Flat Foot
Flat foot (pes planus) is a condition where the arches of the feet are lowered or collapsed, causing the entire sole to touch the ground. It can be flexible (arch appears when non-weight bearing) or rigid (arch absent even off the ground). Many people are asymptomatic, but some may develop pain, fatigue, or alignment issues in the feet, ankles, knees, or lower back.
Causes
- Genetic predisposition and ligament laxity
- Posterior tibial tendon dysfunction (adult-acquired flatfoot)
- Obesity or prolonged standing
- Arthritis, injury, or foot fractures
Symptoms
- Arch or heel pain, especially after activity
- Inner ankle swelling or tenderness
- Foot fatigue and difficulty standing for long
- Over-pronation causing knee/hip strain
Diagnosis
At Delhi Foot, evaluation includes gait analysis, arch assessment (flexible vs rigid), and where required, X-rays or ultrasound to check tendon integrity—especially the posterior tibial tendon.
Treatment at Delhi Foot
- Custom orthotics/arch supports to correct alignment
- Supportive, motion-control footwear
- Physiotherapy to strengthen foot and ankle (especially posterior tibial tendon)
- Activity modification, weight management, and pain control
- Bracing for symptomatic adult-acquired flatfoot; surgical referral if conservative care fails
Prevention & Self-Care
- Choose stable, supportive footwear for daily use
- Stretch calves; strengthen intrinsic foot muscles
- Avoid worn-out shoes; replace insoles regularly
With the right support and therapy, most patients experience significant relief and improved function.
