Fallen Arches or Flat feet is a very common condition in which the arches of the feet are lower than usual or completely flattened. The symptoms of this condition include foot pain, leg pain, and even back pain, which can significantly affect one’s quality of life. There are various treatment options for flat feet, and they are available to alleviate the discomfort associated with flat feet. In this comprehensive guide, we’ll explore the causes and symptoms of flat feet, delve into the treatments available, and discuss why custom orthotics, particularly those offered at the Valley Foot & Ankle Center in Tarzana, are an excellent solution for managing this condition.
Understanding Flat Feet: Causes and Symptoms
Flat Feet – Definition?
Flat feet occur when the arches of the feet fail to develop properly during childhood or when they collapse later in life due to factors such as injury, obesity, or aging. In a typical foot, the arch helps divide the body weight equally across the feet and legs, providing stability and balance, but in flat feet, the whole of the sole either touches the ground or nearly remains in contact with the ground, which leads to an imbalance in weight distribution.
Main Causes of Flat Feet
There are multiple factors that can cause Flat feet, including:
- Genetics: Many individuals inherit the tendency to develop flat feet from their parents.
- Injury: Injuries to the foot or ankle usually weaken the tendons that support the arch, leading to flat feet.
- Aging: As people age, the tendons and ligaments in the foot can lose strength and elasticity, causing the arches to flatten.
- Obesity: Being overweight can put additional pressure on the arches of the feet, leading to flattening over time.
- Rheumatoid Arthritis: The patient feels inflammation in the joints of the foot. Such autoimmune conditions can cause flat feet.
Symptoms of Flat Feet
Symptoms of flat feet may vary from patient to patient. Some may experience any symptoms; others may not.
- Foot Pain: Pain can occur in the arch, heel, or even the ankles and knees due to the abnormal weight distribution.
- Swelling: The feet may become swollen, particularly after prolonged periods of standing or walking.
- Fatigue: People with flat feet often experience fatigue in their legs and feet more quickly than those with normal arches.
- Difficulty Standing on Tiptoes: Flat feet can make it challenging to stand on the balls of the feet or tiptoes.
- Overpronation: This condition, where the feet roll inward excessively when walking or running, is commonly associated with flat feet; such a condition can cause further complications.
Diagnosis of Flat Feet
Physical Examination
A podiatrist or orthopedic specialist typically begins with a physical examination of the feet, observing the arches in both standing and non-weight-bearing positions. Podiatrist might ask the patient to perform specific movements like standing on tiptoes, to check the flexibility and structure of the arch.
Imaging Tests
X-rays, MRI, or CT scans or some imaging tests may be recommended to get a real condition of the bones, tendons, and ligaments in the feet. Imaging tests can help identify any underlying issues, such as arthritis or tendon damage, contributing to flat feet.
Gait Analysis
A gait analysis may also be performed to evaluate how a patient walks or runs. This analysis can reveal abnormalities in foot motion, such as overpronation, which can help guide treatment decisions.
Treatment Options for Flat Feet
Flat feet can often be managed with a combination of conservative treatments, lifestyle modifications, and, in some cases, surgical intervention. The choice of treatment depends on the level of severity of the condition and symptoms.
Conservative Treatments
Custom Orthotics
One of the most effective treatments for flat feet is to use custom orthotics and specially designed shoe inserts that provide support to the arches, helping to redistribute weight and reduce pain. Unlike over-the-counter insoles, custom orthotics are tailored to the specific shape of the patient’s foot, offering a personalized solution to their unique needs.
Benefits of Custom Orthotics
- Improved Arch Support: Custom orthotics provide targeted support to the arches, helping to prevent further flattening and alleviating pain.
- Enhanced Comfort: These inserts are designed to fit the patient’s foot precisely, providing maximum comfort during daily activities.
- Better Alignment: Custom orthotics help correct abnormal foot mechanics, such as overpronation, leading to improved alignment of the feet, ankles, and legs.
- Versatility: Custom orthotics can be used in a variety of footwear, making them a practical solution for everyday wear.
Physical Therapy For Treating Flat Feet
Physical therapy is another valuable treatment option for managing flat feet. A physical therapist can suggest patients exercises that strengthen the muscles and tendons in the feet and legs, improving arch support and overall foot function.
