Well-fitted shoes with good arch support may help prevent flat feet. Maintaining a healthy weight may also lower wear and tear on the arches. Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. A study published in 2009 found that overweight children have a higher incidence of flat feet than children of normal weight. The cause and effect is unclear and it remains to be seen if overweight kids will grow into adulthood with pes planus. When do I need to worry about my child’s flat feet? Mechanically adding height to the navicular bone at the medial arch changes the functional position of the foot, knee and hip, and dramatically prevents many common problems. Gradually, as the body adjusts to these corrective changes, stresses change and any resultant pain will subside. The problem will continue or return if left uncorrected. Deep infrapatellar bursitis presents with fluctuance and swelling that obliterate the depression on each side of the patellar tendon overlying the tibial tuberosity. Loss of full flexion and extension generally is observed. The adventitious cutaneous bursa may be palpable as a swelling over the tibial tuberosity (adventitial bursae are those formed later in life through degeneration and do not have an endothelial lining). Semimembranosus tendonitis also can occur with running or cutting activities. This tendonitis is characterized by swelling over the posteromedial aspect of the knee and tenderness with resisted flexion or valgus strain. An insertional enthesopathy of the semimembranosus muscle also has been described. Another approach to treating flatfoot is with the use of Prolotherapy This strange treatment involves injecting a substance into the foot ligaments which actually causes a localized inflammation. The resulting inflammation activates the body's natural healing mechanisms, creating new collagen. As the collagen matures, it shrinks-and the ligament that was injected becomes stronger-thus reducing pain and tendon weakness. Generally, my rule of thumb is pain needs to be treated and concerns of your health should always be addressed. Flatfoot does not mean you need a complex surgery. Though surgical procedures for flatfoot can greatly improve one's symptoms it is not for everyone. When able to start training again, analyze your program and identify and fix any training errors that might contribute to your problem. Identify and address any muscle inflexibilities and weaknesses that may contribute to excessive pronation and poor mechanics. This includes the local muscles of the foot and ankle as well as those of the thigh and hip because excessive hip adduction and internal rotation of the thigh contributes to excessive pronation of the foot. This kind of knee discomfort is called patellofemoral pain, and is also known as patellofemoral pain syndrome. It's also commonly referred to as chondromalacia, but you'll soon see why these two terms are not interchangeable. Flat feet, also known as fallen arches of pes planus, occur when the supportive arch of the foot becomes progressively flatter. Your natural arches are personal and unique to your body, so if you have flexible flat feet, it's usually not a problem. Unfortunately, if you had high arches and they've become compressed and flattened over time, they could become rigid and painful. Stop the threat of flat feet by adopting good foot care practices. Step 1 Trail running shoes – These shoes are designed to make off-road walking and running a pain-free and comfortable experience. They have outsoles which offer stability and protection to the bottom of your feet. The end result is a rapidly downwards spiral as the ankle joint gets stiffer and stiffer and more and more painful as it is used it less and less. This is how your ankle degenerative joint disease can quickly take control of your life. What does an arch do? The crescent shape enhances the lower extremities’ ability to bear weight and move efficiently for locomotion. However, any number of biological, environmental or genetic variables can impact upon an arch’s final shape. Thus, deformities like flat feet or fallen arches can appear at any point during a child’s growth. When the foot flattens excessively it can trigger an inward rotation in the lower leg bone, the tibia, causing the knees to point toward each other. Of course the upper leg bone will likely follow along, causing increased or altered movement at the hip. So, ultimately excessive or increased movement of the foot into a flattened position can cause pain all the way up the leg to the hip and lower back. One of these three basic foot structures are inherited at the time of birth. There are varying degrees within each individual foot type; however, the important thing to recognize is ALL three of these foot structures are normal The good news is that almost all cases of plantar fasciitis resolve over time. Unfortunately, it can take up to one or two years for a patient to be completely symptom free. In most cases, recovery can be sped up by addressing underlying risk factors and taking proper care of your feet. Flatfeet may be flexible or rigid. Flexible or postural flatfeet is when the arch is present with the foot non-weight bearing, and absent when the foot is weight bearing. Rigid flatfeet is when the arch is absent regardless of weight bearing, and is usually associated with a rigid or inflexible foot.