Adult Flatfoot / Collapsed Arches

Adult Flatfoot Treatment in Dubai at Emirates Hospitals Group. We take pride in offering exceptional care for adult flatfoot, supported by the best foot and ankle surgeons in Dubai. Adult flatfoot, or adult acquired flatfoot, is a condition characterized by the collapse of the arch of the foot, leading to an altered foot structure and potential discomfort. Our specialized team is dedicated to diagnosing, treating, and managing flatfoot to restore function and improve your quality of life. With advanced diagnostic tools and personalized treatment plans, we ensure the best possible outcomes for each patient.

• About Flatfoot
• Types of Flatfoot
• Causes
• Treatment

About Flatfoot

Adult flatfoot occurs when the arch of the foot collapses or becomes less pronounced, resulting in a flat appearance of the foot when standing. This condition can cause significant discomfort and functional impairment, affecting your ability to walk, stand, and engage in daily activities. It may develop gradually and can impact one or both feet. The condition can lead to additional complications such as foot pain, ankle pain, and issues with the alignment of the lower limbs.

Types of Flatfoot

1. Flexible Flatfoot
   • In flexible flatfoot, the arch of the foot collapses when standing but returns to a more normal position when seated or lying down. This type is often less painful and may not always require treatment.
   • Impact: Flexible flatfoot can cause discomfort, particularly during activities that involve prolonged standing or walking.
2. Rigid Flatfoot
   • Rigid flatfoot is characterized by a permanent collapse of the arch that does not change with different positions. This type is often associated with significant pain and functional impairment.
   • Impact: Rigid flatfoot can cause severe pain, difficulty walking, and issues with balance and gait.
3. Posterior Tibial Tendon Dysfunction (PTTD)
   • PTTD occurs when the posterior tibial tendon, which supports the arch, becomes inflamed or damaged. This condition can lead to the progressive collapse of the arch and flatfoot.
   • Impact: PTTD can cause pain, swelling, and a noticeable collapse of the arch, often leading to difficulties with foot function.
4. Arthritic Flatfoot
   • Arthritis in the foot joints can lead to the collapse of the arch and result in flatfoot. This type is often associated with other arthritic symptoms such as joint pain and stiffness.
   • Impact: Arthritic flatfoot can cause significant discomfort, reduced mobility, and difficulty performing daily activities.

Causes of Flatfoot

1. Tendon Dysfunction
   • Damage or dysfunction of the tendons that support the arch, particularly the posterior tibial tendon, can lead to the collapse of the arch and flatfoot.
2. Foot Injuries
   • Previous injuries to the foot or ankle, such as fractures or sprains, can weaken the arch and contribute to the development of flatfoot.
3. Arthritis
   • Conditions like rheumatoid arthritis or osteoarthritis can affect the joints in the foot, leading to the collapse of the arch and flatfoot.
4. Genetic Factors
   • A family history of flatfoot or structural abnormalities in the foot can increase the likelihood of developing adult flatfoot.
5. Obesity
   • Excess body weight can place additional stress on the foot’s structures, contributing to the development or progression of flatfoot.

Treatment for Flatfoot

Non-Surgical Treatments:

1. Orthotic Devices
   • Custom-made orthotic devices can provide support to the arch, redistribute pressure, and alleviate pain associated with flatfoot.
2. Footwear Modifications
   • Wearing properly fitted shoes with good arch support and cushioning can help manage symptoms and improve foot function.
3. Physical Therapy
   • Specific exercises and stretches can strengthen the muscles supporting the arch, improve foot alignment, and reduce discomfort.
4. Medications
   • Over-the-counter pain relievers and anti-inflammatory medications can help manage pain and swelling associated with flatfoot.
5. Weight Management
   • Maintaining a healthy weight can reduce stress on the feet and help prevent the progression of flatfoot.

Surgical Treatments:

1. Tendon Repair or Reconstruction
   • Surgical repair or reconstruction of the damaged posterior tibial tendon can help restore arch function and alleviate symptoms.
2. Osteotomy
   •  An osteotomy involves cutting and realigning the bones in the foot to correct structural abnormalities and improve the arch.
3. Arthrodesis
   • Joint fusion, or arthrodesis, involves fusing affected joints to provide stability and support to the foot’s structure.
4. Arch Support Surgery
   • Procedures to support or rebuild the arch can help restore proper foot alignment and function.