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Solutions for Flat Feet

About 25 percent of people in the United States have flat feet. Most are born with the condition. A small percentage of sufferers develop flat feet through some type of injury. Although usually just a minor inconvenience, in extreme cases it can lead to a serious handicap. There are several ways of treating the condition.

  1. Conservative Treatment

    • First, it is important to have a specialist examine the feet to determine the exact problem. Diagnostic imaging tests such as magnetic resonance imaging, computed tomography or an x-ray are commonly used. In a mild case of flat feet, conservative treatments are usually recommended. These include wearing custom-designed shoes, taking anti-inflammatory medications and performing strengthening exercises, casting, manipulation and splints.

    Orthotics

    • Another way of treating mild cases of flat food is using orthotics. Such treatments involve foot pads worn inside shoes. Over-the-counter orthotics are not designed for people with flat feet and are usually ineffective. Likewise, each case of flat foot is different. Thus a specialized orthotic device designed for the patient should be worn. The device needs to not only correct the problems associated with flat feet, but be comfortable to wear as well.

    Surgery

    • When neither conservative treatment nor orthotics are able to relieve the problems caused by flat feet, surgery may be required. Surgery should only be considered after more conservative measures have proved ineffective. The type of surgery needed will vary according to the severity of the problem. Surgery is also usually not recommended for older patients.

    Prevention

    • The best treatment for acquired flat feet is to take precautions to avoid getting it. It is especially important to wear well-fitting and well-made shoes. Proper arch support can also prevent the development of flat feet. Once the condition is acquired, the treatment will depend on the cause. A tight Achilles tendon can be treated with strengthening or stretching exercises, along with orthotic devices or physical therapy. There are a variety of treatments when the condition is caused by posterior tibial tendon dysfunction. These include anti-inflammatory medications, braces, orthotics, improved shoe wear, immobilization and rest. In severe cases, the foot may need to be placed in a cast.

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