VIDEO: Flat Feet Symptoms, Causes & Treatment Options - SLUCare Orthopedic Surgery * 2023
VIDEO: Flat Feet Symptoms, Causes & Treatment Options - SLUCare Orthopedic Surgery * 2023

Flat feet

Has no visible arch in the foot when they stand. All babies have flat feet. Arches form during early childhood. If arches don’t develop, or they collapse later in life (fallen arches), flat feet can cause pain and affect walking. Orthotics and stretching exercises can help.

Most people’s arches develop throughout childhood, but some people never develop arches. Some children have flexible flatfeet, often called flexible flatfoot, in which the arch is visible when the child is sitting or standing on tiptoes but disappears when the child stands. Most children outgrow flexible flatfeet without problems.

People without flatfeet can also develop the condition. Arches can collapse abruptly after an injury. Or the collapse can happen over years of wear and tear. Over time, the tendon that runs along the inside of the ankle and helps support the arch can get weakened or tear. As the severity increases, arthritis may develop in the foot.

Having flat feet may be in your genes. As a child ages, arches form in the feet. Some people have high arches, while others have very low or nearly absent arches, causing flat feet.

Some people develop flat feet later in life. The condition sometimes runs in families. And certain problems increase your risk of flat feet, including:

  • Achille’s tendon injuries.
  • Broken bones.
  • Cerebral palsy.
  • Diabetes.
  • Down syndrome.
  • High blood pressure.
  • Obesity.
  • Pregnancy.
  • Rheumatoid arthritis.

The types of flat feet

Flat feet can pose problems whether they persist after childhood or develop in adulthood.


Flexible flat feet are the most common. You can see the arches in the feet when you aren’t standing. The arches disappear when you put weight on the feet. Flexible flatfoot comes on during childhood or the teen years. It affects both feet and gradually gets worse with age. Tendons and ligaments in the arches of the feet can stretch, tear and swell.


A person with rigid flat feet has no arches when standing (putting weight on the feet) or sitting (no weight on the feet). This condition often develops during the teen years and gets worse with age. Your feet may feel painful. It can be difficult to flex the feet up or down or move them side-to-side. Flatfoot may affect one foot or both.

Adult-acquired (fallen arch):

With an adult-acquired flat foot (fallen arch), the foot’s arch unexpectedly drops or collapses. The fallen arch causes the foot to turn outward and can be painful. The problem may affect only one foot. The most common cause is inflammation or a tear in the leg tendon (posterior tibial tendon) that supports the arch.

Vertical talus:

Some babies have a birth defect (congenital disability) called vertical talus that prevents arches from forming. The talus bone in the ankle is in the wrong position. The bottom of the foot resembles the bottom of a rocking chair. Vertical talus is also called rocker-bottom foot.


The goal for flatfoot treatment is to establish optimal soft tissue support and bone alignment. Flexible flatfoot often does not need to be treated. However, if it is painful or if equinus contracture exists, then treatment may be necessary.

Conservative treatment for flexible flatfoot may include stretching, corrective shoe wear, and/or casting. Operative treatment for flexible flatfoot may include soft tissue correction, fusion, and/or osteotomy.

Conservative treatment for rigid flatfoot includes nonsteroidal anti-inflammatory drugs, corrective shoe wear, and/or casting. Surgical correction of rigid flatfoot may include excision of a cuneonavicular or a talocalcaneal coalition, osteotomy, or lateral column lengthening.

Flat feet can cause pain and affect walking * Todo lo relacionado