What Are the Causes For Flat Feet and the Role of Custom Orthotics

Flat feet, also known as fallen arches, occur when the arches of the feet collapse, causing the soles to come into full or near-full contact with the ground. While some people with flat feet experience no symptoms, others may suffer from pain, swelling, and reduced mobility. Understanding the causes of flat feet and the benefits of custom orthotics can help individuals manage this condition effectively.

Common Causes of Flat Feet

There are several reasons why someone may develop flat feet, ranging from genetics to lifestyle factors. Here are some of the most common causes:

1. Genetics

Flat feet often run in families. If your parents or siblings have collapsed arches, you’re more likely to develop them as well. This genetic predisposition can affect the way the tendons, ligaments, and bones in the feet function, leading to fallen arches.

2. Weak Arches

Some people have arches that are present but weak, meaning the arch appears when not bearing weight but flattens when standing. This is sometimes referred to as flexible flat feet. Weak arches can occur due to various factors, including muscle imbalances or ligament laxity.

3. Injury or Trauma

Trauma or injury to the foot can damage the tendons, ligaments, or bones, leading to fallen arches. Conditions like fractures, sprains, or dislocations may weaken the structures of the foot, causing the arch to collapse over time.

4. Tendon Dysfunction

Posterior tibial tendon dysfunction (PTTD) is a common cause of adult-acquired flat feet. This tendon helps support the arch, and when it becomes inflamed or torn, the arch may collapse, resulting in flat feet. PTTD is often associated with conditions like overuse or obesity.

5. Obesity

Excess body weight places added pressure on the feet, particularly on the arches. Over time, the added stress can cause the arches to flatten. This is why obesity is a significant risk factor for flat feet, especially in adults.

6. Aging

As we age, the tendons and ligaments in our feet naturally lose some of their elasticity and strength. This process can contribute to the development of flat feet in older adults, particularly if the feet are subjected to repetitive stress.

7. Pregnancy

Pregnancy is another common cause of flat feet due to hormonal changes that relax the ligaments and increase weight-bearing demands on the feet. Many women find that their arches flatten during pregnancy, especially in the third trimester, when weight gain peaks.

8. Medical Conditions

Certain medical conditions, such as rheumatoid arthritis, diabetes, and neuromuscular disorders, can weaken the tendons and ligaments, contributing to the development of flat feet. These conditions may cause inflammation or nerve damage, impacting foot structure.

The Role of Custom Orthotics for Flat Feet

Custom orthotics are specialized insoles designed to provide support and alleviate pain for individuals with flat feet. While over-the-counter insoles are available, custom orthotics are tailored specifically to your foot’s shape and unique needs, offering superior support and comfort.

1. Arch Support

The primary function of custom orthotics is to provide proper arch support. For people with flat feet, orthotics can lift the arches, redistributing pressure and reducing strain on the foot’s ligaments and tendons. This helps prevent further collapse of the arch and reduces pain.

2. Improved Alignment

Flat feet can lead to poor foot alignment, which often affects the knees, hips, and lower back. Custom orthotics help correct alignment by supporting the foot’s natural arch, promoting better posture and reducing discomfort in other parts of the body.

3. Enhanced Stability

People with flat feet may experience balance issues or instability, especially when standing for long periods or engaging in physical activities. Custom orthotics improve stability by providing a solid base of support, making movement easier and more comfortable.

4. Shock Absorption

Walking or running can cause significant impact on the feet, especially for those with flat arches. Custom orthotics offer additional cushioning and shock absorption, which helps reduce the impact on joints and muscles.

5. Pain Relief

By addressing the structural issues associated with flat feet, custom orthotics can significantly reduce or eliminate pain in the feet, ankles, knees, and even the lower back. They relieve pressure points, improve foot mechanics, and offer long-lasting relief.

Flat feet, whether inherited or acquired, can lead to discomfort and complications if not properly managed. Custom orthotics provide a practical solution for individuals with flat feet, offering support, improved alignment, and pain relief. If you’re experiencing symptoms related to flat feet, it’s essential to consult a healthcare professional who can assess your condition and recommend the appropriate treatment, including custom orthotics tailored to your needs.

By addressing the root causes and using the right orthotic support, you can maintain a healthy, active lifestyle without being held back by flat feet.

By Dr. Zavosh: Burrard Chiropractic and Foot Orthotics