Flat Feet 101: What You Should Know About Flat Feet

August 14, 2024

Having foot pain?


As an ankle and foot clinic, we understand the significance of informed and proactive foot care. Foot pain is incredibly common for most of us and is one of those ailments that people are far too content to simply live with till it becomes too significant to truly ignore. However, with the right treatment and care, you can reduce foot pain to the bare minimum and reduce the chance of it becoming something more serious.


What is meant by Flat Feet?


Flat feet, or pes planus, is a fairly common condition that can significantly impact an individual's mobility, comfort, and overall foot health with over 2 of 10 children taking flat feet into adulthood. With the help of the below advice, the aim is to provide valuable insights into flat feet, including its causes, symptoms, potential complications, and available treatment options.


What causes Flat Feet?


Flat feet is a condition characterised by a lack of arch in the inner part of the foot. In individuals with flat feet, the entire sole of the foot makes contact with the ground when standing. While some people with flat feet experience no discomfort or limitations, others may encounter symptoms such as pain, swelling, or decreased flexibility in the foot and ankle.


Flat feet can develop from an early age as a result of genetic predisposition, where the arches fail to form during childhood. In some cases, flat feet may also manifest in adulthood due to injuries, wear and tear, or certain medical conditions such as cerebral palsy. Additionally, factors such as obesity, ageing, and prolonged standing or walking can exacerbate the symptoms associated with flat feet and can lead to the development of more serious ailments such as arthritis. 


What are the symptoms of Flat Feet?


The following is a list of the common ailments that individuals with flat feet may experience including:


  • Pain or discomfort in the arches, heels, or ankles
  • Swelling along the inside of the ankle
  • Difficulty standing on tiptoe
  • Increased foot fatigue during physical activity
  • Reduced stability and balance


Now, it is also worth noting that people with flat feet may not suffer with these often or at all and if you are suffering with these symptoms an abnormal amount, it is likely that something else might be at play so seeking the support of a doctor or orthopaedic specialist would be advisable. Especially if you start to experience any of the following : 


  • Overpronation: Excessive rolling inward of the feet while walking or running, leading to ankle and knee issues.
  • Plantar Fasciitis: Inflammation of the ligament connecting the heel to the toes, causing heel pain and discomfort.
  • Bunions: Abnormal bony bumps that develop at the joint of the big toe, leading to pain and deformity.
  • Ankle Instability: Weakness in the ankle and decreased ability to support body weight.


If you experience any of the following, it is important to book in a consultation as soon as possible. Mr Monkhouse has availability both
privately and on the NHS in Leeds and wider Yorkshire and is an experienced specialist on all forms of foot pain and ailments. Through a comprehensive examination, including physical assessments and, if necessary, an X-Ray, we can determine the severity of the condition and provide a personal treatment plan tailored to your needs. A consultation also allows you to give you peace of mind and to explain the process clearly to ensure a comfortable experience for all involved.


There are a variety of effective treatment options for flat feet as it is particularly common so it is worth exploring some of the following if you do start to feel pronounced pain or discomfort. Treatment options for flat feet may encompass:


  • Shoe Inserts: Custom-fitted shoe inserts to provide arch support and promote proper foot alignment.
  • Footwear Modifications: Utilising supportive, well-fitted shoes to reduce discomfort and address gait abnormalities.
  • Physical Therapy: Incorporating exercises to strengthen the foot muscles and improve flexibility and stability.
  • Medications: Over-the-counter or prescription anti-inflammatory medications to alleviate pain and reduce swelling.
  • Surgical Intervention: In severe cases where the above measures are ineffective or leading to further pain, surgical procedures may be considered to reconstruct the foot arch or address related deformities. This is a last resort option and in most cases, this isn’t necessary.


Proactive Foot Care


To mitigate the impact of flat feet and improve foot function, individuals with this condition can implement several proactive measures to ensure reduced pressure on their feet and heel. This includes : 


  • Maintain a healthy body weight to minimise strain on the feet and reduce the risk of complications.
  • Engage in low-impact physical activities, such as swimming or cycling, to promote foot and ankle strength without imposing excessive stress.
  • Perform regular stretching exercises to enhance foot flexibility and prevent muscle stiffness.
  • Adhere to proper footwear guidelines, opting for shoes that provide adequate arch support and cushioning.


Through comprehensive understanding, early intervention, and tailored care, individuals with flat feet can effectively manage their condition and minimise its impact on their daily lives. Successful management of flat feet requires collaboration between patients and ankle and foot specialists, with a shared commitment to promoting optimal foot health and mobility.


If you are in need of treatment or simply want to discuss your flat feet and any discomfort you may be experiencing, we have regular openings in Leeds for
consultations. These are open discussions designed to get to the heart of the problem and allow you to gain a better understanding of the pain as well as allow us to put together an effective treatment plan. To book in or get in touch, contact us via the link below.


