A Podiatrist’s Guide to Common Pediatric Foot Concerns

As summer break approaches, kids are getting ready to swap textbooks for flip-flops, and classrooms for playgrounds, camps, and outdoor adventures. But before they dive into all the fun, it’s important for parents to take a moment and ensure their children’s feet are healthy, pain-free, and ready for the season ahead.

From my perspective as a Doctor of Podiatric Medicine, summer is one of the busiest times for pediatric foot concerns. As kids grow more active, previously unnoticed foot issues can flare up quickly. Here are four common conditions I see this time of year, and what parents should know to keep their kids on the move.

1. Sever’s Disease: When Heel Pain Isn’t Just “Growing Pains”

One of the most common causes of heel pain in active children aged 8–14, especially those involved in sports, is Sever’s disease. This isn’t a disease in the traditional sense, but an inflammation of the growth plate in the heel caused by repetitive stress and impact—often made worse by cleats or unsupportive shoes.

What to watch for:

• Complaints of heel pain after activity

• Limping or walking on toes to avoid heel pressure

• Swelling or tenderness at the back of the heel

What you can do:
Supportive footwear, custom orthotics, stretching, and rest can help manage symptoms. If heel pain persists, see a podiatrist for a proper diagnosis and treatment plan tailored to your child’s activity level.

2. Ingrown Toenails: Small Problem, Big Pain

Summertime means bare feet and sandals—but also a higher risk for ingrown toenails. These occur when the edge of the toenail grows into the surrounding skin, leading to redness, swelling, and even infection.

What to watch for:

• Red, swollen skin along the edge of the nail

• Pain when wearing shoes or applying pressure

• Drainage or signs of infection

What you can do:
Avoid aggressive nail trimming or digging at the nail. Never “home surgery” an ingrown toenail—this often worsens the problem. A podiatrist can remove the painful portion safely, sometimes permanently, with a simple in-office procedure.

3. “Growing Pains” – Or Is It Something More?

Many kids complain of “growing pains,” especially in the feet, ankles, or legs. While some discomfort is normal during growth spurts, persistent or localized pain may indicate something more, like tight muscles, flat feet, or biomechanical imbalances.

What to watch for:

• Complaints of aching feet or legs, especially at night or after activity

• Flat feet or awkward gait

• Reluctance to participate in physical activity

What you can do:
Don’t dismiss pain as “just growing pains” if it’s frequent or affects your child’s quality of life. A foot evaluation can identify underlying issues, and early intervention can prevent chronic problems later on.

4. Flat Feet: Building a Strong Foundation

Flexible flat feet are common in younger children and often improve as they grow. However, in some cases, flat feet can cause pain, fatigue, or difficulty keeping up with peers.

What to watch for:

• Lack of arch in the foot when standing

• Frequent tripping or clumsiness

• Complaints of foot, knee, or back pain

What you can do:
Not all flat feet require treatment, but supportive shoes, arch supports, or orthotics can improve comfort and function. A pediatric foot exam can help determine if intervention is necessary.

Final Thoughts: Step Into Summer with Confidence

Foot health is essential to keeping kids active, happy, and ready to enjoy everything summer has to offer. If your child is experiencing any of the issues above—or if you’re just not sure—don’t wait until a small problem becomes a bigger one.

As a podiatrist, I encourage parents to use this season as an opportunity to check in on their children’s foot health. With the right support and care, your child can step confidently into summer—and every adventure that comes with it!

Call me, Dr. Jen, at Ankle & Foot Centers of America to book your appointment:
762-248-6711
6053 Veterans Pkwy, Suite 106, Columbus, GA

Wishing you a safe, active, and foot-friendly summer break!
— Dr. Jennifer Monaco, DPM
Board-Certified Podiatric Physician & Surgeon