Book Now Book Now

Flat Feet (Pes Planus)


Flat Feet (Pes Planus)

Having flat feet describes the biomechanical and structural positioning of one or both feet, which is characterised by rolling in at the ankles and showing little to no arch on the inside border of a foot. This is how the term ‘fallen arches’ was coined. This is medically referred to as pes planus, with the term for rolling in at the ankle joint when walking known as pronation. As the severity of pronation can range from mild to severe, podiatrists can measure the angle of your shin bone relative to your calcaneus, or use a Foot Posture Index (FPI), to help grade the level of pronation and best direct treatment where it is indicated. It should be noted that:

  • Flat feet are relatively common, and having flat feet does not mean you are definitely going to have foot or leg issues or pains
  • Pronation is also a natural and necessary part of each step we take, helping our feet to absorb shock and adapt to the uneven surfaces

Flat feet are, however, linked with a greater incidence of foot problems because of the effect this position has on your bones, joints, muscles and ligaments. This happens because we over-pronate past the point that is necessary and healthy for our feet.  

What causes flat feet and overpronation?

Typically, it comes down to the biomechanics of your feet and the way your bones, joints, muscles and ligaments are working together. Some people may have flat feet from birth and others may develop them over time and in association with other conditions. Causes may include:

  • Bone or joint irregularity
  • Muscle weakness
  • Tendonitis, such as in the posterior tibial tendon
  • Ligament laxity
  • Obesity
  • Pregnancy
  • Injury / Trauma
  • Arthritis
  • Diabetes
  • Other medical conditions

In childhoodkids are born with the appearance of having flat feet when they are standing because their feet have fat pads. Most children outgrow it eventually as their feet get larger, their baby fat disappears and their foot muscles strengthen with weight bearing activity such as walking. If your child does not develop arches by the time they are 8 years old, it is not likely they will have an arch in adulthood.  

What are the symptoms of flat feet?

The symptoms of flat feet aren’t necessarily painful themselves, but the stress and pressure they put on the surrounding tendons and structures can cause pain as tendinopathies and other issues develop. These tend to be exacerbated by long periods of time on the feet and high-impact activities. When podiatrists evaluate the severity of flat feet, they often look for signs as opposed to symptoms. These include:

  • Shoes wearing out quickly on the inner side
  • Talonavicular bulging (a bulge on the inside of the foot)
  • Abducted forefoot (seeing your toes pushing out on the outside of the feet when looking at the heel)
  • The position of your heel bone and whether it’s rolling in or out
  • The shape of your arch
  • Talar head palpation (being able to feel the head of your talus bone at the ankle evenly when you’re standing)
  • The curvature below your malleoli (bony bumps on the sides of your ankle)
  • The position of your feet in a ‘neutral’ position (referred to as ‘subtalar joint neutral’) versus their position when standing relaxed

 

How are flat feet treated?

Typically, treating flat feet is more to do with treating the problem the flat feet are creating or contributing to as opposed to treating flat-footedness itself. Where no symptoms or issues occur with flat feet, treatment may not be indicated. Generally, orthotics are a common way to alter the alignment and positioning of the feet and are used in the management of various conditions where overpronation is causing problems and pain. Having supportive footwear that stabilise the foot and ankle as opposed to letting it roll is also a key part of management. If you’re worried about the effect that your flat feet are having on the rest of your body, you should get assessed by your podiatrist. They’ll be able to show you the impact on your feet and legs and discuss with you the appropriate management options in light of your symptoms.

Laser Pain Relief: The Answer To Your Foot Pain?
Published November 13, 2024

Laser Pain Relief: The Answer To Your Foot Pain?

We’ve welcomed the Nu-Tek low-level laser into our podiatry clinic. Here's how you tell if it could be the answer to your foot pain.




Read more
Ongoing Heel Pain? Shockwave Could Be Your Answer
Published November 13, 2024

Ongoing Heel Pain? Shockwave Could Be Your Answer

Otherwise known as radial pressure wave therapy, shockwave therapy is a device held by our podiatrists and positioned against your foot or leg at the site of your injury.




Read more
Podiatrist Toenail Transformation To Healthy And Clear: Here’s How
Published November 13, 2024

Podiatrist Toenail Transformation To Healthy And Clear: Here’s How

We can transform the appearance of toenails to look healthy and clear in three ways, and as fast as in one appointment. Here's how.




Read more
Tingling Feet After Exercise: Should You Be Concerned?
Published November 13, 2024

Tingling Feet After Exercise: Should You Be Concerned?