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September 18, 2025
Disclaimer: The information provided in this article is for educational purposes only and does not replace professional medical advice. For personalised guidance or treatment adjustments, please schedule a consultation with Ankle & Co or contact us for tailored support. Running has surged in popularity as a means to maintain fitness and enhance overall well-being, offering both physical and mental benefits. However, foot pain is a common challenge for many runners, often hindering enjoyment and, in some cases, signalling potential injury. This article outlines the primary causes of foot pain associated with running and provides practical solutions to ensure comfort and safety. For expert care, consider booking a consultation at Ankle & Co, based at Nuffield Health Leeds or one of our NHS clinics in Leeds. Common Causes of Foot Pain After Running Inappropriate Footwear Wearing unsuitable running shoes is a leading cause of foot discomfort. Shoes that lack proper fit, support, or cushioning—or are overly worn—can contribute to various foot issues. Additionally, loose or unstable shoes heighten the risk of slips, particularly on uneven UK running paths. Solution : Invest in running shoes tailored to your foot type and gait, ensuring adequate cushioning and arch support. The current market offers excellent options for diverse foot conditions, including support for knee or ankle concerns. Replace shoes every 300–500 miles to maintain optimal support. Biomechanical Issues: Overpronation or Supination Your running mechanics significantly influence foot health. Overpronation (excessive inward foot rolling) or supination (outward rolling) can strain the feet, leading to pain in the arches, heels, or ankles. Solution : Visit a running store for a professional gait analysis to identify overpronation or supination. Examine your shoe soles for wear patterns—inner sole wear suggests overpronation, while outer wear indicates supination. Custom orthotics and targeted foot-strengthening exercises can help correct these issues. Stress Fractures Stress fractures, small cracks in foot bones, often result from repetitive impact, particularly in novice runners who increase mileage too quickly. These fractures cause localized pain that worsens with activity. Solution : If you suspect a stress fracture, consult a medical professional promptly to prevent further damage. Treatment typically involves rest, and in some cases, a protective boot or crutches may be necessary to reduce pressure on the affected area. Plantar Fasciitis Plantar fasciitis occurs when the plantar fascia, a thick band of tissue along the foot’s sole, becomes inflamed, causing sharp heel or arch pain, often most intense post-run. Solution : Regular calf and plantar fascia stretches before and after running can alleviate discomfort. Icing the affected area, using supportive orthotics, and choosing appropriate footwear can also help. Persistent symptoms may require rest to reduce inflammation. Metatarsalgia Metatarsalgia involves pain and inflammation in the ball of the foot, often triggered by running on hard surfaces or wearing shoes with inadequate cushioning. Solution : Opt for well-cushioned shoes and consider adding metatarsal pads to relieve pressure. Reducing mileage or switching to softer running surfaces can also minimise irritation. Tendonitis Tendonitis, particularly in the Achilles tendon or other foot tendons, results from overuse, leading to irritation or inflammation. This condition can cause discomfort during or after running. Solution : Rest and ice the affected area to reduce inflammation. Strengthening exercises and proper running form can prevent recurrence, while avoiding overuse is key to long-term recovery. Blisters and Calluses Blisters and calluses, common among new runners, arise from friction due to ill-fitting shoes or running in hot, humid conditions. New shoes are particularly prone to causing blisters. Solution : Ensure shoes fit correctly and wear moisture-wicking socks to minimise friction. Break in new shoes gradually, avoiding long runs initially. If blisters form, keep them clean and covered to prevent infection, and seek medical attention if signs of infection appear. Preventive Strategies for Pain-Free Running Effective foot care extends beyond the run itself. Incorporate these strategies to minimise injury risk and enhance your running experience: Warm-Up and Stretch : Always warm up before running and perform post-run stretches to improve flexibility and reduce injury risk. Refine Running Form : Explore online resources or consult professionals to optimise your running technique for greater comfort and efficiency. Get a Gait Analysis : A professional gait assessment helps identify your foot type and running style, guiding shoe selection and form improvements. Listen to Your Body : Stop running if you experience pain to avoid exacerbating potential injuries. Gradual Progression : Increase mileage slowly, especially as a beginner, to prevent overwhelming your feet. Cross-Training : Incorporate low-impact activities like swimming or cycling to reduce repetitive stress on your feet while maintaining fitness. Conclusion Foot pain after running can stem from various factors, including improper footwear, biomechanical issues, or overuse injuries. Identifying the cause is crucial for effective treatment and a return to pain-free running. If discomfort persists despite preventive measures, consult a foot and ankle specialist at Ankle & Co to address potential underlying conditions. By prioritising proper footwear, refined running form, and attentive self-care, you can enjoy running’s benefits without discomfort. For personalised advice or treatment, book a consultation with Ankle & Co at Nuffield Health Leeds or one of our NHS clinics in Leeds.
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