Flat Feet (Pes Planus) & High Arches
Fallen arches or rigid high arches causing secondary muscle fatigue, ankle rolling, or knee and lower back pain. We balance your biomechanics.
Hallmark Symptoms & Clinical Presentation
- • Arch that touches or nearly touches the ground upon standing
- • Rapid, uneven wear on the inner (or outer) edges of shoes
- • Tired, aching feet and lower legs after standing or walking for short periods
- • Associated knee, hip, or lower back discomfort caused by altered kinetic chain alignment
Biomechanical Causes & Risk Factors
- Flexible flat foot due to genetic ligamentous laxity
- Posterior Tibial Tendon Dysfunction (PTTD) causing adult-acquired flatfoot
- Rigid high arched foot (Pes Cavus) with poor natural shock absorption
- Limb length discrepancies or pelvic asymmetry
Assessment Protocol at Eternal Podiatry:
Dr. Arvind performs weight-bearing static foot posture index (FPI) testing, assesses subtalar joint mobility, and utilizes video gait analysis to observe the entire kinetic chain.
Evidence-Based Treatment Pathways
- ✓ Custom-molded Orthotics fabricated to correct overpronation and align joint axes
- ✓ Strengthening exercises for the tibialis posterior, peroneals, and intrinsic foot muscles
- ✓ Prescription of motion-control or cushioned stability athletic footwear
- ✓ Kinetic chain rehabilitation to alleviate secondary knee and lower back strain
Frequently Asked Questions
Do all flat feet need treatment?
No. If you have flat feet and experience zero pain, fatigue, or functional limitation, treatment is generally not required. We only treat flat feet when they cause symptoms or secondary joint strain.
Can orthotics cure flat feet permanently?
Orthotics act like eyeglasses for your feet: they optimize mechanical alignment and offload strain while worn, preventing pain and long-term joint wear.
Are high arches also a problem?
Yes, high arched feet (Pes Cavus) are often very rigid, transferring excessive shock to the heels, ball of the foot, and knees. They benefit significantly from custom cushioning and full-contact support.
Get Lasting Relief
Book a clinical assessment at Aveley Medical Centre or Brecken Health South Perth.
✓ HICAPS Available: Swipe private health card on-site.
✓ Medicare EPC: GP chronic disease referrals accepted.
✓ No Referral Required: Direct booking for private patients.