Understanding Flat Feet (Pes Planus)

Flat feet, also known as fallen arches or pes planus, is a common condition where the arches on the inside of the feet flatten when pressure is applied. While some people have naturally flat feet without issues, for others, the lack of a supportive arch can lead to significant pain and misalignment in the feet, ankles, and even the knees or lower back.

Common Causes of Flat Feet

Flat feet can develop at any stage of life. The most frequent causes we see include:

  • Congenital: Arches that never fully developed during childhood.

  • Tendon Dysfunction: Weakness or injury to the posterior tibial tendon, which supports the arch.

  • Injury: Dislocated bones or torn ligaments in the midfoot.

  • Health Factors: Conditions such as obesity, diabetes, or rheumatoid arthritis can contribute to arch collapse over time.

Symptoms to Watch For

Many individuals with flat feet experience no symptoms, but you should seek a consultation if you notice:

  • Pain or aching in the arch, heel, or along the inside of the ankle.

  • Swelling along the inner ankle.

  • Feet that "tire" easily during standing or athletic activities.

  • Difficulty standing on your toes or a noticeable change in your footprint.

Treatment and Recovery

Our goal is to restore stability and alleviate pain through a range of personalized treatments. Initial conservative approaches often include:

  • Custom Orthotics: Specifically designed inserts to provide the structural support your unique foot shape requires.

  • Supportive Footwear: Guidance on selecting shoes that offer better arch control and stability.

  • Physical Therapy: Exercises to strengthen the supporting muscles and tendons.

  • Activity Modification: Temporary changes to your routine to reduce stress on the midfoot.

If conservative treatments are unsuccessful or if the flat foot is caused by a structural deformity, our surgeons specialize in advanced reconstructive procedures to realign the foot and create a functional arch.

Take the first step toward pain-free movement. Contact our office today to discuss your symptoms and find the right solution for your feet.