For people with a deformity of the foot called pes planus whereby there is no curving of the bottom surface of the foot will experience pain. This is felt in the foot and legs when they stand for too long. These custom made shoes will fit to give and improved arch reinforcement which is the only way to correct the problem. Since these are custom designed, the wearer will get the best comfort and style to suit them. For example, the shoes made in Toronto can stretch and come in various designs. Pes planus, or flexible flatfoot, is often left untreated in children because most eventually outgrow the condition. In some children, however, the condition persists and may be associated with considerable pain. When conservative treatment fails, surgical intervention, such as subtalar arthroereisis, may be indicated. Presenters at the 2011 Pediatric Orthopaedic Society of North America (POSNA) Specialty Day program debated the role of subtalar arthroereisis in the treatment of pediatric pes planus. Biology trumps technology in these cases,” he said. “The results of biologic surgical approaches for the correction of painful flexible foot deformity in children are the gold standard upon which to compare other methods.” The pediatric foot is a complex instrument that must be carefully evaluated. Issaquah Foot & Ankle Specialists treat a variety of pediatric foot and ankle problems in patients from Issaquah, Sammamish, Bellevue and the greater Seattle area. We have both the experience and knowledge to intervene when appropriate. Your child will not always "outgrow" their foot or ankle problems. Children with flatfeet often have difficulty running or participating in sports. They may develop foot and ankle pain, pain at the end of the day or a feeling of fatigue in the lower extremity. In addition children can develop low back pain, hip or knee pain as well. But complications can arise. Aside from the fact that you're operating on an otherwise healthy foot, you could experience complications such as peroneal spastic flatfoot, locking or stiffness in one of your subtalar foot joints, and pain. There's also the chance your body could have an adverse reaction the foreign body implant. The implant can be removed, of course, but possible complications from that procedure include subtalar joint arthritis, a negative affect on your tendon, resulting in rear foot pain. A fundamental area of foot care carried out by podiatrists is the management of various acute and chronic nail problems, the treatment of which is dependent upon the pathology. Some medical experts point out that flat feet can lead to the onset of arthritis and a new surgical procedure is used to restore the arches to the feet. This is done by making an incision along the side of the foot, followed by the introduction of an insert in the bones of the ankle, thereby restoring the natural arch. Unless severe foot pain is experienced, experts warn that radical treatments can lead to unpleasant long term complications. The associated condition may include ingrowing toenails, hammertoe, deformity of the second phalanx, first metatarsophalangeal joint medial bursitis, a pronated foot, plantar callus, ankle equinus and central Metatarsalgia. Most people with flat feet experience no problems and require no treatment for their condition, according to the University of Maryland Medical Center. These individuals can lead a normal life full of physical activity and sports. For others, flat feet can cause pain and can decrease the foot's flexibility. Sports can be extremely difficult and painful with sore feet. A variety of techniques and modifications can help make sports possible if you have painful flat feet. Always consult a doctor if you are experiencing pain owing to flat feet. Flat Feet In addition to issues in the foot, the ankle and lower legs can be affected by flat feet and fallen arches. Tendinitis mainly affecting the Achilles tendon can cause ankle pain and foot pain. Swelling and inflammation of the tendon may require therapy and surgery to address the pain. In the lower leg, active people with flat feet may experience shin splints. The condition occurs when the lack of an arch causes inflammation in the bones of the lower leg. Excessive pain in the shin can be caused by flexion and extension of the foot.