Treated by Dr. Venkat Ram Thyalapalli at Dr Venkatram Thyalapalli
Flatfoot is a condition in which the arch on the inside of the foot is flattened, allowing the entire sole to touch the ground when standing. It is common in infants and young children, as the arch typically develops during childhood. Some children and adults have flexible flatfeet that cause no problems, while others may experience pain or difficulty with activities.
The most common type, where the arch appears when the child is sitting or on tiptoe but flattens when standing. This is usually painless and often resolves as the child grows.
The arch remains flat in all positions, whether sitting or standing. This type may be associated with underlying bone or joint abnormalities and is more likely to cause pain or stiffness.
A condition where two or more bones in the foot are abnormally connected, limiting movement and causing a rigid flatfoot. This can lead to pain and muscle spasms, typically becoming noticeable in adolescence.
Multiple factors can contribute to the development and progression of this condition.
Recognising the signs early gives you more treatment options.
Assessment begins with a review of symptoms and a physical examination, including observing how the child stands and walks. Not every patient requires imaging or other tests; these are used when the clinical picture suggests a specific underlying cause or when planning treatment.
From conservative to surgical — we always start with the least invasive option first.
A structured, patient-first approach from first visit to full recovery.
Dr Venkatram Thyalapalli examines the child's feet in sitting and standing positions, observes their gait, and discusses any symptoms or functional limitations with the family.
Imaging studies are arranged if the examination suggests a structural problem, rigid flatfoot, or if symptoms are not improving with conservative measures.
A care plan is developed based on the child's age, type of flatfoot, symptoms, and activity level, starting with the least invasive approach appropriate for the situation.
Follow-up visits allow for reassessment of progress, adjustment of orthotics or therapy as the child grows, and timely intervention if symptoms change.
What to expect at each phase of recovery.
For conservative treatment, most children adapt to orthotics or begin therapy within a few weeks. Individual response varies, and adjustments may be needed.
After surgery, a period of immobilisation in a cast or boot is typical, followed by gradual return to weight-bearing. Timelines depend on the specific procedure performed.
Physical therapy supports strength and mobility after immobilisation. Full return to sports and activities occurs once healing is confirmed and function is restored, with guidance tailored to each child.
Appropriate management aims to reduce or resolve pain and improve comfort during daily activities and sports. Response varies depending on the type and severity of flatfoot.
Treatment can help improve walking, running, and participation in physical activities. Some children with flexible flatfoot function well without any arch correction.
Conservative treatment does not change the underlying foot structure. Some flatfeet remain visually flat even when symptoms improve.
Children with certain types of flatfoot may require ongoing follow-up into adolescence. Early intervention can help prevent secondary problems but does not guarantee a specific outcome.
Flexible flatfoot without pain often requires no treatment and may improve on its own as the child grows. However, untreated symptomatic or rigid flatfoot can lead to persistent pain, difficulty with activities, and secondary problems in the ankles, knees, or hips. Early assessment helps identify cases that may benefit from intervention.
Seek evaluation if your child complains of foot or ankle pain, has difficulty keeping up with peers during play, or shows visible stiffness or asymmetry in the feet. If flatfoot persists beyond age six with symptoms, or if you notice a sudden change in foot shape or function, a consultation with a paediatric orthopaedic surgeon is advisable.
Early treatment means more options and better outcomes. Book a consultation to understand your condition and explore the right path forward.
Consult Venkat Ram Thyalapalli for Flatfoot at any of these 2 centres — pick the one nearest you.
