Flat Feet: Diagnosis and Treatment Options - Rehabilitation

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Flatfoot


Hello doctor, my situation is that when I squat down, my heels cannot touch the ground, and I have to stay on my toes to squat.
Some classmates say I have flat feet, while others say I have frog legs.
I would like your help in determining which condition I have.
Thank you.

pilipig, 10~19 year old female. Ask Date: 2001/10/22

Dr. Pan Yingda reply Rehabilitation


If you can’t keep your heels on the ground while squatting, it may simply be due to tight joints or calf muscles, and doing some stretching exercises can help improve this without any significant issues.
"Frog legs" refers to the position where the knees must be spread apart while squatting (unable to be brought together).
Flat feet can be most clearly identified by looking at the footprint, where the inner side does not curve inward, resembling a duck's foot.
However, neither of these conditions significantly affects daily life.

Reply Date: 2001/10/22

More Info


Flat feet, also known as pes planus, is a condition where the arches of the feet are lowered or absent, causing the entire foot to come into contact with the ground. This condition can lead to various symptoms, including pain in the feet, ankles, knees, and even the hips and lower back. It can also affect one's ability to perform certain movements, such as squatting, as you've described in your situation.

Based on your description, it seems that you are experiencing difficulty squatting due to the inability to keep your heels on the ground, which is a common issue associated with flat feet. When the arches are not properly formed, the mechanics of the foot and ankle can be altered, leading to compensatory movements that may cause discomfort or pain. The term "青蛙腿" (frog legs) typically refers to a position where the knees are bent outward, which can sometimes be seen in individuals with flat feet, but it is not a clinical term used to diagnose flat feet.


Diagnosis of Flat Feet
To diagnose flat feet, a healthcare professional will typically perform a physical examination and may ask you to stand, walk, or squat to observe your foot mechanics. They may also look for signs of overpronation, where the foot rolls inward excessively. In some cases, imaging studies such as X-rays or a foot scan may be used to assess the structure of the foot and the degree of flatness.


Treatment Options
1. Conservative Management:
- Orthotics: Custom or over-the-counter arch supports can help provide the necessary support to the foot's arch and improve alignment. These can alleviate pain and improve function.

- Footwear: Wearing supportive shoes with good arch support and cushioning can make a significant difference. Avoiding flat shoes or high heels is advisable.

- Physical Therapy: A physical therapist can design a specific exercise program to strengthen the muscles of the foot and ankle, improve flexibility, and enhance overall function. Stretching exercises for the calf muscles and strengthening exercises for the intrinsic foot muscles can be particularly beneficial.

2. Activity Modification:
- If certain activities exacerbate your symptoms, it may be helpful to modify them. For instance, if squatting is painful, you might consider alternative exercises that do not place as much strain on your feet.

3. Surgical Options:
- In severe cases where conservative treatments do not provide relief, surgical intervention may be considered. This could involve procedures to reconstruct the arch or realign the bones of the foot.


Prevention and Management
- Regular Exercise: Engaging in regular physical activity that strengthens the lower extremities can help manage symptoms. Activities like swimming or cycling can be beneficial as they are low-impact.

- Weight Management: Maintaining a healthy weight can reduce stress on the feet and lower limbs, potentially alleviating symptoms associated with flat feet.

- Foot Care: Regularly inspecting your feet for any signs of discomfort or abnormalities can help catch issues early.


Conclusion
In summary, based on your description, it is likely that you are experiencing symptoms related to flat feet. It is advisable to consult with a healthcare professional, such as a podiatrist or orthopedic specialist, who can provide a thorough evaluation and recommend appropriate treatment options tailored to your specific needs. Early intervention can help prevent further complications and improve your overall quality of life.

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