
What Are the Causes and Symptoms of Flat Feet?

Flat feet, also known as fallen arches or pes planus, is a common condition where the arches of the feet are significantly reduced or nonexistent. This can be caused by various factors and is often associated with a range of symptoms. The most common cause of flat feet is genetics, where an individual inherits the condition from their family. In some cases, arches may not fully develop during childhood, leading to flat feet. Other causes can include injuries, muscle or tendon imbalances, and conditions such as arthritis, which can weaken the arch-supporting structures. Symptoms of flat feet can vary, with some people experiencing pain and discomfort, particularly in the arch area or heels. Others may not have any noticeable symptoms at all. The condition can lead to overpronation, causing the feet to roll inward when walking, which may result in problems like shin splints or knee pain. If you have flat feet, it is strongly suggested that you are under the care of a podiatrist who can offer you relief and treatment options.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Charles Perry, DPM from Ohio. 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.
Symptoms
- 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
Treatment
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 Cambridge and Zanesville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flat Feet
Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.
Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.
It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.
There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.
Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes.
Running Injuries Affecting the Feet

Running can stress the foot's 26 bones and 30 joints, leading to overuse and traumatic injuries. Common foot conditions associated with running include plantar fasciitis, metatarsalgia, Morton’s neuroma, and stress fractures. Plantar fasciitis is a condition that causes stabbing heel pain, especially in the morning or after rest, due to inflammation of the plantar fascia. Metatarsalgia results in pain between the toes, feeling like pebbles in the shoe. Excess pressure on the metatarsal bones, often from intense running or wearing ill-fitting shoes, can lead to this condition. Morton’s neuroma is similar to metatarsalgia but with added burning, tingling, numbness, and sharp pains, often surrounding the balls of the feet. Stress fractures are small cracks in bones due to repetitive stress, often in metatarsal bones. If you participate in sporting activities and foot pain is experienced, it is suggested that you schedule an appointment with a podiatrist who can perform a routine examination and offer appropriate treatment options.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Charles Perry, DPM from Ohio. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
If you have any questions, please feel free to contact our offices located in Cambridge and Zanesville, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.
Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.
Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.
Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.
It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.
Considerations for Choosing Running Shoes

Selecting the right pair of running shoes is paramount for a comfortable and injury-free experience. When embarking on this journey, consider the shoe's fit as a top priority. The shoe should snugly cradle the foot without causing tightness, allowing for a secure yet comfortable feel. Pay attention to the arch support, ensuring it complements the natural arch of your foot. Cushioning is vital for impact absorption, protecting joints and reducing the risk of injuries. Consider the type of running you engage in, including road running, trail running, or a mix of varied surfaces, and choose shoes tailored to the specific terrain. The heel counter, the back portion supporting the heel, should provide stability. Flexibility is also key. The shoes should bend where your foot naturally does. Lastly, examine the outsole for durability and traction. If you are seeking additional information about what type of running shoes to purchase, it is suggested that you confer with a podiatrist, who can provide you with the knowledge you are seeking.
If you are a runner, wearing the right running shoe is essential. For more information, contact Charles Perry, DPM from Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.
If you have any questions please feel free to contact our offices located in Cambridge and Zanesville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Choosing the Right Running Shoe for Your Foot Type
Running may seem like a simple to do. However, running is actually a complex movement that puts stress on the ligaments, bones, and joints of the body. Selecting the correct running shoe is important for increasing performance and avoiding risk of injury. Running shoes should be selected based on your foot type. Considerations such as trail versus road shoes are important. Your foot type dictates the degree of cushioning, stability and motion control you require. The most accurate way to learn your foot type is to visit a local shop that specializes in running shoes. Professionals can measure your arch type, stride and gait and help you with your shoe needs.
The design of running shoes is created around the idea of pronation. Pronation is the natural rolling movement of your ankle from the outside to inside when your foot strikes the ground. If you run properly you strike the ground on the outside of your heel and roll in the direction of your big toe before pushing off once more. Pronation is beneficial because it assists the lower half of your body in absorbing shock and storing energy. Those considered neutral runners pronate correctly and do not need running shoes that help correct their form. Neutral runners can choose from a wide variety of shoes, including barefoot or minimal types. However, those who have arch problems or who adopt an incorrect form while running may experience too much or too little pronation. They may require running shoes that offer additional support.
Those who overpronate experience an over-abundance of ankle rolling. Even while standing, those who severely overpronate display ankles that are angled inward. It is not uncommon for them to have flat feet or curved legs. The tendency to overpronate may cause many injuries. Areas that tend to become injured are the knees, ankles, and Achilles tendon. If you find that you have a tendency to overpronate, you should look at shoes that provide extra stability and motion-control. Motion-control shoes are straight and firm. Shoes of this type do not curve at the tip. The restricted flexibility along the middle of the shoe prohibits the foot from rolling too far inward as your foot strikes the ground.
A less common problem is underpronation. Underpronation, also called supination, is when the feet are unable to roll inward during landing. Those who underpronate have feet that lack flexibility and high arches. This prevents any kind of shock absorption, even though it does place less rotational stress on ankles and knees. This added force can cause fractures, ligament tears, and muscle strains because the legs are trying to compensate for the impact. Those who underpronate need shoes with more cushioning and flexibility. If you have a tendency to underpronate, selecting stability or motion-control shoes may cause you more problems by continuing to prevent pronation.
Can Dancers Benefit from Orthotics?

