Flat Feet: A Helpful Guide
By Double Bay Podiatry,
Expert Foot Care In Sydney's Eastern Suburbs.








If you're struggling with Flat Feet in Sydney's Eastern Suburbs, Dr Emily Alston and her team at Double Bay Podiatry are here to help.
The following guide provides important insights into the causes, symptoms and treatment options for Flat Feet, helping you to take the first steps toward recovery. If your pain persists, contact the Double Bay clinic for expert advice and personalised care tailored to your needs.
Flat Feet Contents
What Are Flat Feet?
Flat Feet, also referred to as Overpronation, occur when the arches of your feet collapse, causing the entire sole to make contact with the ground. While some people with flat feet experience no discomfort, others may develop pain, balance issues, or alignment problems affecting their knees, hips, and lower back. Flat feet can be congenital (present from birth) or develop over time due to injury, ageing, or medical conditions.
Flat feet can impact your mobility and affect various parts of the body. This guide explores the symptoms, causes, and treatment options, helping you take steps toward healthier, more active living.
Wishing you a pain-free journey,
The Double Bay Podiatry Team

What Are the Symptoms of Flat Feet?
Flat feet don’t always cause symptoms, but when they do, you might notice:
- Foot pain: Discomfort in the arch, heel, or ball of the foot.
- Swelling: Particularly along the inside of the ankle due to strain.
- Difficulty standing or walking: Discomfort after prolonged activity.
- Imbalanced shoe wear: Uneven wear, particularly along the inner edge.
- Ankle instability: A tendency to roll the ankle inward.
- Joint pain: Discomfort in the knees, hips, or lower back due to misalignment.
If these symptoms persist or worsen, consulting a podiatrist can provide clarity and effective treatment options.

6 Potential Causes Of Flat Feet
Flat feet can develop due to a variety of factors, including:
- Genetics: Many people inherit low arches from family members.
- Injuries: Trauma to the foot or ankle can weaken the arch.
- Ageing: Natural wear and tear can cause arch collapse over time.
- Obesity: Excess weight increases pressure on the arches.
- Pregnancy: Hormonal changes and weight gain can temporarily flatten the feet.
- Medical conditions: Rheumatoid arthritis, diabetes, or tendon dysfunction can contribute to fallen arches.
Understanding the cause of your flat feet is key to determining the best treatment plan.
7 Treatments for Flat Feet
Effective treatment for flat feet focuses on reducing discomfort, improving foot support, and restoring proper alignment.
Key treatment options include:
- Custom orthotics: Specially designed insoles provide arch support and promote even weight distribution.
- Supportive footwear: Wearing shoes with sturdy arch support, cushioning, and a wide toe box can ease foot strain.
- Physical therapy: Exercises to strengthen the feet and lower legs can improve arch stability and reduce discomfort.
- Stretching routines: Calf, Achilles tendon, and plantar fascia stretches reduce tension and enhance flexibility.
- Weight management: Maintaining a healthy weight lessens pressure on the feet and helps preserve arch structure.
- Braces or ankle supports: In severe cases, these devices can stabilise and support the foot.
- Surgery: Reserved for advanced cases when conservative treatments fail, surgical options may realign bones or repair tendons.
Combining multiple treatments often provides the best results for managing overpronation effectively.

How Can Double Bay Podiatry Help with Flat Feet (Overpronation)?
Dr Emily Alston and the team at Double Bay Podiatry have been providing exceptional podiatry care in the Eastern Suburbs since 1993.
Here’s how we can help:
- Comprehensive foot assessments: We evaluate your gait, foot structure, and overall alignment to determine the cause of flat feet.
- Custom orthotics: We create bespoke insoles tailored to your unique foot shape and support needs.
- Footwear advice: Get expert recommendations on shoes that provide optimal arch support and cushioning.
- Physical therapy referrals: We collaborate with physiotherapists to develop strengthening and stretching programmes tailored to your condition.
- Pain management techniques: Learn strategies to relieve back, knee, or foot pain caused by flat feet.
- Bracing and supports: We provide ankle braces and stabilisers for extra support when needed.
- Rebate programmes: Eligible patients can access podiatry care through Department of Veteran Affairs (DVA) and Enhanced Primary Care (EPC) plans.
Our expert team helps you manage flat feet with the best care, ensuring lasting comfort and improved mobility.
Flat Feet FAQ
What are the short term benefits from receiving treatment for Flat Feet?
Treating flat feet provides noticeable improvements in comfort, mobility, and overall foot health. Custom orthotics reduce pain by supporting the arch and distributing pressure evenly, while supportive shoes lessen strain on the feet and lower legs. Physical therapy strengthens the muscles around the foot and ankle, improving stability. Early treatment can alleviate joint discomfort in the knees, hips, and back caused by poor alignment, enhancing overall mobility and daily activity levels.
What is the healing process for Flat Feet?
Recovery from flat feet treatment depends on the severity of the condition and the chosen treatment plan. Custom orthotics offer immediate support, though it may take a few weeks to adjust fully. Physical therapy results may take several sessions, strengthening foot and leg muscles over time. Consistently wearing supportive footwear can prevent further arch collapse and reduce symptoms. If surgery is required, recovery may involve a more extended healing process, including post-surgical therapy and follow-up care.
Why is it important to treat Flat Feet promptly?
Delaying treatment for flat feet can cause worsening symptoms and long-term complications. Untreated flat feet may lead to chronic foot pain, ankle instability, and even joint misalignment affecting the knees, hips, and lower back. Persistent discomfort can interfere with daily activities like walking or exercising. In severe cases, structural changes in the foot may become irreversible, requiring more invasive treatments such as surgery. Seeking early care helps prevent these issues and supports long-term foot health.
How can I prevent my Flat Feet from recurring?
Preventing flat feet involves maintaining good foot health and reducing strain on the arches. Choose supportive, well-fitted shoes with sturdy arch support and cushioning. Avoid walking barefoot on hard surfaces to minimise arch strain. Engage in regular stretching and strengthening exercises targeting the feet, calves, and lower legs. Maintain a healthy weight to reduce excess pressure on the feet. Scheduling regular podiatry check-ups can detect early signs of arch collapse and allow for timely intervention.
What should I avoid if I have Flat Feet?
Certain habits can worsen flat feet or contribute to arch collapse over time. Avoid wearing unsupportive shoes such as flip-flops, high heels, or flat-soled shoes lacking arch support. Don’t ignore persistent foot pain or swelling, as this may signal worsening symptoms. Avoid standing or walking for long periods without breaks, especially on hard surfaces. Lastly, refrain from skipping foot exercises or stretches recommended by your podiatrist, as these can prevent muscle imbalances and maintain foot strength.
Treating Flat Feet in Sydney
"Flat feet can be effectively managed with the right treatment, helping you stay active, comfortable, and pain-free.
At Double Bay Podiatry, we provide expert care, personalised orthotics, and tailored foot health strategies to support your well-being and mobility.
Contact us today to restore comfort, improve stability, and maintain healthier feet.”














