Medical City Dallas

Baylor, Scott & White Plano


Facing the Pain of Adult Acquired Flatfoot

Aching arches, swollen feet, pain when standing for extended periods of time—if this sounds familiar, you might have arch problems. You arch is in the middle of your foot. The tarsal and metatarsal bones that make it up fit tightly together between the balls of your feet and your heels. This mid-foot helps support and distribute your body weight to other foot structures. Sometimes, however, something happens and the arch falls inward and flattens out. This adult acquired flatfoot puts strain on your feet and causes you pain.

The Source

Adult acquired flatfoot can have many different causes, including trauma to the foot, arthritis, diabetic foot collapse, and posterior tibial tendon dysfunction (PTTD), which is the most common cause. This tendon runs from the lower leg down behind the ankle bone and attaches to the inside of the foot. If it becomes inflamed or damaged, it isn’t able to hold the arch in its proper position and the whole foot rolls inward.

This puts strain on the different structures and can lead to arch and ankle pain, swelling along the inside of your feet, and discomfort that increases the longer you are active and standing. It is a progressive condition, so it does worsen the longer it goes untreated. As the problem gets worse, the arch collapses and you can experience pain on the outside of your foot as well. All of this extra strain can lead to additional uncomfortable conditions, like plantar fasciitis, Achilles tendinitis, and arthritis.

Dealing with the Problem

At Dallas Podiatry Works we excel in diagnosing and treating PTTD. The physicians perform a complete examination of your feet and ankles to determine if tendon dysfunction or another problem is the cause of your discomfort. Diagnostic images of your feet may be taken to confirm the condition and its severity. Once Dr. Joel W. Brook, Dr. David R. Northcutt, Dr. Irene Arroyo and Dr. John Baca have determined the specific cause, they are able to work with you to establish a treatment plan.

In the case of PTTD, you will need to rest your foot. Anti-inflammatory medications help reduce swelling and relieve pain. You may need prescription orthotics to support your arches. Physical therapy helps strengthen the weakened posterior tibial tendon so that it is able to do its job supporting your foot. For severe cases, you may need to have your foot immobilized while it recovers. Direct medication injections can also help extreme and stubborn pain. If conservative measures are ineffective, surgery may become necessary.

Discomfort from adult acquired flatfoot can interrupt your life and make daily activities more difficult. The more time you spend on your aching feet, the more they hurt. You don’t have to put up with the problem, however. Many easy, conservative remedies are available to get your feet healthy and pain-free again. Don’t wait and allow the problem progress to the point that it does become a serious issue. The physicians at Dallas Podiatry Works are experts dedicated to you and your family’s podiatric welfare. Contact us for an appointment or more information by visiting the online contact page or by calling one of our two convenient Texas locations: for the Dallas office, call (972) 566-7474; for the Plano office, dial (972) 943-3323.

"I did 3 EPAT treatments and it gave me tremendous relief from my plantar fasciitis. I highly recommend this for anyone who is dealing with PF. Also, the physical therapist Dr. Brook sent me too is fantastic. I am definitely on the mend and so glad I did EPAT."- All H. 5 star
"Dr Northcutt is a fantastic physician. My first surgery with him (although painful), went very well. A couple of issues (with his staff) needed to be corrected, I appreciated his calm and professional demeanor and he corrected those issues promptly. He sets the bar high (the mark of a great physician), and that is the key reason why I'm coming back to him to correct my other foot. I would highly recommend him."- She B. 5 star
"The staff at Dallas Podiatry Works could not have been more courteous, helpful, and professional in doing their job. They made me feel comfortable when I was there, which is certainly appreciated. They answered all the questions that I had and just made each visit the most pleasurable that it could be. I would highly recommend them to anyone needing this type of care."- Joseph B. 5 star
"My experience was a good one from pre-op to post -op. I saw the doctor right before my surgery.He explained the process to me and my husband. The recovery nurse was great. It was neither crowded or chaotic as some day surgery centers. My foot is doing well as I follow instructions. I look forward to my one week progress visit!"- Patricia T.5 star
"I had dealt with a painful foot problem for five months and had seen three different Doctors before seeing an article in D Magazine about Dr. Joel Brook. Dr. Brook took one look at my foot, explained the causes for my pain and set me up on a successful treatment plan. He is very knowledgeable, thorough and exhibits a caring attitude. I highly recommend him."- Ginger W. 5 star
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Join the 50,000 happy feet that have found relief at Dallas Podiatry Works! Our Dallas podiatrist and Plano podiatrist provides 5-star-rated foot care and ankle care. Our advanced foot care includes children's foot care, sports-related foot injuries, bunion treatment, bunion removal surgery, toenail fungus treatment, ingrown toenail treatment, hammertoe treatment, claw toe treatment, neuroma treatment, heel pain relief, limb salvage, wound care, arthritis treatment, safe pedicure, medicures, corn removals, callus removals, wart removals and more.
Come experience Dallas Podiatry Works of Dallas, TX and Plano, TX! You will see for yourself that our podiatrists, foot doctors and foot specialists provide 5-star-rated foot care in Dallas TX, Plano TX, Frisco TX, McKinney TX, Richardson TX, Garland TX, Rockwall TX, Allen TX, Arlington TX and Fort Worth TX. Call 972.566.7474 today.
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