Question 1

Can flat feet be corrected?

Accepted Answer

Treatment depends on whether flat feet cause symptoms. Options range from custom orthotics and supportive shoes for mild cases to physical therapy for muscle strengthening. For severe, symptomatic flatfoot that doesn't respond to conservative care, Dr. Biernacki performs reconstructive surgery including tendon transfers and bone realignment procedures with excellent outcomes.

Question 2

Are flat feet a problem?

Accepted Answer

Flat feet (pes planus) don't always cause problems. However, symptomatic flatfoot can lead to arch pain, heel pain, shin splints, knee pain, hip pain, and back pain due to altered biomechanics. Children's flat feet usually resolve naturally by age 6. Adult-acquired flatfoot (posterior tibial tendon dysfunction) is progressive and requires treatment to prevent worsening deformity.

Question 3

What causes flat feet in adults?

Accepted Answer

Adult-acquired flatfoot is most commonly caused by posterior tibial tendon dysfunction (PTTD), where the tendon that supports the arch gradually weakens and tears. Risk factors include age over 40, obesity, diabetes, hypertension, and prior injury. Other causes include arthritis, Charcot foot, and tarsal coalition. Early treatment prevents progression to rigid deformity.

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