Description/Introduction to Flat Foot:
Flat foot/overpronation is a condition characterized by downward collapse or flattening of the arch of the foot. During normal walking, an inward rolling of the foot (pronation) occurs naturally. This helps to absorb shock and maintain alignment of the ankles and legs. However, in overpronation, the foot moves excessively downward and inward and the arch flattens with each step, thereby causing stress and strain on the soft tissues (ligaments, muscles) surrounding the ankle. It can also cause compensatory changes in the hip and knee, which can lead to increased risk in sustaining lower limb injuries.
Flatfoot can either be congenital which means you are born with the flat feet or it can be acquired later in life.
Risk Factors:
Flat foot can also predispose individuals to the other injuries such as shin splints, ITB (iliotibial band) friction syndrome, low back pain, stress fracture in foot/lower leg, patellofemoral pain syndrome (PPS), Achilles tendinitis, bunions and plantar fasciitis.
Physiotherapy Management for Acquired Flat Foot:
It includes strengthening, mobility and stretching exercises. Orthotics, which includes shoe inserts, can also be prescribed to help manage the condition.
The following exercises can help fix flat foot by increasing mobility of ankle, and strengthening the muscles responsible for maintaining the arch of the foot.
1. Dynamic ankle mobilization
Goal: Increase mobility of ankle joint.
2. Arch Setting Exercise
Goal: Strengthen the muscles that maintain the arch of the foot.
Note: *Maintain contact of toes and heel on the floor while raising your arch. *DO NOT curl your toes.
3. Arch setting with one leg stance
Goal: Same as above (this is a progression of previous exercise)
Note: *Maintain contact of toes and heel on the floor while raising your arch. *DO NOT curl your toes
4. Calf Raises with Tennis Ball
Goal: Strengthen Calf and Tibialis posterior (maintains the arch) muscles
Do this 10 times for 3 sets
5. Static Gastrocnemius stretching
Goal: Stretch Gastrocnemius muscle
6. Static Soleus stretching
Goal: Stretch Soleus muscle
Our physiotherapists can help you to manage your flat foot and assist you with exercises and orthotics to take care of any pain or complications arising from your flat foot. Call us for an appointment or send your queries to: info@physioasia.com