wearing shoes that are too short and repetitive trauma through kicking are the main culprits for developing an ingrown toenail.

Fortunately ingrown toenails can usually be resolved in one or two office calls through a short surgical procedure. Prevention of this foot problem includes purchasing new shoes for kids in a timely fashion and cutting their toenails straight across.


Children and especially teenagers are more susceptible to warts than adults. Warts are caused by human papilloma virus (HPV). They are harmless but can be painful when found on the bottom of your kid's feet. Warts can spread easily to other parts of their body and to other kids through sharing clothing and towels. They're often treated with a topical medication or surgery. To prevent warts kids should avoid sharing towels with other kids or their siblings if they are already affected.

Plantar Fasciitis

If you have plantar fasciitis caused by flat feet it's not uncommon for your kids to suffer from this type of heel pain as well. Flat feet are inherited and the tendency to develop plantar fasciitis as a result is common.

Kids who don't outgrow their flat feet by ages four or five have a condition called developmental or pediatric flatfoot. They will have flat feet for the rest of their lives. To prevent plantar fasciitis and other conditions that result from flat feet, kids as young as four or five can be fitted with specially designed orthotics called Little Steps®. Older children will eventually need custom orthotics to keep their feet in proper alignment.

Sever's Disease

Another cause of heel pain in children is Sever's Disease. Muscle strain and inflamed heel tissue result when the heel plate is not fully closed (common in pre-adolescents and adolescents). Participation in sports adds stress to this part of the foot. Reduction of activity and custom orthotics will help greatly with this condition.

Frieberg's Disease

Injury to the growth plate in the ball of the foot is the cause of Frieberg's Disease. Girls are three times more likely to develop this condition than boys. Running and other activities can make the pain worse. Left untreated this condition can cause painful arthritis. Non-surgical treatment of this condition includes a combination of non-weight bearing, orthotics, wearing rocker bottom shoes, and stretching.

If your child is experiencing foot pain or your concerned about how they're walking, call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

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