Tuesday, 25 June 2024 00:00

Treatment of Adult Acquired Flat Feet

Adult-acquired flatfoot, also known as posterior tibial tendon dysfunction, can be a source of significant discomfort for many adults. Adult-acquired flatfoot develops when the posterior tibial tendon weakens, causing the arch of the foot to collapse gradually. Symptoms can include pain along the inside of the ankle, swelling, difficulty standing on tiptoes, and increased discomfort during weight-bearing activities. A podiatrist can perform an assessment of your foot's flexibility and alignment, and may order X-rays or other imaging techniques to assess the condition of the tendon and bones. Treatment options typically start conservatively with custom orthotics or ankle braces to support the foot and alleviate pain. Activity modifications and anti-inflammatory medications may also be recommended. In cases where conservative treatments do not provide sufficient relief, surgical tendon repair or fusion procedures may be considered to restore stability and function to the affected foot. If you are experiencing problems related to flat feet, it is suggested that you schedule an appointment with a podiatrist for treatment. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  


  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn


If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet

Connect With Us