What causes flat feet9/24/2023 In many cases of flat foot that is not worsening over time and is on both feet problem originates in childhood and lasts throughout adulthood, typically worsening without treatment. It is important to treat a flexible flat foot due to posterior tibial tendon tear rapidly prior to the joints becoming rigid due to the severe collapse. Over time, the collapsed arch may go from flexible to rigid as the foot gets “stuck” in the flat position and therefore is not freely reducible and correctable. With a tear in the tendon over many years of abnormal strain, the arch will begin to collapse as the posterior tibial tendon weakens and unravels. This is due to damage to the posterior tibial tendon which is the main tendon supporting the arch of the foot. Adult acquired flat foot is not a congenital flat foot but acquired over time.
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