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Foot Pain in Children: Common Causes | Dr. Tom Biernacki

Foot Pain in Children: Common Causes and Treatment

Most foot pain in children is benign and self-limiting. Common: Sever’s disease (8-14 active kids), growing pains (varies), sports injuries (sprains, fractures), ingrown toenails, plantar warts, Osgood-Schlatter (knee but referred). When to worry: persistent pain >2 weeks, limp, fever, deformity, refusing activity.

Common Pediatric Foot Pain Causes

Sever’s disease: #1 cause in active kids 8-14. Heel pain at growth plate. Self-resolves at growth plate closure.
Growing pains: Bilateral, usually evening/night, no specific structural cause.
Sports injuries: Sprains, stress fractures, tendinitis.
Ingrown toenails: Common in athletes.
Plantar warts: HPV, common in kids.
Osgood-Schlatter: Knee but can present as foot pain referred.

When to Bring Your Child

Persistent pain >2 weeks, limp, refusing activities they normally enjoy, fever with foot symptoms, visible deformity, severe pain limiting walking, redness/swelling not from injury.

Frequently Asked Questions

Should I worry about my child’s foot pain?

Most pediatric foot pain is benign. Persistent pain or limping needs evaluation.

Can children have plantar fasciitis?

Rare but possible in older teens. Usually Sever’s in younger kids.

When do kids outgrow flat feet?

Most by age 6-10. Persistent rigid flat feet need evaluation.

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Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.