Flat feet in adults usually develop when the arch of the foot gradually loses strength. For example, someone who used to walk long distances without any problems may begin to feel pain in the foot or ankle. Over time, they may notice that their feet look flatter and that their shoes feel uneven. In some cases, a favorite pair of shoes may wear out faster on one side.
These changes don’t happen overnight. Adult flatfoot develops slowly as the structures that support the arch weaken. In adults, flatfoot generally develops for two main reasons:
- Adult-acquired flatfoot
- Flexible flatfeet
So, What Makes Adult-Acquired Flatfoot Different From Flexible Flatfeet?
Some adults develop flatfeet later in life. This is known as adult-acquired flatfoot and is most commonly caused by posterior tibial tendon dysfunction (PTTD). The condition progresses as the arch on the inside of the foot slowly flattens or collapses over time.
It is usually seen in people over 40 and is more common in women. Podiatrists often refer to it as “fallen arches.” Early on, it can cause pain along the inside of the foot and ankle. As the condition worsens, the shape of the foot begins to change.
Other adults have flat feet because of a flexible flatfoot that has been present since childhood. When standing normally, the arch appears flat, but it reappears when standing on tiptoes. This is commonly seen in young children with flat feet, especially those under five.
Most children outgrow flexible flat feet as their arches develop. In some people, flexible flat feet continue into adulthood. But it does not mean that the foot structure is damaged. Most people with flexible flat feet do not experience pain or problems.
If you are experiencing foot pain, difficulty walking, or changes in the shape of your foot, a podiatrist can help with the right treatment plan. Pro Foot Doctors proudly serves the Far Rockaway community and is here to help you stay comfortable, active, and on your feet.
What Causes Adult-Acquired Flatfoot vs. Flexible Flatfeet?
Adult-Acquired Flatfoot | Flexible Flatfeet |
Develops in later life, usually after age 40. | Present since childhood. |
Most commonly caused by posterior tibial tendon dysfunction (PTTD) | Caused by an arch that never fully develops. |
The tendon that supports the arch becomes torn, overused, or inflamed. | Foot structure is otherwise normal. |
Arch collapses over time. | The arch appears flat when standing but returns when standing on tiptoes |
Not caused by a sudden injury; results from wear and tear | Often genetic. |
More common in people with obesity, high blood pressure, diabetes, or arthritis. | Common in young children and may continue into adulthood |
Often painful and tends to worsen over time. | Usually painless and stable. |
Can lead to changes in walking patterns and foot shape. | Rarely causes any problem unless symptoms develop. |
What Are The Symptoms Of Flat Feet In Adults?
Adult-Acquired Flatfoot | Flexible Flatfeet |
Pain and swelling along the inside of the ankle. | No pain. |
Pain worsens over time | Feet look flat but feel normal. |
The arch on the inside of the foot gradually flattens. | The arch appears flat when standing, but returns when on tiptoes. |
Difficulty or inability to stand on tiptoes. | No difficulty in standing on tiptoes. |
The heel may tilt outward as the condition worsens. | Heel position remains normal. |
Pain can move to the outside of the ankle. | Rarely causes ankle pain. |
The foot can become stiff if arthritis develops. | The foot remains flexible. |
Difficulty walking on uneven surfaces. | Walking is typically not affected. |
When Do You Need To See a Podiatrist in Far Rockaway?
Some people grow up with flat feet and never think it will cause foot or arch pain later in life. However, in adulthood, flat feet can lead to more serious problems. If you’ve recently noticed foot pain, changes in your arch, or difficulty walking, don’t wait for the condition to worsen. If you’re experiencing any of the symptoms discussed above, it’s time to schedule an appointment.
Early evaluation can help prevent complications and keep you active and comfortable. A visit to a podiatrist in Far Rockaway can be an important step toward healthier, pain-free feet.
Don’t let your foot pain slow you down. Call Pro Foot Doctors today to schedule an appointment.
Frequently Asked Questions
Is flat foot a serious problem?
In some adults, the ligaments and tendons in the foot can weaken over time, leading to a condition commonly known as fallen arches. In general, flat feet do not cause problems. However, they can become a health concern if symptoms develop later in adulthood.
Can walking cure flat feet?
Walking alone cannot cure flat feet, but certain approaches, such as barefoot walking on safe surfaces, wearing supportive insoles, and choosing comfortable, well-fitting shoes, can help relieve symptoms.
Can flat feet go back to normal?
In most cases, symptoms improve with stretching exercises, strengthening routines, and supportive footwear, even if the arch does not fully return.
Is flat foot a disability?
Flat feet are not considered a disability on their own. However, they may be considered disabling if they cause significant pain or limit a person’s ability to perform daily activities.
