People with physiologically flat feet often have stretchy ligaments (hypermobility). When you stand on tiptoes the arch of the foot re-establishes. The arch is flattened, but the foot is supple and pain free. The commonest cause of a flat foot is the so-called “physiological flat foot.” This means that the flatness is a variation of normal. The vast majority of flat feet fall into this group. In these situations you may choose to seek medical help. The feet are numb, or you have difficulty feeling them.Asymmetrical (there is a difference between the two feet).In adults and children you should worry about a flat foot if it is: Damage to the Tibialis Posterior tendon can cause the foot to flatten. There is a large muscle, the Tibialis Posterior muscle, which supports the arch.
The ligaments and muscles form secondary supports. The shape of the bones sets the shape of the foot. The medical terms for flat foot and high arches are “pes planus” and “pes cavus” respectively. High arches are associated with problems – although these problems tend to be different to those seen with flat feet. In some people the arch is minimal or absent, these individuals are said to have “flat feet.” In the majority of cases this “flatness” is NORMAL, and nothing to worry about. The arch develops in childhood, between the ages of three and 10 years. In many shoes the shoe is designed so that the arch is supported by an “arch support.” This arch creates a space between the ground and the foot. Most people have an arch along the inside of the foot.
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