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Flat Feet: When They Cause Problems and What Helps

Last updated 24 July 2026 · 2 min read

Flat feet, where the arch sits low or flat against the ground, are extremely common. Many people have them with no problems at all. But for some, flat feet cause aching, fatigue and knock-on strain elsewhere. Knowing when flat feet need attention, and what actually helps, is what this guide covers.

Are Flat Feet Actually a Problem?

Not always. A flat foot that is painless and works well needs nothing done. Flat feet become worth addressing when they cause symptoms, such as aching in the arch or heel, tired feet after standing or walking, or strain that travels up into the ankles, knees or lower back. It is the symptoms, not the shape, that matter.

Illustration for Flat Feet: When They Cause Problems and What Helps

Symptoms Flat Feet Can Cause

When flat feet do cause trouble, the common signs include:

  • Aching or pain in the arch or heel
  • Feet that tire quickly when standing or walking
  • Pain that spreads to the ankles, knees or lower back
  • Uneven shoe wear
  • A foot that rolls inwards noticeably when you walk

These often respond well once the foot is properly supported.

How a Podiatrist Assesses Painful Flat Feet

Assessment looks at the structure of the foot and, importantly, how it moves when you stand and walk. That tells us whether the flat foot is flexible or rigid, whether it is contributing to your symptoms, and what will help. This biomechanical assessment is the same approach we use in our sports podiatry work.

Illustration for Flat Feet: When They Cause Problems and What Helps

What Helps Flat Feet: Orthotics, Footwear and More

For most adults, the aim is to relieve symptoms and support the foot rather than change its shape. Custom orthotics that support the arch, supportive footwear and targeted exercises are effective for this. Where a flat foot is painful and progressive, further options exist and are discussed after a full assessment. Our foot care service covers the conservative side of this.

At Advanced Footcare Group we assess and manage painful flat feet, with a clinician who specialises in biomechanics.

If flat feet are causing you pain or fatigue, call 01306 883 332 or book an appointment.

Frequently asked questions.

Are flat feet a problem?

Often they are not. Many people have flat feet and no symptoms at all, and need nothing done. Flat feet matter when they cause pain, aching or fatigue, or when they contribute to other problems in the foot, ankle, knee or lower back. In that case they are worth assessing.

Can flat feet be corrected?

In adults the aim is usually to manage symptoms and support the foot rather than change its shape, and orthotics and footwear are very effective at that. Where flat foot is painful and progressive, further options including surgery exist, which is a considered decision made after assessment.

Do I need orthotics for flat feet?

Not everyone with flat feet needs orthotics. They help when flat feet are causing symptoms, by supporting the arch and improving how the foot loads. Whether they will help you is something a podiatrist can determine from an assessment of your feet and how you move.

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Same-week appointments at the Medwyn Centre, Dorking. Send us a message or pick up the phone if that's easier.

01306 883 332

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