Flatfoot is often a complex disorder, with diverse symptoms and varying degrees of deformity and disability.
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There are several types of flatfoot, all of which have one characteristic in common: partial or total collapse (loss) of the arch. Flat feet are generally associated with pronation, a leaning inward of the ankle bones toward the center line.
Shoes of people 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.
Those who have flatfoot may experience:
Toe drift is when the toes and front part of the foot point outward.
The heel tilts toward the outside and the ankle appears to turn in.
A tight Achilles tendon, which causes the heel to lift off the ground earlier when walking and may make the problem worse.
Bunions and hammertoes may develop as a result of a flatfoot.