When a flat foot becomes painful
Some people have longstanding flat feet without symptoms. Progressive collapsing foot deformity, also called adult acquired flatfoot, involves changes in alignment and supporting tissues. The posterior tibial tendon and ligaments can contribute to the problem.
Symptoms may include pain or swelling along the inner ankle, a lowering arch, difficulty walking, or a heel that shifts outward. With progression, pain can develop on the outside of the ankle and the foot may become stiffer.
Evaluation and nonsurgical care
Evaluation considers your symptoms, foot shape, flexibility, walking pattern, and prior treatment. X-rays help assess alignment and arthritis. Additional imaging is sometimes useful to examine supporting tissues or clarify the problem.
Depending on the condition, treatment may include activity changes, supportive footwear, orthotics, bracing, physical therapy, or a period in a protective boot. These measures can help symptoms even when they do not permanently correct the foot shape.
Considering flatfoot reconstruction
Surgery may be discussed when symptoms remain limiting despite appropriate nonsurgical care. Reconstruction may address tendons or ligaments, realign bones, or fuse joints that are stiff or arthritic. There is no single operation for every flat foot.
The plan depends on the deformity, flexibility, arthritis, health factors, and your goals. Discuss recovery restrictions, rehabilitation, and practical help at home with Dr. Miller. Prior imaging or operative reports can be helpful if available.
Questions patients ask
Do painless flat feet need treatment?
Not always. Some people have flexible flat feet without pain or activity limits. Evaluation is more important when the foot becomes painful, stiff, increasingly flat or different from the other side. Treatment addresses the symptoms and functional problem.
Why is one arch becoming flatter as an adult?
Changes in the posterior tibial tendon, ligaments or joints can allow the arch to collapse. The pattern and flexibility vary. An examination and standing X-rays help assess the alignment, supporting structures and any arthritis before choosing treatment.
Can a brace or orthotic help even if it does not permanently change my foot shape?
Yes. Supporting the foot and reducing stressful forces may improve comfort and walking. Whether a brace, orthotic, rehabilitation or reconstruction fits your situation depends on pain, flexibility, progression and the condition of the joints.
Talk through your options with Dr. Miller.
Schedule a visit in Houston or Spring to discuss your symptoms, treatment options, or a second opinion.
Schedule an Appointment ↗Call (281) 440-6960This information provides general education. Your diagnosis, treatment options, and recovery plan depend on an individual evaluation.