Flat Feet (Pes Planus)
Supportive, personalized podiatric care for flat feet in
South Hadley, Springfield, and Wilbraham, MA
Why Flat Feet Develop
Flat feet, also known as pes planus, occur when the arch of the foot collapses or does not form fully. Some people develop symptoms early in life, while others notice pain and fatigue later on as their arch becomes weaker. Flat feet can affect the way you walk, increase strain on the ankles and knees, and make everyday activities less comfortable over time.
At Valley Podiatry Associates, our podiatrists bring over 30 years of experience evaluating and treating flat feet in children, teens, and adults.
The arch of the foot plays an important role in balance and shock absorption, so when it weakens, the entire lower body can be affected.
Common causes include:

- Genetics and inherited foot structure
- Ligament looseness or flexibility issues
- Weakness or imbalance in foot and ankle muscles
- Previous injuries
- Arthritis
- Obesity or increased weight bearing stress
- Long periods of standing or walking on hard surfaces
Some people with flat feet never develop pain, while others experience symptoms with even mild activity.
Symptoms You Should Not Ignore
If you notice any of the following signs, it may be time to schedule an evaluation:
Flat feet can affect your overall alignment,
so early care helps prevent long term strain on other joints.
What Your Visit Includes
Your appointment for flat feet at Valley Podiatry Associates includes a detailed evaluation of your arch structure, gait, and overall foot and ankle alignment. During your time in the office, we will assess:
On site digital X rays may be used to evaluate bone structure and rule out arthritis or joint abnormalities.


Personalized, Conservative Care
Most flat foot symptoms can be managed without surgery. Our goal is to support the arch, relieve discomfort, and improve overall function based on your lifestyle and activity level. Conservative treatment options may include:
- Custom orthotics to support the arch and improve alignment
- Stretching and strengthening exercises
- Supportive footwear recommendations
- Activity modification
- Anti-inflammatory medication when needed
- Bracing for more advanced or painful cases
These treatments help reduce strain on the foot and ankle while improving comfort in daily activities.
When Surgery May Be Helpful
Surgery is considered only when flat feet cause significant pain, progression of deformity, or when conservative treatment is not enough. In children and adults with severe pes planus, surgical correction can realign the foot, relieve pain, and restore better function.
Surgery may be recommended if:
Our board-certified surgeons use advanced techniques to improve alignment and comfort while focusing on long term results. We walk you through every option and help you decide what is best for your goals and activity level.

Find the Support & Comfort You Need
Flat feet may be common, but that does not mean you have to live with discomfort or limited mobility. If you have flat feet and live near one of our offices in South Hadley, Springfield, or Wilbraham, MA, we hope you’ll call to schedule an appointment with one of our foot and ankle specialists today.
Frequently Asked Questions
Will my flat feet get worse over time?
They can, especially with increased activity or weight bearing. Early care can slow or prevent progression.
Are custom orthotics really necessary?
Yes. Orthotics are one of the most effective treatments for flat feet because they support the arch, improve alignment, and reduce stress on the entire foot.
Can flat feet cause knee or back pain?
Absolutely. When the arch collapses, the entire lower body chain compensates, which can lead to knee, hip, or lower back discomfort.
Do children outgrow flat feet?
Some do, but not always. If your child has pain, fatigue, or difficulty keeping up with activities, a podiatric evaluation is recommended.
When should I see a podiatrist?
If flat feet cause pain, swelling, instability, or limit your activity, it is time for an evaluation.
Book An Appointment
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