Shoes with laces or adjustable bands are perfect for flat footed people. The adjustable nature allows them to tighten or loosen the shoes according to activity or swelling. Individuals with the condition should get shoes with good heel support as this is important for the feet and legs. A more convenient insole is the one with wider base as a narrow one increases the possibility of the foot turning in or out. Most flat feet are flexible. This type does not cause problems and does not require treatment. Rigid flat feet can cause problems and are best treated. Normal flat feet which are flexible and cause minimal discomfort can be treated without a doctor's prescription. On the other hand, if you complain of chronic foot pain or ankle pain, you may need arch supports to aid your feet. Orthotic nsoles and arch supports have been especially created to provide support for feet that suffer from biomechanical misalignment. Foot exercises are also helpful, and can be done at home, or under the supervision of a podiatrist. Muscular foot training is helpful for young children as the foot is still growing. There are chances that the arch may develop. However, this may not result in higher arches for adults. Gentle stretching of the Plantar Fascia, the Achilles tendon and the calf muscles will all help making your feet and a lot more flexible, which in turn will help reduce the exessive pulling of the Plantar Fascia. Do the stretches fist thing in the morning and avoid walking barefoot on hard floors and tiles. Instead, slip on a pair of shoes with an orthotic inside them. Repeat the exercises (especially the calf stretches) a few times during the day. Surgery for Plantar Fasciitis is rarely required, unless all other treatments have failed to relieve the pain. Surgical procedures include removing a portion of the Plantar Fascia. Two of the primary muscles that help raise support your medial (inside) arch are your Tibialis Posterior and your Abductor Hallusis. The Tibialis posterior tendon (a leg muscle that crosses the ankle joint and inserts in the medial arch) is usually focused on during acquired flat foot deformities as a primary cause. It however doesn’t kick in until the passive support of the arch breaks down so we will not focus on it here. Stand on the edge of a step. Dig your toes into the step. Perform calf raises with body weight while keeping your toes dug into the step. When people reach 40 or 50, poor foot function will start to show and over-pronation will take its toll. Many years of over-pronation will result in wear and tear in the feet, ankle and knee joints and lower back. People will simply accept these common aches and pains as a sign of ageing. Very few people realise these complaints have a lot to do with their fallen arches ! Too many shoes these days are using soft materials all-around the shoes and are very ‘floppy’ giving no support or stability whatsoever. In summer, many people wear open footwear such as sandals and flip-flops which are even worse in biomechanical terms. This exercise helps to strengthen your arches. Sit on the floor with your legs fully extended in front of your. Use a larger towel rolled length wise and loop it around the balls of your feet. You should take the ends of the towels and hold one in each hand. Slowly pull the ends of the towel toward your body. This will bring your feet towards your body as well. When you feel a stretch in your feet, hold this position for a few seconds. Complete one set of 10 repetitions. To make this exercise more challenging, you can use a resistance band in place of a towel. Many medical professionals can diagnose a flat foot by examining the patient standing or just looking at them. On going up onto tip toe the deformity will correct when this is a flexible flat foot in a child with lax joints. Such correction is not seen in the adult with a rigid flat foot. This article provides a brief overview of the problems that can result in AAFD. Further details regarding the most common conditions that cause an acquired flatfoot and their treatment options are provided in separate articles. Links to those articles are provided.