It is very common for pediatric patients to have flat feet, as they do not develop an arch until they are 4 or 5 years old. Some patients will intoe, which means the toes point towards the midline, and some patients will outtoe, which means the feet point away from the midline. Special orthotics called gait plates prevent this from happening, and it forces the feet to walk in a straight position. Some pediatric patients also toe walk, and stretching and heel lifts in orthotics often help with this condition. The earlier the condition is diagnosed and treated, the better the outcomes.

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