Parents who are plagued by the high cost of children\'s shoes may be relieved, because in the eyes of many plastic surgeons, the best way to grow your feet is not that pair of cute miniature luminous shoesin-the- Dark running shoes, or Oxford shoes, or even K Mart flip shoes, if aesthetically objectionable -- Slippers, but no shoes at all. In a new review, what many pediatricians have been saying lately has been confirmed and expanded, Dr. Lynn T. Staheli, orthopaedic director at Seattle Children\'s Hospital and Medical Center, concluded that the healthiest and softest children in their feet are those who are used to barefoot. \"Well, the myth of strong shoes is like a communist fallacy,\" said the doctor. Staheli. \"People do better when they are free, and feet do better when they are free,\" he said . \". Dr. Through an anthropology study of people who don\'t wear shoes around the world, stahri came to his conclusion. \"If you look at a place like China, you compare the feet of people who don\'t wear shoes with the feet of people who wear shoes, you will find thatshoe- The wearer has better flexibility and mobility . \" \"Their feet are stronger, less deformed and less complained than the people who wear shoes. \"Dr. In Western countries, among other things, children must often wear shoes to protect their feet from snow, broken glass or occasional subcutaneous syringes on sidewalks, Staheli said. But he said he believes that the more children\'s shoes look like barefoot, the better. He said that children\'s shoes should be light and flexible, and should be roughly round in the same shape as their feet. Most importantly, shoes should not have arch inserts or stiff sides once it is considered necessary to provide foot support. As long as the ground is safe enough, parents should allow their children to roam around unshod, he said. The new report, published in the August issue of Pediatrics, received considerable recognition. \"Bare feet are the ideal position,\" said the doctor. Lowell D. Lutter, clinical assistant professor, St. Gillette Children\'s Hospital. Paul, Minn. \"Children\'s shoes and clothing have two functions of protection and decoration. Everything in the past was an unnecessary use of resources. \"Dr. Staheli, a respected pediatric orthopaedic doctor who has also learned children\'s shoes himself, is particularly opposed to shoes known as \"correction\" or \"plastic surgery, some doctors still advocate it as a way to correct the deformity of the feet and legs, such as flat feet, pigeon toes, knocking Knee or bow leg. Debate the evidence, but Dr. Staheli and many other orthopaedic doctors condemn this medical intervention as unnecessary. First, there is no evidence that corrective shoes can correct anything, they say. On the other hand, in the vast majority of cases, the hypothetical deformity will correct itself over time. The doctor said: \"in the orthopedic community, people have real cynicism about orthopedic shoes . \"Francesca M. Thompson is a plastic surgeon at Roosevelt Hospital in New York. \"Mother Nature handles almost all orthopedic problems on her own. What children need is to protect themselves and not wear ugly brown shoes. \"Dr. Staheli recommends considering shoes in the same way as any other outfit. \"You don\'t think clothing can affect the development of the trunk or arm,\" he said . \". \"It was worn for comfort and the shoes should be designed as well. \"Some pediatricians disagree. Taking into account his extremist stance, Stahley. They insist that there is also a place to correct shoes in cases where children\'s foot problems have not improved over time. They say that unattended foot and leg problems during childhood can cause considerable discomfort in adulthood. \"The author of this article has a hatred for corrective shoes,\" the doctor said. Semour Zimbler is a clinical professor of pediatric orthopedics at the School of Medicine, taffz University, Boston. \"For some slight deformity, I believe it is helpful to have some corrective shoes, but it is difficult to prove. \"Dr. Staheli said his new comment was not an attempt to disrupt the children\'s shoe industry, but rather a summary of the general view on how the foot develops properly and how best to encourage its healthiest growth. Most babies are born with abnormal feet. Almost everyone has flat feet because the soles of the feet are covered with thick fat pads, because only by walking, the intricate muscles and ligaments of the feet strengthen and pull up into the real arch. In a study conducted a few years ago, 442 children were followed up, Staheli found that in most cases the arch was fully developed between the ages of 6 and 8. The doctor stressed that in newborns, the joints and ligaments of the legs and feet are very flexible, and it will take several years to reach the mature shape and position. With the development of the limbs, they may have many unusual changes, and almost all of them have grown up. The feet of many babies are inward, pigeons Style, usually due to the familiar fetal position squeezed in the uterus for so many months. Hip or calf bones of other children rotate inward a little more than outward, which also causes the foot to point inward. The toes of the pigeons are generally corrected by themselves from six months to three years old. Many other children begin to walk with their feet spinning outward, more like ducks than pigeons, but most children show a simpler gait within six months of their toddler. The vast majority of young people also began to walk with ballet movements, starting with a toe on the ground, and starting with a heel on the ground, even with a toe on the ground. Most people will have a normal heel. Take the first step at about 18 months old. Bow and knock Knees are also very common. \"Children usually get rid of these problems at the age of 16,\" the doctor said. Thompson, and often earlier. Dr. One thing a pediatrician can do is explain the normal evolution of the foot to ease the fear of parents, Thompson said. \"Some of my friends were so bothered by the mother and grandmother wanting their children to wear corrective shoes that they had two T- \"The shirt was made up,\" she said . \" One of the shirts said \"feet are under construction\" and the other proudly declared: \"My doctor said I\'m fine. \"I believe that the growing foot has a significant ability to self-regulate, doctor. Staheli recommends leaving it to its own device- That is to say, as few devices as possible. For children who have never formed a Arch, Staheli said he believed that the soft and normal shoes could also be good. He said recent reports from the US and Israeli forces showed that flat feet are very healthy feet, less stress fractures than high feetarched feet. Some doctors believe that a small part of the flat Children who walk may need more shoes. Dr. Lutter of Gillette Children\'s Hospital says he thinks there are about 10% to 20% apartments Children over the age of three will have leg pain, such as calf splints. \"Barefoot models may not be enough for children with very relaxed feet,\" he said . \". For them, a shoe with a strong sole -- The arch may help to stabilize the foot and help prevent the calf muscles from being pulled down by the muscles that overrelax the arch. Some pediatricians believe that corrective shoes or devices attached to them may be useful for the treatment of severe pigeons Toe or its fronttoeing. Dr. Richard J. Haines, director of pediatric orthopedics at Phoenix orthopaedic hospital in Arizona, said that if he could bend his child\'s foot to the right position by hand, he thought the problem would be corrected by himself. But if the bones in the feet are too stiff to manually adjust their abnormal positions, then he might suggest, for example, adding a metal strip to a pair of children\'s shoes while sleeping, to help push the bones out. \"The shoe itself is not correct,\" he said . \" \"When the child is sleeping or snoozing, it is only strong enough to be used with a metal rod in the middle. \"Other more serious foot deformities may require casting or surgery,\" he said. All orthopaedic doctors believe that children\'s shoes need to change with age. Dr. Staheli said that when children and teenagers start to engage in sports that require the body, they may need shoes that have enough cushioning. Children\'s foot and gait problems account for the vast majority when they see foot doctors, but doctors say there are several conditions worth consulting an orthopedic doctor. * Children whose legs differ by more than half an inch to three-inch- The inches of coins should be handed over to the doctor, although the doctor makes a difference in the difference before considering the shoe lifting. * If the child\'s bow or knock The knee is particularly severe or affects only one leg After six months of toddler, the gait of the steering is maintained and the doctor should be consulted. * Children who keep their toes on foot after six months of walking should also go to the doctor.