There are multiple causes of pediatric foot and ankle pain. Although conservative measures are appropriate for initial management, patients with refractory pain should be given consideration for further intervention. This review highlights some of the most common causes of foot and ankle pain in the child, with specific attention to demographics, etiologies, diagnostic workup, and treatment options.
Key points
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There are multiple etiologies of foot pain in the child and adolescent.
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Most foot and ankle problems in the pediatric patient may be treated with a trial of conservative measures.
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Surgical intervention may be warranted in some patients in whom pain is refractory to nonoperative treatment.

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