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While we are all born with flatfeet, the arch of the foot begins to develop as toddlers start taking their first steps and continues throughout childhood. This arch will help the foot comfortably bear weight and absorb shock with movement. However, for some individuals, this arch development never happens, leaving them with flatfeet.
The condition can occur to varying degrees. In some patients, a slight arch may be visible when the foot is not weight-bearing. This is known as flexible flatfoot. In cases of rigid flatfoot, however, no arch is present regardless of bearing weight or foot position. In addition some patients can suffer from fallen arches in adulthood due to weakening of the arch’s supportive tendon over time.
There are various potential causes of flatfeet, depending on the specific form present:
Fortunately, most patients with flatfeet will not experience any complications. However, others may experience symptoms such as:
A foot and ankle specialist can generally identify flatfeet on sight alone. For a complete diagnosis, your doctor will likely observe your foot from different angles while having you sit, stand, and walk. He or she may also order imaging tests such as an x-ray to determine the extent of your condition and to rule out other conditions which may also be contributing to pain.
If flatfeet are not causing problems, no treatment is needed. For those who are experiencing complications, treatment options may include:
For the majority of patients, flatfeet are hereditary and cannot be prevented. However, there are many steps that can be taken to prevent complications and worsening of the condition. These include maintaining a healthy and active lifestyle, wearing supportive shoes, using arch supports, and consulting with a specialist.
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