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is anyone a podiatrist? when to switch to hard soled shoes?

40 replies

nappyaddict · 13/02/2007 02:05

friends dd is 2.5 and still wearing soft soled shoes as these are the next best thing to bare feet apparently. she wants to know when it would be ok to switch to hard soled shoes as she can't carry on wearing the soft ones forever.

OP posts:
greyriver · 15/02/2007 11:41

here

greyriver · 15/02/2007 11:42

lol, should have kept my nose out

dueat44 · 15/02/2007 11:51

I always thought that outside shoes should have an impenetrable sole (ie, hard) for protection, but flexible too. Not the sort of soft soled shoes that have just a skin of leather or plastic on the bottom.

tissy · 15/02/2007 12:04

I had a look at that link, and it doesn't by any means constitute proof that children should be encouraged to walk on tiptoes, though I agree that barefoot is best wherever possible.

I work in the NHS, and see many children for whom tiptoe walking is a big problem. In some, there is nothing that could have been done to prevent it, but in others, the use of baby walkers has definitely been a factor in the development of a tight Achilles tendon, and in some children there is no obvious precipitating factor. If the tight Achilles tendon cannot be stretched by physio, then casting or surgery is necessary. If tiptoe walking persists into adult life it can cause early arthritis of the knee, as weight is thrown forwards onto a part of the knee joint not designed to bear it. The same thing happens if high heels are worn constantly.

Walking is a skill that is programmed into the brain. It will occur when the child is ready, i.e. he or she has the ability to stand unaided, and the balance to then move each leg independently without falling over. This cannot be accelerated, and would certainly be hindered by misguided parents encouraging the children to walk on tiptoes. (Baby walkers do not teach a baby to walk, they teach it to propel itself with its toes).

Once the child can walk normally, there is no harm in occasional tiptoe walking, but if this is prolonged, contracture of the heel cord will result, and the child will not then be able to put his/ her feet flat on the floor.

Children's shoes should be flexible to allow all the muscles, ligaments and joints to be as feely mobile as possible. Start-Rite used to be terrible with their stiff "supportive" shoes, but I have recently bought a pair for my dd, as they were flexible enough. Except in unusual cases feet do not need support.

Here endeth the lesson

robbosmum · 15/02/2007 16:14

nappy addisct,,my mum suggests socks where safe, if house is cold,,

nappyaddict · 15/02/2007 21:54

sorry can't find the other thread to check if you answered this there, but did she say when the "foot mechanics" were ok for hard soled shoes?

OP posts:
robbosmum · 16/02/2007 10:28

Hi nappyaddict, when your lo starts to walk properly with good balance

Skyler · 16/02/2007 10:42

My stepmum is a physio and would be concerned about tiptoe walking too....

brimfull · 16/02/2007 10:46

lol at his thread

nappyaddict · 16/02/2007 11:48

thistle where did you get 2 years from out of interest?

OP posts:
ScottishThistle · 16/02/2007 19:10

Sorry to all who have got a bit hot under the collar here! fgs

I said 2 because it was on the Podiatrists opinion page & the original poster asked for a Podiatrists opinion!

Perhaps the whole 'tip-toe' walking has been misunderstood, what I meant was that the feet are allowed to move more easily if not in hard soled shoes & this helps with balance & leg muscles.

If you think your child needs hard soled shoes go ahead!

nappyaddict · 16/02/2007 19:27

have you got a link to that page?

OP posts:
ScottishThistle · 16/02/2007 19:36

I put a link up many posts ago!

tissy · 17/02/2007 11:04

erm, scottishthistle, that link was to a page by a paediatrician (and a fairly ancient one at that!), not a podiatrist. Big difference!

ScottishThistle · 19/02/2007 10:00

Perhaps you read it wrong, the comment I read was defo by a Podiatrist!!!

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