Flexible Flatfoot (Pes Planus)
What is a Flexible Flatfoot?
Understanding the condition
Flexible flatfoot, also called pes planus, is a common condition in children where the arches of the feet appear flattened, especially when standing. In most cases, the arch reappears when the child is sitting or standing on tiptoes. Flexible flatfoot is usually painless and considered a normal part of development, but in some children, it can cause fatigue, discomfort, or difficulty with physical activity.
When to suspect a Flexible Flatfoot?
Signs & Symptoms
Low or absent arch when standing
Tired or achy feet/legs after activity
Inward ankle roll (over-pronation)
How We Diagnose Flexible Flatfoot
Diagnosis includes a physical examination to check arch appearance in standing and tiptoe positions, gait and alignment, and Achilles tendon tightness. Imaging is usually not needed; X-rays are considered only if pain, stiffness, or another condition is suspected.
How are is a Flexible Flatfoot treated?
How We Heal a Flexible Flatfoot
- Observation – Most cases improve naturally as the arch develops with age
- Supportive footwear or custom orthotics – Used when there is pain or activity limitation
- Stretching exercises – Especially for a tight Achilles tendon
- Activity modification – Adjusting sports or intensity if symptoms flare
- Weight management – When excess weight contributes to discomfort
How is surgery performed?
We ARE Specialized in foot & ankle health
Expert Care You Can Trust
At The Modern Podiatry, Dr. Malek Abu Al Nadi combine advanced diagnostics, evidence-based treatments, and personalized rehabilitation plans to ensure a safe and complete recovery for ankle sprains.
