a 96% satisfaction rate for sore feet worldwide - express delivery

Flexible Flatfoot: Diagnosis & Treatment

by MASS4D® Prescription Orthotics July 28, 2016

Flexible Flatfoot

A hallmark feature of a flexible flatfoot is a fully collapsed medial arch during stance phase of gait and an immediate return of the arch when not weightbearing.

The term flexible is used to refer to the level of qualitative stiffness of the foot during dynamic loading and physical examination.

Abnormal kinematics of the rearfoot (such as excessive rearfoot eversion) and foot and ankle kinetics (such as abnormal loading forces) are observed in this condition.

The subtalar joint pronation that ensues, causes the midtarsal joint to be unlocked, making it unstable and leading to various degrees of transverse plane abduction.

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

In adults, flexible flatfoot could be either unilateral or bilateral.

While typically idiopathic in nature with hereditary tendencies, one of the most common causes of the condition is a contracted Achilles muscle-tendon complex. Other causes include a skew foot, any kind of joint malformation, bone abnormality or arthrosis. 

Hypermobility is also frequently associated with the condition.

A patient with flexible pes planus will often complain of calcaneal pain at heel strike, muscle spasm of the plantar fascia, frequent ankle sprains, or pain in the lower back, knee or hip.

Since there is an increase in energy consumption as a result of altered physical function, the patient will also experience an increase in lower limb fatigue.

Diagnosis for the condition can be made with a foot examination in both open-chain and closed-chain posture under weightbearing. 

Radiological studies can provide further detail regarding the degenerative impact of the deformity. It is imperative though that only weightbearing X-rays be used to evaluate the condition, since there many joints in the foot that could be responsible for the subluxation.

Treatment regime for flexible flat foot will include weight loss consulting if required, lower limb strengthening and stretching programs and proprioceptive balance board training.

The MASS4D® custom orthotic provides the structural support needed to correct this postural abnormality when in use, addressing issues such as the collapse of the arch and the eversion of the heel.

The inclusion of such an orthotic intervention in an active rehabilitation programme will yield positive results, providing a more holistic treatment for the patient’s condition.

Copyright 2016 MASS4D® All rights reserved. 

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

Related Links

The Physical Examination Dictates The Manufacturing Process
Configuration of the Plantar Fascia
Rehabilitation As An Integrated Approach 


  1. Michael S. Lee, John V. Vanore, James L. Thomas, Alan R. Catanzariti, Geza Kogler, Steven R. Kravitz, Stephen J. Miller and Susan Couture Gassen (2005) Diagnosis and Treatment of Adult Flatfoot. The Journal of Foot & Ankle Surgery: March/April 2005, Vol. 44, No. 2, pp. 78-91

Also in Clinicians Blog

Pilates For Posture
Pilates for Posture Improvement

by MASS4D® Prescription Orthotics November 11, 2018

The emphasis of pilates on core strengthening and improvement of posture makes it a good addition to treatment and rehabilitative strategies, especially those that are designed to minimise postural disparities.

Read More

Posterior Ankle Impingement Syndrome
Posterior Ankle Impingement Syndrome

by MASS4D® Prescription Orthotics November 04, 2018

Repetitive plantarflexion can lead to pain and mechanical limitation in the posterior ankle joint which is known as posterior ankle impingement syndrome. This pathology commonly occurs in ballet dancers and football players. 

Read More

Os Peroneum Syndrome
Treating Os Peroneum Syndrome

by MASS4D® Prescription Orthotics October 29, 2018

Clinical diagnosis of os peroneum syndrome should involve physical examination that can help reveal swelling over the cuboid with pain felt during palpation. The patient will feel this pain intensify during plantar flexion, and during the heel elevation stage of the gait process.

Read More