Flat foot, or pes planus, refers to obliteration of the medial (inside) arch of the foot. It is not a medical condition but rather a variation of normal feet. In children flat foot is the norm and as the child develops a gentle arch forms, usually complete by age 7.
As long as the feet are pain free, flexible and able to fit well in a shoe, no treatment is required though some physiotherapists recommend orthotics. In some cases of flat foot, there is tightness of the Achilles tendon, and these would benefit from stretching.
Very rarely, there is a fixed deformity and you doctor will perform a comprehensive exam and request X-rays to rule out certain conditions. Cases of fixed flat foot often require casting +/- surgery. In late childhood, if severe pes planus is leading to pain, ulceration or callosities (hard skin) on the inside of the foot then surgery would be considered.
- Foot & Ankle
- Anterior Cruciate Ligament Rupture
- Medial Collateral Ligament Tear
- Meniscus Tears
- Osteoarthritis of the Knee
- Patella (Knee Cap) Dislocation
- Patella Chrondromalacia
- Patella Tendonitis
- Posterior Cruciate Ligament Injury
- Acromio-clavicular joint pathology
- Biceps tendinopathy
- Frozen Shoulder
- Instability and shoulder dislocation
- Rheumatoid Arthritis
- Rotator cuff tear
- Scapular Dyskinesia
- Septic Arthritis
- Paediatric Orthopaedics