Foot problems in children can have a wide range of causes, and they’re not always obvious in the early stages. In many cases, early signs are best picked up by a parent or carer, especially during periods of rapid growth. Here are some of the most frequent causes of foot pain in children.

Improper Footwear
Children grow quickly, and so do their feet - which means they often end up wearing shoes that are too small, too big, or not supportive enough. Ill-fitting shoes can cause everything from blisters and calluses to more serious alignment issues like flat feet or in-toeing. It’s important to regularly check your child’s shoe size and invest in footwear that provides both proper arch support and enough room for natural movement.

Genetic Predisposition
Some children inherit foot structures or conditions that increase their likelihood of developing problems - flat feet, bunions, and even some toe deformities can run in families. If there’s a family history of foot issues, it’s a good idea to monitor your child’s development and seek advice early, especially if symptoms begin to appear.

Injuries
Kids are naturally active, and minor injuries are part of growing up, however, some foot injuries - especially repeated strains, untreated fractures, or sprains - can lead to more serious conditions if not properly managed. If your child limps, avoids certain activities, or complains of foot pain that doesn’t improve, it’s worth having it assessed. In some cases, an injury that seems minor can result in growth plate issues or long-term instability.

Lack of Physical Activity
While overuse injuries are one concern, the opposite can also be a problem. For example, children who spend too much time sitting - whether due to screen time or lifestyle - may develop weakened foot muscles and poor posture. Regular physical activity supports their overall development and helps with proper foot alignment, strength, and mobility.

Poor Posture and Walking Habits
Poor posture, awkward gait, or excessive toe-walking can all be early indicators of underlying musculoskeletal issues. Suppose your child walks in a way that seems unusual or consistently complains of leg or foot discomfort. In that case, further evaluation may be needed to determine whether corrective measures or referral to a specialist is appropriate.

Viral Infections
Warts and other viral infections can affect the soles of the feet and cause pain when walking. While these are typically treated conservatively, persistent or painful lesions should be evaluated - especially if they interfere with movement or lead to changes in gait.

Children’s feet grow and change quickly, and while many issues are temporary, some need extra attention. Addressing concerns early ensures proper development and reduces the likelihood of needing more complex treatment later in life.