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Stages of a Child's Foot Development - A Detailed Review

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From birth to adolescence, a child's feet undergo major structural, functional, and physical changes. Read to learn more about the same.

Written by

Dr. Sameeha M S

Medically reviewed by

Dr. Veerabhadrudu Kuncham

Published At February 27, 2024
Reviewed AtFebruary 27, 2024

Introduction

Due to their incomplete development, children's feet are different from adults. The foot is still mainly cartilage at six months old, and the last bone does not form until children are roughly three years old. By the age of 18, the bones have reached complete maturity. Externally, infant's and babies' feet are miniature replicas of adult feet. The child's feet are most likely going through various stages of development specific to their age. While they may appear identical to adults, they are materially and architecturally different. The baby's feet develop in phases as they discover new moving methods, from slowly wriggling to eventually walking without assistance.

What Are the Stages of Foot Development in Children?

1. Pre-walking Stage

In the first six to ten months, when the structure of the newborn foot begins to take shape, numerous exciting processes take place. One should expect the baby's feet to expand by three sizes and measure half the length of their mature foot by the time they reach their first birthday.

Newborns have no bones in their feet, only spongy cartilage, which eventually ossifies to form the 26 bones and 33 joints that make up an adult foot. The process is complete at the age of 18, but the babies' feet are extremely sensitive during the first few months.

If babies' feet are not adequately taken care of, they can suffer from developmental problems. Remember that when caring for infants' feet, poorly fitted shoes and socks can cause strain and pressure on the foot. This can eventually stifle growth and create difficulties that can last for years. It is always a good idea to check the child's foot size and replace their footwear as frequently as possible. When shoes are required, use soft soles that allow their delicate toes to stretch and strengthen.

2. Beginning Walker Stage

The infant will attempt to stand independently between the eight and ten month milestones. They will rely on items to sustain themselves, and there may be some bumps along the way. Standing and cruising take a significant amount of development. It also requires determination from the child to build and tone muscles. Their delicate cartilage would have solidified, becoming strong enough to bear their weight. Their small feet continue to lack an arch, which is typical. Children do not display any symptoms of this arch till seven years of age. The baby's feet make significant progress during the early walking days while they also experience a lot of emotional growth. Falling is their method of accepting their progress. Each time they get up, they strengthen both physically and emotionally.

3. Walking Stage

During this time, the baby makes significant progress. The bones and joints keep on fuse and develop while the tendons and muscles take on new responsibilities. Most children's first steps occur around the ages of 9 and 17 months. While this may appear to be a large range, babies can walk between the ages of 10 and 12 months, but many may take longer. The feet of babies develop at varying rates, and many newborns walk on their own schedule. Kids may adopt behaviors such as out-and-in-toeing, tiptoeing, and bow-leggedness, which are normal in toddlers and walkers. They are frequently the result of the duration that the kid spent in the womb, which distorted these specific muscles into various positions. Walking can help to flex and stretch such muscles, gradually restoring the entire range of motion.

4. Running and Jumping Stage

Around two years old, the child gains confidence in all aspects of walking, running, and jumping. A three-year-old toddler will have developed almost all of the walking skills that an adult will have at the age of thirty.

What Are Some Potential Difficulties Parents Should Be Aware of During the Foot Development Stage in a Child?

Children's foot and ankle disorders can be challenging for parents to diagnose. Children's complaints and changes in behavior are easily missed and misunderstood, particularly when kids are unable to describe what is wrong. A child with problematic feet walks uncomfortably and typically has bad posture. They could be uncoordinated or have delayed physical milestones. Most of the problems that arise later in life can be avoided with regular professional treatment and monitoring. Below are some early warning signs to help parents discover potential foot problems in their children.

  • The child has difficulties keeping up with their friends.

  • The child has intentionally withdrawn away from their favorite hobbies.

  • The child does not wish to show their feet.

  • The child frequently trips and falls.

  • They are complaining about painful feet and discomfort.

What Are Some Common Foot Problems That Occur in Children?

  • Clubfoot - Clubfoot refers to a variety of malformations that might cause the newborn's feet to twist inside or point downward. Babies with clubfoot develop the condition in both feet, and up to one out of every four babies has it. Boys are almost twice as likely as girls to have the condition.

  • Flat Feet - Flat feet are defined as having low or no arches. They are a usual cause of anxiety for parents, but they are also a normal component of growth in younger children and have been shown to improve over time.

  • Growing Pain - The legs, ankles, and feet of children are constantly growing and changing. Pains associated with growth are natural and can occur in the muscles after engaging in more than everyday physical activity. These pains could also be the result of muscle spasms or hypermobility.

  • Toe Walking - Before the age of three, toe walking is generally considered normal. However, if it continues beyond the period of three to five years old, and the child refuses to walk on the entire sole of their foot, they may require some assistance to walk appropriately.

Conclusion

Understanding how a child's feet develop is critical for supporting optimal growth, movement, and overall well-being. From infancy to adulthood, each stage presents distinct possibilities and challenges that lay the groundwork for an entire lifetime of active living. Parents and caregivers may nurture their children's feet by offering adequate care, assistance, and guidance, allowing them to confidently and joyfully explore the world.

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Dr. Veerabhadrudu Kuncham
Dr. Veerabhadrudu Kuncham

Pediatrics

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