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I am due to see a 22 month old child whose mother is concerned about his foot alignment. I have never treated a child this young and my inclination is to give advice on supportive footwear but otherwise adopt a wait and see approach. Based on the attached photo would anyone recommend orthotic treatment in a child this young?

 

There are lots of threads on paediatric flatfoot:
https://podiatryarena.com/index.php?tags/pediatric-flatfoot/

Be cautious about overtreatment at 22 months

 

Agree with CP, be cautious. Maybe simple heel wedging at this stage and review 6 monthly.

 

Thank you. Absolutely agree.
I explained to the Mum that a flat foot (ie no medial arch) is normal at this age but, having seen the photo, it is clear that there is quite pronounced pronation, even for a child this young.