What is the appropriate action if pes planus in infants does not self-correct by age 12 months?

When pes planus, or flat foot, is observed in infants and does not self-correct by the age of 12 months, consultation with a pediatric orthopedist is warranted. This specialist can provide a comprehensive assessment to determine if any underlying structural issues or functional deficits are present that could influence the child's development and mobility.

Pediatric orthopedists are trained to identify the subtle nuances of orthopedic conditions in children and can develop an appropriate management plan if further intervention is needed. This evaluation is essential because while many cases of pes planus are benign and self-resolving with growth and development, those that persist may require specialized attention to prevent further complications such as pain or gait abnormalities.

Other approaches, such as re-evaluation, may not be sufficient alone without a specialized confirmation of the child's orthopedic status. Similarly, while orthotic shoes can help in some cases, they are not the first-line response in infants. Surgical intervention is typically reserved for severe, persistent cases where conservative management has failed, necessitating expert evaluation first.