• Rationale and Comments

    Flexible flat feet are normal physiologic variants commonly found in children and adults. Unlike a painful or rigid flatfoot that requires further workup, if an arch is present when standing on tiptoe, the foot can be managed with observation or over-the-counter orthotics. The use of custom orthotic devices to provide support for the foot does not aid in the development of the arch.

    Sponsoring Organizations

    • American Academy of Pediatrics – Section on Orthopaedics and the Pediatric Orthopaedic Society of North America


    • Expert consensus


    • Orthopedic
    • Pediatric


    • Wenger DR, Mauldin D, Speck G. Morgan D, Lieber RL. Corrective shoes and inserts as treatment for flexible flatfoot in infants and children. J Bone Joint Surg Am. Jul;71(6):800-810.
    • Staheli LT, Chew DE, Corbett M. The longitudinal arch: A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am. 1987;69(3):426-428.