Common Physical Therapy Exercises
- Calf Stretches: Stretching the calf muscles helps reduce tension in the Achilles tendon, which is often tight in people with flat feet.
- Arch Strengthening: Exercises like toe curls and arch lifts can strengthen the muscles that support the arch, reducing pain and improving stability.
- Balance Training: Balance exercises help improve proprioception (the body’s ability to sense its position) and coordination, which can be helpful for individuals with flat feet.
Supportive Footwear
Wearing supportive footwear is crucial for managing flat feet. Shoes with a firm arch support, a wide toe box, and a cushioned sole can help alleviate symptoms and prevent further flattening of the arches. It’s important to avoid high heels and shoes with minimal support, as these can exacerbate foot pain.
Lifestyle Alterations
Changing in lifestyle can help manage the symptoms of flat feet. These may include:
- Weight Management: Maintaining a healthy weight in your body can decrease the stress placed on the arches, helping to prevent further flattening.
- Activity Modifications: Avoiding high-impact activities that put a massive strain on the feet, such as running on hard surfaces, can help reduce pain.
- Rest and Ice: Resting the feet and applying ice packs can also aid in alleviating pain and inflammation after prolonged standing or walking.
Surgical Interventions
In severe cases of flat feet that do not respond to regular treatments, surgery may be necessary. Surgical options may vary depending on the underlying cause of the flat feet and the patient’s specific symptoms.
Tendon Transfer
A tendon transfer procedure involves moving a tendon from another part of the foot to help support the arch. This surgery is often used in cases where the posterior tibial tendon (it is responsible for arch supports ) is damaged or weakened.
Osteotomy
It is a repositioning surgical procedure that involves cutting the foot bones to improve alignment and arch support. This type of surgery is typically recommended for patients with severe flat feet and significant deformity.
Arthrodesis (Joint Fusion)
In cases where arthritis is contributing to flat feet, arthrodesis may be recommended. Arthrodesis is a procedure that is used for flat feet treatment, it involves fusing the bones in the affected joints to stabilize the foot and reduce pain.
Lateral Column Lengthening
This procedure involves lengthening the bones on the outside of the foot to correct flat feet caused by structural abnormalities. It is often performed in combination with other procedures to improve arch support.
Why Choose Valley Foot & Ankle Center in Tarzana?
For residents of Tarzana and the surrounding areas, the Valley Foot & Ankle Center offers a comprehensive range of treatments for flat feet, including custom orthotics, physical therapy, and surgical interventions. Under the strong supervision of Dr. Jones Hormozi, a board-certified foot and ankle surgeon, patients receive personalized treatment plans for their flat feet treatment.
Personalized Care
At Valley Foot & Ankle Center, each patient’s treatment plan is customized based on their unique foot structure, symptoms, and lifestyle. The clinic’s approach to treating flat feet is holistic, focusing not only on alleviating pain but also on improving overall foot function and quality of life.
Advanced Technology
Valley Foot & Ankle Center is equipped with state-of-the-art technology to accurately diagnose and treat flat feet. From 3D imaging for custom orthotics to advanced surgical techniques, Valley Foot & Ankle Center utilizes the latest innovations in podiatric care.
Convenient Location
Located in the heart of Tarzana, Valley Foot & Ankle Center is easily accessible for residents of the San Fernando Valley and beyond. The clinic’s central location ensures that patients receive timely care without the need for long commutes.
Commitment to Patient Education
Dr. Hormozi and his team are committed to educating their patients about flat feet condition and treatment options. By providing some information and answering any questions, the VFAC empowers patients to make informed decisions about their care.
Flat feet can be challenging to live with, but with the right treatment, it’s possible to manage symptoms and improve foot function. Custom orthotics, physical therapy, and lifestyle modifications are all effective ways to treat flat feet, and in some severe cases, surgical options may be necessary. At Valley Foot & Ankle Center in Tarzana, patients can expect personalized, expert care for flat feet, ensuring the best possible outcomes. No matter what condition you have, mild discomfort or severe pain, Dr. Jones Hormozi and his team are here to help you get back on your feet.
By choosing Valley Foot & Ankle Center, you’re not just addressing your flat feet; you’re taking another step toward better foot health and overall well-being. If you’re in the Tarzana area and struggling with flat feet, don’t hesitate to reach out and schedule a consultation. Your journey to pain-free living starts here.