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Understanding The Dynamics Of A Flat Foot – 2mm Of Play Can Change Your Life

Understanding The Dynamics Of A Flat Foot – 2mm Of Play Can Change Your Life










B.P.T., M.I.A.P., M.S.P.T., Ph.D. (Scholar)


In the recent past, there has been a steep rise in the number of people suffering from lifestyle related disorders. Beginning 2020 and beyond, we aspire to sensitise our readers to these issues and create an awareness on how to deal with them.

In this newly-introduced bi-monthly column, the expert Dr Aalap Shah delves deeper into matters of the human body. In this section, you will get to read more on matters related to neck pain, back pain, slipped disc, sciatica, mysteries around knee pain, varicose veins and diabetic neuropathy just to name a few topics.

Recently, a 36-year old thin-built female came to Mission Health with no history of injury or arthritis complaining of severe pain in the front aspect of both knees – just behind the knee caps/patella while ascending stairs and on all low-height transitions like sitting in and getting out of the car or sitting at a lower height. The pain was worsening and none of the medicines seemed to help her.

During detailed examination of knee joint, I made sure to check the joint above i.e. hip joint and joint below i.e. foot, I could see both feet completely flat-absolutely no medial/internal arches.

I could immediately corelate the relationship of feet with knees and impact of flat feet on both knees’ patellofemoral joints, i.e. on both knee caps.

The human foot is the most complex structure of our body which consists of 26 bones in each foot as well as 33 joints, 19 muscles, 10 tendons and 107 ligaments. Structurally the foot has three main parts: forefoot, midfoot and hindfoot. The foot has three arches: two longitudinal front to back (medial-internal side of the foot and lateral-outer side of the foot) arches and one anterior transverse arch. These arches are formed by the tarsal and metatarsal bones and are supported by the ligaments and tendons in the foot.

The average person walks 110000 miles in their lifetime


We compare moving/walking with flat feet as driving a car without wheel alignment. The following are biomechanical complaints
resulting from a flat foot:


  1. Plantar Fasciitis (Heel pain)
  2. Calcaneal Spur (Extra bone on heel)
  3. Patellofemoral Syndrome (Nagging pain on

beneath and sides of knee cap)

  1. Lumbo-Sacral Pain (Lower back pain)
  2. Tired/Aching Legs (Calf pain)
  3. Achilles Tendonitis
  4. Hallux Abducto Valgus (Outer deviation of

the great toe with bony lump/bunions)

  1. Corns and Callous
  2. Metatarsalgia (Ball of foot pain)
  3. Morton’s Neuroma (Tingling/numbness over

3rd/4th base of toes)

  1. Ilio-tibial Band Syndrome (Outside knee &

thigh pain)

  1. Tibial Stress Syndrome (Shin splints)

It is estimated that >75% of the population suffer from excess pronation/flat foot –
static or dynamic in nature.

Static Flat Foot means, there is no arch in the foot, whether the foot is on or off the ground.


Dynamic Flat Foot means that the foot might be having little or moderate level medial arch-internal arch but as soon as foot is on ground taking weight of the body, the arch collapses and foot becomes completely flat.


Nature vs. Civilization – Claim back your foot print. The human foot was originally designed to walk on natural, soft surfaces like earth and sand. Instead, we now spend most of the day on unnatural, hard, flat surfaces like pavements and floors that force our feet to flatten and twist.


All the above complications secondary to flat foot can be prevented/managed by 360’ biomechanical
assessment and correction at any age without any intervention.

As for the above mentioned patient, she was pain-free after receiving 360’ Biomechanical assessment and correction.


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