Flat Foot (Fallen Arches)
Arches are architecture. Yours can be rebuilt.
Flexible flat feet are common and often harmless — but an arch that is collapsing in adulthood usually means a failing tendon that worsens silently without treatment.
Adult-acquired flatfoot: the silent progression
The posterior tibial tendon is the main dynamic support of the arch. When it begins to fail — often in middle age, with diabetes, hypertension or weight gain as risk factors — the arch sinks in stages. Caught early, a brace and rehab may be all you need. Caught late, the deformity becomes rigid and options narrow.
How Dr. Mohit Prajapati treats it
- 01
Orthotics & calf stretching
Custom arch supports offload the failing tendon in early stages.
- 02
Tendon rehabilitation
Specific strengthening of the posterior tibial tendon can halt progression.
- 03
Joint-preserving reconstruction
Tendon transfer with realignment of the heel bone rebuilds the arch while keeping joints mobile.
- 04
Corrective fusion
For rigid, arthritic flat feet — predictable pain relief and a stable, plantigrade foot.