

Introduction
Flat feet, while seemingly a localized problem, impacts far more than just the soles of your feet. The complex web of our body's biomechanics links the condition of your feet to multiple other areas of your body, from your knees and hips to your lower back. Hamstring tightness, back pain, and knee discomfort - these might not seem immediately connected to your fallen arches, but in the body's interconnected system, they play significant roles in foot posture. This is why, when looking to fix flat feet, one needs to consider the whole body, not just the feet.
At Activ8, we take this interconnectedness to heart with our comprehensive posture therapy program. Let's untangle the complexities of flat feet, their relationship with overall body posture, and other influential factors such as hamstring flexibility and gait mechanics.
Understanding Flat Feet
Flat feet, also known medically as "pes planus," is a condition marked by the flattening or loss of the foot's natural arch. When standing, individuals with flat feet find that their entire soles come into contact with the ground, unlike those with a normal arch. The common causes of flat feet are multifaceted - they could stem from genetic factors, obesity, injuries, lack of proper development, or even due to muscle imbalances like hamstring tightness.
It is well-known that poor foot posture, particularly concerning flat feet, affects not just the feet, but the entire biomechanical chain of the body, leading to an array of musculoskeletal issues. As the base of this chain, the foot influences the alignment and function of the body segments above it, creating a ripple effect of potential problems if foot posture is not optimal.
The Role of Body Posture in the Development of Flat Feet


Indeed, the intricate relationship between our body's posture and foot alignment doesn't just flow from the feet upwards but also trickles down from our upper body to our feet. Poor posture in other parts of our body can and often does contribute to the development of flat feet.
Take, for instance, the internal rotation of the femur and tibia. When the femur (thigh bone) and tibia (shin bone) rotate inward excessively, it often leads to overpronation at the foot. Overpronation, where the foot rolls inward more than the ideal 15 percent, commonly results in flat feet due to the increased pressure on the arch. Similarly, the position of the pelvis plays a crucial role. An anterior or posterior pelvic tilt can lead to valgus (knees knock inward) or varus (knees bow outward) stress. These stresses can dramatically alter foot function, potentially leading to a collapse in the arch and the development of flat feet.
Foot eversion, or the turning out of the foot, also known as "duck feet," can further complicate the issue. This abnormal positioning creates abnormal loading patterns on the feet, particularly in the arch and heel areas. With every step taken, the undue pressure placed on these areas strains the arch's supporting structures, including the plantar fascia and the posterior tibial tendon. Over time, these tissues can weaken or even tear, leading to a loss of the foot's natural arch structure and the emergence of flat feet.
So, while it's common to think of flat feet as a standalone issue, it's essential to understand its roots in a more extensive network of postural alignments and biomechanical interactions. Correcting flat feet, therefore, involves addressing these larger postural issues, a concept at the heart of Activ8's posture therapy program.
Recognizing the Symptoms of Flat Feet


While not everyone with flat feet will experience discomfort, many people may deal with an array of symptoms related to flat feet:
- Foot pain, particularly in the heel or arch area
- Swelling along the inside of the ankle
- Lower back pain or discomfort
- Difficulty standing on tiptoes
- Bunions, which are painful bony bumps that form on the joint at the base of the big toe
- Corns and calluses, which are areas of thick, hardened skin that develop from excessive pressure or friction
- Plantar fasciitis, a painful condition affecting the thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes
- Hammertoes (an abnormal bend in the middle joint of a toe)
- An abnormal walking pattern or foot movement (pronation)
- Overuse injuries due to altered biomechanics, such as shin splints and stress fractures
- The feet get tired easily or feel achy after periods of standing or playing sports
- Unusual wear patterns on your shoes, such as excessive wear on the heel or on the inside edge
The severity and type of symptoms vary greatly among individuals and are often exacerbated by strenuous activity or prolonged periods of standing. In light of these related symptoms, flat feet should not be viewed as a standalone issue but rather a part of the larger biomechanical system. Correcting flat feet requires a comprehensive understanding of the body's interconnectedness, another guiding tenet behind Activ8's posture therapy program.
Tired of Dealing with Flat Feet?
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The Connection Between Hamstring Tightness and Flat Feet
Sure, we’re here to talk about flat feet, but how well can you touch your toes? In the clinic, we always tell our clients how the body is connected, and it gets interesting when we can point out related areas of postural dysfunction. And in the case of flat feet, recent studies have found a clear link with tight hamstrings, overpronation, and, you guessed it – flat feet. In fact, a paper in the Journal of Foot and Ankle Research highlighted this relationship, stressing that addressing hamstring tightness could be a key piece in the puzzle to help fix flat feet and improve foot posture.
The hamstrings, the group of muscles and tendons located at the back of our thighs, play a critical role in our overall posture and gait. When these lengthy muscles are too tight, it opens the door to a flood of biomechanical issues, including developing or worsening flat feet and overpronation (where your foot rolls inward excessively when walking or running). Have you bent down to check your hammies yet?! More studies like these highlight and reinforce the importance of a whole-body approach to solving “foot” issues, so they’re catching up to posture therapy approaches like Activ8.
Of course, our postural therapists at Activ8 Posture will also dig into why your hammies are tight in the first place! The hamstrings are part of a line of muscles, fascia, and ligaments that span the bottom of your feet to your forehead. The superficial back line includes common trouble areas like the plantar fascia, Achilles tendon, hamstrings, sacrotuberous ligament, S-I joint, low back to upper back muscles, to the neck and head muscles.
Postural Implications of Flat Feet


