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Symptomatic Flat Feet

Symptomatic Flat FeetChronic repetitive aching type discomfort in the medial aspect of the foot while standing and walking.
Decreased medial longitudinal arch height with medial talar head prominence.
Asymptomatic flat feet do not require treatment.

Symptomatic Flat Feet : Initial Diagnosis and Management

  • History and physical examination for symptomatic flat feet.
  • Appropriate radiographic (weightbearing feet) and laboratory studies (rheumatology panel evaluation in patients with inflammatory, bilateral, and other joint presentations) for symptomatic flat feet.

Symptomatic Flat Feet : Ongoing Management and Objectives

  • Initial primary care treatment for foot pain should include a three-month trial period of the following:
  • NSAIDs
  • Adults – 200 to 400 milligrams (mg) every four to six hours as needed for up to 2 weeks.   Example: Ibuprofen
  • Take tablet or capsule forms of these medicines with a full glass (8 ounces) of water.
  • Do not lie down for about 15 to 30 minutes after taking the medicine. This helps to prevent irritation that may lead to trouble in swallowing.
  • To lessen stomach upset, these medicines should be taken with food or an antacid.
  • Over-the-counter arch pads for insoles (i.e., Polysorb or Dr. Scholl’s)
  • Soft supporting shoes (running or walking type)
  • Calf stretching
  • Decreased activity (rest).

Symptomatic Flat Feet : Symptomatic Flat FeetIndication a profile is needed

  • Any limitations that affect strength, range of movement, and efficiency of feet, legs, lower back and pelvic girdle of symptomatic flat feet.
  • Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent moderate marching, climbing, timed walking, or prolonged effect.
  • Defects or impairments that require significant restriction of use.

Symptomatic Flat Feet : Specifications for the profile

  • Weeks 1-12
  • No running and jumping
  • No rucking
  • Walking to tolerance
  • Swimming recommended