This is a condition where the normal arches of the foot are not maintained. The arches become very low or there is no arch present. In this condition, the entire sole of the foot (including the inner border) touches the ground. Causes are typically positive family history (genetic), injury, weak arches, arthritis, obesity and posterior tibial tendon injury. Symptoms range from mild to moderate pain, mechanical imbalance, ankle going inwards and stresses over other joints. Diagnosis can be made by physical examination and by xrays, ct and mri. Treatment can be initially conservative depending on the severity of the flat foot. Conservative treatment in the form of exercises, insoles with custom supports, extra wide fitting shoes, medial wedge and post, weight reduction. Physiotherapy in the form of heel cord stretching golf ball roll. Surgical treatment when severe flat foot is present in the form of medial calcaneaum osteotomy , terndon transfers and osteotomies. Complications like achilies tendonitis, arthritis etc may occur.
Reasons Behind Flat Foot
- Genetic predisposition or failure of arch development in childhood
- Injury to the foot or ankle
- Posterior Tibial Tendon Dysfunction (PTTD) – weakening of the main arch-supporting tendon
- Obesity – increasing pressure on foot arches
- Arthritis, especially rheumatoid arthritis
- Diabetes, which can damage supporting tendons
- Pregnancy or aging, due to ligament laxity
- Prolonged use of unsupportive footwear
Treatment Options for Flat Foot
- Custom orthotic insoles to support the foot arch
- Corrective footwear with appropriate cushioning and structure
- Physiotherapy and strength training to support foot and ankle muscles
- Anti-inflammatory medications for pain relief
- Bracing in cases of tendon dysfunction or instability
- Flat foot reconstructive surgery in severe or progressive cases where conservative methods fail
How Dr. Parth Parekh Can Help You
- Accurate diagnosis using gait analysis, imaging (X-rays, MRIs)
- Identification of structural vs functional flat foot
- Customised, long-term solutions with non-surgical and surgical options
- Special care protocols for athletes, children, diabetics, and working professionals
- Proven track record with 2,500+ surgeries and national patient base
Dr. Parth Parekh's training from the Orthopaedic Foot and Ankle Center, USA, and Princess Elizabeth Orthopaedic Center, UK, ensures international-standard care. Don’t ignore chronic foot fatigue or arch pain book a consultation with Dr. Parth Parekh today and walk towards better foot health!
Types of sports injuries
Some of the more common sports injuries include:
Ankle sprain
symptoms include pain, swelling and stiffness.
Cuts and abrasions
are usually caused by falls. The knees and hands are particularly prone.
Bruises
a blow can cause small bleeds into the skin
Stress fractures
Particularly in the lower limbs.





