Understanding Your Flat Feet

Flat Feet

The pain brought about by runner’s knee is so excruciating that you will feel annoyed and bothered. The pain may subside for a few days but eventually, it will reoccur. If the damage gets so severe, it may mean the permanent inability to play your sport or engage in the strenuous activities. Don’t allow yourself to succumb to early retirement in the use of your knees. Address such concern at once before everything gets too late! I created this site to share the knowledge I learned during this process. If you are new to the site I recommend starting here to learn a little bit more about this project.

Edit Flat feet in children flat foot normal foot Flat feet of a child are usually expected to develop into high or proper arches, as shown by feet of the mother.The appearance of flat feet is normal and common in infants, partly due to “baby fat” which masks the developing arch and partly because the arch has not yet fully developed. The human arch develops in infancy and early childhood as part of normal muscle, tendon, ligament and bone growth. Flat arches in children usually become proper arches and high arches while the child progresses through adolescence and into adulthood.

Dr. Kilberg provides compassionate and complete foot and ankle care to adults and children in the Indianapolis area. He is board certified by the American Board of Podiatric Surgery, and is a member of the American Podiatric Medical Association. He enjoys providing comprehensive foot health information to the online community to help the public better understand their feet. Visit his practice website at Flat foot is a condition where the longitudinal arch or instep of the foot collapses and comes in contact with the ground. In infants and toddlers, the longitudinal arch is not developed and flat feet are normal. In some individuals, the longitudinal arch never develops.

One of the ways to find the best insoles for flat feet is browsing the various brands of insoles and checking the reviews. Another important tip to find the right insole is consult your doctor and get a prescription for the ideal insole size for your case. Then get a custom-made insole that fits right and treats the problem in the best way. No matter if it costs more, a custom-made insole will ensure that your problem does not worsen. All the best! Plantar fasciitis-An inflammation of the connective tissue, which runs from the heel to the ball of the foot, called plantar fascia, causing foot pain.

What symptoms can occur from having flat feet ? People with flat feet are at a higher risk of developing foot problems because they suffer from over-pronation. Over-pronation is when the feet roll excessively inward due to the stress overload placed on the ligaments and tendons of the ankle. This weakens the ankle and inside portion of the foot causing it to turn inward. Over-pronation can lead to painful symptoms including – Hammer toes – When the angle of the big toe increases inward, it begins to slide under the second toe. As a result, the metatarsal bone rises up and causes a hammer toe to form.flat feet surgery

A foot that underpronates is not able to absorb ground shock very well and can be prone to stress fractures. A foot that underpronates needs a shoe capable of absorbing shock well. Motion control is usually not important in this type of foot; however, in some cases foot orthotics can help in supporting and redistributing pressure in the foot when a neutral cushioned shoe is just not enough. Ongoing stress in your feet can also lead to flat feet. One of these stresses may be long-term wearing of high heels, which can affect your Achilles tendon and change the mechanics of your ankles.

My shooting philosophy is to make the player comfortable and confident, so of these three approaches, the player’s comfort is most important. The problem, however, is when the player has his hand on the side. The shooting hand must be centered using one of these three approaches. My father deeply wanted me to go to the Air Force Academy. Not only was it a “free” education, but it could be my stepping stone to becoming an engineer. Dad thought engineers were by and large klutzes, but his work at Martin-Marietta involving quality control of Titan missiles taught him that engineers ruled the world. An engineer who could fly was unstoppable.

An athletic shoe store or a medical shoe store will offer a better selection of shoes designed for flat feet. Your feet can change sizes throughout the day, so shop for your new shoes later in the day, when your feet are at their most swollen. Measure both feet; if one foot is bigger than the other foot, use your larger foot as your shoe size to ensure adequate room in the shoes. You should have at least ½ inch of space between your longest toe and the tip of the shoe. For the width, the shoe should feel snug, but not tight. Treatment

The alignment of your entire body starts with your feet, so flat feet can lead to pain in knees, hips, ankles and lower back. The lack of an arch often causes the foot to roll or “pronate” inward, putting even more pressure on the posterior tibial tendon. Additionally, when hip and knee joints are chronically out of alignment, the repetitive stress of flat feet with no arch can lead to osteoarthritis in the affected joints. In severe cases a mallet toe, trigger toe, claw toe or a hammertoe may create a downward pressure on the foot, which can result in hard skin and corns on the soles of the feet

