Flat feet, also known as fallen arches, is a condition where the arches of the feet flatten out, causing the entire sole of the foot to touch the ground when standing. While common and often painless, flat feet problems can lead to a range of complications if left unaddressed. Let’s explore the causes of flat feet, their implications, and the avenues available for management and correction.
What Causes Flat Feet?
Flat feet problems can occur due to a variety of reasons, ranging from genetics to lifestyle, and understanding these causes is crucial for effective management and treatment.
- Genetic Predisposition – One of the primary factors in the development of flat feet is genetics. The structural characteristics of the feet, including the arch, are largely inherited. Individuals with a family history of flat feet are more likely to experience this condition themselves. Genetic predisposition affects the way foot arches develop during childhood and how they change as a person ages.
- Developmental Changes – Flat feet can also result from developmental changes that occur during childhood or adolescence. In some cases, the arches never fully develop, which is known as congenital flatfoot. For many children, arches develop as they grow and their bodies change, but for some, these arches may not develop adequately, leading to flat feet.
- Aging and Wear and Tear – As people age, the natural wear and tear on the feet can lead to flat feet. The posterior tibial tendon, which supports the arch, can weaken over time. This weakening can cause the arch to collapse, especially in individuals who are overweight, putting extra stress on the tendon and other structures of the foot.
- Injury and Trauma – Injuries to the feet or ankles, such as fractures, dislocations, or tendon damage, can lead to flat feet. The structural damage from these injuries may affect the integrity of the foot’s arch, leading to a flattening over time.
- Medical Conditions – Certain medical conditions can contribute to the development of flat feet. Rheumatoid arthritis, for example, can cause inflammation and damage to the cartilage and bones in the foot, leading to weakened arches. Diabetes can also affect foot structure by damaging nerves and blood vessels, which can lead to conditions like Charcot foot, where the arch collapses.
- Obesity – Carrying excess body weight significantly increases the pressure on the feet, particularly on the arches. Over time, this added pressure can cause the arches to flatten. Maintaining a healthy weight can help mitigate this risk and preserve foot health.
- Pregnancy – During pregnancy, hormonal changes in the body can lead to the loosening of ligaments, including those in the feet. This, combined with the added weight of pregnancy, can result in a temporary or permanent flattening of the arches.
- Prolonged Stress on Feet – Individuals who spend long hours standing or walking on hard surfaces, especially without proper footwear, may experience changes in their foot structure, including the development of flat feet. Proper support and periodically resting the feet can help prevent this.
Can Muscle Imbalances Can Cause Flat Feet Problems?
The short answer is yes! The good news is that means you can actively do things to correct and alleviate flat feet problems.
The structure and function of our feet are supported by a complex network of muscles, tendons, and ligaments. When there is an imbalance in this system—whether due to weakness, tightness, or overactivity in certain muscles—it can affect the integrity of the foot’s arch and lead to or exacerbate flat feet. Here’s how muscle imbalances can play a role:
- Weakness in the Posterior Tibial Tendon – One of the most significant contributors to flat feet due to muscle imbalance is weakness in the posterior tibial tendon. This tendon plays a critical role in supporting the arch of the foot. When it becomes weakened, either through injury or overuse, it can lead to a condition known as posterior tibial tendon dysfunction (PTTD), which is a common cause of acquired flat feet in adults.
- Insufficient Arch Support from Intrinsic Foot Muscles – The small intrinsic muscles within the foot also play a vital role in supporting the arches. If these muscles are weak, the structural integrity of the arch can be compromised, leading to a flattening of the foot. Strengthening these muscles can help maintain or improve arch height.
- Imbalance Between Flexor and Extensor Muscles – An imbalance between the flexor and extensor muscles of the foot and lower leg can also contribute to flat feet. If the muscles on one side of this balance are stronger or tighter than those on the other, it can pull the foot structure out of alignment, affecting the arch.
- Tight Achilles Tendon – A tight Achilles tendon, which attaches the calf muscle to the heel, can also lead to flat feet. Its tightness can force the heel upward, which in turn flattens the arch and can contribute to the development of flat feet over time. Stretching and flexibility exercises can help alleviate this tightness.
- Overpronation – Overpronation, where the feet roll inward excessively when walking or running, can be both a cause and a consequence of flat feet. This inward rolling can be due to a combination of muscle weakness and imbalances, particularly in the muscles and tendons that support the foot’s arch. Overpronation puts additional stress on the inner aspect of the foot and can exacerbate flat foot conditions.
Can Flat Feet Be Corrected?
In many cases, flat feet can be corrected or significantly improved through various methods, depending on the severity and the underlying cause. Non-surgical treatments such as orthotic devices, physical therapy, and specific exercises can help strengthen foot muscles and improve arch support. Surgical options exist for more severe cases, aiming to correct the structure of the foot.
