Flat Foot – Overview


Flat Feet at The Florida Center for foot and ankle reconstruction at Orthopedic Associates of SWFLA flat foot is a structural deformity that can be associated with pain and can make it difficult to find shoes that fit properly. Flat feet are common in childhood, but less than 10% of this population will continue to have flat feet past adolescence since many will outgrow this condition.

Flat feet is a treatable foot condition in children by formal physical therapy to stretch the Achilles tendon and strengthen the tendon that supports the arch of the foot. Corrective shoe inserts (orthotics) are sometimes used in children and adults to help support the arch of the foot and distribute pressure evenly across the bottom of the foot.

Flat foot surgery is often needed to reconstruct the arch in a painful flat foot that has failed to respond to conservative treatment methods.

Cause of the Flat Footed Condition


Flat Feet Surgery by Michael R. Black, DPMA tightness of the calf muscles or Achilles tendon can contribute to a person being flat footed. This causes the heel bone to turn outwards and unlocks the joints in the arch of the foot, leading to collapse of the foot. Ligament laxity, AKA double jointed, can result in a collapsed arch.

Other contributing factors of the flat footed condition include dysfunction and/or rupture/tearing of the primary tendon responsible for supporting the arch of the foot. Bunions are often seen in patients who are flat footed and these are related to the misalignment of bone in the foot.

Signs and Symptoms of Flat Feet


Fallen arches may not be particularly noticeable by the patient due to the tendency for the falling to take place progressively over time. Other signs and symptoms of the flat footed condition can include:

  • Pain and swelling at the inside of the ankle or bottom of the foot
  • Fallen arches which may be progressive over time
  • Heel turning outwards
  • Bunions
  • Change in shoe size
  • Tripping/falling
  • Abnormal shoe wear

Diagnostic Testing


A majority of patients simply need clinical evaluation and x-rays, however STANDING x-rays are superior to traditional x-rays.

  • STANDING x-rays to evaluate foot structure while bearing weight
  • MRI to evaluate tendons
  • CT scans to evaluate joint surfaces
Treatment for Flat Feet

At The Florida Center for Foot and Ankle Reconstruction, we take the pain associated with flat feet seriously. Many of our patients have sought Dr. Black’s expertise for conservative as well as extensive flat foot reconstructive surgery.

  • Shoes designed for flat feet
  • Arch supports for your shoes
  • Physical therapy
  • Ankle and foot braces
  • Flat foot surgery for reconstruction
Are You Experiencing Flat Foot Pain?

 Make an Appointment with Dr. Black for a consultation to discuss your options.
The Florida Center for Foot and Ankle Reconstruction
at Orthopedic Associates of Cape Coral