Tingling or numbness in your feet and legs during or after exercise can be an odd sensation. If you’re prone to experiencing it, the most common reasons are related to pressure on nerves or problems with your circulation.




Read more
Are My High Heels Changing My Foot Shape Permanently?
Published November 13, 2024

Are My High Heels Changing My Foot Shape Permanently?

Does wearing high heels really come at a cost to our feet? If you’re wondering what effects - if any - high heels may be having on your feet, here’s the inside scoop from our podiatrists.




Read more
Shockwave Treatment For Foot And Leg Pain
Published November 13, 2024

Shockwave Treatment For Foot And Leg Pain

It’s important to not only use an evidence-based treatment plan to help you get the best outcomes for your foot and leg pain, but to help you see the best results in the shortest time. That’s the reason we’ve invested in shockwave.




Read more
Shockwave vs Laser For Heel And Foot Pain: Which Is Best?
Published November 13, 2024

Shockwave vs Laser For Heel And Foot Pain: Which Is Best?

Heel pain is our specialty here at Perform Podiatry. We now have Low-Level Laser Therapy (LLLT) and Shockwave Therapy to help you get the best results from your treatment.




Read more
Does Your Ingrown Toenail Have A Fungal Nail Infection?
Published August 20, 2024

Does Your Ingrown Toenail Have A Fungal Nail Infection?

We treat a lot of ingrown toenails here at the Auckland Ingrown Toenail Clinic. So, with approximately 10% or more of the adult population harbouring a fungal nail infection, it’s not uncommon that we see many ingrown toenails where a stubborn nail fungus has also infiltrated the nail. So how can you tell, what can […]




Read more
Shockwave Therapy For Injury Recovery & Pain Relief
Published June 12, 2024

Shockwave Therapy For Injury Recovery & Pain Relief

Shockwave therapy is a gold standard treatment used to help achieve the best clinical outcomes for musculoskeletal injuries and pain – and we’re very proud to now offer it to our patients here at Perform Podiatry. 




Read more
Not Just An Ingrown Toenail: Osteomyelitis Case Review
Published May 12, 2024

Not Just An Ingrown Toenail: Osteomyelitis Case Review

While many of the cases we see here at the Auckland Ingrown Toenail Clinic are fairly standard, there are a few that vary greatly from the ‘norm’, and could have resulted devastating consequences if they had been left untreated under the hopes that the ingrown nail would “go away on its own”, something many people […]




Read more
Verruca Removal Auckland
Published April 15, 2024

Verruca Removal Auckland

They may be small, but verrucas, also known as plantar (foot) warts, are much more than just a minor annoyance. They can be painful to walk on and extremely persistent, making your day to day life a lot less pleasant or comfortable. As one of Auckland’s leading podiatry clinics that specialise in ingrown toenails, we […]




Read more
The Best Medical Pedicure In Auckland?
Published April 11, 2024

The Best Medical Pedicure In Auckland?

Not all pedicures are the same. For more than just aesthetic touch-ups, a medical pedicure by a podiatrist ensures your feet are cared for with expert attention, leaving you feeling safe and confident.




Read more
What Are The Red Flags For An Ingrown Toenail?
Published March 18, 2024

What Are The Red Flags For An Ingrown Toenail?

Ingrown toenails can be painful and uncomfortable, so identifying the ‘red flags’ of ingrown nails early on can be helpful in getting prompt treatment and reducing the risk of complications. So what are the top red flags you should be looking out for? One: Persistent Pain and Discomfort One of the most significant red flags […]




Read more
What Makes Hip Dysplasia Worse In Babies?
Published March 18, 2024

What Makes Hip Dysplasia Worse In Babies?

Hip dysplasia in babies can be concerning for parents. It occurs when the hip joint doesn’t develop properly, leading to instability and potential dislocation, either present at birth or developing soon after.




Read more
Is Ingrown Toenail Surgery Painful?
Published February 16, 2024

Is Ingrown Toenail Surgery Painful?

Dealing with an ingrown toenail can be a painful and frustrating experience, with many people opting to have ingrown toenail surgery to find lasting relief. But is ingrown toenail surgery painful? And if it is, is it really worth the discomfort? Do You Really Need Ingrown Toenail Surgery? The first thing you must consider when […]




Read more

Keeping you healthy and performing at your best

Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.

We're located inside the One Health medical centre at Building 122 Remuera Rd, Remuera, Auckland 1050, New Zealand

MON - SAT 8:30am – 6:00pm
SUN Closed

Make an Appointment

(09) 523 2333 (09) 523 2333

Online Schedule

Book here Book here

Send us a message

Name
 
Email Address
Message