Flat Foot (Pes Planus)
What is a Flat Foot?
Flatfoot is often a complex disorder, with diverse symptoms and varying degrees of deformity and disability. There are several types of flatfoot, all of which have one characteristic in common: partial or total collapse (loss) of the arch. Other characteristics shared by most types of flatfoot include toe drift, in which the toes and front part of the foot point outward. The heel tilts toward the outside and the ankle appears to turn in. Flat feet can broadly be divided into pediatric flat feet, flexible flat feet, adult acquired flat feet(fallen arches)
Symptoms that may occur in some persons with flexible flatfoot include:
Pain in the heel, arch, ankle or along the outside of the foot
Rolled-in ankle (overpronation)
Pain along the shin bone (shin splint)
General aching or fatigue in the foot or leg
Low back, hip or knee pain
If you experience symptoms with a flatfoot, we may recommend nonsurgical treatment options, including:
Activity modifications. Cut down on activities that bring you pain and avoid prolonged walking and standing to give your arches a rest.
Weight loss. If you are overweight, try to lose weight. Putting too much weight on your arches may aggravate your symptoms.
Orthotic devices. Your foot and ankle surgeon can provide you with custom orthotic devices for your shoes to give more support to the arches.
Immobilization. In some cases, it may be necessary to use a walking cast or to completely avoid weightbearing.
Shoe modifications. Wearing shoes that support the arches is important for anyone who has flatfoot.
When Is Surgery Needed?
In some patients whose pain is not adequately relieved by other treatments, surgery may be considered. Many surgical techniques are available to correct flexible flatfoot, and one or a combination of procedures may be required to relieve the symptoms and improve foot function. In selecting the procedure or combination of procedures for your particular case, we will will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level and other factors. The length of the recovery period will vary depending on the procedure or procedures performed.