The interconnection between our feet and overall posture is often underestimated. Flat feet lead to imbalances and stresses in your ankles, knees, hips, and lower back, negatively influencing your overall posture and vice versa. Poor posture further exacerbates problems associated with being flat-footed, affecting your foot function, particularly during activities like walking or running.
In essence, our gait – or the way we walk – involves several distinct yet interconnected phases, each demanding specific contributions from our feet:
- Heel-strike: This is the initial phase where the heel first contacts the ground.
- Mid-stance: This phase occurs when the body's weight is directly over the foot.
- Toe-off: The final stage is where the toes leave the ground, propelling us forward into the next step.
In people with flat feet, these stages get skewed. Due to the absence or reduction of a proper arch, the foot tends to roll inwards excessively (overpronate) during the mid-stance phase. This overpronation can throw off the alignment of not just the foot but the entire kinetic chain – the interconnected system of joints and segments in our body – creating imbalances and stresses that ripple upwards. This chain reaction further leads to misalignment in these areas and contributes to additional poor posture habits.
Moreover, having tight muscles in the lower body, particularly the hamstrings and calf muscles, can further exacerbate these problems. Tightness in these muscles restricts the range of motion in the foot and ankle, which amplifies the effects of overpronation and the ensuing postural issues.
So, whether you're going for a jog, walking to the store, or even just standing, being flat-footed significantly influences your foot function and overall posture. Understanding this interplay between the feet and the body highlights the importance of addressing issues like flat feet holistically and not in isolation.
The Ripple Effect: How Flat Feet Impact Posture and Daily Life
Our feet are the unsung warriors of the body. They support our weight, ferry us around, and play a larger-than-expected role in shaping our body's overall alignment. When the structure of these warriors changes, as in the case of flat feet, it's like trying to erect a skyscraper on shifting sands - instability is inevitable, leading to a chain of compensatory adjustments throughout the body that can cause discomfort in the most unexpected places.
Meet our client John, an office worker by day and an avid hiker by the weekend. For some time, he had been battling a niggling lower back pain that flared up during his cherished long walks. After countless doctor visits that brought no relief, we uncovered the surprising culprit - his flat feet. The absence of arches in John's feet set off a domino effect of postural adjustments, leading to unnecessary strain on his ankles, knees, and hips, all culminating in his persistent lower back pain. As if that wasn't enough, John's naturally tight hamstrings were piling on the pressure, intensifying his discomfort.
Then there's Sarah, a ballet dancer of professional caliber, who happens to have flat feet. Maintaining the exacting posture her craft demands was proving an uphill task. The lack of arch in her feet was causing her knees to angle inward, a condition known as 'knee valgus.' This threw her hip alignment off balance and cast a shadow over her dance posture.
The stories of John and Sarah mirror the experiences of countless people who are trying to balance their daily activities on flat feet. They highlight how the functionality of our feet, especially during activities like walking, running, or even pirouetting on a dance stage, is shaped by proper alignment. This also underscores the often-neglected connection between the shape of our feet and the rest of our body, underlining the need to address problems using a whole-body approach.
Can Flat Feet Be Corrected?


