The device should be articulating, allowing normal motion at the ankle, while still supporting the arch and maintaining the ankle in a neutral position. Early in stage II, foot orthotics may be able to correct some of the deformity, but as you progress to late stage II, a short ankle foot orthotic (AFO) may better control the foot and ankle. The deformity is also no longer symmetrical. Stage II: divided into 5 sub-stages in which the deformity gets progressively less flexible.Physical therapy should be used in stage I or early in stage II to strengthen the muscles and tendons that help support your arch. The purpose of orthotics is to block or limit painful or destructive motion without reducing or restricting normal motion or muscle function. This can be treated with custom foot orthotics and well-fitting shoes with good support. Stage I: pain along the medial ankle and arch with bilateral symmetrical flatfoot.Adult Acquired FlatfootĪdult acquired flatfoot over time and can be classified into 4 different stages: However, treatment in adults can be more complicated. This is typically able to be corrected with good shoes and foot orthotics to realign the arch and give added stability. Treatment for children with flat feet is typically straightforward because their feet are flexible, meaning their foot is mobile but has excessive valgus at the heel and minimal arch height when the child is weight bearing. Flat feet can alter the alignment of the legs and could cause instability, or even ankle, knee, or lower back joint issues.
This pain can be relieved with calf stretching or foot strengthening exercises, over the counter medications, heat therapy or massaging. Most patients rarely have symptoms, but pes planus could cause pain in the foot because of changes in work environment, injury, sudden weight gain, activities that put excessive stress on the feet (excessive standing, walking, jumping, or running), or footwear with limited support. It can also be acquired over time, caused by conditions such as rheumatoid arthritis, stroke, diabetes, obesity, hypertension, or from simple wear and tear stresses of age that weaken the tendon that runs along inside of ankle and helps support your arch. Pes planus can be inherited or can be caused by the arches not developing during childhood. While most patients know what flat feet are, most don’t know what causes it or why we need to treat it because most of the time it is a painless condition. In most people with flat feet, the inside edge of their shoes typically wears down more quickly because their weight is on the inside of their foot.
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