Flat feet diagnosis and orthotics

Key Takeaways

  • Flat feet, or fallen arches, occur when the arches of the feet are not present, causing the entire sole to touch the ground when standing.
  • Common symptoms include foot pain (especially in the arch and heel), ankle swelling, pain that worsens with activity, and an uneven gait.
  • Causes range from genetics and aging to injuries and underlying health conditions like rheumatoid arthritis.
  • Treatment options vary from supportive shoes and orthotics to physical therapy and, in rare cases, surgery.
  • If you're experiencing persistent foot pain, the expert team at South Texas Podiatry offers quality foot care in TX and can create a personalized treatment plan for you. Schedule an appointment today!

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What Are Flat Feet?

Flat feet, known medically as pes planus or fallen arches, is a common condition where the arches on the inside of your feet are flattened. This allows the entire sole of your foot to touch the floor when you stand up.

While many people with flat feet experience no symptoms and require no treatment, others may deal with significant pain and discomfort that can affect their daily activities. The condition can be present from childhood if the arches don't develop, or it can develop later in life due to wear and tear or injury. Understanding the symptoms and knowing when to seek professional help is the first step toward finding relief.

Common Symptoms of Flat Feet

Recognizing the signs of flat feet is essential for managing the condition effectively. While some people are asymptomatic, others experience a range of issues. Here are five common symptoms to watch for.

1. Foot Pain

Pain is the most frequent complaint associated with flat feet. It often localizes in the arch and heel areas but can also radiate along the inside of the ankle. This discomfort may be a dull ache or a sharp, stabbing pain, particularly after long periods of standing, walking, or high-impact activities like running.

2. Swelling Along the Inner Ankle

Inflammation of the posterior tibial tendon—a key tendon that supports the arch—can cause noticeable swelling along the inside of your ankle. This tendon can become strained and weakened in individuals with flat feet, leading to pain and inflammation.

3. Uneven or Rapid Shoe Wear

If you notice that your shoes wear out unevenly, especially on the inner side of the soles, it could be a sign of flat feet. The altered foot mechanics cause an improper gait, leading to faster-than-normal breakdown of your footwear.

4. Leg and Back Pain

The biomechanical changes from flat feet don't just affect your feet. They can cause a ripple effect up your body. Misalignment in the feet can lead to strain on your knees, hips, and lower back, resulting in chronic aches and pains in these areas.

5. Changes in Gait

People with flat feet often develop an altered walking pattern, known as overpronation. This is when the ankle rolls too far downward and inward with each step. You might notice your feet pointing outward when you walk or run. This abnormal gait can contribute to other issues, including shin splints, bunions, and Achilles tendonitis.

How Are Flat Feet Treated?

Finding the right treatment for flat feet depends on the severity of your symptoms and the underlying cause. At South Texas Podiatry, a personalized approach ensures you get the most effective care for your specific needs.

Treatment ApproachDescriptionBest For
Conservative (Non-Surgical)These methods focus on relieving pain and providing support without invasive procedures. They are the first line of defense for most cases of flat feet.Mild to moderate symptoms, flexible flat feet, and individuals seeking to manage pain without surgery.
SurgicalReserved for severe cases where conservative treatments fail to provide relief, or when there is a significant structural issue like a torn tendon or bone deformity.Rigid flat feet, severe pain that impacts quality of life, and specific injuries or congenital conditions.

Conservative Treatment Options

Most people find relief with non-surgical treatments aimed at supporting the arches and reducing pain.

  • Custom Orthotics: Unlike over-the-counter insoles, custom orthotics are molded specifically to your feet. They provide tailored support to the arch, correct alignment issues, and cushion the foot to absorb shock.
  • Supportive Footwear: Choosing the right shoes is crucial. Look for footwear with good arch support and a firm heel counter. Stability or motion-control running shoes are often excellent choices for daily wear. Avoid flimsy shoes like flip-flops or unsupportive flats.
  • Stretching and Physical Therapy: A podiatrist may recommend specific stretching exercises for the Achilles tendon and calf muscles. Strengthening the posterior tibial tendon can also help improve arch support over time.
  • Medication: For pain and inflammation, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can provide temporary relief.

When Is Surgery Necessary?

Surgery is considered a last resort. If you have a torn or ruptured tendon, bone deformities, or debilitating pain that doesn't respond to conservative care, a surgical procedure may be recommended. Surgical options can range from repairing a tendon to fusing bones in the foot to correct alignment. The team at South Texas Podiatry will discuss all available options to determine if surgery is the right path for you.

Get Relief From Flat Foot Pain Today

Living with foot pain shouldn't be your norm. Understanding the symptoms of flat feet and seeking timely care can prevent long-term complications and improve your quality of life. The specialists at South Texas Podiatry are here to provide expert diagnosis and effective treatment.

Schedule an appointment at South Texas Podiatry for quality foot care and let our experts help you find the right solution for your foot pain.

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Frequently Asked Questions

Can flat feet be corrected?

In children, flexible flat feet often correct themselves as their bodies develop. In adults, flat feet are generally a permanent condition, but symptoms can be effectively managed with treatments like custom orthotics, supportive shoes, and physical therapy. Surgery can correct underlying structural issues in severe cases.

Do I need to see a doctor for flat feet?

If you have flat feet without any pain or other symptoms, you may not need to see a doctor. However, if you experience foot pain, ankle swelling, or your feet tire easily, it's a good idea to consult a podiatrist for a proper diagnosis and treatment plan.

Can running with flat feet cause injury?

Yes, running with flat feet, especially without proper footwear or orthotics, can increase your risk of injury. The condition can lead to overpronation, which puts extra stress on your ankles, shins, knees, and hips, potentially causing shin splints, tendonitis, and other overuse injuries.

What are the best shoes for flat feet?

The best shoes for flat feet offer excellent arch support and stability. Look for motion-control or stability running shoes, which are designed to limit overpronation. Shoes with a firm heel counter and a supportive midsole will also help keep your foot in a more neutral position.