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Foot and ankle

Flat feet podiatrist

Flat feet are common and often painless, so many people need no treatment. If your feet ache or tire, a podiatrist can check why and whether orthoses or exercises will help.

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Understanding the condition

Flat feet (pes planus, or fallen arches) means the arch on the inside of the foot is low or touches the ground when you stand.1 It is normal in babies and young children, and most grow out of it, while some people keep a low arch for life.1,2 In many children the arch shows when they sit or stand on their toes (flexible flat feet).2 Flat feet that cause no pain or problems do not need treatment.1

Podiatry care starts by asking whether your flat feet cause any trouble. If they do, we look at how you stand and walk, your footwear and your activity. Supportive shoes, exercises and orthoses (shoe inserts) are the usual options.1 Some adults with painful flat feet report less pain with orthoses, although the research has not shown that they help everyone.3 Inserts are not routinely needed for painless flexible flat feet in children and do not change how the arch develops.2,4

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Flat feet podiatrist

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • A low or absent arch when you stand, with the inside of the foot close to or touching the floor
  • Feet that ache or tire after long periods of standing or walking
  • Pain in the arch, the heel or the inside of the ankle
  • Ankles that roll inwards when you stand or walk
  • In children, an arch that appears when sitting or standing on tiptoes, often with no pain at all
  • See a doctor or podiatrist if flat feet are painful, make walking difficult, feel stiff or affect only one foot. See a doctor if a child has foot pain when walking, or if a child under 8 falls often.

How our team helps

  • Assessment and diagnosis, including a gait and footwear review, to see whether your flat feet are causing any problem
  • Orthotic and insole prescription, only where an insert is likely to help
  • Footwear advice for adults and children, including fit and support
  • Exercise and stretching advice for the feet, ankles and calves when flat feet cause symptoms
  • Coordination with your GP and physiotherapist if pain, stiffness or one-sided flattening needs further review

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Podiatry
Podiatry
Allied health team
Podiatry
Comprehensive foot assessments and diabetes-related foot care from experienced podiatrists.
Read more

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Our care follows current Australian consumer guidance on flat feet and international reviews of foot orthoses, used where Australian clinical guidance is limited.

  1. Healthdirect Australia. Flat feet (fallen arches). Sydney: Healthdirect Australia; reviewed August 2025.
  2. Sydney Children's Hospitals Network. Flat feet factsheet. Sydney: SCHN; updated 10 June 2026.
  3. Oerlemans LNT, et al. Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes. BMC Musculoskelet Disord. 2023;24:16.
  4. Barry K, Pille C. Foot orthoses for treating flat feet in children (Cochrane for Clinicians). Am Fam Physician. 2023;107(3):232-233.
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Common questions

Do flat feet need treatment?
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Not if they cause no pain or problems. Many people have flat feet and never need care. Treatment is considered when flat feet cause pain, tiredness, stiffness or trouble walking, and then it usually starts with supportive footwear, exercises and sometimes orthoses.

Will my child grow out of flat feet?
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Flat feet are normal in babies and young children, and most grow out of them. Some children keep a lower arch, which is usually fine if it is painless. See a doctor or podiatrist if your child has foot pain when walking, or if only one foot is flat.

Do I need orthotics for flat feet?
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Only if your feet cause problems. Some adults with painful flat feet report less pain with orthoses, though research has not shown they help everyone, and they are usually used alongside supportive shoes and exercises. Children with painless flexible flat feet do not routinely need inserts, as they do not change how the arch develops.

When should I see a podiatrist about flat feet?
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See a podiatrist or doctor if flat feet are painful, make walking difficult, feel stiff, or affect only one foot. For children, get advice if they have foot pain when walking, or if a child under 8 falls often.

Do I need a referral to see a podiatrist for flat feet?
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No referral is needed for private appointments. A Medicare rebate needs a GP Chronic Condition Management Plan and a GP referral, and applies to up to five eligible allied health services a calendar year. Private health extras often cover podiatry, and DVA or NDIS funding may apply in some cases.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

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