Flat Foot

Patient Information

https://matthewwelck.com/wp-content/uploads/2019/12/flatfoot.pdf

http://www.patient.co.uk/doctor/Pes-Planus-%28Flat-Foot%29.htm

https://www.bofas.org.uk/Patient-Information/Flat-feet

GP Information

Background Information

• A flat foot or ‘pes planus’ occurs due to loss of the medial longitudinal arch of the foot.
• Normally associated with a valgus heel, a pronated midfoot, a valgus forefoot, tibialis posterior dysfunction.
• Patients may complain of pain along the instep or medial malleolus, or pain on the outer aspect of the foot from lateral impingement. They may also notice a change in foot shape, reduced balance and pain on walking.
• Examination typically reveals loss of the arch and a valgus heel.

Investigation Guidelines

• Diagnostics are not required for treatment or referral.

Management Recommendations

• Children under 10 and adults with long-term, flexible, painless, non-progressive flat feet usually do not require any treatment.

Conservative measure include;

• Heel stretching exercises.
• Custom orthotics.
• Referral criteria:
  • Referral is recommended when the condition is;
  • New and painful.
  • Progressing.
  • Associated with a fixed deformity.
  • Other associated problem (Tib post dysfunction).