In a small proportion of older children, there can be aching in the arch of the foot and the ankle on prolonged standing or walking. The arch of the foot usually takes up until 10 years of age to completely develop.įlexible flatfeet are normal and do not require treatment as a routine. This is present in 90% of 1 year olds and up to 20% of adults. Right: Photographs showing the same feet on tiptoe stance with restoration of the arch of the foot and the heel tilting in to varus (towards the midline).įlexible flat feet are normal variants caused by increased flexibility of the joints and ligaments of the foot. Left: Photographs showing flexible flatfeet on standing with collapse of the medial arch of the foot and the heel in a valgus alignment (pointing away from the midline). When on tiptoes, the arch is recreated and the heel swings in to varus. This describes a loss of the medial arch of the foot with valgus alignment of the heel on standing. Children with flatfeet are usually asymptomatic.Ī flexible flatfoot is the most common presentation in children. A flatfoot occurs when the medial longitudinal arch of the foot is not present and the heel sits in valgus.
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