Podiatrist showing a seated patient a blue custom insole in the consulting room

Adult Acquired Flat Foot Treatment in Romsey

Assessment of an arch that has collapsed in adulthood, and the support options available.

A clinician assessing a seated patient's foot during a consultation
Background

What Is Adult Acquired Flat Foot?

Adult acquired flat foot develops when the structures that support the arch become unable to maintain normal foot posture.

One of the most common contributors is dysfunction of the tibialis posterior tendon, although ligaments, joints and other supporting tissues may also be involved.

As the arch lowers, the foot may become increasingly unstable during walking and activity.

Symptoms of Adult Acquired Flat Foot

Common symptoms include:

  • Pain along the inside of the foot or ankle
  • Progressive flattening of the arch
  • Difficulty walking long distances
  • Swelling around the ankle
  • Fatigue during activity
  • Changes in shoe wear patterns
  • Reduced balance and stability

Symptoms often worsen gradually if not addressed.

What Causes Adult Acquired Flat Foot?

Potential contributing factors include:

  • Tibialis posterior tendon dysfunction
  • Previous injuries
  • Ligament laxity
  • Arthritis
  • Hypermobility
  • Obesity
  • Age-related changes

Assessment and Diagnosis

Assessment may include:

Understanding the severity of arch collapse helps guide treatment planning.

Treatment Options

Custom Orthoses

Orthoses can help support the arch and improve walking mechanics.

Rehabilitation

Strengthening programmes focus on improving foot and ankle stability.

Gait Analysis

Assessment helps identify compensatory movement patterns and areas of overload.

Footwear Advice

Structured progression redAppropriate footwear often provides valuable additional support. uces the risk of recurrence and helps rebuild confidence.

Strength Testing

Identifying weaknesses allows rehabilitation to be targeted more effectively.

Clinician and athlete reviewing custom orthoses
Common Questions

Frequently Asked Questions

Will my arch return to normal?

Treatment focuses on improving support, reducing symptoms and slowing progression.

Is surgery always required?

No. Many patients successfully manage symptoms with conservative treatment.

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