About 20 percent of adults have pes planus, according to Patient UK. Most of these people have the flexible form of flat foot and aren't bothered by the condition. For those who experience pain from their flat feet, weight loss may help. Activities that worsen pain, such as walking, running or hiking, may need to be curtailed or modified, though the pain may be controlled with medications or by wearing appropriate footwear, such as low-heeled shoes with a wider toe cap. You Might Also Like Exercise VASYLI products are designed to control excess pronation (the common cause of functional flat feet and thereby restoring the foot's arch to normal) Most flexible flat feet are asymptomatic, and do not cause pain. In these cases, there is usually no cause for concern, and the condition may be considered a normal human variant. Flat feet were formerly a physical-health reason for service-rejection in many militaries. However, three military studies on asymptomatic adults (see section below), suggest that persons with asymptomatic flat feet are at least as tolerant of foot stress as the population with various grades of arch. Asymptomatic flat feet are no longer a service disqualification in the U.S. military. the arch fatigued when standing for a long period of time or after playing sports. Athletics can aggravate the symptoms. The aim of the arch in the foot is to give us spring and distribute our body weight across our feet and legs. The structures of the arches of our feet determine how we walk - they are rigid levels which allow us to move smoothly. However, the arches need to be sturdy as well as flexible to adapt to various surfaces and stresses. Flat feet may, in rare cases, be caused by a condition called tarsal coalition. Tarsal coalition occurs when two or more of your tarsal bones—the small bones near your ankle—grow or fuse. Tarsal coalition-related flat feet usually cause pain or discomfort. When sitting, a person with pes plano valgus may have a reasonably well-formed arch. However, when the person stands, the arch flattens, the ankle rolls in, and the heel rolls out (everts). This complex set of position changes between sitting and standing is called pronation of the foot. A pes plano valgus foot is often maximally pronated. It should be kept in mind that the goals of non-surgical treatment of pes plano valgus are a) the elimination and/or prevention of symptoms, and b) improving activity level (functional capacity). Non-surgical measures, even custom foot orthoses (custom arch supports), should not be expected to create a permanent structural correction of the foot. For more serious and chronic pain due to flat feet, you will need to consult a foot doctor. This specialist can fit you with custom orthotics that will provide needed arch support. If necessary, you may be prescribed a walking cast or boot for pain relief. The podiatrist can also advise you on the use of medications to reduce the inflammation and pain of flat feet. Tarsal coalition is a result of two or more bones of the foot fusing together. This fusion limits the motion of the foot and can lead to a flattened arch. This condition is present in some children and can cause painful flat feet. Pronation For excessively dry skin try a weekly Castor Oil treatment. Massage a small amount of Castor Oil into the feet, put on cotton socks and leave overnight. The next morning feet will be soft and nourished. This is an especially useful treatment for those on medications, such as cholesterol lowering drugs which can cause feet to become excessively dry and flaky. This article sheds more light on the term "foot orthotics" – what they are, how they work, the different types of orthotics available and which common complaints can be treated with orthotics. What does the term "orthotic" denote? Orthotic insoles are a device placed inside the patient's shoes with the purpose of correcting faulty foot function. Poor foot biomechanics can be blamed for many common foot conditions such as Plantar Fasciitis (heel pain) and Metatarsalgia (ball of foot pain). However, research has shown that bad alignment of the feet also has an effect on other parts of the body, including the knees and lower back. Hence, orthotics is now being used to help treat a variety of conditions, including shin splints, knee and back pain. What does faulty foot function mean? In cases of flat feet where there are pain or other symptoms orthotic devices (shoe inserts) that support the arch may be recommended. With rigid flat feet or cases of flat feet where there is underlying pathology (like tarsal coalition) more involved treatment may be necessary. In the most severe cases this can include surgery and physical therapy. Physical Therapy Interventions If you have flat feet, your arches are low or maybe even absent. The condition is also known by the medical terms "pes planus" or "pes valgus." Flat feet that are the result of congenital or developmental abnormalities may require further intervention, such as bracing, casting or surgical correction. The pathophysiology of pes planus is widely debated. Adult acquired flatfoot deformity (AAFD) has received attention, with a historical focus on the posterior tibial tendon (PTT) insufficiency or dysfunction as the primary contributing cause 1 Information now available also illustrates that PTT dysfunction does not happen in isolation, and ligament involvement (most frequently the spring ligament complex) is extensive in PTT dysfunction 2 Having established the role of foot posture in function and injury, the next step is to begin to quantify a pathologic and corrected foot posture, and while on the surface this seems simple there is more to the story that warrants exploration.