Most people have a normal arch at the bottom of their feet. If this arch is not present, a person is said to have flat feet. An old term for flat feet is fallen arches. Flat feet do not always cause pain or lead to other foot disorders. Many people with flat foot arches do not experience these symptoms. If your bare foot flattens out when you stand on it, but it is not painful, you do not need special treatment. Most people with supple flat feet will notice their arch will return with toe walking. You should however, wear good fitting, supportive shoes. Children under the age of five normally have flat feet.

Flat feet that are rigid can be painful and lead to imbalances associated with foot and leg discomfort. They may even cause back pain. The causes of rigid flat feet are linked with inactivity and increased body weight. Shoes that do not fit or support and protect the arch can lead to painful imbalances between the bones, muscles and ligaments. People with rigid arches may have pain when they stand or walk. This problem can lead to other foot problems, if not corrected, such as:
* plantar fascitis, an inflammation of the soft tissue on the bottom of the feet, or
* bone spurs, an outgrowth of bone on the heel in response to stress.

See your healthcare provider for help with any foot pain that does not go away with proper shoes. Occasionally special inserts and footwear can be made for you to relieve the discomfort of walking on rigid feet.

If your child's foot does not develop an arch by age five, ask to have your child's feet evaluated at their next checkup.

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