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Hammertoe Treatment

Claw Toe

Bunions, also known as hallux valgus, are common deformities of the big toe that can cause significant disability. Bunions most often occur because of inherited foot abnormalities that make a person more likely to develop a bunion, MedlinePlus explains. Instability in the big toe joint and joint enlargement causes the toe to gradually drift toward the second toe. Foot injuries, arthritis and improper footwear over a number of years can contribute to bunions, which affect women nine times more often than men, the American Academy of Orthopaedic Surgeons reports. Bunion complications can cause significant disability. Pain

Hammertoes may have several causes, but most commonly come about due to muscle imbalances. The tendons pulling the toe inward may be stronger than the ones that pull the toe straight, thus resulting in a toe that’s bumped up in the middle. Hammertoes (or a tendency to develop them) might have been something you inherited from your parents (or grandparents, or third cousins), although they may also be caused or exacerbated by wearing shoes that scrunch the toes up into a small space (i.e. shoes with tiny little toe boxes and/or high heels—the usual lineup of suspects).

The following pictures show the surgical steps of a hammer toe procedure called a Post arthroplasty. Modifications of this procedure may include a fusion of the joint, pinning of the toe or digital implant. These photos show dissection at the level of the proximal interphalangeal joint (PIPJ) for correction of a hammer toe. Image 1 shows the pre-operative postition of the hammer toe. Image 2 shows a release of the dorsal capsule and extensors tendons with a #15 blade at the level of the metatarsal phalangeal joint. Image 3 shows the long extensor tendon at the level of the PIPJ. claw toe deformity

Poorly fitted shoes. Claw toes are usually the result of wearing shoes that are too short. Many people have second toes that are longer than their big toes; if they wear shoes sized to fit the big toe, the second toe has to bend to fit into the shoe. High-heeled shoes with pointed toes are also a major cause of claw toes. Derotation arthroplasty. In this technique, the surgeon removes a small wedge of skin and realigns the deformed toe. The surgeon may also remove a small section of bone, and repair tendons and ligaments if necessary.

Claw toes occur when the two distal toe knuckles are stuck in flexion and the base is stuck in extension. When looking at claw toes, they appear “scrunched up,” the toe tips are visibly held close to the ball of the foot, while the proximal knuckle is acutely extended such that the middle phallange ( toe bone) looks like it would rub against the roof of a shoe while walking. Hammer toe deformity is when the toes are stuck with the middle knuckle flexed and the others extended. In this circumstance, the middle toe knuckle is arched up by itself.

Other conservative therapies include toe crests and hammer toe splints, which are designed to hold down the claw toe and take pressure off the balls of the feet. Gel shields and cups can also be inserted to reduce friction between the toes and the shoe. The pain associated with flat feet occurs on the inside of the ankle, in the lower leg or on the foot. The pain hurts most when standing, walking or running and eases during rest. The pain can sometimes be severe enough to limit participation in sports or other activities. Shin Splintclaw toe images

What Are The Treatments For Bone Spurs In The Toe?

Contracted Toe

Corns are sometimes the result of another common foot deformity that affects the little toe – hammertoe or claw toe This deformity occurs when the joint of the little toe becomes permanently contracted It is often caused by high heels or narrow-toed shoes that force the toes into a bent position. If the toes remain in this position consistently, the joints and bones of the toes become permanently affected. The deformity can either be flexible or rigid, with a rigid deformity being much more difficult (if not impossible) to reverse. This is specific when there are Hard Corns with cracks. These are very painful and bleed on touch or movement.

Before having hammer toe surgery, the surgeon will test the circulation through blood tests and vascular studies, but delayed healing can still occur in some patients, according to FootDoc.ca. This happens more often in smokers, diabetics and those with metabolic diseases. In some cases, a wound dehiscence may occur. A wound dehiscence refers to a surgery that does not heal or breaks open after healing. The most common cause of a wound dehiscence is infection. Recurrence of Deformity and Floating Toe Last week, we discussed hammertoes. This week, we ask how can I keep my feet from getting to that level of deformity?

