Flatfoot (Pes Planus)

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Flatfoot, also known as pes planus, is a common foot condition where the arches of the feet flatten, causing the entire foot to come into contact with the ground. This condition can occur in both children and adults and may lead to discomfort, pain, and difficulty in walking or engaging in physical activities. In this article, we will explore the signs and symptoms of flatfoot, its classification, causes and triggers, risk factors, types, diagnostic tests, treatment options, complications, prevention techniques, and highlight public figures in India who have been diagnosed with flatfoot.


What Is Flatfoot?

Flatfoot is a condition where the arches of the feet are lower than usual or absent altogether. The arches of the feet provide support and distribute body weight while walking or running. When these arches collapse or fail to develop, the entire foot may touch the ground, resulting in flatfoot. This condition can affect one or both feet.


Signs and Symptoms of Flatfoot:

  • Pain or tenderness along the inside of the ankle and arch of the foot.

  • Swelling on the inside of the ankle.

  • Fatigue or aching in the foot, particularly after prolonged standing or physical activities.

  • Difficulty fitting into certain types of footwear.

  • Uneven wear of shoes, especially on the inside edge.

  • Pain in the lower legs, knees, hips, or lower back.


Classification of Flatfoot:

Flatfoot can be classified into two categories:

  • Flexible Flatfoot: The arch appears when the person is not bearing weight, but it flattens when they stand.
  • Rigid Flatfoot: The arch is rigidly flat both when not bearing weight and when standing.


Causes and Triggers of Flatfoot:

Several factors can contribute to the development of flatfoot:

  • Genetic predisposition: Flatfoot can run in families.
  • Weak foot muscles: Muscular imbalances or weak foot muscles can contribute to the condition.
  • Injury or trauma: Foot injuries, fractures, or damage to the tendons and ligaments can lead to flatfoot.
  • Arthritis: Certain types of arthritis, such as rheumatoid arthritis or post-traumatic arthritis, can cause flatfoot.
  • Obesity: Excessive body weight can put stress on the feet and contribute to the development of flatfoot.


Risk Factors:

Flatfoot can be influenced by various risk factors. Examples include:

  • Age: Flatfoot is more common in adults over the age of 40.
  • Gender: Women tend to have a higher risk of developing flatfoot than men.
  • Diabetes: Individuals with diabetes are at a higher risk of developing foot-related complications, including flatfoot.
  • Pregnancy: Hormonal changes during pregnancy can weaken the foot muscles and ligaments,leading to flatfoot.

Types of Flatfoot:

  • Congenital Flatfoot: Present from birth, it is usually flexible and resolves as the child grows.
  • Acquired Flatfoot: Occurs later in life and can be due to various factors such as injury, arthritis, or muscle weakness.

Diagnostic Tests and Treatments:

To diagnose flatfoot and determine the appropriate treatment, doctors may employ various diagnostic tests:

  • Physical Examination: The doctor will examine the feet, observe the patient’s gait, and check for any signs of discomfort or abnormalities.
  • X-rays: X-rays help visualize the bones and structures within the foot, allowing the doctor to assess the arches and determine the severity of the condition.
  • MRI or CT Scan: These imaging tests may be recommended to obtain more detailed images of the foot’s structures and rule out any underlying injuries or abnormalities.


Treatment options for flatfoot may include:

Non-surgical approaches:

  • Arch supports or orthotic devices to provide support and improve foot alignment.
  • Physical therapy exercises to strengthen the foot and ankle muscles.
  • Medications for pain relief and to reduce inflammation.
  • Lifestyle modifications, such as weight management and wearing appropriate footwear.

Surgical interventions:

  • Surgery is usually considered when conservative measures fail to alleviate symptoms or in severe cases.
  • Surgical procedures aim to reconstruct or repair the foot’s structures to improve arch support and alleviate pain.


Complications and Prevention Techniques:

If left untreated, flatfoot can lead to several complications, including:

  • Chronic foot pain and discomfort.
  • Development of foot deformities, such as bunions or hammertoes.
  • Increased risk of arthritis in the foot and ankle joints.
  • Difficulty in participating in physical activities or maintaining an active lifestyle.


