Brian is now 14 years old. Sometime between two and three
years old he began to walk up on his toes. No one in his family was concerned,
they thought it was a phase and he would grow out of it. Unfortunately he didn’t.
By the time a new family physician became aware, he immediately recommended an
orthopedic specialist and Brian now has casts on both his legs and is in
therapy to correct the skeletal issues that have occurred.
There is an opinion that the behavior could have started as
a result of shoes that did not fit well and became a lifelong habit.
Does this sound extreme? It does to me, except that we have
had children who sporadically would not walk or walked with one foot at a right
angle to the other, or cried when we went outside on a warm sunny day when
their feet would swell and cause so much discomfort they just stood still or
sat down and tried to remove their shoes.
A child’s Feet are a critical component to the health and
shape of the skeletal system!
Do
1.
Take the time, at least once a year, during
their first five years, to have an expert measure their feet so they are
wearing the correct style and size of shoe. This could also include any need
for extra support.
2.
A child’s feet often grow before the rest of
their body does. After they have worn a pair of shoes for 6 weeks to two
months, check them out! Press one foot (usually the right one is larger) on the
outside sole of the shoe as though they are walking. They need at least one
finger width space at the toe of the shoe and ½ a finger space on one side.
3.
Have climate appropriate footwear. When your
child wears open sandals made of leather or strong synthetics at the beginning
of a warm season you may need to include socks, especially if they are being
worn for the first few times. This will avoid discomfort and possible skin
blisters.
4.
Be aware of how your child is walking. Are they “toeing”?
Is their ankle getting enough support? Are they walking as though they are Flat
Footed? This might indicate a lower than necessary arch.
5.
Ask yourself if it will be ok if this becomes a
permanent walking style as an adult.
Do not
1.
Ever let your child wear second hand shoes. It is
almost impossible that your child’s foot shape and body style perfectly match
another’s. Pass on it even if the shoes
look hardly worn. Clothing budgets are important and shoes can be expensive.
Watch for sales of acceptable brands, and maybe make an
extra effort to save some costs on the rest of their wardrobe so you are not
creating a hardship. That’s how important this issue is!
Will your situation ever become as serious as the case
study? I seriously doubt it. But beyond that you are always aiming for the best
possible circumstances for your child and this is an important one!
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