Flat feet are usually the result of an inborn failure to develop a normal arch structure at the base of the feet. This is the common condition in infancy. However, the arch starts to develop around the time the child starts to walk, and continues to deepen till adulthood. In some people this process is arrested for various reasons, resulting in flat feet.
The physical basis of flat feet is the mal-alignment of the ankle bones toward the mid-foot section. This causes an awkward gait and a tendency to lose one's balance. It is usually painless and not associated with any other complications. However, if it is accompanied by pain in the ankles, feet or toes, it should not be ignored as the pain could very well signal internal injury or inflammation of the arch area, such as the tendons in the posterior part of the foot. Medically, such a syndrome is termed 'painful progressive flat feet.'
Treatment
A simple flat foot does not need treatment, but your footwear should be adjusted to compensate for the lack of an arch. If you have a painful progressive flatfoot, you will require surgery, medications, physical therapy and orthotics for treatment.
This is natural-care information for general guidance only — it is not medical advice. For severe, worsening, or diabetic foot problems, please see a doctor.


