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Babies & children

Flat Feet in Children: Do They Need Insoles?

Also known as: flat feet, fallen arches, pes planus, in-toeing

Most young children have flat-looking feet that develop an arch with age. Painful or stiff flat feet should be checked.

Most young children have flat-looking feet, and an arch usually develops as they grow. Flexible flat feet that do not cause pain are usually normal.

When to get them checked

  • Pain in the feet or legs, or tiring quickly
  • Stiff feet, or flat feet on one side only
  • Frequent tripping or in-toeing that worries you

How orthotics can help

For children who have symptoms, foot orthoses (insoles) and supportive shoes can improve comfort and alignment. We will tell you honestly if your child does not need them. See paediatric orthotics.

Not sure whether a device will help? Book an assessment and we will tell you honestly.

Common questions

Children grow in spurts, so devices need regular checks. Many can be adjusted for a while before a new one is needed. We plan reviews around your child's growth and tell you early when a replacement is coming.

All questions

This page is general information, not a diagnosis. If you have sudden, severe or worsening symptoms, see a doctor. Last updated 1 November 2026.

Not sure what you need?

Book an assessment and we will tell you honestly whether a device is likely to help.

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Ready to take the next step?

Book an assessment at Eldomed Centre, Eldoraigne, or WhatsApp us on 061 902 0850. We will tell you honestly what is likely to help.