With a cavus foot, painful callouses can form under the bases of the first and fifth toes, according to ePodiatry. Callouses can also form along the side or under the heel from the increased pressure and friction. The goals when treating a cavus foot are to redistribute weight over a larger area, relieve any pain and stabilize the foot. These goals can often be accomplished by wearing special foot supports called orthotics. Flat feet was once considered a result of poor health, but it has been proven that athletes such as runners, who are in great condition, also suffer from flat feet. In fact, it’s very common among track runners. People with flexible feet who develop fallen arches may benefit from foot strengthening exercises, notes the Nicholas Institute of Sports Medicine and Athletic Trauma. Standing on a towel in bare feet and grasping the material with the toes is an easy foot-strengthening exercise that can be done at home. Standing on one leg while arching and releasing the foot may also prove useful. Doctors may prescribe gentle stretching exercises for the foot and ankle tendons. You Might Also Like Anti-Inflammatory Medication Wearing a specially designed brace may help patients that have painful tendonitis. The brace stops the foot and ankle from moving and allows the inflammation to calm down. The most common form of investigation is a radiological imaging study. These include weight bearing, oblique, and lateral as well as anteroposterior radiographs. The radiographs are taken and the measurement of Hallux abductus angle, intermetatarsal angle, medial prominence of the first metatarsal head and congruency of the metatarsophalageal (MTP joint) are taken. Flat feet treatment depends on the cause of your condition, the symptoms you are experiencing, and the likelihood of your condition progressing. Supportive devices are often placed in your shoes early in the treatment course to help favorably position your foot arch and alleviate both your symptoms and the progression of your condition. Surgery to place an implant into the foot is not recommended for children and adolescents. Reconstructive surgery of the foot is very complex and requires a long recovery period; this procedure is reserved for the rare cases of severe, painful flat feet that don’t respond to conservative measures such as shoe inserts, stretching and strengthening. We recommend consulting an orthopaedic provider with extensive experience treating children, adolescents and young adults before considering this type of surgery. Long-term Effects If your child ends up having flat feet as an adult, this condition is unlikely to affect their ability to perform normal activities or play sports. A second type of flat foot is classed as "acquired" because the once-normal arch gradually falls and flattens. This happens when the connective structure of the foot weakens due to stress or injury. The primary support of the arch comes from the posterior tibial tendon which runs from the inside ankle to the arch. Inflammation or damage to this tendon - from injury, obesity, arthritis, diabetes or aging - can cause the arch to fall, resulting in flat feet. Pes planus can be a genetically inherited condition. If the flat feet are not causing any functional problems or pain, they are considered normal, and need not be addressed. Tarsal Coalition Flat feet in themselves are not a problem. But running on flat feet is almost like running on gelatin. Flat feet turn inward (overpronation * ), causing legs to turn inward, and contribute to such "overuse" injuries as shin splints and back problems. Flat feet also can produce heel spurs * If pain develops as a result of any of these conditions, flat feet and the problems they cause need treatment. During World War II, young men who had flat feet were disqualified from military service because it was believed they could never make it in the infantry. At birth, the foot will usually present with broad feet and short toes. Some feet may also present with a larger than normal space between the great toe and the second toe. Although these conditions are not medically problematic, shoegear and walking can aggravate these conditions and produce further problems, especially with the increasing life expectancy of these individuals over time. Most people who have flat feet do not experience any symptoms. However, some, at times, may experience pain in their foot, ankle or lower leg. Pain can be a common symptom in children with flat feet and if this symptom is present a medical provider should examine them. In cases of flat feet where there are pain or other symptoms orthotic devices (shoe inserts) that support the arch may be recommended. With rigid flat feet or cases of flat feet where there is underlying pathology (like tarsal coalition) more involved treatment may be necessary. In the most severe cases this can include surgery and physical therapy. Physical Therapy Interventions If you have flat feet, your arches are low or maybe even absent. The condition is also known by the medical terms "pes planus" or "pes valgus." Flat feet that are the result of congenital or developmental abnormalities may require further intervention, such as bracing, casting or surgical correction. Plantar Fasciitis physical therapy exercises will help ease your heel and also foot pain. It will take a while and work on your part, but in the end you will end up relieved of the annoying discomfort. Extracorporeal shock wave therapy can't be recommended to improve pain and function in sufferers with plantar fasciitis good results of this study. Aetna considers cryosurgery (cryotherapy), intracorporeal pneumatic shock remedy, marrow stimulation techniques (microfracture, drilling), platelet rich plasma, radiofrequency lesioning, or radiotherapy experimental and investigational for members with plantar fasciitis. Flat foot/Pes planus is a condition where the arch or instep of the foot collapses and comes in contact with the ground.