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Struggling With Flat Feet (Pes Planus)?

What’s Really Causing It — and How We Treat It

If your feet feel tired, achy, or painful after standing or walking, or you’ve noticed your arches have flattened over time, you’re not alone.
Flat feet (also known as pes planus or fallen arches) are a common condition — and while some people have no symptoms, others experience ongoing pain and movement issues without the right support.

At We Fix Feet, we specialise in identifying why your arches have collapsed — whether it’s genetics, tendon dysfunction, injury, or biomechanics — and creating a personalised treatment plan to restore comfort, stability, and movement.

FLAT FEET - 5 Practical Steps to Improve Comfort, Support Walking, and Reduce Ongoing Pain Ebook

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FLAT FEET - 5 Practical Steps to Improve Comfort, Support Walking, and Reduce Ongoing Pain

Trusted by 34000+ patients, HCPC Registered Podiatrists, British Medical Laser Association members, Venn Healthcare Shockwave Certified.

What Are Flat Feet (Pes Planus)?

Flat feet occur when the arches of the foot collapse, causing the sole to make complete or near-complete contact with the ground.
This condition may be present from childhood or develop later in life due to tendon problems, injury, or increased stress on the feet.

Flat feet can affect foot alignment and place extra strain on the ankles, knees, hips, and lower back if left unmanaged.

How We Treat Flat Feet

At We Fix Feet, we offer evidence-based treatments designed to support the arch, improve alignment, and reduce pain:

  • Custom Orthotics – Specialised insoles to support arches and correct foot mechanics
  • Physical Therapy – Exercises to strengthen foot and ankle muscles
  • Footwear Advice – Guidance on supportive shoes suited to your foot type
  • Activity & Load Management – Reducing strain while maintaining movement
  • Surgical Referral (when required) – Considered only in rare cases when conservative care fails

Every treatment plan is tailored to your symptoms, lifestyle, and long-term foot health.

Causes & Risk Factors

Flat feet may develop due to:

Congenital factors – Genetic predisposition from birth
Posterior Tibial Tendon Dysfunction (PTTD) – A common cause of adult-acquired flat feet
Injury or illness – Trauma, arthritis, or neuromuscular conditions
Obesity – Increased body weight placing excess stress on the arches

Identifying the cause is essential to preventing progression.

BOOK YOUR CONSULTATION TODAY

If flat feet are causing pain, fatigue, or affecting how you move, book a professional assessment at We Fix Feet today.

We’ll explain what’s happening, outline your treatment options clearly, and help you stay active and comfortable long term.

Frequently Asked Questions (FAQs) about Flat Feet

What are flat feet (pes planus)?

Flat feet, also known as pes planus or fallen arches, occur when the arches of the foot collapse, causing the sole to make full or near-full contact with the ground. This can be present from birth or develop gradually over time.

Some people experience no symptoms, while others may notice foot pain (especially in the heel or arch), swelling along the inside of the ankle, fatigue when standing or walking, and pain in the knees, hips, or lower back due to altered biomechanics.

Flat feet can be caused by genetic factors, posterior tibial tendon dysfunction (PTTD), injury or trauma, arthritis, neuromuscular conditions, or increased stress on the arches due to excess body weight.

Not always. If flat feet are pain-free and not affecting movement, treatment may not be required. However, painful or progressive flat feet should be assessed to prevent worsening symptoms and secondary joint problems.

Treatment options may include:

  • Custom orthotics to support the arches and improve alignment
  • Strengthening and mobility exercises for the foot and ankle
  • Footwear advice to ensure proper support and stability
  • Activity modification where needed
  • Surgical intervention in rare cases where conservative care is unsuccessful

 

Many people notice symptom relief within weeks of wearing custom orthotics and following a tailored treatment plan. Long-term improvement depends on consistency, activity levels, and underlying causes.

Yes. Flat feet can affect alignment throughout the lower limb, contributing to knee, hip, and lower back pain. Correcting foot mechanics often helps reduce these secondary symptoms.

Custom orthotics provide targeted arch support, improve foot stability, reduce strain on tendons and joints, and help restore efficient movement patterns — relieving pain and preventing further collapse.

You should seek professional advice if you experience persistent foot pain, ankle swelling, frequent fatigue, or pain in the knees, hips, or back that may be linked to your foot posture.

At We Fix Feet, our HCPC-registered podiatrists carry out detailed biomechanical assessments and create personalised treatment plans to support your arches, relieve pain, and help you move comfortably and confidently.

Book a consultation today

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Our Clinic Locations

We have two convenient locations in Beeston and Ilkeston, making expert podiatry and sports rehabilitation accessible across Nottinghamshire and Derbyshire.

Ilkeston Clinic

Beeston Clinic

Testimonials

Before You Book Your Appointment, Here’s Just A Handful Of Our Patients Success Stories To Put Your Mind At Ease

Lynn Aldred profile picture
Lynn Aldred
1 month ago
Just had feet done with Ronnie its like walking on air hes done amazing job thankyou .
Lynn Aldred profile picture
Lynn Aldred
1 month ago
Just had feet done with Ronnie its like walking on air hes done amazing job thankyou .
Ronnie Mbwana did a fabulous job for me today. He gently treated my damaged toenail, cut my nails, removed hard skin and provided a thorough checkup. The service provided by him and the receptionist throughout was excellent. I highly recommend this practice.
Ronnie Mbwana did a fabulous job for me today. He gently treated my damaged toenail, cut my nails, removed hard skin and provided a thorough checkup. The service provided by him and the receptionist throughout was excellent. I highly recommend this practice.
Kay Stone profile picture
Kay Stone
1 month ago
I had an appointment with Ronnie 6 weeks ago, and again today for a follow up appointment.
I had an ingrown toenail which I had left way too long and had become infected. I finally plucked up the courage to visit We Fix Feet in Ilkeston. My only regret is not visiting sooner! Ronnie was able to remove the portion of ingrown toenail at my first appointment, and within a day or two, my nail was perfect. After hiding my feet for many years I finally have a healthy set of toenails and have treated myself to my first ever pair of open toe sandals! All the staff here are wonderful, professional and very reassuring for which I am very grateful. Thank you
Kay Stone profile picture
Kay Stone
1 month ago
I had an appointment with Ronnie 6 weeks ago, and again today for a follow up appointment.
I had an ingrown toenail which I had left way too long and had become infected. I finally plucked up the courage to visit We Fix Feet in Ilkeston. My only regret is not visiting sooner! Ronnie was able to remove the portion of ingrown toenail at my first appointment, and within a day or two, my nail was perfect. After hiding my feet for many years I finally have a healthy set of toenails and have treated myself to my first ever pair of open toe sandals! All the staff here are wonderful, professional and very reassuring for which I am very grateful. Thank you