Dancers face unique challenges when it comes to choosing the right footwear. Their preference for wearing tight-fitting dance shoes often leads them towards ill-fitting street shoes, which can further strain their feet. To protect their feet, it is important to allow toes to spread naturally and provide proper arch support through suitable footwear. Dancers often transition from demi-pointe to high heels, which can increase stress on the balls of their feet and shorten their Achilles tendons. This practice raises the risk of developing conditions such as bunions, metatarsalgia, sesamoiditis, and Achilles tendonitis. To mitigate these issues, it is helpful for dancers to opt for supportive footwear such as walking or running sneakers with firm heel counters and outsoles. Custom orthotics can further enhance comfort and address problems like plantar fasciitis and neuromas. For indoor use, slip-on clogs or sneakers with orthotics can be worn. If you are a dancer and would like more information on how wearing custom orthotics may benefit you, it is suggested that you make an appointment with a podiatrist to further discuss this.
If you are having discomfort in your feet and would like to try orthotics, contact Charles Perry, DPM from Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact our offices located in Cambridge and Zanesville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Ankle Foot Orthotics for Athletes
Ankle foot orthotics are shoe inserts that offer support to control the placement and movement of the ankle, correct deformities, and compensate for weakness. These inserts are used to stabilize the foot and ankle and provide toe clearance during the swing phase of gate.
Athletes often suffer foot problems because their feet are not being supported within the shoe. Ankle and foot orthotics are custom made inserts that alleviate stress on the foot. However custom orthotics should be prescribed by a podiatrist who specializes in customized footwear and orthotics design. These inserts are used by athletes for different reasons. Runners use orthotics to absorb shock at heel contact and to set up the forefoot for push-off. Basketball players wear them to control their forefeet while jumping and running.
The two main types of orthotics are over-the-counter orthotics and custom-made orthotics. To be eligible for custom orthotics, an examination of the foot and ankle will need to be completed. Afterward, both the foot and ankle will need to be casted and fitted for the proper orthotic. When the fitting process is complete, adjustments can be made to make sure everything fits perfectly.
Over the counter orthotics tend to be more popular than custom fit ones. Athletes who have less severe aches and pains in the foot, ankle or lower back area can use the over-the-counter version of orthotics. Unfortunately, over-the-counter orthotics tend to not work in treating severe injuries or ailments. Whenever you suspect you may need an ankle foot orthotic, you should consult with your podiatrist to determine which type of orthotic is right for you.
Facts About Foot Drop

Foot drop, a condition that impedes the lifting of the toes and forefoot, presents a unique challenge in the realm of podiatry. Typically affecting one foot, though occasionally both, and ranging from temporary to permanent, foot drop's impact extends beyond mere inconvenience. Graded on a scale from zero to five based on muscle strength and movement, foot drop results in an abnormal gait, prompting sufferers to find other ways to navigate everyday activities. To avoid their foot catching on the floor during walking, they adopt a high-stepping gait that looks more like marching. At the heart of foot drop lies the common peroneal nerve. Originating from the sciatic nerve in the thigh, it courses down the back of the knee, winding around the top of the fibula before affecting the muscles of the lower leg. Vulnerable due to its superficial location, the common peroneal nerve is susceptible to injury or compression, resulting in foot drop. Causes range from direct injury to the common peroneal nerve to damage in the lower back, including a slipped disc that affects the nerves in the lower leg. If you believe you have developed foot drop, it is strongly suggested that you schedule an appointment with a podiatrist who can accurately treat this condition.
If you have any concerns about your feet, contact Charles Perry, DPM from Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our offices located in Cambridge and Zanesville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.