With open toed sandals and flip flops making a huge comeback this season, many of us are working hard to keep our toes looking their best. Unfortunately, not even the most vibrant nail polish or the best pedicurist can mask unsightly hammer toes. Definition of Hammer Toes Narrow and Tight Shoes – perhaps the most common cause of hammer toes, especially in women, is wearing tight fitting shoes that force the muscles and tendons holding the toes to stay in a bent position causing it to lose its balance. Over time, the tendons of the toes will contract and remain as such with or without your shoes.contract toevoeging

There are many causes of hammertoes. Some of them are congenital (a condition that is present at birth), hereditary (where there is an inherited muscle imbalance around a toe or an abnormally long toe) or acquired causes. An example of an acquired hammertoe is one caused by short stockings or by short or pointed shoes, especially in the presence of a long toe. Also, patients with certain forms of arthritis may develop hammertoes. Hallux malleus is a deformity of the great toe. This deformity can be very stiff or flexible. The joint in the great toe becomes contracted in a flexed or downward position.

This deformity usually occurs due to an imbalance of the tendons that insert on the top and the bottom of the great toe. When the tendon on the bottom of the toe (the tendon that causes the toe to flex down) over powers the tendon that causes the toe to bend up, this deformity occurs. While you’re waiting for your appointment, avoid wearing shoes or doing activities that seem to make your foot problems worse. Wear shoes that are comfortable, have a low heel and a good arch support, and provide enough room for your toes.

Ingrown hairs, or follicular pyoderma, can be painful, long-lasting and cosmetically displeasing. They are most commonly found in areas where people shave. In this situation, they occur because the shaved area (most likely the genitals or armpits) is in a state of compression inside of clothing and as the hair grows back, it can be forced backward into the skin, causing irritation. Ingrown hairs also form without having been shaved, but this is less common. Hyperpigmentation is when the skin makes too much melanin in certain areas that produce spots that are darker than the normal skin color. This can be anywhere on the body, including the feet.

Foot Pain And Ways To Treat It

Ball Of Foot Pain

The tibialis anterior is primarily responsible for what is called dorsiflexion of the ankle joint. It’s the exact opposite of a calve raise movement. Consider it a “toe raise.” It’s lifting the ball of your foot up toward the front of your shin. Do this 50x and you’ll be able to pinpoint the tibialis anterior with the “burning shins” you’ll feel. If you currently have plantar fasciitis, it probably won’t take much to make this muscle burn, as it is likely weak. Fit Feet Feel Fantastic , so work those suckers as hard as you work every other muscle in your body. You’ll be so glad you did.

Athletes involved in sports that require running or jumping are prone to develop metatarsalgia because there is continuous excessive weight placed on the balls of the feet. Stress is placed on the metatarsal bone heads from constant pounding and pressure, usually on hard surfaces such as concrete, blacktop, roads, hardwood floors, ball courts, etc. Try freezing a sports water bottle and place this on the floor. Then roll your arch over the water bottle for about 20 minutes. Do this twice a day for maximum benefit The common symptoms of a broken metatarsal are swelling, pain and bruising appearing within a day or two of injury.

Maintain this position for about half a minute and repeat with the other leg. Ball Of Foot Pain High Heels medications – Ibuprofen which is a non steroidal anti-inflammatory drug is found to be effective in reducing inflammation and pain in the plantar fascia. Lose Weight – Now this remedy can help you get rid of many problems! Those ‘extra pounds’ of your body actually put ‘extra stress’ on the plantar fascia. So fix a schedule of diet and exercise for your weight loss Ball Of Foot Pain High Heels program.ball of foot pain treatment

Your posture may also change and make every movement difficult so you will change the way you walk to adapt. One of the most common foot problems experienced by pregnant women is called over-pronation. Over-pronation is more commonly referred to as flat feet. Flat feet are caused by the above mentioned forces that cause the arch to flatten out. Due to the flattening of the arches, their feet roll unnaturally inward when they walk. The unnatural way of walking can increase the swelling and pain that you experience throughout the last trimester.

Morton’s neuroma is a thick bundle of nerves located between the third and forth toes in the ball of the foot. The symptoms of a Morton’s neuroma are burning pain in the ball of the foot, numbness and tingling in the toes. According to the University of Maryland Medical Center, Morton’s neuroma is aggravated by prolonged standing and relieved by removal of the shoes and forefoot massage. Treatment usually involves activity modification, changing to shoes with more room in the toes and orthotics to ease the pressure on the ball of the foot. If these conservative treatments fail, a cortisone injection or surgery maybe suggested by a physician. Heel Spur

People born with abnormal bones in their feet are more likely to form a bunion. In addition, wearing narrow-toed, high-heeled shoes, which put enormous pressure on the front of the foot, may also lead to a bunion formation. The condition may become painful as extra bone and a fluid-filled sac grow at the base of the big toe. A thick doughnut-shaped, moleskin pad can protect the protrusion. In some cases, an orthotic can help redistribute weight and take pressure off the bunion. Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may offer some pain relief.