Addressing muscle imbalances involves a combination of strengthening weak muscles, stretching tight muscles, and improving overall foot mechanics. Targeted exercises, physical therapy, and orthotic devices can be part of a comprehensive treatment plan. HEM Ankle Rehab provides a structured approach to strengthening and rehabilitating the muscles and tendons around the ankle and foot, helping to correct imbalances and mitigate flat feet problems.
Is Flat Feet a Cause for Concern?
While flat feet are often asymptomatic, they can sometimes lead to discomfort and pain, especially in the arch or heel areas. This discomfort can escalate during activities that place a significant strain on the feet, such as running. Flat feet can also contribute to misalignment in your ankles and knees, potentially leading to joint and back pain. Understanding why you have weak ankles and how to strengthen them can also provide insight into related conditions and preventative strategies.
Are Flat Feet Considered a Disability?
Flat feet are not typically considered a disability, but severe cases can limit mobility or lead to chronic pain, impacting daily activities. It’s important to consult healthcare professionals if flat feet cause significant discomfort or inhibit your lifestyle.
The Connection Between Flat Feet, Heel Spurs, and Ankle Health
Flat feet can influence the development of other foot conditions, such as heel spurs, a bony growth on the heel bone that can cause pain and discomfort. Addressing flat feet may help prevent or alleviate the symptoms of heel spurs. Detailed information on this condition can be found through a comprehensive guide on heel spurs.
Moreover, the lack of proper arch support in individuals with flat feet can lead to increased stress on the ankles. This stress may result in weakness, instability, and a higher propensity for ankle sprains. Strengthening the ankles and improving foot posture are essential steps in mitigating these risks.
Managing Flat Feet: The Role of At-Home Rehabilitation
For those experiencing discomfort or seeking to improve their foot health, at-home rehabilitation programs offer a practical solution. The HEM Ankle Rehab program provides a targeted approach for individuals with new or old ankle sprains, weak ankles, or those experiencing ankle pain. This program focuses on strengthening the muscles around the feet and ankles, improving flexibility, and supporting proper foot alignment. Explore the HEM Ankle Rehab program for comprehensive at-home solutions tailored to improving foot and ankle health.
Conclusion
While flat feet can present challenges, understanding the condition and taking proactive steps towards management can lead to significant improvements in comfort, function, and overall quality of life. Whether through exercises, orthotic support, or in more severe cases, surgery, individuals with flat feet have various options to address their condition. It’s essential to consult with healthcare professionals to develop a personalized plan that addresses your specific needs and goals.
Remember, taking care of your feet is a critical component of your overall health and well-being. By addressing any issues early and adopting a comprehensive care approach, you can ensure that your feet remain strong and healthy, supporting your active and vibrant lifestyle.
Secret of the Pros
Everything You Need To Heal At Home
So, Why Rehab?
Most people think rest and ice will heal their ankle (even a severe sprain), but they end up with chronic ankle instability… 30% still have pain one year later!
And that causes all kinds of muscle imbalances in the body, which can lead more serious injuries, repeated ankle sprains and chronic ankle pain. It’s a terrible domino effect that can last for life.
That’s Where Rehab Comes In.
A great rehab program significantly improves how a sprained ankle heals. It eliminates pain fast and ensures your ankles are strong and stable with healthy range of motion, which helps prevent future sprains.
Rehab Is The Key To
Healing Ankle Injuries Fast
Recent studies have shown that rehab heals ankle ligaments safely and effectively. It’s the difference between the people that don’t heal a sprained ankle and the ones that do!
Injured Ankle
Without Rehab
Injured Ankle
With Rehab
HEM Ankle Rehab “Rehabs” Your Ankle
HEM is a complete ankle rehab and prehab program for the entire ankle, foot and calf complex. This is a very thorough program that contains so much more than anything else you can find online, but it’s still easy to do.
Scott will coach you through every step, as if you are with him, one on one. Just follow along with the videos to rebuild your ankle from the ground up.
You can expect pain free mobility and strong, stable ankles that are protected from an ankle sprain, without ankle braces!
REAL PEOPLE, REAL RESULTS
From Scott Malin, NASM-CPT, CES
Creator, HEM Ankle Rehab
September 13, 2025
Fifteen years ago, I had to give up what I love doing most… playing basketball. I sprained my ankles so many times that I could no longer play. It was devastating.
Like you, I used R.I.C.E. (rest, ice elevation, compression), but my ankles healed so slowly and badly, they eventually got so weak, I would sprain them just walking down the street!
Being a fitness trainer, the only thing I had going for me was a fascination with helping people get out of pain and strengthening their bodies.
So, I decided to research all the cutting edge techniques to heal an ankle sprain much faster and better than R.I.C.E.