To prevent or manage flatfoot, individuals can follow these techniques:

  • Maintain a healthy weight to reduce stress on the feet.
  • Wear supportive and properly fitting footwear.
  • Engage in regular exercises to strengthen the foot muscles.
  • Avoid activities that exacerbate foot pain or discomfort.

Flatfoot, also known as pes planus, is a common condition that affects the arch of the foot, causing it to touch or nearly touch the ground while standing. While it may seem like a minor issue, flatfoot can lead to discomfort, pain, and difficulties with mobility. In India, Marengo Asia Hospitals has emerged as a trusted name in healthcare, providing comprehensive care for patients with flatfoot. Let’s explore how this network of hospitals handles patients with this condition, explaining it in simple terms.

Understanding Flatfoot:

To grasp how Marengo Asia Hospitals addresses flatfoot, it’s essential to understand the condition. Normally, the foot’s arch acts as a natural shock absorber and helps distribute body weight evenly. However, in individuals with flatfoot, this arch collapses or is poorly developed, leading to an imbalance in weight distribution and potential pain.

Diagnostic Process:

When a patient with flatfoot seeks medical assistance at a Marengo Asia Hospitals facility, the journey typically begins with a comprehensive evaluation. Trained healthcare professionals, such as orthopedic specialists or podiatrists, examine the patient’s feet and gather information about their medical history and symptoms. The examination may involve observing the patient’s gait, taking X-rays, or using other imaging techniques to understand the severity of the condition.

Non-Surgical Treatment Options:

For patients with mild to moderate flatfoot, non-surgical interventions often provide effective relief. Marengo Asia Hospitals employs a range of conservative treatments to address these cases. These options may include:

  • Physical Therapy: Skilled physical therapists guide patients through exercises and stretches that aim to strengthen the foot muscles and improve flexibility. Such exercises can alleviate discomfort and promote better foot alignment.
  • Orthotic Devices: In some instances, specially designed shoe inserts, known as orthotics, can be prescribed. These inserts provide support to the arch, distribute pressure evenly, and correct foot alignment. Marengo Asia Hospitals offers customized orthotic solutions tailored to individual needs.
  • Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) may be recommended to manage pain and reduce inflammation associated with flatfoot. However, it is important to note that medication alone cannot correct the underlying structural problem.


Surgical Interventions

In cases where conservative measures do not provide sufficient relief or when the condition is severe, surgical intervention may be considered. Marengo Asia Hospitals comprises skilled orthopedic surgeons who specialize in foot and ankle procedures. Surgical options may include:

  • Tendon Reconstruction: In certain cases, damaged or weakened tendons in the foot may require surgical repair or reconstruction to restore proper foot alignment.
  • Fusion Procedures: In severe cases of flatfoot, where pain and deformity persist despite conservative treatments, fusion procedures may be performed. These surgeries aim to stabilize the affected joints, thereby improving foot function and reducing pain.

Rehabilitation and Follow-Up Care

Following any surgical procedure or as part of the overall treatment plan, the emphasizes postoperative rehabilitation and follow-up care. Rehabilitation programs are designed to help patients regain strength, flexibility, and mobility. The network’s dedicated team of physical therapists and rehabilitation specialists work closely with patients, providing guidance and support throughout their recovery journey.


Marengo Asia Hospitals in India offers a multidimensional approach to addressing flatfoot, ranging from non-surgical interventions to advanced surgical procedures.


Contact Us

Marengo CIMS Hospital
Off Science City Road, Sola, Ahmedabad – 380060
Gujarat, INDIA

24×7 Helpline +91 70 69 00 00 00
Phone: 079 4805 1200 or 1008
+91 79 2771 2771 or 72
Fax: +91 79 2771 2770
Mobile: +91 98250 66664 or +91 98250 66668
Ambulance: +91 98244 50000
Email: info@cims.org