- 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.
- Diagnostics are not required for treatment or referral.
- 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.
- Associated with a fixed deformity.
- Other associated problem (Tib post dysfunction).