Flatfoot & Arch Problems
Flatfoot and arch problems occur when the arch of the foot collapses or fails to form properly, leading to pain, fatigue, and imbalance. Adults may develop posterior tibial tendon dysfunction (PTTD), while children often have flexible flatfoot that improves with growth.
At The Medical Group of New Jersey, our podiatrists evaluate each patient’s foot structure and gait to determine the cause of arch pain and create an individualized plan using orthotics, physical therapy, or reconstructive surgery when needed.
Symptom Onset & Initial Evaluation
Flatfoot may cause gradual pain in the arch, heel, or inner ankle, often worsening with prolonged standing or walking. Patients may notice:
- Collapsed arches or “rolling in” of the ankles
- Swelling along the inside of the foot
- Difficulty fitting into shoes
- Fatigue or pain after activity
During your evaluation, your podiatrist will:
- Review your medical and activity history
- Examine the foot while standing and walking
- Assess the flexibility, strength, and alignment of the arch and ankle
Diagnosis
Diagnosis combines clinical evaluation with imaging to assess the underlying cause and severity. Common studies include:
- X-rays: Identify deformity or arthritis
- Ultrasound or MRI: Evaluate tendon integrity, especially in PTTD
- Gait analysis: Determines biomechanical abnormalities contributing to pain
Treatment
Treatment aims to restore proper alignment, relieve pain, and prevent progression.
Conservative Treatment
- Custom orthotics or arch supports to stabilize the foot
- Supportive footwear with firm arch and heel counter
- Physical therapy to strengthen the posterior tibial tendon and improve mobility
- Anti-inflammatory medication to reduce swelling and pain
Surgical Options
If symptoms persist or deformity worsens, your podiatrist may recommend:
- Tendon repair or reconstruction
- Bone realignment (osteotomy) to restore the arch
- Arthrodesis (fusion) in severe cases
Surgery at The Medical Group of New Jersey is typically outpatient and performed with minimally invasive techniques whenever possible.
Ongoing Management & Prevention
Long-term management focuses on maintaining arch support and preventing recurrence:
- Continue using orthotics and supportive shoes
- Stretch calf muscles daily to improve flexibility
- Maintain a healthy weight to reduce strain on feet
- Schedule annual podiatry evaluations
Our patients receive customized orthotic fitting and ongoing care to ensure lasting relief and improved foot mechanics.