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What is the Cause of Flat Feet?

Published in Foot Condition 2 mins read

Flat feet, characterized by the collapse of the arch in the foot, can stem from a variety of causes. Here's a breakdown:


Hereditary Factors

  • Loose Tendons and Ligaments: As mentioned in the reference, some individuals are born with hereditary conditions that result in looser tendons and ligaments. This inherent laxity can predispose them to flat feet.


Acquired Flat Feet

  • Aging: Over time, the tendons supporting the foot's arch can weaken, leading to a gradual flattening of the foot.
  • Injuries: Traumatic injuries to the tendons, ligaments, or bones in the foot can disrupt the arch's structure, causing it to collapse.
  • Illnesses: Certain diseases or medical conditions can also affect the tendons and other tissues supporting the arch, leading to the development of flat feet.
  • One-Sided Flat Feet: It's important to note that the acquired type of flat foot, due to aging, injury, or illness, can sometimes only affect one foot.


Contributing Factors

While not the direct causes of flat feet, several factors can contribute to their development or exacerbate existing conditions:

  • Obesity: Excess weight can place added stress on the foot's arch, causing it to flatten over time.
  • Pregnancy: Hormonal changes during pregnancy can loosen ligaments, potentially leading to flat feet.
  • Footwear: Improper footwear, especially shoes lacking sufficient arch support, can contribute to arch collapse.
  • Overuse: Repetitive activities, especially those involving high-impact movements, can strain the tendons and ligaments in the foot.

Summary of Causes

Cause Description
Hereditary Some people are born with loose tendons and ligaments, predisposing them to flat feet.
Aging Weakening of tendons with age can cause the arch to collapse.
Injuries Damage to tendons or bones of the foot can disrupt arch structure.
Illnesses Certain diseases can affect tissues that support the foot's arch.
Contributing Factors Obesity, pregnancy, improper footwear, overuse can increase the risk.


Understanding the various causes of flat feet is crucial for proper diagnosis and management, which may include supportive footwear, orthotics, or physical therapy.

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