Flat Feet: Signs & Symptoms

Flat feet, also known as “pes planus”, are a common foot posture where the arch of the foot appears lower than usual or fully contacts the ground when standing. While many people with flat feet experience no symptoms at all, others may develop discomfort or functional issues over time. Understanding the signs of flat feet and knowing when to seek professional assessment can help support long-term foot health.

What Are Flat Feet?

Flat feet occur when the arches of the feet collapse or fail to develop fully. This can be present from childhood or develop later in life due to factors such as aging, injury, pregnancy, or changes in tendon or joint health. Flat feet may affect one foot or both and can vary in severity.

It’s important to note that flat feet are not always a problem. Treatment is typically considered only when symptoms are present or when the foot posture is contributing to pain or altered movement.

Common Signs and Symptoms of Flat Feet

People with flat feet may notice a range of symptoms, especially during prolonged standing, walking, or physical activity. Common signs include:

  • Foot or arch fatigue, particularly after activity

  • Heel pain or arch discomfort

  • Pain along the inside of the ankle

  • Aching in the legs, knees, hips, or lower back

  • Shoes wearing out unevenly

  • Feet that appear to roll inward when walking (overpronation)

Symptoms may develop gradually and can worsen if the feet are not properly supported.

Why Flat Feet Can Cause Discomfort

The arches of the feet help absorb shock and distribute forces during walking and standing. When the arches are lowered, extra strain may be placed on muscles, tendons, and joints in the feet and lower limbs. Over time, this may contribute to overuse injuries, tendon irritation, or joint stress.

How a Chiropody Assessment Can Help

A comprehensive chiropody assessment looks beyond the appearance of the arch. A registered chiropodist will evaluate:

  • Foot structure and posture

  • Range of motion and joint alignment

  • Muscle strength and flexibility

  • Walking and standing biomechanics

  • Areas of pain or pressure

  • Footwear and activity levels

This detailed assessment helps determine whether flat feet are contributing to symptoms and allows for an individualized care plan based on the patient’s needs and lifestyle.

Management Options for Flat Feet

Depending on the assessment findings, a chiropodist may recommend conservative management strategies such as:

  • Education on supportive footwear

  • Custom foot orthotics to help improve foot support and alignment

  • Targeted stretching or strengthening exercises

  • Advice on activity modification

  • Ongoing monitoring and follow-up care

Not everyone with flat feet requires orthotics or intervention, and recommendations are always based on clinical findings and patient goals.

When to Seek an Assessment

You may benefit from a chiropody assessment if you have flat feet and are experiencing persistent pain, frequent foot fatigue, or changes in how you walk or stand. Early assessment can help identify contributing factors and support proactive foot care.

Supporting Healthy Feet

Flat feet are common and often manageable. A professional assessment can provide clarity, education, and guidance tailored to your individual needs. If you have concerns about your foot posture or are experiencing discomfort, a registered chiropodist can help you understand your options and support your overall foot health.