Foot and leg problems in children are often related to growth and development, but some conditions may require attention to prevent long-term issues. Common concerns include in-toeing, out-toeing, and flat foot. These conditions affect how a child walks and stands, and they can influence balance and coordination. In-toeing occurs when the feet turn inward when walking. It is often caused by metatarsus adductus, a condition in which the front part of the foot curves inward. Out-toeing involves the feet turning outward and is frequently linked to external tibial torsion, where the shin bone rotates outward.

Symptoms of in-toeing may include a noticeable inward foot position, frequent tripping, and uneven shoe wear. Children with metatarsus adductus may have a curved forefoot that is visible even when at rest. Out-toeing symptoms include an outward foot position, difficulty running efficiently, and a wider walking stance. External tibial torsion may become more noticeable as a child grows and becomes more active. Flat foot is another common condition in children, characterized by a low or absent arch when standing. Symptoms of flat foot can include foot fatigue, discomfort after activity, and inward rolling of the ankles.

Several risk factors contribute to these pediatric foot conditions. Genetics play a significant role, as children may inherit structural traits that affect foot alignment. External tibial torsion may develop as bones grow and rotate. Flat foot is often seen in younger children due to undeveloped arches, but it may persist in some cases. Obesity, improper footwear, and lack of supportive shoes can increase stress on developing feet and worsen symptoms.

Early recognition and proper care are essential for supporting healthy foot development in children. Supportive footwear and, in some cases, custom orthotics may help improve alignment and comfort. If your child has foot pain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Thomas Bobrowski, DPM of InStride Crystal Coast Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our office located in New Bern, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A hammertoe deformity causes one of the smaller toes to bend at its middle joint instead of lying flat. The second toe is affected most frequently, although the condition can develop in other toes. It begins when the muscles and tendons that control the toe become unbalanced. This imbalance pulls the toe into an abnormal position. Possible causes include an inherited foot structure, a previous injury, or arthritis. A bunion can also push against the second toe and increase the risk of hammertoe. The joint can remain flexible at first but can later become stiff and fixed in place.

Symptoms usually develop when the bent toe rubs against the inside of a shoe. Patients can experience pain, redness, and swelling around the raised joint. A corn can form on top of the toe, while a callus can develop beneath the front of the foot. These thickened areas of skin result from repeated pressure and friction. Pain can become worse while walking or when wearing shoes with a narrow toe box. A podiatrist can examine the toe, test its flexibility, and check for related problems. Weight-bearing X-rays can show the position of the bones and the severity of the deformity.

Treatment depends on whether the toe is flexible or rigid and how much discomfort it causes. A podiatrist can recommend shoes with a deep, wide toe box to reduce pressure. Custom orthotics can improve the way weight is spread across the foot. Professional padding or splinting can also protect irritated skin and help position a flexible toe. The podiatrist can safely treat painful corns and calluses without damaging healthy tissue. Early care can help prevent increasing stiffness, skin sores, and continued pain. If you are in pain from a hammertoe deformity, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Hammertoes can be a painful condition to live with. For more information, contact Thomas Bobrowski, DPM of InStride Crystal Coast Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our office located in New Bern, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Custom orthotics can be a game-changer for runners dealing with pain or injuries. These specially designed shoe inserts help by correcting foot mechanics. For example, a rearfoot medial wedge in the orthotic reduces excessive inward rolling of the heel, called eversion, which is common in injured runners. This adjustment can ease the strain on the feet, ankles, and legs, promoting better alignment. Orthotics work best when combined with a broader treatment plan, including stretching and strengthening exercises. This comprehensive approach can lead to better outcomes compared to using orthotics alone. For runners with foot pain, custom orthotics offer targeted relief, improved performance, and support for long-term recovery. If you are a runner and have persistent foot pain, it is suggested that you schedule an appointment with a podiatrist for treatment, which may include custom orthotics.

Custom orthotics are specialized shoe inserts created to support and align the feet according to each person’s unique structure and walking pattern. They are an effective way to relieve foot discomfort caused by conditions such as flat feet, high arches, plantar fasciitis, bunions, and heel pain. When the natural alignment of the foot is off balance, it can lead to pressure points, strain, and pain that affect how a person stands, walks, and moves. Orthotics work by redistributing weight evenly and supporting the arch to reduce stress on the muscles, tendons, and joints of the feet and lower legs.

Foot discomfort can develop for many reasons, including wearing improper footwear, long hours of standing, repetitive motion, or underlying structural problems. Over time, this discomfort can extend beyond the feet, contributing to knee, hip, or lower back pain. Custom orthotics help correct these issues by improving alignment and promoting more efficient movement. They are made using precise measurements and imaging to ensure the best fit for each patient, providing targeted support and cushioning where it is needed most.

Unlike generic insoles, custom orthotics are durable, medically designed, and tailored to your specific needs. Whether you are managing chronic pain, recovering from an injury, or simply seeking better comfort and stability, orthotics can make a noticeable difference in how your feet feel throughout the day.

If you are experiencing persistent foot discomfort or fatigue, it may be time to have your feet evaluated by a podiatrist. Call our office today for more information or to schedule an appointment.

If you have any questions, please feel free to contact our office located in New Bern, NC .