What is it? : There is a longitudinal curve on the inside of the sole. This curve has a flexible structure in certain degrees. This structure prevents the pressure of the floor from being absorbed by the foot during walking, thus damaging the knee, hip and waist joints. In the absence of this curve, the flatness on the sole of the foot is referred to as flat footedness. The inner edge of a normal foot does not contact the ground; but in flat footedness, this inner edge does. Flat footedness occurs due to conditions that require orthopedic treatment, that is to say short Achilles’ heel, spasticity of foot outer group muscles, as well as in the type we call flexible flat footedness.
Causes : It is not yet known how or why it occurs, but the flat footedness is highly genetic. Occurrence in the family increases the likelihood of flat footedness. Generally, 70 to 80 percent of children have flat footedness. Starting at age 3, the fat pad on the soles of the feet starts to disappear and the foot ligaments are strengthened. Thus, the foot curve takes the normal shape in children until 8-10 years old.
Treatment : After the diagnosis in flexible flat footedness, the family is informed and information is given about the self-recovery at 8-10 years of age. During this time, it is suggested that children move around in the house with socks, booties or bare feet. Orthopedic shoes and insoles are usually not needed. Only the shoes selected for walking should be hard-bottomed, heeled, internally supported, hard-edge. If the flexible flat footedness has not passed after 8-10 years of age, the child gets tired quickly, and if there is pain in the calf muscles, soft soles and sports shoes supporting the foot curve are recommended. In rigid type flat footedness, that is, caused by orthopedic disorders, treatment for cause should be made.