Fallen Arches: Symptoms, Causes, Treatment
What are the symptoms of fallen arches?
Fallen arches, also known as flat feet or pes planus, is a condition where the arches of the feet flatten out and the entire sole of the foot comes into contact with the ground. Not everyone with fallen arches experiences symptoms, but when symptoms do occur, they can include:
- Foot pain: Pain or tenderness along the inside of the foot, especially when standing or walking.
- Arch pain: Pain or discomfort in the arch of the foot, which may worsen with activity.
- Heel pain: Pain in the heel or the back of the foot, especially after standing for long periods or after physical activity.
- Swelling: Swelling along the inside of the ankle.
- Difficulty standing on tiptoes: Some individuals with fallen arches may have difficulty standing on their tiptoes.
- Foot fatigue: Feet may feel tired or achy, especially after standing for long periods.
- Reduced flexibility: The arches of the feet may become less flexible, making it difficult to flex the foot or roll it inward.
- Foot movement abnormalities: In some cases, fallen arches can lead to changes in the alignment of the foot and ankle, which can affect how the foot moves during walking or running.
It’s important to note that flat feet can be flexible or rigid. Flexible flat feet have arches that appear when the person is not standing, while rigid flat feet have no arch even when the person is not standing. If flat feet are causing pain or other symptoms, it’s a good idea to see a healthcare provider or a podiatrist for evaluation and appropriate management.
What are the causes of fallen arches?
Fallen arches, or flat feet, can be caused by a variety of factors. Some common causes include:
- Genetics: Flat feet can be inherited, and some people are born with flat feet due to the structure of their foot bones and muscles.
- Foot injuries: Injuries to the muscles or ligaments of the foot, such as a sprained ankle or a fracture, can lead to fallen arches.
- Muscle or ligament weakness: Weakness in the muscles or ligaments of the foot can cause the arches to collapse.
- Nerve damage: Damage to the nerves that control the muscles of the foot can lead to flat feet.
- Arthritis: Inflammatory arthritis conditions, such as rheumatoid arthritis, can affect the joints in the feet and lead to fallen arches.
- Aging: As people age, the tendons and ligaments in the feet may lose elasticity and strength, leading to flat feet.
- Obesity: Excess weight can put strain on the muscles and ligaments of the foot, leading to fallen arches.
- Pregnancy: The increased weight and hormonal changes during pregnancy can lead to temporary flat feet in some women.
- Neurological conditions: Certain neurological conditions, such as cerebral palsy or muscular dystrophy, can affect the muscles and lead to fallen arches.
- Improper footwear: Wearing shoes with inadequate support or that do not fit properly can contribute to the development of fallen arches.
It’s important to note that flat feet can develop gradually over time and may not always cause symptoms. However, if flat feet are causing pain or other symptoms, it’s a good idea to see a healthcare provider or a podiatrist for evaluation and appropriate management.
What is the treatment for fallen arches?
Treatment for fallen arches, or flat feet, depends on the underlying cause and the severity of the condition. Some common treatment options include:
- Orthotic devices: Custom orthotic devices, such as arch supports or shoe inserts, can help support the arch and relieve symptoms.
- Footwear modifications: Wearing supportive, well-fitted shoes with a firm heel counter and arch support can help reduce symptoms.
- Physical therapy: Exercises to strengthen the muscles of the foot and ankle can help improve the arch and reduce pain.
- Weight management: Maintaining a healthy weight can reduce the strain on the muscles and ligaments of the foot.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help reduce pain and inflammation associated with fallen arches.
- Steroid injections: In some cases, corticosteroid injections may be recommended to reduce pain and inflammation.
- Surgery: In severe cases of fallen arches that do not respond to other treatments, surgery may be recommended to repair or reconstruct the arch.
It’s important to work with a healthcare provider or a podiatrist to determine the best treatment approach for your specific situation. Treatment may be focused on relieving symptoms, preventing further damage, and improving foot function and quality of life.