Flat Feet

What is a Flat Feet?

Flat feet, also recognized by terms like fallen arches or pes planus, describe a condition where the arch of the foot is significantly low or entirely absent. This particular state of foot structure can result in a series of complications if left unaddressed. Among these complications are instability in the foot and ankle area, which can further escalate into discomfort, deformities, and a higher risk of injuries.

To mitigate these issues and improve foot functionality, custom orthotics are often recommended. These are tailor-made devices designed to support the foot’s natural structure, ensuring better distribution of pressure during movement. For cases where the foot excessively rolls inwards (a condition known as over-pronation), surgical interventions might be considered to correct the alignment and restore proper foot mechanics.

Overpronation and Flat Feet

The phenomenon of ‘overpronation’ or ‘hyperpronation’ occurs when the foot lacks a proper arch and excessively rolls inward during walking. This excessive rolling can lead to significant discomfort in the feet, ankles, and knees. Additionally, the inward turning of the ankle bone due to overpronation can impair normal walking patterns.

To manage overpronation, insoles designed to support and correct the foot’s alignment can be highly effective for many individuals. However, there are cases where insoles alone may not suffice in addressing the issue, necessitating surgical intervention to correct the underlying structural problems and restore normal foot function.

What Causes Flat Feet?

Flat feet, a condition where the arches of the feet are not prominently defined, can often be attributed to genetics, making it a trait inherited within families. In some instances, the cause is linked to the bones in the feet not developing correctly during fetal development, or to a condition known as hypermobility, where the joints are more flexible than usual.

Additionally, the condition can arise when the connective tissues in the foot stretch or become inflamed. This stretching and inflammation can be due to various factors, including overuse of the feet, wearing shoes that lack proper support, sustaining an injury, or other underlying health issues. These factors can compromise the structure and functionality of the foot, leading to flat feet.

What are the Treatment Options for Flat Feet?

Treatment options for flat feet range from non-surgical to surgical interventions.

Non-surgical methods include wearing supportive footwear and custom orthotics.

Surgical options may include innovative techniques like Pitstop stent implantation, which aims to stabilize the foot and correct alignment without joint fusion. However, not everyone is a candidate for this procedure, and in some cases, Achilles tendon lengthening may also be necessary.

Overall, the appropriate treatment plan depends on individual circumstances and should be discussed with a medical professional.


What Happens During Surgery?
Following foot surgery, there are potential risks and side effects that patients should be aware of. These may include pain, swelling, infection, deep vein thrombosis, chronic pain syndrome (CRPS), scarring, and muscle wasting. Specific risks associated with procedures like HyProCure implantation may include the possibility of the implant moving, fractures of the ankle or heel bones, sprained ankle syndrome, and the need for implant removal if it is not tolerated well. It’s important to discuss these risks thoroughly with your surgeon before undergoing any procedure.
What Happens After Surgery?

After foot surgery, you’ll be monitored closely in the recovery ward before being transferred back to your room. You’ll receive nourishment, hydration, and pain management as needed. Before discharge, you’ll be given post-operative instructions to follow at home, including signs of complications to watch for and how to manage your recovery. For those undergoing HyProCure implantation, additional information about the procedure and its role in recovery will be provided.