Flat Feet Treatment (Pes Planus)
Flat feet, also known as pes planus, is the collapse of the medial longitudinal arch (MLA) in one or both feet. Having flat feet is a feature that can result in the development of other ailments or conditions. People with flat feet are more prone to overuse injuries such as Plantar Fasciitis, Tibialis Posterior Tendonitis or Dysfunction and Achilles Tendonitis. MyoDynamic Health specializes in lower limb rehabilitation for flat feet with the use of custom orthotics and physiotherapy.
Common Symptoms of Flat Feet:

- Excessive pronation (rolling inwards) of ankle joint while walking.
- Low arches, resulting in a flat-footed structure.
- Pain along the inside of the foot and ankle.
- Pain worsens with activity. Primarily running or high-impact activities.
- Painful when walking or standing for long durations.
- Swelling is sometimes present along the inside of the foot.
Custom Orthotics for Flat Feet:
- Customized semi-rigid arch support - will help to elevate your arches and prevent pronation (rolling in) when walking.
- Shock absorbent heel cushioning - aids in dissipating pressure throughout the foot and prevents inflammation in the arch.
- Mild posting - may be necessary if you are walking in an abducted 'duck stance' position or coming off the inside of the greater toe.
- Neutral casting - to align your feet and lower limbs in order to place them in the most optimal position for gait.
- Deep heel cup - will lock the heel in place, allow your foot to maintain a neutral position and place adipose 'soft' tissue under the heel bone to reduce the effect of impact forces.
- Perforated top cover - materials that wick away sweat and bacteria while allowing for effective transfer of air and perspiration, resulting in a cool, dry environment.
Footwear Features for Flat Feet:
- Stabilization in the Midfoot
- Reinforced heel counter
- Increased heel pitch
- Cushioned insole or removable sock liner to accommodate Custom Made Orthotics
Physiotherapy for Flat Feet:
Physiotherapists can help with flat feet by using various techniques and exercises to strengthen the muscles in the foot and ankle and improve the foot's alignment. A gait analysis is performed to identify any abnormal movement patterns that may be contributing to the flat feet. Based on the analysis, they can suggest corrective exercises or modifications to the patient's gait to improve their foot alignment.
They can also teach patients exercises to strengthen and improve flexibility and alignment in the muscles in the feet and ankles that they can perform at home.
Overall, physiotherapists play an important role in helping people with flat feet manage their condition, reduce pain and discomfort, and improve their overall foot health.