
A gait abnormality is an unusual walking pattern that affects how a child places the feet, moves the legs, or maintains balance while walking. Normal gait develops as children grow, but changes in walking can sometimes indicate pain, weakness, or an underlying condition. One common example is an antalgic gait, which is caused by pain. A child with an antalgic gait may spend less time bearing weight on the affected side, and quickly shift weight to the opposite leg. Other causes include leg length discrepancy, flat feet, and joint problems. Early recognition can help prevent worsening discomfort and movement limitations.
Symptoms of gait abnormalities can vary depending on the underlying cause. Parents may notice limping, uneven steps, walking on the toes, or reluctance to participate in physical activities. Children may also complain of foot, ankle, or lower back pain. Risk factors include congenital foot differences, developmental problems, and significant differences in leg length.
A podiatrist can evaluate the child’s walking pattern and determine whether the problem originates in the feet, ankles, or another part of the lower body. Treatment begins with a medical history and physical examination, followed by gait assessment and an evaluation of foot alignment. They may also look at joint movement, muscle strength, and leg length. Imaging may be recommended when structural concerns are suspected. Treatment can include wearing supportive footwear, custom orthotics, or treatment for an underlying foot condition. A leg length discrepancy may require specific correction based on its severity and cause.
Early treatment can improve walking efficiency, reduce pain, and support healthy movement as a child develops. Parents should not ignore persistent limping or noticeable changes in walking, especially when symptoms interfere with school, sports, or daily activities. If your child has developed an unusual walking pattern, it is suggested that you consult a podiatrist for a thorough evolution and proper management and treatment solutions.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.



