A flat arch is a normal finding in children, since it could take until age 7-10 for an arch to fully form. Needless to say, it’s an expensive surgery, not to mention, a painful and lengthy recovery. Fallen arches, also frequently called “flat feet,” are a painful condition which can arise from a wide variety of causes. Flat feet are sometimes congenital, but other times they are caused by an injury, or are an indirect result of other conditions or disorders.  Children are often born with flat feet, but as they grow, their arches usually develop along with many other physical characteristics. The type of flat feet which children typically have is called “flexible flat feet,” meaning that when the child is standing normally, the feet look flat, but when the child stands on tiptoe, the arches become more apparent. There are many tendons in the foot, ankle and lower leg which connect the muscles to the bones.  The arch on the underside of the foot is formed by the tendons inside the foot pulling upward on the tissue. A case of fallen arches can occur when the tendons are not creating an appropriate amount of tension on the sole of the foot. Aside from congenital disorders, there are many other conditions which can be risk factors for flat feet.  Obesity can increase the downward pressure on the soles of the feet, increasing the strain on tendons and the likelihood of fallen arches. Diabetes frequently causes orthopedic complications, and pregnancy can also cause flat feet.  Other health problems which can cause fallen arches include broken or dislocated bones, rheumatoid arthritis, nerve problems, damage or inflammation of the posterior tibial tendon, and simple aging.
Having flat feet does not necessarily mean that you will notice any complications or symptoms.  There are many people with fallen arches who require no treatment. If you visit the doctor with any of these symptoms, or if he or she has any reason to suspect you may have flat feet, a simple examination can be performed to ascertain whether there is anything abnormal about your feet.

They may check your health history, look at the soles of your shoes, test the strength and elasticity of the muscles and tendons, or perform x-rays or MRIs.  If they determine that you do have flat feet, there are a variety of treatments that they may prescribe, including anti-inflammatory pain-relief medications, orthotic devices, braces, or injected medications. Fortunately, there are also steps that can be taken at home to treat fallen arches or flat feet.  The first step is to prevent the condition from occurring or worsening by wearing appropriate footwear with the right amount of arch support.
Some exercises that will help improve fallen arches are calf raises, standing on a single leg and reaching down to touch the floor, and walking lunges.  Do them first with good support shoes and as you become more stable, try to do these exercises barefoot to further increase strength and stability.
If you experience any foot pain, you can treat it yourself by resting your feet, applying ice, and elevating them to decrease inflammation.
Flat Feet occurs when the arches of your feet collapse and look as if they are in contact with the ground. Katherine Lai is Board Certified in Foot Surgery and has lectured extensively on The Diabetic Foot and Wound Care and on the Scope and Practice of Holistic Podiatry at an Integrative Medicine conference.
Ryan Minara completed a 4 year Foot and Ankle residency from NY Hospital Queens where he was the Chief Resident.
Rivera specializes in the aesthetic correction of foot deformities and has an expertise in wound management and is fully bilingual in Spanish and English.
As mush as possible, go barefoot and work on building more strength and stability of the foot,ankle,and calf muscles. However, he does see some people with debilitating pain whose flattened arches are to blame. From there, the graft is wedged in the ankle to change the shape of the foot and ease pressure.

Geldwert is Board Certified in Foot and Ankle Surgery and is a recognized authority on the most advanced surgical techniques to correct bunions and hammertoes. Particularly strong foot muscles in athletes can cause the surrounding tendons to stretch out flat. The heel is sliced off, moved over a few millimeters and anchored back down with screws to create an arch. To prevent and help Flat Feet it is important to realign the bones, joints and the arches of the feet to provide balance. Occasionally, arches will fall as the result of rheumatoid arthritis or another neuromuscular condition. By four months, most people are recuperated fairly well, but it could take up to a year to bounce back to completely pain-free living. Ideal Feet products are designed to help the feet find their ideal alignment and provide support and balance to the four arches of the feet allowing the arches to rebuild.

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