Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
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Flat Feet

What are flat feet?

Flatfoot or pes planus is a condition in which the longitudinal arch of the foot, which extends along the sole of the foot, is not yet developed normally and sags or flattens. One or both feet can be affected. This is in contrast to a normal arch where there happens to be a gap or an arch between the inner part of the foot and the ground.

What causes flat feet?

Flatfoot can be a congenital disease or it can be caused by an injury or condition such as rheumatoid arthritis, stroke, or diabetes.

Who is Affected by Flat Feet?

Both children and adults can have flat feet. Most children have flat feet until 3 and 5 years of age and their longitudinal curvature continues to develop normally and up to the age of about 10.

What are the Symptoms?

Having flat feet doesn’t necessarily mean you will have problems. Flat feet require treatment only if it causes discomfort, contributes to an underlying disorder or causes pain anywhere else in the body, such as your anklekneehip or back. People who have flat feet rarely experience symptoms or problems. Some people may experience pain because:

  • Changes in the work environment.
  • Minor injury.
  • Sudden weight gain.
  • Excessive standing, walking, jumping, or running.
  • Shoes that don’t fit properly.
  • Children sometimes experience discomfort in the legs and flat feet which is associated with flat feet.

How to Take Care of Flat Feet?

On numerous occasions, people are seen living with a very low arch or no arch at all without experiencing any pain or difficulties. However, it can sometimes trigger problems in your ankles and knees due to it altering the alignment of your lower leg biomechanics. If you aren’t experiencing pain, no treatment is usually required for flatfeet.  One of our friendly podiatrists can educate you on your feet and whether your flat feet are contributing to the pains to your feet or lower leg or altering your biomechanics.

Care for adults usually consists of wearing comfortable, spacious shoes with good arch support. Should footwear not be sufficient support then orthotics are generally recommended. Your podiatrist will also recommend relevant stretching and strengthening exercises to help your flat feet. Hands-on podiatry work such as mobilizationdry needling, and myofascial therapy are also very helpful adjunctive therapies.

Children rarely need to be treated with corrective shoes or insoles, as arches usually develop normally by the age of 5-10 years of age.

  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.