
CHILDREN FOOT HEALTH
A Word to Parents
All parents want to see their children do well in sports. But putting too much pressure on a child to become a star athlete may result in both physical and emotional injury to the child. A child should enjoy playing a sport, but if forced, could be turned away from all sports for a lifetime. Especially with individual sports such as swimming, figure skating, and gymnastics that require long hours of practice every day, be certain the child's heart is in the endeavor, not just yours. When it comes to sports, overzealous parents can potentially do their children more harm than good.
Growing Bones and Ligaments
The immature bones of children are different from those of adults. The "growth plates" in children's bones do not finish closing until age 15-17 in boys and 13-15 in girls. When stressed, these plates are more susceptible to injury than the tendons and ligaments that support the joints. Ligaments tend to "give" before bones in adults.
Podiatric physicians warn repetitive overuse can cause inflammation of the growth plates. They advise parents to promote diverse physical activities for their children rather than one sport. This is especially important with individual sports such as running, gymnastics, and tennis, which require long hours of practice.
Statistics show children who concentrate on just one sport for long hours at a time are setting themselves up for injuries. Because of the susceptibility of bones with open growth centers to overuse injuries, sponsors of the Boston Marathon recently increased the minimum participation age from 16 to 18.
A sports medicine podiatrist can offer a thorough examination of the entire lower extremity and identify a leg length imbalance, weakness, or biomechanical imbalances that may need to be addressed to prevent injuries on the athletic field.
Tips from the APMA
- Don't put too much performance pressure on your child.
- Don't let children use running shoes for court sports. An ankle sprain could result.
- Change shoes often. Check the sizing and wear regularly.

