-That's wonderful, sweetheart. -Oh. -A lifetime of healthy feet really start with their first step and their first shoes, so make sure they're comfortable that they fit properly and you can really avoid lots of ailments when they're older. Properly fitting shoes are important for your children when they are walking. I'm Dr. Jennifer Trachtenberg, and I'm a pediatrician in private practice in Manhattan on the Upper East Side. I'm also author of Good Kids, Bad Habits - The RealAge Guide to Raising Healthy Children, and I'm a mom of 3 children. -Hi, Scarlet. Hi, Scarlet. How are you? We're gonna check your feet now, right? Children's feet do change as they get older. As they're obviously growing and their feet are much chubbier and fatter when they're littler so it's important to make sure and speak to parents about the importance of when they should wear shoes and how shoes should fit to make sure that they don't get ailments that actually can occur from ill-fitting or a not properly fitting shoes. When she has the shoe on, it shouldn't be sliding so there shouldn't be too much heel room. Her toes should fit comfortably in it with again you should be able to press a little bit on the front so her toes are not up top, but one thing that parents do something like they wanna buy it bigger so it still fits them for a long time, but the key thing when you buy a shoe is that the widest part, the ball of their foot should fit comfortably in the widest part of the shoe. And when Scarlet's feet grow just like all children, they actually grow from this ball of the foot backwards and not the toes are the part that grow, so that's what's so important so you don't wanna get that extra room in the toe because their foot is actually growing from here back. Shoes are so important that you have to go to a store that they really know how to fit properly shoes for your children. You don't really want any shoes. Quality is so important and you wanna have someone that knows how to measure your child's feet. It's not just the length of the foot but also the width that's really important. -Hi. How are you? Welcome to Stride Rite? -Say thank you. -Hello, little man. -Say hi. -Hi. We here for shoes today? -Yes. She's 1 now. -Okay. It's fine. -He doesn't know what to do. It is my first-- -It's okay. There you go. Very good. 1, 2, 3. It's all we need and we do his left foot because sometimes they are just quite different. -Okay. -We stand them up straight. We put their foot in the Brannock. We take their heel-to-ball measurement. The width which is also the circumference of the top of the foot and we make sure that the heel-to-ball matches up with the length on the actual Brannock. The age will depend should be putting on their first daily shoe is about 9 to 12 months when they're actually taking about 4 to 5 steps. You wanna try these? 4-1/2? -We'll try it. -Okay, ready? Let's see little one. Based on crawling stage. -Okay. -Or even the Robbies are really good. -Oh, Robbies are good? -Oh, let's do Robbies. -Right. -It is so important to keep having your child's feet remeasured because they do grow quickly just as the rest of your child is growing. You should really have your child's foot measured by a professional every 2 to 3 months, and probably at that time you probably would need to get new shoes too because it's important again not to size up because when the shoes aren't fitting the children properly and again has more falls, but again you can have more damage to their little toes and their feet if they don't fit properly. -And if he does like to untie his laces we do have Keep Tie which are wonderful because when he can't do it, he can untie his laces. -A good shoe actually like a good leather shoe will form to your child's foot but then when you pass it down to your other child, it's not necessarily going to fit them properly because they probably don't have the exact same size foot and it'll be uncomfortable to the next child. So really again invest in new shoes for each of your children. It's really worth it. -You walk to mommy. Let's do walk to mommy. Let me see Scarlet walk. Good. -All right. There's many issues that you can have wrong with your foot and so it's important to always to check with your pediatrician. The pediatrician should check at every visit. The feet are part of the body and so they should be checked every time. One of the issues is sometimes children when they learn to walk, they do walk on their toes and they may just do it occasionally and that's okay, but other times it can be a serious issue that can have either neurological implications, the developmental implications or it could have problems with their muscles or their tendons so it's important to bring that up to your pediatrician or your healthcare worker and sometimes may even need to be referred to a podiatrist or even an orthopedist. -Yes, she's walking all over here. -Yes. -And you know they say basically oh the research says that 4 to 6 weeks for them to really walk like an adult like heel to toe and that's what she's doing. One question that I get a lot is parents are concerned that their little kids have flat feet, and I tell them not to worry because all children under the age of 2 have flat feet. That's just normal development and usually between the ages of 2 and 3, that's when the arch develops. So again properly-fitting shoes are important for your children when they are walking, but no need to worry if they do have flat feet. That's a normal process that all children go through. There are certainly some elements that you see when their newborns or young children, thing like a club foot which not gonna grow out of and the foot is really sort of stuck in a position due to the tendons and the ligaments around it or extra toes in called polydactyly. These are conditions that certainly need to be referred to specialists to take care so they won't have problems as the child gets older. Little feet sweat a lot so you wanna have a breathable fabric plus socks, cotton socks are very important, but it also helps to prevent blisters and calluses and corns and other ailments that can happen when shoes don't fit properly. I'll see you in 3 months, okay? We should think about fairly from the time they are born to when they're walking until they get into their teenage years because what happens to their feet when they're young really does affect your feet as you grow older. -Thank you for watching Parents TV, our families, our lives.