Flat feet are feet that do not have an arch. The middle of the foot touches the ground.
Feet with no arches is the main sign of flat feet. Sometimes, flat feet can cause foot, ankle, or knee pain.
Most babies and toddlers have flat feet. As they grow, an arch usually develops. But in some people, the arch doesn’t form.
Flat feet can also be from:
Children with some kinds of genetic disorders (such as Down syndrome or osteogenesis imperfecta) can have flat feet. Flat feet can run in families.
There are two kinds of flat feet:
Doctors usually can diagnose flat feet by asking questions and doing an exam. If needed, they can order imaging studies, such as X-rays.
Flat feet that don’t cause problems usually need no treatment. Kids with flat feet should wear supportive, well-fitting shoes, but don’t need shoe inserts. They can do all the things that other children do.
Flat feet that cause pain or are linked to bone problems or tight tendons might need treatment. This could include shoe inserts to support the arch, physical therapy, special exercises, casting, or rarely, surgery. Kids with problems from flat feet usually need to see an orthopedic health care provider, who specializes in bones and joints.
Call your doctor if:
Reviewed by: Kathryn A. Ritacco, PA-C
Date Reviewed: May 12, 2020
