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What do you know about adult acquired flatfoot?

What do you know about adult acquired flatfoot?

Adult acquired flatfoot is a medical condition that affects feet and ankles of adults; the arch of foot becomes painfully collapsed for certain reasons, such as posterior tibial tendon dysfunction or due to injury of the foot ligaments.

On the other side, adult acquired flatfoot is very common in the following cases:

  • Positive family history of adult acquired flatfoot.
  • Women over 40 years old (due to menopause & osteoporosis).
  • Pregnant women.
  • Obesity.
  • Uncontrolled diabetes or hypertension.
  • Rheumatoid arthritis.

Patients of adult acquired flatfoot usually manifested with ankle pain and swelling during walking or standing; this occurs because the collapsed foot arch puts extra pressure over the ankle bone. If the flatfoot is caused by posterior tibial tendon dysfunction, the patient will experience painful swelling along the back of the calf where the affected tendon runs.

Diagnosis of adult acquired flatfoot depends mainly on clinical examination; also radiological examination will be helpful too. Management plan consists of the following therapeutic options:

  • Medication: analgesics & anti-inflammatory drugs.
  • Medical shoes specific for this purpose.
  • Foot tapings, strappings and braces.
  • Surgical repair "if all above measures failed".


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