Diagnosis and treatment.
In flatfoot, the inner arch lowers during weight-bearing and more of the sole contacts the ground. Flexible flatfeet that change on tiptoe are common in childhood.
Shape alone does not indicate a problem. We also consider movement, balance, walking and pain or fatigue after activity.
Examination compares the foot with and without weight-bearing, checks the ankle and observes movement, distinguishing a flexible, symptom-free foot from a rigid or painful one.
Discomfort, limitations or clear differences between feet guide whether action is needed or observation is sufficient.
If you are concerned about weight-bearing or your child has walking pain, complete assessment helps put the appearance into context.
Shape is not the whole story
Flatfoot can be a normal, flexible variation. We therefore assess movement, support, walking and whether symptoms are present.
When to seek a review
Pain, fatigue, stiffness or clear differences between feet warrant examination to decide between monitoring and intervention.
How it is assessed
Assessment includes the foot at rest and under load, ankle movement and walking, distinguishing a flexible childhood arch from a foot needing more specific care.