Left untreated, fallen arches, or flat feet, not only cause pain but can lead to other serious foot and joint problems such as shin splints. With proper shoe selection and exercises you can begin to strengthen and restore the arches in your feet. If you are concerned about your fallen arches, consult with an experienced podiatrist.
The direct cause of being flat footed is linked to a muscular imbalance in the intrinsic muscles of the foot and ankle. When your main arch-supporting tendon, the posterior tibial tendon, decreases in strength due to muscle decay or injury, the foot begins to flatten and can cause pain during normal activities. Weakness in the tendon can be present at birth due to genetics or can develop from early walking patterns. However, in most people who experience fallen arches, it comes from strain due to aging or placed on the feet from standing or walking in heels for long periods of time. Improper footwear that doesn’t support the arch of the foot, diabetes and obesity can increase your risk of developing fallen arches.
Correcting Muscle Weakness in Your Foot
The muscles that are under your feet are responsible for raising the arch of your feet. When these muscles are weak, the foot flattens and can cause pain. You can strengthen your intrinsic muscles with a Pilates-based towel exercise. Sit in a chair with a towel spread on the floor in front of you. Place your heels on the edge of the towel nearest you. Without scrunching up your toes, move the far edge of the towel toward you by pulling the balls of your feet towards your heels. After each small movement, lay your feet flat on the towel, without moving your heels, and pull another piece of the towel toward you.
Standing Considerations in Correcting Arches
If you suffer from fallen arches, the deformity may be more pronounced when you stand. Any standing exercise will place strain on the posterior tibial tendon and cause the foot to flatten. Shifting the weight around your foot from the inside to outside edge of your feet while standing can be an effective way to strengthen arches to help correct the fallen arch. If this adjustment is difficult, a podiatrist might recommend orthotics.
Correcting Arch with Ankle Strength
The large muscles that control your ankle movements can also help fix your arches. Standing calf raises work these muscles. Place your toes on the edge of a stair or raised surface with your heels hanging down, and then lift your heels as high as possible. This movement help to restore the arches of your feet and strengthen the entire foot and ankle complex as well. Gradually starting an exercise program and walking in comfortable appropriately fitted shoes will provide the support and strength needed to restore your arches.
- "Foot Ankle International";Treatment of Flatfoot Deformity with Concurrent Spinal Disease in Children; Song WD, Li D; August 2010
- The Podiatry Institute: Fallen Arches
- "Foot Ankle International"; Relationship Between Explosive Muscle Strength and Medial Longitudinal Arch of the Foot; Lizis P; September 2010
- Ellie Herman's Pilates Props Workbook: Step-by-step Guide with Over 350 Photos; Ellie Herman
- American Academy of Orthopaedic Surgeons: Adult Acquired Flatfoot
- American Academy of Orthopaedic Surgeons: Shin Splints