Flatfoot

Flatfoot is a complex disorder with diverse symptoms and varying degrees of deformity and disability. There are several types of flatfoot, all of which have partial or complete collapse of the arch. Flatfoot can be hereditary, acquired through wear and tear on the foot, posterior tibial tendon dysfunction, or injury.

Signs and Symptoms

 

  • “Toe drift” where the toes and front part of the foot point outward

  • Heel tilting outward with the ankle appearing to turn in

  • A short Achilles tendon causing the heel to lift off earlier during gait

  • Pain in the heel, arch, ankle or along the outside of the foot

  • Pain associated with shin splints

  • General weakness or fatigue of the foot and leg

Diagnosis and Treatment

 

Diagnosis is through a combination of physical exam, x-rays and if needed advanced imaging such as CT or MRI exams. Often a contracted Achilles tendon contributes to the presence of a flatfoot, this will also be evaluated on all patients presenting with a flatfoot deformity.

Treatment includes weight loss, shoe modification, over the counter or custom orthotics, physical therapy, and surgical intervention to restore the arch of the foot and reduce pain. Many different surgical procedures exist for correction of a flatfoot deformity and will be individualized to the patient. Dr. Hanawalt will evaluated your hallux rigidus and develop a plan suited for your needs.