Flat foot (Pes Planus) is a condition in which the arch of the foot has collapsed, with the entire sole of the foot coming into direct contact with the ground. In most cases, there is no pain associated with flat feet. However, this condition may lead to misalignment of other structures of the feet which can lead to pain.
Types
Congenital (Rigid) Flatfoot: This type is rare but occurs due to bone structure and the accompanying soft-tissue contractures and bony changes.
Flexible (Acquired) Flatfoot: Also known as ‘Mobile Foot’ develops over time and be caused by many different factors.
Causes
- Genetics or congenital defects such as Coxa Vara (deformity in the hip bones)
- Postural deformities:
- Such as rotation of the hips or lower leg
- Defects in the ankle joint
- Trauma
- Calcaneus Fracture
- Muscle Weakness
- Ligament Laxity
- Pronated Foot
- Paralysis
- Posterior Tibial Tendon Dysfunction
- Arthritis
Symptoms
- Pain in the arch, calf or lower back
- Pain that can make moving and or standing difficult
- Pain with prolonged standing or strenuous athletic activity
Diagnosis
- Doctor Examination
- Will look at your posture and how your arch looks while standing barefoot.
- Will look at any wear pattern on your shoes
- X-Ray
Risk Factors
- Obesity
- Diabetes
- Those involved in activities that cause repetitive stress
Treatment
- Non-Operative Flat Foot Treatment