You might be wondering: "Can flat feet be corrected?" The answer is: Yes, they can! Whether adults lost their arches or children who did not develop their arches, the key is getting the body to work as a whole to support the feet and the feet to support the body. Improvement of foot posture is possible, especially when considering the interconnectedness of our bodies. By addressing and correcting issues such as hamstring tightness, there can be a positive impact on foot posture. The length of time it takes to "fix" flat feet can vary depending on individual circumstances and requires consistency in alignment exercises and muscle activation strategies.
You might be asking yourself, "Can I really correct my flat feet?" The good news is: Yes! While not all cases are fixable, many can correct their feet naturally. This holds true for adults who may have lost their foot arches over time or for children who haven't yet fully developed their arches. The key lies in encouraging our bodies to operate as a cohesive unit, where the feet support the body and vice versa.
Our bodies are complex networks of interconnected muscles, bones, and ligaments. Addressing and rectifying issues in one area, such as hip muscle performance, improves other areas, including foot posture. Research suggests that improvements in foot structure can be achieved with appropriate intervention strategies, including specific exercises and gait training.
The duration it takes to "correct" flat feet can vary from person to person. It largely depends on individual circumstances such as the severity of flat feet, age, and overall health condition. Consistency in postural alignment exercises and muscle activation strategies is crucial for observable improvements.
Treatment Options for Flat Feet
A broad spectrum of treatment options is available for dealing with flat feet and foot problems, from specially designed custom orthotics, physical therapy, and footwear, to surgical interventions. Many of these are solely focused on the arch of the foot in isolation. But at Activ8, our philosophy is rooted in a more holistic perspective. We believe in treating the body as a whole, considering the complex interplay between the feet, legs, and back in our treatment strategies.
X-rays or CT scans from an orthopedic surgeon or podiatrist help give a localized view of your feet and usually result in recommended orthotic devices. The orthotics are designed to help provide arch support and cushioning for your flexible flat feet, and an over-the-counter anti-inflammatory can help relieve some of the pain. But this normal medical advice in our traditional Western healthcare model does not consider the holistic view.
While the long-term goal is to help your feet support themselves, taking necessary short-term actions can provide relief from trauma and additional injury as we stimulate your body’s proper functional patterns. Doing foot exercises and using supportive shoes with insoles may help, but strengthening exercises beyond your lower leg is key to sustainable results.
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Why Choose Activ8's Posture Therapy Program for Your Flat Feet


At Activ8, we've empowered countless individuals to transform their lives by improving their flat feet condition. Our posture therapy and movement coaching program is more than just a treatment; it's a whole-body approach that acknowledges the interwoven relationships within our musculoskeletal system.
We've been moved by the inspiring success stories and glowing testimonials of clients who've experienced significant improvements in their foot posture and related symptoms, all thanks to our integrated approach. The reason behind these compelling success stories? Our unique methodology, which includes:
- Full-body postural assessments: We don't just look at your feet. We examine your entire body posture, uncovering hidden imbalances that could be contributing to your flat feet condition.
- Gait analysis and functional testing: By observing how you walk and move, we can detect dysfunctional movement patterns that need addressing.
- Body- and foot-specific exercises: Our tailored exercises focus on strengthening your whole body's interconnectedness and balance, along with specific exercises to enhance your foot function.
- Muscle-activation exercises and strategic stretches: We don't ignore tight muscles – we help them relax. We aim to alleviate muscle tightness that can adversely affect your foot posture with targeted exercises and stretches.
Our comprehensive and whole-body approach has been designed with one goal: to enhance your movement's quality, efficiency, and effectiveness. And in doing so, we not only improve your foot posture but also your overall well-being. So, if you're grappling with flat feet, why settle for anything less than a holistic, proven solution?
Conclusion
Dealing with flat feet shouldn't have to be such a struggle. You can take strides to improve your situation with just a little understanding of how your body's posture and mechanics affect your foot health. Don't let flat feet persist or get worse.
At Activ8, we're here to help guide your way to improving your health and achieving your goals. Our holistic posture therapy program surprises many of our clients with how amazingly resilient their bodies are. Are you prepared to pursue a future with healthier feet and a robust, resilient body? Contact us today for a free consultation and posture assessment!
Frequently Asked Questions
Can flat feet be corrected in adults?
Yes, most adults can correct flat feet with the right kind of therapeutic approach and exercises focused on improving overall body posture.
What problems do flat feet cause?
Flat feet can lead to a variety of problems, including foot pain, back pain, and issues with balance and movement efficiency. It can also contribute to other issues like bunions and plantar fasciitis.
Why are flat feet not allowed in the army?
Flat feet can impact the efficiency of movement and the distribution of body weight, which could cause strain during physically demanding tasks, a common aspect of military training and operations.
How long does it take to fix flat feet?
The time it takes to "fix" flat feet can vary depending on individual circumstances. It requires a consistent commitment to postural exercises and body alignment techniques.
What Do Uneven Hips Have to Do with Flat Feet?
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