Why are children’s insoles different?
Children’s feet are still developing, and foot shape changes substantially during growth.
An insole should therefore address symptoms or function rather than simply trying to make every child’s arch look the same.
Do all children with flat feet need insoles?
No. Flexible flat feet are common in young children and often cause no problem.
Where a child is pain free, active and walking normally, treatment is often unnecessary.
When might an orthotic be considered?
- persistent foot or ankle pain;
- activity-related fatigue;
- poor balance or reduced walking tolerance;
- symptomatic excessive foot movement;
- a specific clinical prescription;
- the need for additional support inside footwear.
Do insoles permanently create an arch?
No. Orthoses can support the foot while they are worn, but they do not permanently reshape a normal flexible flat foot into an arched foot.
What is a neutral children’s orthotic?
A neutral device can provide a shaped heel cup and arch support without an added corrective post.
It may be used where general support is required rather than a specific angled correction.
What is a posted children’s orthotic?
A posted device includes an angled correction intended to influence support or alignment in a selected area.
The degree and direction should match a clinical assessment.
Why is footwear important?
The shoe must have enough width and depth for the orthotic while still holding the heel securely.
Supportive fastening is preferable to footwear that allows the foot to slide.
How often should fit be checked?
Children grow quickly, so check toe room, heel position, arch placement and shoe depth regularly.
A device that fitted correctly several months ago may no longer match the child or the footwear.
Important: Do not increase the degree of posting or add wedges to a child’s orthotic without clinical guidance.
When should a child be assessed?
Assessment is appropriate where pain persists, the foot is stiff rather than flexible, walking or balance is affected, symptoms are one-sided or a corrective device is being considered.
