Acquired flat foot versus congenital flat foot

Not all the flat feet are congenital. Sometimes, a person might acquire flat foot  at a later age usually due to  degeneration of a very important tendon called posterior tibial tendon. Occasional the feet can also get flat from severe Rheumatoid arthritis, severe arthritis, neuropathic,  tumors in the area, or traumatic. Initially, the collapse of the arch is gradual and accompanied by pain.  However, as the severity of the condition progresses, the pain increases to the point that patient is unable to walk. Treatment for this condition is palliative initially, consistent of physical therapy to try to strengthen the tendons and muscle around the ankle.  On more advance stages, braces might help. However, many times surgery is the end result. The surgery consist on fusing the bones in the subtalar joint and or the ankle. Once the surgery is performed, patient looses the ability to invert and evert.  One  smart move is for patient to not wait until advance stages develop but to uses  inserts in the shoes at all time. This approach will not correct the deformity at that age as the bones are already mature( ossified),  but will prevent it from deteriorating and will also provide great comfort to the patient.