Why Does My Child Have Arch Pain?

child foot pain

If your child is suddenly complaining that their feet hurt after a soccer game, or if you notice them sitting out during recess, you might be feeling a bit worried. Arch pain in kids is surprisingly common, but it can be frustrating to figure out. Unlike adults who deal with years of wear and tear, our pediatric patients at Goldsmith Podiatry have rapidly changing bodies that present unique challenges.

The good news is that most cases of arch pain in children are treatable and often related to growth or activity levels. Here is what you need to know about why your little one is hurting and how you can help.

The Reality of Pediatric Flat Feet

Many children have what is known as flexible flat feet. If you look at your child’s foot while they are sitting, you might see a clear arch, but the moment they stand up, the foot flattens out completely.

This is normal, but it causes the muscles in the arch to work extra hard to stabilize the body. Over time, this extra effort could lead to muscle fatigue and a dull, aching pain in the middle of the foot.

Growing Pains and Sever’s Disease

While Sever’s disease is technically an injury to the growth plate in the heel, the pain often radiates into the arch.

During a growth spurt, bones sometimes grow faster than muscles and tendons, and this creates a lot of tension along the bottom of the foot. If your child is between the ages of 8 and 14 and active in sports, this tension can manifest as sharp or throbbing arch pain.

How Your Child’s Shoes Might Be the Problem

Take a quick look at your child’s favorite pair of sneakers. Are they worn down on one side? Are they flimsy enough to fold in half? Kids grow out of shoes incredibly fast, and wearing shoes that are too small or lack structural support is a leading cause of arch strain.

If the shoe doesn't provide a solid base, the arch must absorb all the impact of jumping and running.

What Should You Do as a Parent?

You don't need to panic, but you should take their complaints seriously. Chronic foot pain can lead to issues with the knees and hips if left unaddressed.

  • The Ice and Rest Method: If the pain is new, have your child rest and apply ice to the arch for 15 minutes. This helps calm down any immediate inflammation.

  • Check the Fit: Ensure there is a thumb’s width of space between their longest toe and the front of the shoe.

  • Stretch It Out: Teach your child simple calf stretches. Tight calves are a major contributor to arch tension.

  • Consult a Professional: If you notice your child limping, or if the pain persists for more than a week, it is time to see a podiatrist. We can determine if your child needs custom orthotics or physical therapy to support those growing feet.

If you’re looking for more foot care tips, give us a call at (212) 877-1002 so Dr. Howard Goldsmith, Dr. Rosanna Troia, and Dr. Kristina T. Ruff at Goldsmith Podiatry can help guide you in the right direction.