What causes Flat Feet?

Flat feet may be completely normal in children and young adults who have always had a fairly flat arch. This is different from a foot that previously had an arch, but has now become flat. When an arch collapses, this means that the tendon that supports the arch has stretched or snapped.

When the arch collapses, the heel drifts outwards, and the instep touches the ground. The position of the heel can become entrenched and arthritis of the foot joints and ankle can ensue. This is a long gradual process. Initially there may be pain on the inside of the ankle over the course of the tendon. Later there will be pain on the outside of the ankle. Later still, the whole rear part of the foot is painful. Walking on uneven surfaces becomes difficult, as the foot cannot adapt. Pain may radiate up the calf.

Standing on tip toes may become painful or even impossible.

If you have fallen arches, it is best to see an orthopaedic surgeon who specialises in foot and ankle surgery. You should have x-rays taken in a standing position - this is when the flattening of the foot is worst. It will also demonstrate which joints have become arthritic.

about this condition
what your 
operation involvesFlat_Foot_Surgery.html
what to expect
after surgeryFlat_Foot_Rehab.html
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