Accra, Ghana – Many parents closely monitor their children's height, weight, and overall development, but one area that often goes unnoticed is the feet. Speaking on Cradle to Crayon on Sunny 88.7 FM and Sunny TV, chiropractor and CEO of Nova Wellness Center, Dr. Naa Asheley Ashietey, educated parents on flat feet in children, explaining when the condition is normal and when it requires medical attention.
According to Dr. Ashietey, children are naturally born without a fully developed arch in the sole of the foot. As they grow, the arch gradually forms and is usually fully developed by the age of 10. The arch serves as a natural shock absorber, helping to distribute pressure while walking, running, and standing.
However, not every child develops a prominent arch. Some children remain flat-footed throughout life, and in many cases, this is completely normal.
"If the child has flat feet but can walk, run, play, and carry out daily activities without pain or difficulty, then it is generally considered a normal variation," Dr. Ashietey explained.
What Causes Flat Feet?
Dr. Ashietey noted that flat feet are often hereditary, with many children inheriting the condition from one or both parents. In other instances, the condition may be linked to congenital issues such as hip dysplasia, knock knees (commonly known as "K-leg"), or spinal conditions like scoliosis, which can affect the body's overall alignment.
When Should Parents Be Concerned?
While flat feet are not always a problem, parents should seek medical evaluation if the child experiences:
- Persistent foot pain
- Difficulty walking or running
- Limping
- Visible foot deformities
- Problems wearing shoes comfortably
- Reduced participation in normal daily activities
Dr. Ashietey emphasized that persistent pain is not a normal part of flat feet and should never be ignored.
Treatment Options
Treatment depends on the severity of the condition. At Nova Wellness Center, the first step is a comprehensive assessment of the child's entire body — not just the feet.
"We look at the spine, pelvis, knees and feet because the body works as one connected system," Dr. Ashietey explained.
Treatment may include:
- Chiropractic care
- Targeted exercises and stretches
- Supportive footwear
- Orthotic inserts and arch supports
- Referral to an orthopedic specialist if surgery becomes necessary in severe cases
She stressed that surgery is only considered when flat feet significantly affect a person's quality of life or mobility.
Choosing the Right Shoes Matters
One of the strongest messages from the discussion was the importance of proper footwear.
Parents were encouraged to buy shoes that provide good arch support rather than completely flat soles. Dr. Ashietey also advised limiting the use of unsupportive footwear such as flip-flops, especially for children who already have flat feet. Orthotic inserts may also provide additional support where necessary.
A Final Word to Parents
Dr. Ashietey urged parents not to dismiss complaints of pain as merely "growing pains." Instead, they should pay close attention to changes in their child's walking pattern, posture, or foot shape and seek professional advice when symptoms persist.
The discussion formed part of Cradle to Crayon, a weekly health education programme on Sunny 88.7 FM and Sunny TV, where medical professionals provide practical advice on maternal and child health, helping parents make informed decisions for healthier families.