The direct cause of being flat footed is linked to a muscular imbalance in the intrinsic muscles of the foot and ankle. When your main arch-supporting tendon, the posterior tibial tendon, decreases in strength due to muscle decay or injury, the foot begins to flatten and can cause pain during normal activities. Weakness in the tendon can be present at birth due to genetics or can develop from early walking patterns. However, in most people who experience fallen arches, it comes from strain due to aging or placed on the feet from standing or walking in heels for long periods of time. You may have heard of the term "fallen arch". This is essentially just another name for the condition. The arch is considered to be the area on the bottom of your feet that typically does not touch the floor. When there is no longer a gap there, this is sometimes referred to as a fallen arch. You should be aware that if you are experiencing pain within your arches or have fallen arches that this could develop other problems. Although the arch itself probably is not a serious issue, it can cause other problems over time. Many patients with fallen arches also experience lower back pain and leg cramps. In addition to poor arch support, the amount of weight carried by the foot arch can cause plantar fasciitis. The more weight a person carries, the more stress the foot arch is under and the more likely that problems will arise. The heel is also unduly stressed by excessive weight. This is why pregnant women can often experience significant foot pain which diminishes or disappears completely on giving birth. It’s the pointing action of the toes that helps to strengthen the arches of the feet, stretches out the top of the foot, and propels us through space when we walk and run. Two very different shoes – right, minimalist Nike Free, that I use for running (just running), and left Hoka One Ones that I employ for running off of long bike rides, when my calves and arches are shot. Different tools for different situations, but I consider arch supports to be tools to recover from injury, otherwise no way – they become a crutch, like a pull buoy in the pool. After considering the fact that he was buying a new pair of shoes almost monthly in a desperate attempt to find some comfort, we concluded that the cost of the inserts would soon pay for itself. A magnitude of foot problems develop as we age and many of these complaints begin about the age of 60. Among the most serious from a biomechanical standpoint is Adult Acquired Flat Foot Syndrome (AAF). Treated early enough, symptoms can be arrested or at least slowed. Untreated however, AAF becomes an extremely painful condition which ultimately affects the entire body and the patient’s lifestyle, as gait is significantly altered by the out-of-line foot and ankle. This malalignment can create pain, fatigue, and discomfort throughout the entire body. But did you also know that tiny device you wear in your shoe can alleviate that pain, possibly even eliminate it? The most common cause of heel pain and heel spurs is a condition called Plantar Fasciitis. This is Latin for inflammation of the Plantar Fascia. The Plantar Fascia is the broad band of fibrous tissue that runs under the foot and that forms your arch. Because of a number of different factors the plantar fascia are being overly stretched and this continuous pulling results in inflammation and pain at the heel bone, at the point where the ligaments insert into the heel bone. Shin splint s – This term generally refers to pain anywhere along the shinbone. It is typically due to overuse and is aggravated after exercise and activity.