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Dallas Podiatry Works

Plodding Along with Flat Feet and Fallen Arches


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5/13/2014
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Treating Flat FeetHave you used the wet foot test lately and discovered your arches just aren’t what they used to be? Are things getting a little painful when you spend long hours on your feet, or try to exercise? You may be experiencing the beginning of flat feet or fallen arches, which is caused by the gradual stretching of the tendon that supports the arch of the foot. This condition affects approximately 15 million US citizens and the chronic pain from it can curtail the desire to exercise. In a society that is already plagued by conditions that limit cardio-vascular exercise, this is just another nail in the coffin.

Flexible Flatfoot VS Adult-Acquired Flatfoot

Flatfoot shows loss of arch when the foot is bearing weight, but returns to normal arch when at rest. This is the most common type of flatfoot, and often is a carryover from childhood where the arch did not fully develop. As an adult, initial treatment of this condition may include activity modification, customized orthotic devices, and over-the-counter medications. If the condition is non-responsive to conservative methods, surgery may be required to regain function and provide pain relief.

Adult Acquired Flatfoot is more age and gender related, affects more women than men and usually in the 45-65 year age group. There are three stages of Adult-acquired Flatfoot:

  • Swelling and inflammation
  • Visible deformity but it can still be corrected
  • Rigid and non-movable deformity


Treatment for this condition, also known as Posterior Tibial Tendon Dysfunction (PTTD) may include:

  • Over-the-counter pain medications
  • Customized shoe orthotics
  • Walking boot
  • Physical therapy


If these treatment methods fail to bring about results, surgery may be required. You should always seek the advice of a podiatrist if you have progressively worsening and painful flatfeet.

In many instances, flat feet are not painful and do not require treatment. Only when they become painful and tender or interfere with lifestyle do they require treatment. If this happens do not delay. Call Dr. Joel W. Brook or Dr. David R. Northcutt at (972) 566-7474 in Dallas, or (972) 943-3323 in the Baylor/Plano area. They can devise a treatment plan for you that will lessen your pain, allow you to actively participate in life and improve your overall health and fitness. 



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Dr. Joel W. Brook
Dr. Joel Brook is a board-certified podiatrist and foot and ankle surgeon at Dallas Podiatry Works in TX.

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