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Glossary
Flatfeet
The arch is the main supportive structure of your foot. If this arch loses strength, the bony framework begins to collapse, causing your foot to flatten. Like a sagging bridge, the weakness in the middle, strains the joints at both ends of your foot.

Causes
There are many causes of flatfeet. Some people are born with them, others acquire flatfeet as a result of arthritis, trauma, or musculoskeletal disorders. Overuse or repeated pounding on hard surfaces can also weaken the arch.

Symptoms
Discomfort from flatfeet often doesn't appear for years. At some point, pain may be felt, and walking may become awkward as increasing strain is put on your feet and calves.

Related Problems
The excess strain from flatfeet can cause other foot problems such as hammertoes, bunions, heel spurs, arch strain, corns, neuromas, and sagging joints. Flatfeet can also affect other parts of the body, causing fatigue, pain, or stiffness in the ankles, knees, hips, or lower back.

Treatment
To determine the best treatment for flatfeet, your podiatrist will look at your medical history to determine if you have had any previous medical problems. The physician will ask about the length and frequency of your symptoms, the type of activities you do, and any pain or problems you have in other parts of your body. Your physician will perform a complete examination of your foot, including a gait analysis to observe the movement and stability of your legs and feet as you walk.

If flatfeet are diagnosed at an early age, there is a good chance that nonsurgical treatment such as strapping custom shoe inserts or medication can help the problem.

  • Strapping - Taping your feet may help by temporarily maintaining the proper position of your feet.
  • Orthotics - Custom orthotics can readjust the weight-bearing position of your feet. Soft, semi-flexible, or rigid inserts may be used depending on your weight and level of physical activity.
  • Medication - Anti-inflammatory medication may temporarily relieve pain caused by flatfeet.
  • Surgery - If your flatfeet cause chronic pain, surgery may be needed to correct the alignment of the bones, or to support or reinforce the tendon structures in your feet.
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