Pronation is a turning outward of the foot ankle, so that one has tendency to walk on the inner border of the foot. This is a static deformity associated with flat feet and sometimes with foot and arch pain. Major cause of pronation in children is poor quality footwear that does not support the foot in general, ankle joints or stabilize the foot. Babies when they learn to walk and stand are especially at risk to develop pronation since their back foot joints are very soft and sensitive to deformation. To prevent pronation buy high top supportive European footwear with orthopedic arch that will properly mold and develop little feet. Quality European shoes are considered best orthodics that you can buy, therefore it is recommended that children wear quality, supportive shoes at all times. In some cases older children (age 3 and up) would be required to wear orthodics to correct the problem along with supportive shoes. However, to prevent any foot deformities from young age child should wear only quality, leather orthopedic shoes so their feet will develop correctly.
Flat feet is a genetic condition that it is passed in the family genes (not necessarily from mother or father). Flat feet occur because the tissues holding the joints in the foot together (called tendons) are loose. In infants and babies, the fat in the foot is also a factor. As children grow older, these tissues tighten and form an arch, most often by the time the child is 2 or 3 years old. By adulthood, most people have normal arches. However, in some people this arch may never form. Aging, injuries, illness or cheap footwear without any arch support may harm the tendons and cause flat feet to develop. Therefore, quality supportive footwear is especially required for little feet that are growing and developing a shape. Only European quality footwear made out of leather or canvas with leather orthopedic innersole will help a child to form proper arch and correctly shape little feet. Flat feet do not cause pain in children but later in life as an adult it might be a factor in posture defects, back and knee pain.
IN TOEYING AND OUT TOEYING
If a child has an in-toeing gait, it means that their feet turn inward instead of pointing straight ahead when standing, walking or running. In-toeing is seen in children of different ages for different reasons. The problem may be due to the way the bones are formed or the way the muscles in the hips work or plainly because they wear not supportive shoes with good arch support. Out-toeing is an opposite condition where child's feet are pointed excessively outwards. In-toeing and out-toeing usually does not cause pain or interfere with the way your child learns to walk. Although, severe in-toeing can cause young children to stumble or trip. Therefore, high supportive shoes with arch support are needed to minimize the condition. If in-toeing continues special orthodics (made by podiatrist) are needed to line up the feet and improve the condition.
A child who stands with their knees touching but their ankles apart is said to have knock-knees. Knock-knees usually become apparent when a child is two or three years old and may increase in severity until about age of four. Concerns only really arise if the condition is first noticed after the child is six years old or if one leg is more affected then the other. Knock knees may appear to be present in children who have flat feet or who are overweight or are weak or tight around the hips. To improve the condition special orthodics along with high supportive leather shoes are needed. Also, strengthening and stretching exercises will help to improve the posture.
Many toddlers walk on their tip-toes because as babies (learning to walk) they never wore high supportive, quality shoes. High, rigid, ankle supportive shoes with arch orthopedic support are needed to correct the condition. The shoes will profile the foot, stabilize the back foot joints and over time minimize and stop tip-toeing over time. Make sure that child wears only quality shoes at all times and that they are high in a back and supportive. The stiffer, sturdier in a back the better! Remember you can only make any difference in child's foot when they are small and growing once grown no surgery exists to fix the issues.
AMERICAN BOARD OF PEDIATRICS VS EUROPEAN MINISTRY OF HEALTH
European Ministry of Health Recommends:
The statistics between those two recommendations differ greatly since in Europe number of children with deformed feet is basically none existent. Children wear only quality, leather supportive shoes at all times and their feet and posture is perfectly formed. There is simply no need for orthodics or surgeries since quality shoes act as developmental and preventive tool. In USA majority of children display various feet deformities since local shoes allowed for sale in department stores are low quality and not supportive. There is no quality control since majority of shoes are produced in low cost production countries out of low quality materials.
QUALITY AND AVERAGE PRODUCTION COSTS
European shoes are expensive in general since labor, quality materials and manufacture costs are high. Average pay or any leather worker in Europe ranges from 10.20EU to 25EU an hour (varying from country to country) therefore, locals gets paid living wages for quality products they produce. The footwear they produce is made out of best quality leathers (no harmful CFC's), has orthopedic support, it is well measured and fitted on average child's foot. The quality of the products is superior and designs of the shoes are one of a kind. Average production cost of the child's pair of shoes is about 25EU to 50EU per pair plus importing costs, adult shoes range from 60EU to 120EU per pair plus importing costs. (designer shoes costs much more since designer label has its own value in eyes of worldwide customer). European local department stores and major chains sell kids shoes for an average 69EU to 150EU per pair and adult shoes for 150EU - 350EU per pair (varying from country to country). However, customer is guaranteed quality, comfort and durability every time.
In contrast to the shoes mass produced in China, the average pay of a leather worker is $0.60 an hour. (city worker makes an average $1.04 an hour but in the province is $0.41 and hour). The shoes that every Chinese factory produces are made out of low quality leather that contains various dye chemicals including Lead and Mercury (read the article about Chinese leather imports to USA, tainted kids shoes imported to USA) The shoes are never measured nor fitted, have no orthopedic support of any kind and they heavily deforming child's feet during wearing process. The average cost of the child's shoes produced in China is $2 to $4 dollars per pair and that is including import costs. Local stores and major chains in USA sell them for an average of $50 to $60 dollars per pair. Well, talking about 600% profit! The average production cost of an adult shoe in China ranges from $9-$13 per pair including import costs. The local USA department stores and major shoe chains sell them for $150 to $300 per pair. Again, talking about huge profit and zero quality for USA client!
Now, ask yourself what kind of quality product are you getting when average production cost of the shoe your child wears is $3 and $11 for an adult? Why the shoes that you buy every season smell, fell apart, and give you discomfort? More importantly, how would they form and benefit your child's feet when quality is none existent? Is that maybe a corporate greed that outsources production jobs to China and forces local customers to settle for pure junk? Why USA footwear brands that used to produced locally closed down moved to China but are still allowed to sell and profit in USA?
If the shoes were produced in USA (let's just hope we will see that in our lifetime) the average cost of a shoes will be the same or even higher then European one's however, the shoes will be quality, well made locally by workers who would be paid living wages. Let's just hope America returns to pre-China product invasion where we the customers have a choice to buy local products that are functional, quality and do not fall apart after seasonal wear.
LOW QUALITY FOOTWEAR
Low quality footwear that will cause foot pronation, decrease the arch support, cause pigeon toes and over time completely deform child's feet. As child approach the adulthood he/she is certain to develop feet and back pain, spine and posture defects not to mention sore, deformed and ugly feet. Therefore, Europeans buy only quality, orthopedic shoes for their children and when they became adults themselves they do not display any feet deformities. Is it worth paying $80-$100 on average for a pair of quality, orthopedic shoes? YES it is, since buying quality shoes is like buying "developmental health product" that your child definitely needs! So, in conclusion the type of shoes you have as a child that is how your feet and posture will develop.