Heel pain is one of the most common ailments experienced in the foot. It can be very debilitating, and in its severe state can be crippling. Heel pain is for the most part caused by chronic injury to a band of tissue on the bottom of the arch called the plantar fascia (plantar fasciitis). Contrary to popular belief, it is very uncommon for a bone spur in the heel to be the actual source of pain, although they are commonly found with plantar fasciitis. read more So, if you must wear high heels, you don’t have to deal with Ball Of Foot pain, you can prevent it!

Arch Supports, Foot Supports And Orthotics Conditions & Treatments

Foot Conditions

Relatively minor conditions are generally treated by the podiatric consultation, which incorporates disorders like calluses and corns. These conditions feature the thick, hard skin – that might even be flaky and dry. The podiatrist will get rid of the extreme tissue particularly if determined ulceration or a corporation of infection is detected. Podiatrists provide patients with education and awareness so for that injury to the tissue is avoided. Traditionally, pain syndromes of the plantar fascia have been called plantar fasciitis, however, the Merck Manual states that because inflammation of the tissue is rarely present, and there is often evidence of tissue degeneration, the term plantar fasciosis is more appropriate.

Gout can cause serious pain to the joints, especially in the feet. People who are overweight and more than 40 years of age are the most likely to have to deal with gout. For years the medical community has treated gout with pain killers such as Motrin. These pain killers provide only a short-term fix, however, and once they wear off the pain of the gout returns. Natural alternative of treating gout are longer lasting and have a positive impact on the patients health beyond treating the gout. Get an affordable pair of hiking shoes There are different styles and what you need is a shoe that is cost efficient.

If you look hard enough you will probably find a different home remedy for the foot wart problem for every day of the year. Two of the more commonly used and perhaps more successful ways to remove a foot wart are duct tape and Salicylic acid. Both of these cause some irritation to the skin and eventually the foot warts, or toe warts should fall off. However, this can take many many applications, and several weeks or months to work. Diabetic foot infections are an increasingly common problem, but proper care can save limbs and, ultimately, lives, suggest new guidelines released by the Infectious Diseases Society of America (IDSA).foot conditions that cause pain

Bunion pain is mostly caused by the deformity or enlargement in the joint which separates the big toe and foot and can be treated by having bunionectomy. In case of fungal toenail infections, a patient requires medical prescription and medication for its treatment and to eliminate the infection. Painful toenails and aching feet are also a foot problem which has to be looked after. Unfortunately, some women confuse what they think is pain from a bunion with arthritis in the big toe joint. This condition is called Hallux limitus and most commonly affects females. We usually see its onset in a patient’s 30s, and it progresses over time.

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Peripheral vascular disease was identified from the record of clinical assessment of the intensity of dorsalis pedis and posterior tibialis pulsations. Poor glycaemic control was defined as fasting plasma glucose levels of >7 mmol/L from the most current blood glucose record. Peripheral sensory neuropathy was identified by the absence of perception of the Semmes Weinstein monofilament at 2 of 10 standardized plantar sites on either foot which is the standard for admitted diabetics in UCTH. Most of the organisms identified from ulcer swab cultures were resistant to penicillin antibiotics. Only a few isolates showed resistance to cephalosporins (mainly ceftriaxone) as shown in Figure 4foot conditions in children

When you are out or at office in general it is important to be aware of the situations around you. Unfortunately, there are situations where you may not be aware of the dangers. Which can resultant in a slip or fall accident. If something like that happened, you suffer from a slip and fall injury, seek medical attention immediately. And if you feel like you have a case to register or you someone else negligence is responsible for you injury does register a claim and contact a personal injury lawyer or attorney. OR Michigan people can ask for further queries to Hirsch Law Firm, Michigan slip and fall Lawyer.

