This leads us to treatment for flat feet. Feet that are flat because of a structural problem, or gradually loosening ligaments or tendons can be helped through shoe orthotics. Start with a firm, over-the-counter insert. They usually cost less than $40 per pair. If needed, you can get custom orthotics from a physician, podiatrist, orthotist or physical therapist. These can cost hundreds of dollars but are usually made with more durable materials. Foot ache, ankle ache, or decrease leg ache (particularly in kids) could additionally be a results of flat toes and needs to be evaluated by a well being care provider. Based in Portland, Ore., Christine Binnendyk has written about health topics since 2001. She is the author of the book "Ageless Pilates" and her work has appeared in "SELF" magazine and "Pilates Pro." Binnendyk holds a Bachelor of Arts in journalism from the University of Connecticut and certifications from YogaFit, ACE, IDEA, Oregon School of Massage and the Pilates Studio of New York. Of late the shoes use soft material for reasons of initial comfort and are not really supportive or stable for a healthy gait. The use of sandals or 'flip-flops' during summer is of no help to patients with over-pronation as they are not satisfactory in biomechanical terms. Flat feet do not usually cause problems unless it causes pain and discomfort. This is because it usually to other ailments and diseases like bunions, heel spurs, back and knee pain and arthritis. This pain and discomfort can also make it very difficult to walk or move around which can greatly affect the personal activities of the individual. Shop late in the day – It is advisable to go shopping for the perfect pair of shoes later in the day for research studies suggest that your feet swell up during the day. This will cause hindrance in figuring out the exact shape and size of your feet. One of the surest signs that flat feet may need to receive medical attention is when foot pain is experienced consistently. Many people suffering from this condition find it difficult to stand on their toes, and some suffer from prolonged swelling on the inside of the ankle. In some cases, the turned ankles can cause lower back pain. Other sure indications of flat feet are shoes that wear unevenly and shoes that collapse toward the inside of the foot Unless foot pain is experienced, medical treatment is not recommended. If you notice any of these symptoms, it's time for a trip to the doctor. Diagnosing Flat Feet and Fallen Arches The main aim of surgery is to produce a foot which can adapt flat to the ground, take normal footwear and be without pain. It is possible for surgery to cause an over correction or an under correction in foot posture and surgeons must take great care in aligning the various aspects of a more normal foot posture. The aim of surgery in the beginning is to halt progress towards potential tendon rupture. plantar flexors Are those that pull the foot back. Thus are located in the back of the leg in the calf They are the soleus and the twins with the Achilles tendon, which is common to both.