Flat Feet - An Invisible Threat

Flat feet, also called fallen arches or Pes planus (PP), is a condition in which a person develops flattened arch on the inner side of feet, which allows the sole to touch the ground while standing. It's an unusual condition, which, however, does not cause pain in the beginning. Nevertheless, it could become a cause of concern later in life, resulting in various foot problems. Usually a painless condition, flat feet occurs as a result of a childhood injury or due to wear and tear of age-related stresses. If left untreated, the condition can contribute to complications in the knees and ankles as it alters optimal aliment of the legs.

Possible Causes of Flat Feet in Adults

Flat feet are often caused due to various reasons; the cause may vary from one person to another. It is believed that in case of adults, excessive stress on the feet is a responsible factor. Failing to cure an injury, like ankle sprain, without proper treatment and healing time, can cause this problem.

Excessive feet stress occurs when:

• muscles weaken in the lower leg, foot and ankle due to weight gain or aging
• people walk or stand for long, especially in dress shoes or high heel
• people wear uncomfortable footwear without adequate arch support
• foot injuries occur, such as broken foot bone or ankle sprains

Other common causes of flat feet are:

• Weak arch that fails to bear body weight and becomes flat over time
• Severe injury of the feet
• Degenerative diseases like arthritis
• Ruptured tendon (tibialis posterior)
• Pregnancy
• Muscles or nervous system diseases like muscular dystrophy, spina bifida, or cerebral palsy
• Tarsal coalition, a condition in which bones of both the feet fuse together to cause stiffness and fallen arches
• Diabetes
• Age

Future Health Problems from Fallen Arches

Flatfeet, if left untreated, can cause health problems in the future. Since the condition is asymptomatic, causing no pain or problem otherwise, people don't pay heed to it. However, anything that is structurally unusual for the body should be reported to a specialist for proper diagnosis. The condition can also be treated with shoe inserts, therapy, medications, leg braces and surgery. But, before reaching the treatment stage, correct diagnosis should be done.

Some common health problems associated with flat feet are:

• Pain, though not felt initially, can start affecting the lower leg and ankles over time. Foot pain worsens when walking, running or standing. It will only ease with rest. Such pain can be severe to limit activities.

• Fallen arches can cause shin splints - a condition in which the shinbone is inflamed due to overuse while running without adequate foot support.

• Bunions may form, affecting the big toe joint at its base. With flat feet, you might have difficulties in finding a good pair of shoes. As a result, pressure on your joints is obvious. This pressure leads to enlarged joints, which pushes the big toe to cause pain.

• Tendinitis is commonly caused due to flat feet. The Achilles tendon is affected due to increased stress on the back of the ankles and heals, which causes swelling, warmth and pain.

• Flatfeet make the feet muscles weaker, which leads to hammertoe. It is a painful condition.

• Flatfoot could also lead to calluses, resulting from constant friction or rubbing against the sole of shoes to cause hardened and thickened skin layers to develop.

It is possible to take care of flat feet and prevent further complications, but only when realized on time.






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