Posts for tag: flatfeet

By Affiliated Foot & Ankle Care
April 11, 2016
Tags: flatfeet  

The term “flatfeet” refers to not having an arch in the bottom of your foot. At Affiliated Foot & Ankle Care, we see this happening for several different reasons, not all of which are bad. In infants and toddlers who have not started walking, flatfeet are normal. Even in adults, if flatfeet are not causing any pain or discomfort, they may not require any treatment. When pain is associated with adult flatfeet it is most often caused by tibialis posterior tendonitis (PTTD).

The posterior tibialis is a tendon that runs down the back of your heel and it plays a key role in walking. When this tendon gets torn, stretched or inflamed, most often due to overuse in people who do an excessive amount of walking, running, or stair climbing, pain occurs. Depending on how far the tendonitis has progressed, the pain may be on the inside or the outside of the foot and the affected area may become red and swollen as well. Left untreated, PTTD can lead to arthritis in the foot and ankle.

Treatment Options

If you suspect that you have PTTD, it’s time to make an appointment with one of our foot doctors: Varun Gujral, DPM, or Nrupa Shah, DPM. In order to confirm a diagnosis of PTTD, the podiatrist will examine your foot both when you are standing and sitting. An x-ray will most likely be ordered as well to see how far the flatfoot has progressed. Then the appropriate treatment plan for you will be determined. There are several non-surgical options, including:

  • Immobilizing your foot to give the tendon time to heal
  • Reducing or avoiding activities that require you to walk or stand for long periods of time
  • Nonsteroidal anti-inflammatory medications, such as ibuprofen to relieve pain and inflammation
  • Orthotic inserts and arch supports for your shoes to help take the pressure off the tendon
  • Physical therapy
  • Losing weight if you are overweight to decrease the load placed on your arches

If you do not gain relief from any of these non-surgical treatments, your foot doctor may recommend surgery.  The sooner you start treatment, the better your chances of avoiding surgery. So don’t delay, contact our Edison, Monroe or Monmouth Junction office as soon as possible.