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Flat feet occur when the arch of the foot becomes flattened and the entirety of the sole comes into contact with the floor during weight bearing activities such as standing or walking. There are several factors other than aging and injury that increase the risk of developing flat feet.
The most common method of diagnosis is a physical examination by a doctor, though most cases of flat foot are easily observable, however, many healthcare professionals will also be interested in observing the deeper mechanics of the feet. If the patient remains pain-free then steps are not usually taken to correct flat feet, as it is a relatively harmless condition unless it interferes with quality of life. It sometimes happens that people with flat feet also have a markedly short Achilles tendon, so stretching exercise often help reduce the pain, as does proper foot wear.

Regardless of the preferred treatment method when discomfort is especially acute most doctors recommend using the RICE method to alleviate or reduce pain symptoms.
While surgery is never performed for the sole purpose of correcting flat feet it may be introduced as a way to treat an associated problem such as tear or rupture to a related tendon. Stiffness in one or both feet is also a common complaint, and many sufferers find that their shoes wear unevenly. These risks include obesity, family history, rheumatoid arthritis, pregnancy, nervous system diseases such as muscular dystrophy and cerebral palsy, diabetes and tarsal coalition (unusual fusion of the bones in the feet). X-rays, CT scans, ultrasounds, and MRI’s may be used to gather more information about the structure of the feet and any underlying factors that may be contributing to the problem.

Flat feet can cause secondary problems in some patients and it is these secondary problems that may require surgical intervention and not the initial occurrence of flat foot.
People with flat feet are also at higher risk for developing Achilles tendonitis, shin splints, hammertoe, plantar fasciitis, arthritis in the ankles and feet, and posterior tibial tendonitis.
Patients may also be advised to lose weight in order to reduce pressure on the arches of the feet.

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