Pain On Top Of Foot

Ball Of Foot Pain

A midtarsal fault is another common complaint affecting the top of the foot, although it is one which can be diagnosed with low cost imaging techniques such as an x-ray. The problem is caused by the ramming together of the bones in the top of the foot which causes irritation and inflammation, but also the formation of arthritic spurs between the joints. These spurs can be seen on an x-ray making a diagnosis straightforward, although an accurate home diagnosis it is all but impossible. Obviously, wearing the correct footwear and maintaining a healthy weight is also vital in the treatment of plantar fasciitis and the prevention of recurrence also.

A perpetual video of moments in my life as a mother to four children plays in my mind and heart. If only I could restore the memory to live film, I might be a grand prize winner on America’s Funniest Home Videos. One memory still brings a belly laugh some thirty-eight years later. For Halloween the week before, Jay’s dad had worn a nylon stocking over his face. He scared poor pathetic toilet seat kid half to death with that prank. If Jay saw me even slipping into my stockings, he went into a panic attack. Getting Jay to allow my rescue was going to take creative planning.

Metatarsalgia refers generally to any pain in the ball of the foot. Often this results from pinched nerves or abnormal fitting of the bones in the foot. If the joint surfaces become misaligned, the cartilage between the joints will be destroyed, which can mean a lifetime of foot pain. The Length refers to your general shoe size. Whatever your street shoe size, with some brands of pointe shoes you will take a size or two smaller, or maybe larger. Your shoe vendor should know, brand by brand, what length to try for a fit. You will also choose a Width, depending on whether your foot is narrow, medium, or wide.

The researchers hope their identification of brain responses correlated with the level of phantom pain can aid the development of treatment approaches, as well as increase understanding of how the brain reorganises and adapts to new situations. The Oxford University researchers, along with Dr David Henderson-Slater of the Nuffield Orthopaedic Centre, report their findings in the journal Nature Communications They were funded by the Royal Society, Marie Curie Actions, the Wellcome Trust, National Institute for Health Research (NIHR) Oxford Biomedical Research Centre, and the Medical Research Council. A dull to sharp pain at your heel when arising from rest and during periods of weight bearing, often described as ‘stone bruise’.ball of foot pain treatment

This kind of pain flares especially when you press under the three smallest toes. This pain usually only effects runners as it’s caused by landing too hard on this area of the foot when running. As a result, your foot begins building a cushion called a bursa to protect the area. Bursitis pain is actually an indication that the bursa is getting irritated. As an initial measure try relieving the pressure with some foot pads. Heel pain is a common foot problem often caused by plantar fasciitis, an inflammation of the connective tissue in the sole of the foot This condition limits activities while walking and can be very painful.

These outcome is discomfort which radiates to the buttocks and legs. Self massage and acupressure can likewise be useful in minimizing inflammatory swelling around the spinal nerve roots and produce pain relief. Some patients experience significant disc tear symptoms, whereas others have no sign at all and remain completely unaware of it. Surgery is always the last resort to any disc tear treatment. Only 10 percent of people undergo surgery for disc repair. One unexpected repercussion of aging is the increased propensity to journey and fall. There are a variety of factors that cause this, but the main one is a neurological one.

Once you’ve seen progress with that exercise, find a golf ball, it doesn’t matter the condition. Place the ball on the floor and cup the ball in front of the ball of the foot where the toes attach. Begin to place pressure on the golf ball, and roll it from side to side. This is most easily done by pivoting on the heel. Do not allow the golf ball to go under the longitudinal arch area. Gradually increasing pressure on the ball will break up old adhesions, strengthen the transverse arch muscles and straighten the toes.

If you have pain in the ball of your foot already, don’t panic. Treatment is generally conservative. However, it is imperative to have any foot problem checked by a podiatric physician. This healthcare professional can help you determine whether or not the problem is, in fact, metatarsalgia, since there are other problems which have similar symptoms but require different treatment. What else? Occasionally, if other factors are complicating the problem, such as hammertoes or a trapped or pinched nerve in the foot, the podiatric physician will recommend corrective surgery. However, it is important to note that the vast majority of patients are helped by the steps outlined above.

While the Oxford University researchers, led by Professor Heidi Johansen-Berg, have found brain changes that are correlated with phantom limb pain in this study, they cannot tell if they are causal. To get a better understanding of that, they are beginning a trial with people who’ve had an arm amputation to see if a brain stimulation technique can influence the phantom pain they experience, taking MRI scans before, during and after the technique. The best place to do this is in bed. If you lie or sit on the floor, the pressure to the spasms will be deeper and may be too uncomfortable.

