Reston/Herndon - (703) 437-6333

Manassas/Gainesville - (703) 368-7166

Leesburg/Ashburn - (703) 777-2101

Flat Feet (over pronation)


Flat feet are a common condition of the foot structure. In infants and toddlers, prior to walking, the longitudinal arch is not developed and flat feet are normal. Most feet are flexible and an arch appears when children begin standing on their toes. The arch continues to develop throughout childhood, and by adulthood most people have developed normal arches.

Flat feet are generally associated with pronation, a leaning inward of the ankle bones toward the center line. Shoes of children who pronate, when placed side by side, will lean toward each other (after they have been worn long enough for the foot position to remodel their shape).

Many people with flat feet do not experience pain or other problems. When pain in the foot, ankle, or lower leg does occur, especially in children, the feet should be evaluated.

Painful progressive flatfoot, otherwise known as tibialis posterior tendonitis or adult-acquired flatfoot, refers to inflammation of the tendon of the tibialis posterior. This condition arises when the tendon becomes inflamed, stretched, or torn. Left untreated, it may lead to severe disability and chronic pain. People are predisposed to tibialis posterior tendonitis if they have flat feet or an abnormal attachment of the tendon to the bones in the midfoot.

Nonsteroidal anti-inflammatory medications, icing, physical therapy, supportive taping, bracing, and orthotics are common treatments for painful progressive flatfoot. Note: Please consult your physician before taking any medications. In some cases, a surgery may need to be performed to repair a torn or damaged tendon and restore normal function. In the most severe cases, surgery on the midfoot bones may be necessary to treat the associated flatfoot condition.

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Locations

Reston Foot and Ankle Center
11737 Bowman Green Dr.
Reston, VA 20190
Phone (703) 437-6333
Fax: (703) 437-7837

Manassas Foot and Ankle Center
8577A Sudley Rd.
Manassas, VA 20110
Phone (703) 368-7166
Fax: (703) 368-5103

Leesburg Foot and Ankle Center
211 Gibson St. NW Suite 101
Leesburg, VA 20176
Phone (703) 777-2101
Fax: (703) 777-4431

Office Hours

Reston Foot and Ankle Center
Monday - Thursday: 8:30am - 6:30pm
Friday: 8:30am - 4:00pm

Manassas Foot and Ankle Center
Monday: 8:30am - 5:00pm
Tuesday - Thursday: 8:30am - 6:30pm
Friday: 8:00am - 4:00pm

Leesburg Foot and Ankle Center
Monday: 8:00am - 3:00pm
Wednesday: 8:00am - 1:00pm