Surgical Options for Flat Feet: When Conservative Treatment Isn’t Enough

Flat feet can often be managed without surgery; however, for some individuals, symptoms may progress beyond what conservative treatment can address. If you're dealing with persistent foot pain, difficulty walking, or worsening arch collapse, it may be time to explore surgical options. At Sellwood Podiatry in Southeast Portland, OR, Dr. Brandi Myers provides expert evaluation and treatment to help determine if flat foot surgery is the right step for you.

What Happens When Arches Fall

Your arch foot is designed to absorb shock and cushion your step. When it flattens or collapses over time, pressure is not evenly distributed, leading to pain in the feet, ankles, knees, and even the lower back. Either they are born with congenital flat feet or develop flat feet later in life due to injury, aging, or tendon dysfunction. While not every flat foot causes symptoms, should pain become long-standing, it can begin to interfere with movement and the functionality of one's life.

When Conservative Treatment Isn’t Enough

Most patients find relief with supportive shoes, over-the-counter arch supports, custom orthotics, or specialized stretching exercises. Physical therapy may also help in some cases. However, when conservative treatments no longer provide relief or the structure of the foot is severely affected, surgery is a consideration.

Common Surgical Approaches

Surgical procedures are tailored to your individual foot type and symptoms. Dr. Myers may recommend:

• Tendon repair or transfer – Used when the posterior tibial tendon (responsible for arch support) is weak or torn. A healthier tendon may be repositioned to take over its role.
  
  
• Bone realignment (osteotomy) – Involves reshaping or repositioning bones to restore arch height and improve alignment.
  
  
• Joint fusion (arthrodesis) – Fuses joints to provide long-term stability and reduce pain, often used in more advanced cases.
  
  
• Lateral column lengthening – A bone graft may be added to the outside of the foot to recreate the proper structure.
  
  

What to Expect

Recovery timelines vary based on the type of procedure but typically involve a period of rest and limited weight-bearing, followed by physical therapy. The primary goals of surgery are to restore proper foot function, improve walking mechanics, and reduce long-term strain on other areas of the body.

Take the Next Step

Most patients with flat feet improve with conservative treatment alone. However, when symptoms persist, an evaluation with a podiatrist can help determine the best course of care for you. At Sellwood Podiatry in Southeast Portland, OR, Dr. Brandi Myers offers personalized treatment plans, including surgical options when necessary, to help you get back on your feet.

Call (503) 235-8594 to schedule your appointment and learn more about flat foot treatment options.