Flat Feet Woes And Treatment

Pes Planus

Sorry for the long post I hope I can some help from you guys! So given my time in and all What do you guys expect will happen next? Will i be discharged or should I not even get in the mind set? IF I do happen start the process how long do you think it will take? Any advice/suggestions/general opinions, whatever it may be i’m willing to hear it all!! There are plenty of ‘clinicians’ that provide orthotic therapy as part of their clinical services but they provide non-custom orthotics and have very limited training in the provision of orthotic therapy.

The metatarsal and big toe are connected by a joint that you feel as a bump on the inside of your foot, just below the toe. Hallux valgus often develops when there’s damage to this joint, known as metatarsophalangeal joint. If you have a bunion, it’s the joint that it grows on. The usual cause of damage is some sort of chronic abuse, but other factors can be responsible, such as a broken toe that didn’t heal properly. Now the Cure Plantar Fasciitis And Foot Pain have much more alternative that you can read on the Books. Do not wait the special information of The Plantar Fasciitis Pes Planus

Pes planus is a fairly common condition. For most individuals, flat feet cause no problems and do not inhibit participation in sports. For another individuals, flat feet can cause stiffness, inflexibility and pain in the feet. Flat feet can also cause ankle and lower leg pain. In sports that require a lot of running, you may feel pain over the bottom of your feet. This pain can cause discomfort in the knees and legs as well as limping after strenuous activity. Sports like baseball that require standing for a long period of time can cause pain with flat feet as well. Footwear Modifications

There are two types of flat feet; flexible and rigid. A flexible flat foot is most common and is caused by ligamentous laxity and underdeveloped arches. Most children are born with flat feet and by the age of ten the longitudinal arch is developed. In some people the arch does not develop properly, resulting in a flexible flat foot. A rigid flat foot is characterized by restricted movement of the ankle joint and is due to congenital abnormalities, trauma and arthritis. Orthotic therapy is the primary mode of treating flat feet. Flexible orthotics supports the longitudinal arch of the foot, restoring the normal alignment and biomechanics of the foot.pes planus symptoms

Calcium deposits can be extremely painful and can develop in any part of the body from the neck to the toes, causing hardening of bones and soft tissues. Calcium deposits are most common in joints and areas of previous injury to bones or muscle. They first develop as a substance similar to toothpaste then eventually dry into a chalky substance. The result is pain when moving the body part where the deposit has settled. There are several ways to handle and treat calcium deposits. A cyclops lesion is a complication of an ACL reconstruction surgery where there is scar tissue that inhibits full range of motion of the knee joint.

Figure 2. In this case, a skeletally immature child with a flexible flatfoot was treated with a subtalar joint arthroereisis and open Tendo Achilles lengthening. The metallic implant prevents the rearfoot from collapsing. The preoperative and postoperative radiographs demonstrate improvement of the alignment of the rearfoot (blue line) and forefoot (yellow line). Stretching. Because a tight calf muscle (equinus – contracture of the gastrocnemius and/or soleus) has been long associated with flexible flatfoot, a stretching program is a simple intervention aimed at counteracting this foot-deforming force. Most stretching efforts are centered on stretching the more superficial calf muscle, the gastrocnemius.

With regard to dynamic balance control during walking, the only studies that could be located involved cadaveric models and the application of orthotics in static situations. As we age, unintentional falls cause debilitating injuries. Although falls are complex and many factors are involved, footwear and foot problems play a major role in the control of balance to avoid falls. 14 Imhauser and colleagues 15 quantified and compared the efficacy of orthoses in the treatment of flatfoot deformity of cadaveric models in a static A podiatrist will soon give a proper examination and prognosis and will want to see a variety of footwear that you use to properly advise you.

Education. Education is crucial when managing flatfoot. The better a patient understands the condition, the more proactive they may be to treating it. Adults with flatfoot have often lived with the condition and may have slowly noticed the foot collapse over a period of years, which may help them understand the importance of intervention, especially if pain develops. Children and adolescents, on the other hand, may be less resistant to intervention because they may not have any discomfort and only be seeking intervention because their parents are concerned about the flattening foot. pes planus radiology