After months of research, I discovered that icing an injury can have a negative affect on the body’s healing process. Studies show that ice can actually slow down healing and too much rest left the ankles weak and unstable. This was shocking, but only part of the story…
New research was suggesting a much more proactive approach to healing that involved much better rehab techniques proven to dramatically speed up the speed and quality of the healing process.
Instead of months, healing took only days. And, if you had a chronically weak ankle that was in pain, these techniques would quickly strengthen and stabilize the ankles.
I kept improving on these techniques, drawing from many different disciplines and simplified them.
Eventually, after many more months of trial and error, I created a simple at-home healing system with very reliable results.
Since I was a fitness trainer, I was able to help all my clients (celebrities and athletes) whenever they got injured. I was even on the news a few times.
The response from my clients and friends was so overwhelming that a few of them eventually convinced me to share it with everyone.
Today, I am humbled that over 100,000 people have healed fully and fast with my program.
So, if you have any kind of ankle injury (new or old), just follow along with me in the videos and I’ll show you exactly what to do until you are completely pain free.
My message is simple… you do not have to give up what you love. And you do not have to live with chronic pain from old injuries. Life is too short and there is a better way!
I truly hope you will start using my program so you can get your life back and do what you love, pain free (and yes, I still play basketball every week and LOVE it!)
Thank you!
Scott
Heal Your Ankle FAST ⇣
30 day money back guarantee

15 YEARS. 100K HEALED.

Secret of the Pros
Everything You Need To Heal At Home
REAL PEOPLE,
REAL RESULTS
So, Why Rehab?
Most people think rest and ice will heal their ankle (even a severe sprain), but they end up with chronic ankle instability… 30% still have pain one year later!
And that causes all kinds of muscle imbalances in the body, which can lead more serious injuries, repeated ankle sprains and chronic ankle pain. It’s a terrible domino effect that can last for life.
That’s Where Rehab Comes In.
A great rehab program significantly improves how a sprained ankle heals. It eliminates pain fast and ensures your ankles are strong and stable with healthy range of motion, which helps prevent future sprains.
Rehab Is The Key To
Healing Ankle Injuries Fast
Recent studies have shown that rehab heals ankle ligaments safely and effectively. It’s the difference between the people that don’t heal a sprained ankle and the ones that do!
Injured Ankle
Without Rehab
Injured Ankle
With Rehab
HEM Ankle Rehab
“Rehabs” Your Ankle
HEM is a complete ankle rehab and prehab program for the entire ankle, foot and calf complex. This is a very thorough program that contains so much more than anything else you can find online, but it’s still easy to do.
Scott will coach you through every step, as if you are with him, one on one. Just follow along with the videos to rebuild your ankle from the ground up.
You can expect pain free mobility and strong, stable ankles that are protected from an ankle sprain, without ankle braces!
100,000 PEOPLE HEALED-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
From Scott Malin, NASM-CPT, CES
Creator, HEM Ankle Rehab
September 13, 2025
Fifteen years ago, I had to give up what I love doing most… playing basketball. I sprained my ankles so many times that I could no longer play. It was devastating.
Like you, I used R.I.C.E. (rest, ice elevation, compression), but my ankles healed so slowly and badly, they eventually got so weak, I would sprain them just walking down the street!
Being a fitness trainer, the only thing I had going for me was a fascination with helping people get out of pain and strengthening their bodies.
So, I decided to research all the cutting edge techniques to heal an ankle sprain much faster and better than R.I.C.E.
After months of research, I discovered that icing an injury can have a negative affect on the body’s healing process. Studies show that ice can actually slow down healing and too much rest left the ankles weak and unstable. This was shocking, but only part of the story…
New research was suggesting a much more proactive approach to healing that involved much better rehab techniques proven to dramatically speed up the speed and quality of the healing process.
Instead of months, healing took only days. And, if you had a chronically weak ankle that was in pain, these techniques would quickly strengthen and stabilize the ankles.
I kept improving on these techniques, drawing from many different disciplines and simplified them.
Eventually, after many more months of trial and error, I created a simple at-home healing system with very reliable results.
Since I was a fitness trainer, I was able to help all my clients (celebrities and athletes) whenever they got injured. I was even on the news a few times.
The response from my clients and friends was so overwhelming that a few of them eventually convinced me to share it with everyone.
Today, I am humbled that over 100,000 people have healed fully and fast with my program.
So, if you have any kind of ankle injury (new or old), just follow along with me in the videos and I’ll show you exactly what to do until you are completely pain free.
My message is simple… you do not have to give up what you love. And you do not have to live with chronic pain from old injuries. Life is too short and there is a better way!
I truly hope you will start using my program so you can get your life back and do what you love, pain free (and yes, I still play basketball every week and LOVE it!)
Thank you!
Scott
Hurry, sale ends soon!
30 day money back guarantee