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Expert Q&A:
My 16-month-old has bent feet. Does she need special shoes to straighten them out?

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Angela Rosas
Answered by Angela Rosas M.D.
"The most enjoyable thing for me in practicing general pediatrics is to use my professional training and my experiences as a mother to help families to improve the health of their children," says Angela Rosas. "It is a wondrous feeling to watch children heal and develop into healthy young adults, knowing that you played a small role in the process."

Angela Rosas M.D., graduated from Stanford University with a degree in human biology. She attended medical school and completed her residency in pediatrics at the University of California at San Diego. She has been a fellow in the American Academy of Pediatrics since 1991. Dr. Rosas has practiced general pediatrics for eight years in community clinics, private practice, and university hospitals. She is currently Assistant Professor of Pediatrics at the University of California at Davis Medical Center in Sacramento, California. Her clinical and research interests are breastfeeding, asthma, adolescent care, children with disabilities, child abuse and neglect, and accident prevention. Dr. Rosas has published several articles in peer-reviewed journals and contributed to various pediatric textbooks. She frequently lectures on pediatrics issues at medical conferences and for community agencies. Dr. Rosas is married to another pediatrician and has three young daughters.
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Question


My daughter is now 16 months old. Her feet are a bit bent, and my sister is advising me to buy her shoes or boots that will straighten her feet. What is your comment on this? If I leave her feet alone, will they straighten out in time?

Answer


Mild problems with "bent" feet and legs in toddlerhood are very common and almost always go away without treatment as children grow. If you can straighten out your daughter's feet with only gentle pressure, the problem is likely benign. You may find that you notice they're bent only when your daughter is standing or walking. Such toeing-in and toeing-out are normal responses to a toddler's leg growth and weight gain as she learns to walk. Even the more extreme cases of toeing-in and toeing-out tend to improve -- if not resolve completely -- by school age. Studies have shown that placing toddlers in corrective shoes does little to change the natural course of the toeing-in and toeing-out. You should discuss your concerns with your daughter's medical care provider. A thorough examination of your daughter's hips, legs, and feet while standing and lying down is important to detect any serious, but less common, orthopedic conditions.
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