Flat Feet

What are Flat Feet?

The midsection of the foot should create a small arch between the heel and ball of the foot. Flat feet or fallen arches happen when that arch is very shallow or absent and when you stand, the pads of the feet press into the ground. While flat feet might not be a painful condition, foot pain can result along with effects on your gait, causing pain in the ankles, knees, hips, and back.

Tendon injuries or fractures in the foot can cause flat feet. Rheumatoid or nerve damage in the foot can also lead to flat feet.

Flat feet occur normally in infants and children, with arches forming typically by age 6. The tendons holding the joints in the foot together tighten and create an arch as children grow older, and normal arches would be seen in most adults. The condition isn't typically a problem for most people, if flat feet causes pain or other problems, there are medical treatments available to address it. 


What are the types of Flat Feet?

Flat feets can pose problems if they persist after childhood or occur in adulthood. Types of flat feet incude:

  • Flexible: Flexible flat feet are the most common and happens when you can see the arches in the feet when you aren't standing, however the arches disappear when weight is applied to the feet. Flexible flat foot affects both feet and gradually worsens with age. 
  • Rigid: Someone with rigid flat foot has no arches when standing or sitting. This condition often develops in your teens and gets worse with age. You may feel pain in your feet and it may be difficult to flex your feet up and down or side to side. 
  • Fallen arch: With adult-acquired flat foot, otherwise known as fallen arches, the foot's arch unexpectedly collapses. This causes the foot to turn outwards and can be painful. It is commonly caused by an inflammation or tear in the leg tendon supporting the arch. 


What are the symptoms of Flat Feet?

  • Leg cramps
  • Pain in the foot, ankle, or lower leg in children
  • Tired or muscle ache after long periods of standing or taking part in sport in adults
  • Possible pain on the outside of the ankle
  • Changes in the way you walk


How are Flat Feet caused?

Flat feet may run in your family while others may develop the condition later in life. Certain conditions can also increase your risk of developing flat feet, including:

  • Injuries to the Achilles' Tendon
  • Broken bones
  • Cerebral palsy
  • Diabetes
  • Hypertension
  • Obesity
  • Pregnancy
  • Rheumatoid Arthritis


How are Flat Feet diagnosed?

Standing on your toes to check if arches form for your feet. If there is pain, a CT scan can be used to evaluate the bones. An MRI scan is helpful for checking the tendons and an X-ray can be used to identify if there is arthritis.

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