Adult Acquired Flatfoot Deformity (AAFD) is the most common type, typically developing due to a weakening or dysfunction of the posterior tibial tendon – a crucial tendon that supports the arch. While some individuals have “flexible flat feet” without symptoms, surgical reconstruction is primarily considered for painful, progressive, or rigid flatfoot deformities. Over time, this can lead to:
Often along the inside of the ankle, arch, or radiating to the outside of the foot (sinus tarsi pain).
The arch gradually collapses, and the heel may tilt outwards (valgus deformity).
As the deformity progresses, joints can become stiff and arthritic.
Challenges finding shoes that accommodate the altered foot shape.
May lead to knee, hip, or back pain due to altered biomechanics.
Take the first step to pain-free living—book your orthopaedic appointment today.
Mr. Sethi is a fellowship-trained Foot & Ankle Surgeon with extensive experience in diagnosing and meticulously correcting complex adult flat foot deformities.
He excels in developing highly individualised surgical plans, often combining multiple procedures (tendon transfers, osteotomies, fusions) to achieve optimal long-term correction and function.
His goal extends beyond pain relief to rebuilding the proper biomechanics of your foot, improving your gait and reducing stress on other joints.
Recognising the often prolonged recovery associated with flat foot reconstruction, Mr. Sethi provides detailed guidance and works closely with your physiotherapist to ensure a successful rehabilitation.
Your journey to a more stable and pain-free foot will involve:
A detailed history, physical examination (including gait
analysis), and specialised weight-bearing X-rays and potentially MRI or CT scans to assess the flexibility and severity of your flat foot.
