Flat feet are a common condition. In infants and toddlers, the longitudinal arch is not developed and flat feet are normal. The arch develops in childhood, and by adulthood, most people have developed normal arches. Most feet are flexible and an arch appears when the person stands on his or her toes. Stiff, inflexible or painful flat feet may be associated with other conditions and require medical attention.
Most flat feet usually do not cause pain or other problems. Flat feet may be associated with pronation, a leaning inward of the ankle bones toward the center line of the body. Foot pain, ankle pain or lower leg pain, especially in children, may be a result of flat feet and should be evaluated.
Painful progressive flatfoot, otherwise known as Tibialis Posterior Tendonitis, is caused by inflammation. The tendon becomes inflamed, stretched or suffers a partial or total tear. If left untreated, this condition may lead to severe disability and chronic pain. Some people are prone to this condition if they have flatfeet or an abnormal attachment of the tendon to the bones in the mid-foot.
Non-steroidal anti-inflammatory medications, ice, exercises to stretch, strengthen and coordination, supportive taping and bracing, or orthotic devices are the common ways of treating painful progressive flatfoot. Consult with your podiatrist before taking any actions. In severe cases, surgery on the mid-foot bones may be necessary to treat the associated flatfoot condition.
Specialised consultation and care for flat feet at Temple Clinic in Ealing, West London