Flatfoot doesn’t usually require treatment unless it becomes painful.


Flatfoot—also known as pes planus—is a condition in which the arch on the inside of the foot becomes flattened, making it painful to walk, run and participate in daily activities. Flatfoot may be the result of stress and age, as well as accidents and injuries. Sometimes, genetics can play a role, as well.

What Causes Flatfoot?

Flatfoot is normal for toddlers and small children because the arch develops with age. In some cases, it may not develop at all (nor result in a problem) which can be normal, too.

In other cases, the arch develops and falls over time due to wear and tear on the tendon that helps support the arch.

How Is Flatfoot Treated?

Flatfoot doesn’t usually require treatment unless it becomes painful. Should pain occur, traditional treatments may include:

  • Inserting over-the-counter or customized orthotic devices into the shoe to reduce symptoms and support the arch
  • Participating in physical therapy (mostly for runners with an overuse injury)
  • Performing stretching exercises to stretch the Achilles tendon in those with a shortened tendon
  • Wearing supportive shoes

If pain persists after all conservative methods of treatment, a combination of surgical procedures to improve the alignment of the foot may be performed to correct the problem.

Surgical techniques include:

  • Double or triple arthrodesis: Fusion of the joints to give the foot stability and correct arthritis that may have formed within the joints (double or triple refers to the number of joints that are fused)
  • Lateral column lengthening: A portion of the calcaneus (heel bone) is cut, and a wedge is inserted into the opening to “lengthen” the bone and rotate the foot back from an outward facing position
  • Medial calcaneal osteotomy: The heel is realigned and fixed in place using metal plates or screws
  • Arthroereisis: A removable implant is inserted into the foot to elevate the talus on the heel bone, preventing outward protrusion of the ankle and flattening of the arch
EUP: The Place for Flatfoot Treatment

Essex Union Podiatry (EUP) is a complete foot and ankle practice, serving the podiatric needs of Essex and Union Counties. Our board certified and specialty-trained physicians utilize the latest tools and techniques to diagnose, treat and provide preventative care for all foot and ankle conditions. With an emphasis on patient education, our practice offers quality care by creating an informative and personalized treatment plan tailored to meet individual needs.

For more information or to schedule an appointment with one of our flatfoot specialists, contact Essex Union Podiatry today.

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Meet Our Doctors

The physicians of Essex Union Podiatry are experienced and dedicated professionals trained in various subspecialties of podiatry care. Click on the pictures below to learn more about our doctors.

Jason P. Galante, DPM,

Jason Galante, DPM, AASPS

Nancy A. Kaplan, DPM, MBA, AACHE, FACFAS


Sarah E. Haller, DPM, AACFAS