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Flat Feet, High Arches & Alignment Disorders

Flat Feet in Adults, Including Acquired Flatfoot

Causes, symptoms, and treatment for adult flat feet, with care at 15 clinics across Middle Tennessee.

Part of Flat Feet, High Arches & Alignment Disorders

Understanding adult flat feet and your options.

Flat feet means the arch of the foot is low or touches the ground when you stand. Acquired flatfoot is when the arch falls later in life, often because a supporting tendon weakens. Many people with flat feet have no trouble at all.

When pain does show up, it is often along the inside of the foot or ankle. A new change in your arch is worth having checked.

Also called: Pes Planus

Flat Feet in Adults, Including Acquired Flatfoot care

Symptoms

Signs of adult flat feet.

If you notice these signs, an exam can give you clear answers.

  • 01

    Tired, achy feet after standing or walking

  • 02

    Pain along the inside of the ankle or arch

  • 03

    Swelling on the inner ankle

  • 04

    Feet that seem to turn outward

Why it happens

What can cause adult flat feet.

  • 01

    Weakening of the tendon that lifts the arch

  • 02

    Foot shape passed down in families

  • 03

    Injury, arthritis, or extra body weight

  • 04

    Aging and wear over many years

Diagnosis and care

How we treat adult flat feet.

Step 1 · Diagnosis

We watch you stand, walk, and rise up on your toes to see how the arch works. A standing X-ray of the foot and ankle shows the bone alignment. Ultrasound or MRI may be added if a tendon injury is suspected.

Step 2 · Treatment

Supportive shoes and custom orthotics are the mainstay for a painful flat foot. A brace or walking boot can rest an irritated tendon. Physical therapy builds strength in the foot and calf. Weight management, ice, and activity changes also help.

Surgery is reserved for people with ongoing pain or a worsening shape despite other care. Options include repairing tendons, realigning bones, or fusing painful joints.

Recovery

What to expect over time.

With good support, many people feel better in a matter of weeks to a few months. Surgical recovery is longer and may take several months.

When to book

Do not wait it out.

See a podiatrist if your arch has changed, or if the inside of your ankle hurts or swells. Get checked promptly if one foot looks flatter than the other.

Call 615-220-8788

FAQ

Your questions answered.

Do all flat feet need treatment?

No. If your feet do not hurt and you move well, you may not need any care.

Can flat feet cause knee or back pain?

They may add strain higher up in some people. Supportive inserts can sometimes help.