- Shoes should be fitted correctly. Getting a bigger size so that there is some “growing room” is a bad idea, and in any case will cause the shoe to wear out quicker, as well as being less comfortable.
- Get both feet measured as sometimes one foot is bigger than the other. If this is the case, get shoes that fit the larger foot.
- Make sure the feet are measured for width as well as length. A shoe that is too narrow will be uncomfortable and can injure the feet.
- Get measured for shoes at the end of the day as feet swell slightly during the day, and so will be at their biggest in the afternoon.
- On average, childrens feet grow about one size per year, and will be at adult size by around 13-14 years of age. This is a guideline only, and kids can have growth spurts at any time.
Design & Fitting
The sole should not twist from side to side.
- The sole should bend at the ball of the foot to enable walking and running.
- The area surrounding the heel (the heel counter) should be firm to support the heel.
- The heel should fit snugly into the back of the shoe, and be held there by straps/laces etc. It should not slip forward in the shoe.
- There should be a child’s thumb width between the front of the shoe and the longest toe (which may not be the big toe).
- The shoe should feel stable and with good cushioning.
- A lighter shoe is better than a heavier one as long as it is of good quality.
- You shouldn’t need to wear the shoe in. If it is not comfortable (for both feet) in the shop, then do not buy it.
- Different brands and styles suit different feet. Take advice from your shoe fitter.
- You do not need to go overboard and spend a fortune on shoes. There are a few well known brands that provide quality for a reasonable price.
- Sometimes spending a bit more on better quality shoes will save you money in the long term, as they will last longer.
- It is not normal for children to have regular pain in their feet, legs, knees, hips or back when doing normal activities and sport.
- If your child reports pain, then get one of our podiatrists to check them out.
- Untreated foot and leg problems in children can become lifelong problems if left untreated.
Knee pain is quite common in growing children. Here we discuss three of the most common causes and their treatment.
Patellofemoral Pain (sometimes known by other terms, such as chondromalacia patellae)
This is a common problem in children and results from the kneecap not tracking properly over the knee during normal movement. Pain is mostly noticed on the inside of the knee cap, and tends to be worse when loading the knee when the leg is bending, such as going up stairs or standing up.
Osgood Schlatter’s disease
This occurs in children and often coincides with a growth spurt. The kneecap is attached to the lower leg by a tendon. Osgood Schallter’s disease refers to an irritation of the area where this attachment is located, and can be associated with a bony lump in the area. This is cause by exercise involving lots of use of the muscles at the front of the thigh (Such as during running and jumping).
This is more common in adults, but can occur in children too. It often appears after a sudden increase in training loads. Pain occurs in the tendon just below the kneecap. The area will often be still and sore after exercise, and agin the following morning.
It is not normal for children to get regular knee pain after normal activity and sports. It is essential that a proper assessment is conducted so that a diagnosis of the actual problem can be made.
How we treat knee pain in children
There are a variety of treatment options available, depending upon the cause of the symptoms. These include:
- Stretching and exercises to improve leg and knee function, and to make the kneecap move properly.
- Looking sport and training, and especially being careful of sudden changes in training. Sometimes a short break from sport is a good idea.
- If a person has a biomechanical factor which contributes to the problem, then orthoses may be required. In this case we may use our Bodytech treadmill to analyse walking, running, posture and balance.
- We often give foootwear advice in relation to casual as well as sport shoes.
- Our THOR Medical Laser can be used to actively treat pain, inflammation and promote rapid recovery.
If your child is complaining of knee pain, or having trouble with their knees during sport, then bring them in for some expert care at The Perth Foot & Ankle Clinic.